Domhnall MacAuleyis a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK. He is currently attending the North American Primary Care Research Group (NAPCRG) annual meeting in Colorado Springs, CO.
Not many primary care doctors have an 8 billion dollar budget. Mitch Katz, who gave the opening keynote address at NAPCRG 2016, is director of the Los Angeles County Health Agency which combines the Departments of Health Service, Public Health and Mental Health into one service. He continues to see patients and described how he had become so specialised in his career in a primary care AIDs clinic in San Francisco, that he found returning to generalist practice extremely difficult. When he focused on AIDS he was on top of his topic like any specialist, but, as a generalist, he had to cope with anything from a heart attack to broken heart.
Kim Griswold is Associate Professor of Family Medicine, Psychiatry, and Public Health and Health Professions at Jacobs School of Medicine and Biomedical Sciences in Buffalo, New York. Dr Griswold will be speaking at the forthcoming North American Primary Care Research Group (NAPCRG) annual meeting.
Communities in every nation are faced with providing competent, equitable and culturally appropriate services for resettling refugees. Health centric disciplines are not enough to meet the challenges presented by these newly arriving populations, nor to alleviate the disparities they face – such as isolation, limited English proficiency, differences in patients’ attitudes and health literacy levels, and a lack of cultural awareness on the part of providers.
Health inequity can be defined as: “unjust differences in health between persons of different social groups.” ...continue reading →
Mark Harris is Foundation Professor of General Practice and Executive Director of the Centre for Primary Health Care and Equity at the University of New South Wales in Australia. Dr Harris will be speaking at the forthcoming North American Primary Care Research Group (NAPCRG) annual meeting.
After working with refugee populations resettled in the urban fringe of Sydney in the 1990s, I began volunteer clinical work in 2000 with an NGO working with asylum seekers. Asylum seekers do not have access to the national health insurance system that funds primary care for all Australians and subsidizes medications. Despite having greater health needs due a variety of acute and chronic physical and mental health problems, refugees often suffer worse access to health care in resettlement countries like Australia. ...continue reading →
Fern R. Hauck is Professor of Family Medicine and Public Health Sciences at the University of Virginia. Dr Hauck will be speaking at the forthcoming North American Primary Care Research Group (NAPCRG) annual meeting.
The scope of the crisis is staggering! The number of people displaced by war, conflict or persecution has hit a record high—over 65 million with 21 million of these being refugees. Most face an uncertain future. Those who are resettled to a developed country are among the lucky ones. Nonetheless, they face many challenges in their new home, including accessing culturally sensitive health care.
My involvement with refugees began on the Thai-Cambodian border, where I spent a year providing primary health care to Cambodian refugees who were living in the largest border camp, having fled there after the Khmer Rouge were ousted after years of genocide. Moving to Charlottesville, Virginia, in 2000, I never expected to find that refugees were being resettled in this small city. ...continue reading →
I am heading for the explicitly international perspective of the ‘Clinical Academic Careers’ meeting in Dublin tomorrow, which is part of this year’s SAPC conference. I'll be commenting in my capacity as President-Elect of the World Organization of Family Doctors (WONCA). Let’s leave aside my sense of irony and grief that I shall be doing this as a little Englander whose country thinks it can manage alone – and will probably have to....I am writing this as a citizen of the world, where the professional networks of doctors, researchers, and scientists can span borders and bring fruitful ideas to deliver better care for our peoples. ...continue reading →
Emma Wallace is a Senior Clinical Research fellow in the Health Research Board (HRB) Centre for Primary Care Research at the Royal College of Surgeons in Ireland (RCSI) Medical school
This week, the Society of Academic Primary Care (SAPC) conference is being hosted by the Department of General Practice, of the RCSI, in Dublin. As part of the organising committee for the conference I am very much looking forward to welcoming primary care researchers from all over the world to Dublin to partake in what is sure to be a stimulating and diverse programme. In parallel to the conference, a clinical academic career in Family Medicine/General Practice (GP) meeting will take place to share international experiences and best practice with attendees from Sweden, Canada, the United Kingdom (UK) and Ireland. In anticipation of this meeting, I will share some of my own experiences and reflections as a GP undertaking structured PhD training in Ireland ...continue reading →
As a career offering diverse experiences, challenge and intense satisfaction, academic family practice surely cannot be beat. Many of us may have begun our academic practice early in our career, particularly those of us who were biomedical clinicians-scientists. However, for me the journey to a full academic career, as maybe more typical for family practice clinician scientists, developed over several decades.
Tom Fahey is Professor of General Practice in The Royal College of Surgeons in Ireland and a general practitioner in Dublin, Ireland
In late 2015 I was fortunate to be awarded a James M. Flaherty visiting professorship from the Ireland Canada University Foundation (ICUF). The purpose of this award is to enable academic exchange between Canada and Ireland. Earlier this year I visited the Universities of Ottawa, Toronto and British Columbia and also met with the editorial team of the CMAJ. In the latter part of my visit I met with Dr. Wendy Norman, Canadian Institutes of Health Research (CIHR) and Public Health Agency of Canada (PHAC) Chair ...continue reading →
Liz Sturgiss is a lecturer at the Academic Unit of General Practice of the Australian National University
I faced attending PHCRIS this year with some trepidation. I'll admit that, as a (very) early career GP researcher, the recent months of de-funding announcements have filled me with disappointment. Have I chosen a career path worth pursuing? Is this a valuable way to spend the next 30 years of my working life?
I'm pleased to say I've been left with a feeling of great hope having been inspired by my primary healthcare research mentors and leaders.