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Beyond 7 minutes

I trained as a Family Doctor so that I would be ready to help patients with any challenge. The old school family doc used to take that skill set out into the community on house calls, sports sidelines, and town hall meetings. At some point the job description was boiled down into a job that started and ended with a 7 minute office visit. That setup is not good for patients, and it's not good for doctors. In this column I hope to start to push the boundary of where the doctor patient interaction takes place - onto the page, into the community, and beyond 7 minutes.

Who owns health care? Part 1: The brain trust

Over the next few months we will explore the question of who this knowledge belongs to. Is it the physician who chose the path of healer? Or is it the patient who requests the care and contributes to the fund of knowledge through their experience of illness? Likewise, is it our government that provides for our communal well-being through schools, infrastructure, and public health? Or is it the private companies like insurance groups and hospitals who control the flow of money through our health care system?

It is through questions like this that I hope to distill a better sense of why our health care system works the way it does and how we can make it better.

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Oren Gersten, MD
The top 3 primary care impacts of 2019

As a primary care doctor who cares for all ages and the full spectrum of maladies, I must stay up to date on the latest research and guidelines. My practice is centered around applying these guidelines to each unique patient. Much of the nuance of medicine is in finding the personal within the labyrinth of data which can feel at times very impersonal.

Below are the top 3 advances that changed my practice this year. As always, these points are illustrative only and do not take the place of personal care from a primary care provider you know and trust.

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Oren Gersten, MD