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 →
Domhnall MacAuleyis a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK.
I have just read your book - or, should I say, it completely captivated me. I couldn’t put it down. What a compelling life story. When you lectured about depression at those Masterclass lectures I chaired years ago I was so impressed with your grasp of the topic, your understanding of the difficulties facing family doctors, and your overall approach to managing the condition. You had such a clear understanding and appreciation of depression and the difficulties of treating it in practice. And, you were so assured, confident, on top of your subject. I had chaired many similar sessions but yours were outstanding. There wasn’t even the slightest hint that your understanding extended so far into your personal experience. ...continue reading →
Annalisa Montesanti is a Programme Manager at Ireland's Health Research Board
Health research, and its knowledge application and translation towards more tangible impacts, requires the talent, expertise and ingenuity of a wide range of people. The challenge for a health research funding organisation is how to efficiently build research capacity in a collaborative manner across clinicians and other health professionals, scientists, social scientists, epidemiologists, health economists, statisticians, engineers, policy-makers, decision-makers, patient groups, public groups, and others. ...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 →
Grant Russell, newly elected for a second term as President of the Australasia Association of Academic Primary Care (AAAPC) was upbeat in his introduction to the second day of the meeting. He reminded us how the Canadian academic, Martin Bass, had warned against learned helplessness and he pointed out that primary care has much more influence than we give ourselves credit for.
Claire Jackson, one of Australia’s leading primary care researchers was introduced at her plenary lecture as “an eternal optimist”. True to form, she told us that there has never been a more exciting time to be in primary care research. She listed the national primary health care strategy, the primary care framework, and the 31 primary health networks. While there have been numerous health care reforms, each one has primary care at its centre and there is growing government awareness of the need to address complex chronic illness in community. ...continue reading →
Domhnall MacAuleyis a CMAJ Associate Editor and a professor of primary care in Northern Ireland, UK
My programmed response is always to jump to the defence of primary care, but a report entitled “Chronic Failure in Primary Care” that was recently published by the Grattan Institute, a public policy think tank in Melbourne, Australia, raises interesting challenges.
It was written by Jo Wright, Hal Swerissen, a health policy expert from LaTrobe University in Australia, and Stephen Duckett, an economist who will be known to many Canadians from his time in Alberta. It is critical and challenging but behind the headlines there are some constructive ideas. ...continue reading →
Joanne Reeveis an Associate Clinical Professor in Primary Care at Warwick Medical School in the UK, and the Chair of the Society for Academic Primary Care
A recent editors' blog by Domhnall MacAuley suggested that it is “difficult to see a future for academic general practice.” I propose that the solution lies in the broader discipline of Academic Primary Care (APC).
Academic Primary Care matters. APC is a distinct discipline driving improvement in primary care through education and research. Academic general practice lies at the heart of this wider multidisciplinary community committed to improving whole-person centred primary health care. The APC community lead health service research driving improvements in policy and practice in key priority areas such as antibiotic stewardship and cardiovascular risk management. But APC also tackles the distinct challenges facing the Primary Care community: for example, the need for new person-centred models of acute and chronic care to address problems of treatment burden and ‘too much medicine’. APC supports the redesign of Primary Care through re-engaging with the core principles of continuous, comprehensive, accessible, whole person-centred care. ...continue reading →
Sir Denis Pereira Gray, OBE, is a consultant at St Leonard’s Research Practice, Exeter, and Emeritus Professor at the University of Exeter in the United Kingdom
A few weeks ago a blog by Domhnall MacAuley picked up on an article that I had written in the British Journal of General Practice, entitled “Academic general practice: a viewpoint on achievements and challenges.” The article was written to ask some big questions and to stimulate debate about academic general practice and Domhnall's blog followed it up interestingly and extended the issues.
I am still optimistic about academic general practice. General practice is the key branch of the medical profession and there are still many aspects of it to be discovered. Yes of course “big data” are a new resource and need new techniques, but a place remains for clinical research in general practice and in single research active general practices too. However, the relationships and the support for research in clinical settings need clarification and funding. The prime role of single practice research is to study new clinical developments, to scope their potential, and pave the way for bigger definitive studies. Single practices do have the numbers for statistical significance if they choose their subject ...continue reading →