Tag Archives: family medicine

Domhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

The concept of the “Salon” is based on the tradition of European intellectual gatherings that led to the great literary, artistic and political movements of our time. At a recent meeting of primary care researchers in Colorado Springs, Frank deGruy gathered a group of colleagues in this way together to create discussion, debate and perhaps generate ideas. Such gatherings might take place with any group and in any context - in a department, region or nationally. On this occasion, Frank attracted a group of about twenty delegates of the NAPCRG meeting from various international and professional backgrounds and I was fortunate enough to be included. ...continue reading

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Domhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK

 

How do you create a successful school of primary care research?  Measuring outputs through academic papers, presentations at international meetings, and the general impact of research, the UK primary care community has had remarkable success. The ten year celebration meeting of the School of Primary Care Research (SPCR) in England was an opportunity to reflect on their achievements and try to pick out the key factors in that success.

It wasn’t always this way. As an academic and an editor I know the struggle that researchers had in the early days. There were few grants, ...continue reading

jack_westfallJohn M (Jack) Westfall is a Professor of Family Medicine and Director of the High Plains Research Network. Dr Westfall will be speaking at the forthcoming North American Primary Care Research Group (NAPCRG) annual meeting.

 

The High Plains of eastern Colorado have been referred to as a dwindling remnant of the “worst hard time”, reminding us of a not too distant past that included the dust bowl and westward out-migration to the West Coast. Rural Colorado has become mostly a crop-circle curiosity or a time to “put your seat into the upright and locked position” for the thousands of travelers that fly over at 30,000 feet. The small town of Last Chance, Colorado sits at the junction of 2 blue highways. It is home to just 22 residents.

Last Chance once had a Dairy King and 2 gas stations, and was for many, the last chance for food and fuel before heading east into the vast open plains of eastern Colorado. ...continue reading

griswoldKim 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

spottieKevin Pottie is Associate Professor of Family Medicine and Epi & Community Medicine at the University of Ottawa, as well as co-Chair of the Canadian Collaboration for Immigrant and Refugee Health, and a family physician at the Immigrant Health Clinic of Ottawa, which he helped to found. Dr Pottie will be speaking at the forthcoming North American Primary Care Research Group (NAPCRG) annual meeting.

 

My residency training in Ottawa began with a wave of refugees from El Salvador and Guatemala.  Most conflict-affected refugees - Somali, Sudanese, Congolese, Karen, Bhutanese, Colombian - come quietly and settle rapidly in our communities.  And, even in instances when the media cover the arrival of large waves of refugees, such as the Vietnamese boat people or the recent Syrian war victims, the refugees themselves settle quietly in our communities.

In the early 1990s, it felt almost revolutionary to care for refugees. There were few primary care practitioners trained and ready to lead ...continue reading

harrisMark 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

hauckfFern 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

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Domhnall MacAuley is a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK.

 

The premier primary care research meeting in the United Kingdom and Ireland, the Society of Academic Primary Care (SAPC) meeting, was hosted by the Royal College of Surgeons in Ireland.

Margaret Cupples, a long time friend and colleague, gave the opening keynote address, guiding us through the evolving patterns of morbidity and mortality in cardiovascular disease ...continue reading

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Robyn Tamblyn_croppedRobyn Tamblyn is Scientific Director at the Institute of Health Services and Policy Research, Canadian Institutes of Health Research (CIHR), and Professor in the Department of Medicine and Department of Epidemiology & Biostatistics at McGill University's Faculty of Medicine, in Canada

 

In our modern world, ‘next gen’ releases of technological devices and apps seem to come along before we have even figured out the previous version. We have a new generation of communication, new systems of tracking information and a new level of data availability.

Our healthcare system, accessed by millions of Canadians each day, has also entered a new generation as it produces trillions of bits information that could be harnessed to understand the comparative effectiveness of different treatments, the causes of potentially avoidable adverse events, unnecessary costs and missed opportunities for prevention, and to improve patient experience. But to this point, we have not really been able to use this information to produce knowledge on how we can do better. In order to do so we need a ‘next gen’ health system. ...continue reading

AHoweAmanda Howe is Professor of Primary Care at the University of East Anglia in Norwich, England, and President-Elect of the World Organization of Family Doctors

 

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