Journal-based

Should Clinicians Be Activists?

Physicians are ethically bound to respond to undocumented, underinsured, and uninsured patients’ health needs, even those demanding complex, expensive interventions, such as organ transplantation. A social medicine skill set of structural competency, allyship, accompaniment, and activism is required to best…

Recognizing and Dismantling Raciolinguistic Hierarchies in Latinx Health

Latinx individuals represent a linguistically and racially diverse, growing US patient population. Raciolinguistics considers intersections of language and race, prioritizes lived experiences of non English speakers, and can help clinicians more deftly conceptualize heterogeneity and complexity in Latinx health experiences….

Holding Clinicians in Public Office Accountable to Professional Standards

Clinicians using governing authority to make public health policy are ethically obliged to draw upon scientific and clinical information that accords with professional standards. Just as the First Amendment does not protect clinicians who provide advice that fails to express…

Papal Doctrines’ Deep Trauma Legacies in Minoritized Communities

Understanding papal documents from the 15th century and the nature and scope of their authority is important when working with Black, Indigenous, and people of color communities influenced by forces and structures of colonialism. Intergenerational trauma has deep roots, which…

When Symptoms Aren’t Visible or Measurable, How Should Disability Be Assessed?

Qualitative data can supplement and contextualize quantitative data and can be useful in disability determinations to help clinicians gain fuller understanding of patients’ experiences of chronic illness or disability. This commentary response to a case suggests the importance for patient-centered…

Questioning Biomedicine’s Privileging of Disease and Measurability

Within biomedicine, the diagnosis of disease is often privileged over a patient’s experience of illness. Yet, up to 30% of primary care visits might be attributable to persistent illness without a diagnosed disease, including functional somatic syndromes like fibromyalgia and…

Invisibility of “Gender Dysphoria”

Tension between naming gender dysphoria to render an important kind of suffering among transgender people more visible and avoiding pathologizing experiences of transgender people in a gender-binary world can be keenly felt among patients seeking gender-affirming services. This article suggests…

What Primary Care Innovation Teaches Us About Oral Health Integration

Integrating primary and oral health care is critical to improving population health and addressing health inequity exacerbated by the COVID-19 pandemic. Leaders of the patient-centered medical home (PCMH) movement focused on building consensus for the PCMH model among diverse stakeholders…

Why Should Primary Care Clinicians Learn to Routinely Examine the Mouth?

Most medical schools and primary care residency programs do not teach proper oral examination skills. Despite the existence of proven national oral health curricula for medical professionals, many medical trainees and graduates are ill-equipped to identify oral cancers, make proper…