RESUMO
COVID-19 supportive quarantine care in the community is managed by primary care practices. There is no current guidance on how a primary care practice with high volumes of patients screened for COVID-19 can re-configure itself to become responsive to the pandemic. We examined Learning Health System guidance from the National Academies of Science, Engineering and Medicine and adapted it to our primary care practice to create an efficient, effective, adaptive response to the COVID-19 pandemic. We suggest evaluating this response in the future for effectiveness and efficiency.
Assuntos
Infecções por Coronavirus/prevenção & controle , Medicina de Família e Comunidade/organização & administração , Sistema de Aprendizagem em Saúde , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Atenção Primária à Saúde/organização & administração , COVID-19 , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Estados Unidos/epidemiologiaRESUMO
Throughout the last decade, general interest in primary care has drastically decreased. While medical students collectively show a high awareness for the significance of primary care during their first two years of medical school, this enthusiasm wanes for many as they complete their clinical years. As a result, fewer students enter into this concentration each year. In an attempt to mediate this changing interest, the University of Maryland School of Medicine Department of Family and Community Medicine has implemented the Family Care Track. This longitudinal experience spans the first two years of medical school and allows for mentorship by family medicine faculty, while also providing students with the opportunity to learn via the formation of long-term relationships with patients.
Assuntos
Escolha da Profissão , Medicina de Família e Comunidade/organização & administração , Estudantes de Medicina/psicologia , Serviços Urbanos de Saúde/organização & administração , Acessibilidade aos Serviços de Saúde/organização & administração , Pessoas Mal Alojadas , Humanos , Comunicação Interdisciplinar , Maryland , Sociedades MédicasRESUMO
Hypertension management is a common reason for visits to primary care physicians. One third of patients with hypertension do not have controlled blood pressure, and may present to the physician's office with hypertensive urgencies or emergencies. How to define severely elevated blood pressure, appropriate triage, and the clinical evaluation of those with hypertensive urgencies or emergencies is reviewed. Suggestions for pharmacologic therapy and follow-up are offered.