Tue. May 14th, 2024

I read about primary care everyday. I read about Direct Primary Care everyday. This is what I do. My other blog (www.authenticmedicine.com) has been going daily for 21 years. Yes, you read that right.

So, I know a little about what I am talking about, and what I am talking about is that those who work for Harvard know NOTHING about Direct Primary Care (and family medicine).

And yet every reporter uses them as their experts.

Recently, I mentioned this guy:

Russell Phillips, director of Harvard Medical School’s Center for Primary Care, says that while concierge medicine has gone a long way in helping physicians manage their workload, earn more money and provide better access, it is not a perfect system. “That reduction in the number of patients—often from nearly 2,000 to 500 to 600—means that many patients are left without primary care physicians at a time of increasing shortages in primary care clinicians,” he says.

Want more? Here’s this article about CrossFit trying to work with primary care and guess where they found a critic?

Dr. Anupam Jena, a professor of health care policy at Harvard Medical School, guesses that the program’s affiliation with CrossFit means it will largely attract people who have disposable income and are already fit and health-focused. “It’s really designed for people who are affluent…and who probably would have done just fine anyway,” he says. “I don’t know that that’s the place where we have a primary care problem.”

Good thing Dr. Jena wants to fix the primary care problem. Harvard seems to be all in on this. Take this article, for example:

‘Think big or go home’: Harvard wants to reshape primary care

Wow, Harvard is doing so much to help us. Oh, and don’t forget this:

The 2022 U.S. News and World Report ranking for U.S. medical schools lists Harvard Medical School at No. 1 in research, with its primary care program rising to No. 8, up from last year’s position at No. 10.  

Here is my issue:

Harvard Medical School is one of only 10 medical schools in the nation that don’t have a department of family medicine, according to the American Academy of Family Physicians. Yale, Johns Hopkins, Columbia, and other elite schools are also among those 10.

This has been updated. Harvard is NOW one of nine medical schools in the United States without a Department of Family Medicine! This was written in January:

Why Harvard Medical School Could Be a Perfect Place to Train Family Medicine Physicians

So, what is my point? Well, until Harvard has a residency program that trains family doctors which may alleviate the primary care shortage then maybe they should shut the f%ck up about it! You can’t know it unless you live it. That goes double for DPC.

No one cares about your theories, pontifications, or predictions if you have no skin in the game. You are hypocrites who sit in an Ivory Tower that just run your mouth.

HOW ABOUT PUTTING YOUR MONEY WHERE YOUR MOUTH IS?

Start a family medicine program.

And for you reporters who continue to use them for every little news item on family doctors, Direct Primary Care, burnout and physician shortages:

JUST STOP!! DO SOME RESEARCH. DON’T BE LAZY.

May I recommend Julie Gunter, MD who actually went to Harvard (as an undergraduate) but does DPC and now is the president of the Direct Primary Care Alliance? Or Vance Lassey, MD who is VP and taking over for Jule in January. They are great interviews!

Ok, that’s my rant for the day.

32980cookie-checkWhy Harvard Needs to Shut Up When Talking About Direct Primary Care
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By Douglas Farrago, MD

Douglas Farrago MD is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Douglas Farrago, MD received his Bachelor of Science from the University of Virginia in 1987, his Masters of Education degree in the area of Exercise Science from the University of Houston in 1990, and his Medical Degree from the University of Texas at Houston in 1994. His residency training occurred way up north at the Eastern Maine Medical Center in Bangor, Maine. In his final year, he was elected Chief Resident by his peers. Dr. Farrago has practiced family medicine for twenty-three years, first in Auburn, Maine and now in Forest, Virginia. He founded Forest Direct Primary Care in 2014, which quickly filled in 18 months. Dr. Farrago still blogs every day on his website Authenticmedicine.com and lectures worldwide about the present crisis in our healthcare system and the effect it has on the doctor-patient relationship. Dr. Farrago’s has written three books on direct primary care: The Official Guide to Starting Your Own Direct Primary Care Practice, The Direct Primary Care Doctor’s Daily Motivational Journal and Slowing the Churn in Direct Primary Care (While Also Keeping Your Sanity) are all best sellers in this genre. He is a leading expert in direct primary care model and lectures medical students, residents, and doctors on how to start their own DPC practice. He retired from clinical medicine in October, 2020.

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