I’ll keep this short, because I know you’re tired. I know because I’m watching it in real time. At CFHA – The Integrated Care Association, workgroups that used to convene monthly have scaled back, not because the work is done, but because people are tapped out. In my clinic, residents who would have once jumped […]
The game is played back and forth, each side jostling to score a goal where possible. The scoring can be few and far between, a lot more chances and shots at goals, than reward. Often the activity is quick, a quick run by a team toward the goal, and then the ball is going backward the other way, exchanging possession back and forth… Yet […]
As is often the case with scientific breakthroughs, Lister was not satisfied with prevailing explanations for high post-surgical mortality. Instead, he looked elsewhere, guided by observation. In hindsight, it is striking how long established—yet incorrect—explanations persisted. These were not only scientific but cognitive: reinforced by shared assumptions that made alternative interpretations difficult to see. In […]
“Today, we take clear and decisive action to confront our nation’s mental health crisis by addressing the overuse of psychiatric medications—especially among children,” said Secretary Kennedy. “We will support patient autonomy, require informed consent and shared decision-making, and shift the standard of care toward prevention, transparency, and a more holistic approach to mental health.” In […]
That gap, between what the chart said, and what I read in the room, is where much of the work happens in primary care. Universal screening with validated tools, brief intervention, referral to treatment (e.g., SBIRT) has a robust evidence base, and at the population level, it works. A well-resourced implementation trial across 22 primary […]
Table 1 Documentation Guidelines for Clinical Notes (Adapted from Reiter, 2023) Do Avoid Be brief and concise. Avoid using names outside of the patient’s name. Keep quotes to a minimum. Avoid terms like seems, appears. Use an active voice. Avoid value-laden language, common labels, opinionated statements. Use precise and descriptive terms. Do not use terminology […]
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This channel is dedicated to promoting behavioral health integration into primary care in hopes of fortifying and strengthening the system as a whole. Through interviews, role-plays, intervention metaphors, and videos alike, primary care team members of all disciplines can learn the ins and outs of working efficiently and effectively within the primary care system. Additionally, the channel highlights contextual-based behavioral interventions (e.g., focused Acceptance and Commitment Therapy [fACT]) commonly used in primary care. Dr. Bauman produces these videos in collaboration with the Collaborative Family Healthcare Association.
