Solving our primary care crisis by retraining specialists to gain specific primary care competencies

Article Abstract:

A solution to the shortage of primary care physicians may be to retrain specialists in different types of primary care. Less than half as many medical school graduates chose to practice primary care medicine in 1992 as in 1982. Only 32% of US physicians practice some type of primary care medicine, compared to 50% in other developed countries. Several strategies have been developed to increase the number of primary care physicians. One strategy would be to create different incentives for specialists to switch to primary care. This strategy would depend on a large program in continuing medical education and retraining. Primary care physicians need to have certain types of skills to be competent. These include clinical skills and skills with different types of medical technology. They need to practice cost-effective medicine and be able to provide preventive care. Academia needs to take an active role in recruiting primary care physicians.

Planning, Education, Family medicine, Study and teaching, Health care reform, Physicians (General practice), General practitioners

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Closing the case in JAMA on the John F. Kennedy autopsy

Article Abstract:

The editors of JAMA, the Journal of the American Medical Association, published an interview with two of the pathologists who conducted the autopsy on John F. Kennedy in 1963. In it, the reporter claimed that the physicians had not been interviewed since the autopsy, but in fact, they were interviewed by Dan Rather in 1967. In both interviews, they confirmed that Kennedy was struck from behind by two bullets, one of which destroyed a large part of his skull and brain. However, the autopsy report omitted any discussion of the president's adrenal glands. It was widely believed that Kennedy suffered from Addison's disease. In the interview with JAMA, one of the pathologists admitted that he was unable to find adrenal glands during the autopsy. The editors of JAMA believe the government should release the details of the autopsy to the public to put to rest the conspiracy theories.

Publishing industry, Interview, Kennedy, John F., Assassination, JAMA, The Journal of the American Medical Association (Periodical), Humes, James J.

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Marginal Medicine

Article Abstract:

Physicians must realize that governments and health care plans must maximize the health of populations rather than individual patients. Governments have limited resources and must use those resources most effectively. Individuals who can afford to pay for their health care can receive as many services as they want. When public money is involved, some patients may have to receive suboptimal treatment so that others can receive optimal. Consequently, medical ethics as it is usually interpreted by physicians is not good public policy.

Analysis, Medical policy, Health policy, Medical ethics, Health care rationing

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