Doctor-Patient Relationships

May 01, 2022 Issue
Vaccination Disagreement Between Parents [Curbside Consultation]

In addressing this case, it is important to note that the dissenting parent (the mother) has not informed the family physician that she adamantly opposes giving the vaccine; this opposition would provide explicit proscription. Importantly, in a legal context, a parent (the father) who shares legal g...

Mar 01, 2022 Issue
Gender-Based Requests for Physician Care [Curbside Consultation]

Many patients have personal preferences regarding their choice of physicians. These may include personal factors such as the physician’s race, ethnicity, religion, gender, sexual orientation, or age. These patient preferences, and requests to accommodate them, occur on a continuum from those that ou...

Feb 01, 2022 Issue
The National Health Service Corps at 50 Years [Graham Center Policy One-Pagers]

The National Health Service Corps (NHSC) was established in 1970 to address the mal-distribution of physicians in the United States. In 1972, it placed the first clinicians (181 physicians) into rural and urban underserved communities. Since then, the NHSC has grown into a multidisciplinary and raci...

Dec 01, 2021 Issue
Is Artificial Intelligence the Key to Reclaiming Relationships in Primary Care? [Editorials]

Over the past decade, artificial intelligence (i.e., technologies that perform tasks that normally require human intelligence) has been integrated into clinical decision support systems to provide timely information at the point of care and inform medical decision-making. Today, clinical decision su...

Dec 01, 2021 Issue
Dismantling Anti-Black Racism in Medicine [Editorials]

The murders of George Floyd and countless other members of the Black community by police prompted family medicine journals and professional societies to publish antiracism statements that provide actions, plans, and accountability structures to eliminate systemic anti-Black racism in medicine.

Nov 01, 2021 Issue
Climate Change and the Local Environment: Communicating with Your Patients about Health Impacts [Curbside Consultation]

This case provides an example of how climate change and the environment can have significant impacts on the health of our patients. It also illustrates the complex interaction of local, regional, and global environmental harms. The wide scope of environmental threats to human health presents challen...

Oct 01, 2021 Issue
Physicians Should Refuse Pharmaceutical Industry Gifts [Editorials]

Knowing that the high price of drugs is a major detriment to public health in the United States and that the pharmaceutical industry spends vast sums marketing to health care professionals, physicians should refuse visits, gifts, payments, and drug samples from pharmaceutical representatives.

Oct 01, 2021 Issue
Racial Disparities at the End of Life [Editorials]

The COVID-19 pandemic has drawn greater attention to the continuing discrimination that racial minorities face within the medical system. Often these disparities are considered in the context of patients who are not actively dying. However, care delivered at the end of life is also susceptible to ra...

Aug 01, 2021 Issue
Fallacies and Dangers of Practicing Race-Based Medicine [Editorials]

Race does not have a biologic definition, but rather a political and social one that is fluid and independent of science. Nevertheless, the medical community uses race as a scientific variable in several prominent clinical situations, including calculation of atherosclerotic cardiovascular disease r...

Jun 15, 2021 Issue
Poor Physician-Patient Communication and Medical Error [Lown Right Care: Reducing Overuse and Underuse]

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

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