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.

Why Harvard Medical School Could Be a Perfect Place to Train Family Medicine Physicians

In 1965, Harvard Medical School (HMS) had a thriving Family Medicine & Primary Care Residency—a visionary program that was strongly rooted in serving the vulnerable populations surrounding the HMS campus. Resident physicians trained to provide outpatient primary care across the life spectrum, working in partnership with Boston Children’s Hospital, Peter Bent Brigham Hospital, and Boston Lying-In Hospital (the latter two of which are Brigham & Women’s predecessor institutions). ...

How Our Clinical Public Health Curriculum Equipped Us to Respond to COVID-19

The authors are fourth year medical students at The George Washington University School of Medicine and Health Sciences who have been active participants in their medical school’s Clinical Public Health (CPH) curriculum. In response to the COVID-19 pandemic, the students applied their education to help launch and lead community response efforts, including creation of a

Incarceration is a Public Health Crisis, During COVID-19 and Beyond

The COVID-19 pandemic has made American inequality painfully clear. As case counts continue to rise across the country, some of the largest COVID-19 clusters in the US are in jails, prisons, and detention centers. As of November 2020, 38 different institutions have reported greater than 1,000 cases. One study estimates that rates of COVID-19 in US prisons are

Diversifying the Healthcare Workforce is Key to Addressing Health Inequities

When we improve the health of the most marginalized, we improve the whole nation’s health. Brian Stevenson, Executive Director of the Equal Justice Initiative, noted in the American Public Health Association (APHA) 2020 Annual Meeting, “the health of our communities must not be judged on how well the powerful and privileged are doing, but by the health and well-being of the most vulnerable ...

Relational Organizing Key to Addressing the Political Determinants of Health & Health Equity

As the world has watched with bated breath, the 2020 United States presidential election has unfolded into a paradigm shift marked by apprehension and anticipation. The American people—more civically engaged and politically informed than ever before—have mobilized in a historic show of democratic involvement. As American communities from all walks of life have been galvanized, a single factor has risen to ...

Moving Beyond Empty Promises on Making #BlackLivesMatter (Part 2): How can our cities, companies, and other institutions dismantle structural racism?

Part 1 of this blog post discussed some of the empty promises in the United States to make #BlackLivesMatter, as well as the types of policy changes needed to move beyond surface-level action. Today, we’ll focus on what specifically cities, companies, and other institutions can do. What can our cities do to dismantle structural racism? There has been a fair amount of coverage ...

Moving Beyond Empty Promises on Making #BlackLivesMatter (Part 1)

As we seek justice for the deaths of Breonna Taylor, George Floyd, Ahmaud Arbery, and the long list of Black victims of police violence; as we grapple with the disproportionate impact of COVID-19 in Hispanic, Black, and Indigenous communities; and as we acknowledge the tremendous toll of

COVID-19 & the Political Determinants of Health

From the earliest days of the COVID-19 pandemic, it was clear that America’s deep-rooted inequities would play a central, and likely devastating, role in the magnitude and distribution of the burden of disease. In early March, former New York City Health Commissioner Dr. Mary T. Bassett and I outlined these inequities and called for a human rights-based response focused on ...

The Impacts of Racism on the Health of our Nation

Dr. Martin Luther King, Jr. once said, “Our lives begin to end the day we become silent about things that matter.” The American Academy of Family Physicians (AAFP) has a legacy of being outspoken on issues that matter to our patients and the communities in which our members serve. We advocate loudly for our most marginalized patients, including those who are transgender, those with limited English proficiency, those with disabilities and, of course, people of color. It is in that spirit we issued a
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