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.

Reference

Integrating AI with Narrative-Based Medicine: Enhancing Patient-Centered Care in Primary Practice

Artificial Intelligence (AI) in health care refers to the use of advanced computational algorithms and technologies to analyze complex medical data and assist in clinical decision-making, diagnostics, treatment planning, and patient management. Using machine learning, natural language processing, and neural networks, AI can process large datasets, identify patterns, and make predictions based on data that are often beyond the capacity of human cognition, thereby
Stories

Last Call: Reflecting on 64 Years in Medicine

On April 16, 2024, I took night call for the last time, 64 years after I first took night call. For the last few months, I have been thinking about all of the changes I have seen relating to the nature and content of my time being on call. After my first year at Harvard College in 1959, my mother—the chief technologist in a hospital hematology lab—thought it would be useful for me to get training as a hematology technician during the summer so I could get a job when I returned to school in the fall. She arranged summer work for me in a hematology lab, and when I returned ...
Reference

Integrating Weight Management in Primary Care

The obesity prevalence among U.S. adults has increased at an alarming rate in the past several decades, reaching 42 percent in 2018 or about 110 million people based on census data. By 2035, the prevalence of obesity in the U.S. is expected to reach 58 percent, with the total ...
Advocacy

Standing for change: NASEM Forms Standing Committee for Primary Care

As a specialty that manages complex chronic conditions and preventive care, primary care has been shown to reduce cardiovascular, cancer, and respiratory mortality and extend the lives of patients. Yet the field of primary care faces an unmanageable physician workload, lower average salaries than most other medical specialties, and ...
Stories

The Future is Bright—Award Recipients Share Insights

Primary care is the first point of care for many. It has a direct impact on health equity and is uniquely positioned to help alleviate the impact of social determinants of health, manage chronic conditions, and help people live healthier lives. While there are physician shortages in the primary care field, there are still individuals who commit to this noble pursuit. Today, we honor recent recipients of the Robert H. Ebert, MD Student Achievement Award by sharing their insights on what makes primary care great. Congratulations to ...

A Farewell Message from the Outgoing Editor-in-Chief

To our community of readers and contributors of the Harvard Medical School Primary Care Review: It has been the pleasure of a lifetime to serve as the inaugural Editor-in-Chief of the Harvard Medical School Primary Care Review from April 2020 through December 2022, and it is with mixed emotions that I step down from this role as I pursue further family obligations. Throughout the past 2.5 years, we have grown this publication to become a key Harvard-affiliated publication where community members ...
Advocacy

Our Right to Basic Public Health Amenities

I was born and raised in Mebane—a small town in North Carolina that is now primarily white with a large percentage of Black, Indigenous, and Latinx individuals today. My childhood was spent between my father, Jesse’s, side of the family in the West End Community of Mebane and the Hawfields community of dairy farms where most of my mother, Mary’s, side of the family lived. My father worked on dairy farms after his left arm was cut off in a Mebane sawmill accident, while my mother worked in textile mills that caused carpal tunnel syndrome and mini-strokes. Outhouse ...
Advocacy

Compassionate Release for Prisoners: Ensuring Dignity and Care

He is bedbound, unable to walk, unable to care for himself, unable to advocate for himself, and so confused that he cannot finish a thought, let alone a sentence. He has lost 90 pounds in the past year. He soils the bed multiple times per day. His legs and feet are so swollen and edematous that socks and shoes do not fit on his feet. The expectation is that he yells from his bed/cell if he needs something, has a problem, or even worse, he falls with the hope someone hears him in the hallway. There is no emergency call button or ...
Advocacy

P is for Period and P is for Power: Attending to Menstrual Hygiene in Rural India

“Can I take a bath during my period?” comes a feeble voice from one corner of the classroom. I struggle to put the words together but am afraid to ask again lest the enquirer retreat. “I missed my exam because I was on my period that day, and the cloth I use often leaks and soils my clothes,” someone else says from another corner. Slowly the entire room fills with questions that I never imagined existed. I wonder if we have different centuries for different people. That night I could not sleep as I tried to fathom the gravity of this situation. Why is female health so ...
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