Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Primary Care and COVID-19

Primary care is the foundation for population health and well-being. Unfortunately, our efforts to address the coronavirus pandemic have exposed many critical structural deficiencies in our country’s health care system, most notably the lack of investment in primary care. Equal access and equitable care While the disparate impact of the coronavirus on

Mindfulness Can Improve Mental Health During & After the COVID-19 Crisis

Although there was no shortage of suffering before coronavirus, this global pandemic, compounded by tragic events involving the loss of Black lives, has brought rising levels of stress and uncertainty. Growing unemployment and physical separation from loved ones have led to increased substance ...

Reflections from a Health Policy Fellow

As many Family Medicine colleagues across the United States complete residency, I find myself looking back to those challenging yet invigorating years. Residency training certainly solidified my clinical skills, from diabetes to pregnancy labor management, but also heightened my interest in social issues. Training in Western North Carolina meant working in a non-Medicaid expansion state where Black babies were three times more likely to die within their first year of life than white babies and where those struggling with opioid addiction were often marginalized. Each day seemingly brought ...

Treatment of Vulvar Pain: A Worthwhile Clinical Challenge

Many people experience sexual pain or dysfunction at various points throughout their lifetime, and women’s sexual pain conditions are often mis- or undiagnosed. A common pain ...

Primary Care Transformation in a COVID-19 World

Access to comprehensive primary care has long been a challenge in the United States, and the economic and social impacts of the COVID-19 pandemic will have far reaching implications on our healthcare system. Sixty percent of Americans have at least one chronic condition, and many patients have complex needs that require additional coordination, time and resources than what traditional models of care ...

COVID-19 and Homelessness in Boston: Thoughts from the Initial Surge

The COVID-19 pandemic has cast health inequities into stark relief, though this hasn’t surprised those of us already immersed in the care of homeless persons. Barbara McInnis, a beloved nurse at the Pine Street Inn in 1985 (for whom the Barbara McInnis House for medical respite was named ...

Beyond the Symptoms: How & Why Medical Providers Can Address Police Misconduct

Many of my teachers and fellow students feel that to be good healthcare providers, we must separate ourselves from our political opinions and the issues outside the walls of the hospital. That impulse can be helpful. We don’t want to mistreat our patients because they hold different opinions from us or see the world in a different way. At the same time, I think it limits the degree to which we can fully understand and address the problems our patients face. It is difficult to understand the injuries caused by violence or the illnesses caused by chronic stress ...

Running, Community, and Accountability to Get Back on My Feet

It’s 5:30 am, and while most of the world may still be sleeping, our community comes together, greeting each other with hugs and high fives. We come from all walks of life, running together to get in our morning miles. Our community shows up rain or shine, on the darkest of winter mornings and the brightest of summer days, knowing that by just showing up, we are helping each other put one foot in front of the other, pushing toward a brighter future.

The Changing Landscape of Medical Education Amidst the COVID-19 Pandemic

March 12 & 13, 2020. Just three months ago, yet it seems like eons. All my meetings were abruptly canceled so I could attend urgent education team meetings to discuss how to proceed with our medical school curriculum in the setting of the COVID-19 pandemic. Like many medical schools across the United States, we suspended in-person pre-clerkship lectures and small groups, clinical clerkships and electives and rapidly transitioned to online learning. Faculty, many of whom were digital immigrants (myself included), found themselves forced to use the very technology they had ...