Tag Archives: graduate medical education

Family Medicine Educators Need to Lead on Eliminating Race-Based Medicine

Andrea K. Westby, MD

Andrea K. Westby, MD

The practice of medicine—the traditions, diagnoses, treatments, and guidelines—is ever-changing, with new research and information flowing into clinical care at a pace that rivals the turbulence and abundance of a mountain stream in the spring. We now acknowledge human papillomavirus infection as the primary driver of cervical and now oropharyngeal cancer. Hormone replacement therapy is no longer routinely recommended for postmenopausal women. Rate control is preferred over rhythm control in atrial fibrillation. Prostate cancer screening is no longer reflexively ordered for adult men.

However, as we look back at the past hundred years, our profession has been glacially slow to release the vice grip that the concept of biological race has had on our science and our medical practice.

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A Family Medicine Provider’s Reflections on World AIDS Day

Jarrett Sell, MD

Jarrett Sell, MD

I consider my path to caring for persons affected by human immunodeficiency virus (HIV) to be atypical, but maybe that is true of many family medicine providers involved in HIV care—only a minority of family medicine providers in the United States offer HIV care.

I, like many family medicine residents recently graduating from residency, assumed that HIV care was too complex and rapidly changing for me to become involved and that it would be unlikely to impact my future practice, particularly since I was planning to practice in a rural area.  I thought that this was a condition that is best left to the care of specialists or those that planned to practice in the inner cities of San Francisco or New York. What I did not realize at the time was that HIV is everywhere and cannot be ignored by family medicine providers.

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