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Research ArticleReflection

The Shoeshine Stand and the Renaissance of Primary Care

John J. Frey
The Annals of Family Medicine July 2024, 22 (4) 347-349; DOI: https://doi.org/10.1370/afm.3137
John J. Frey III
Department of Family Medicine and Community Health, The University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
MD
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  • For correspondence: jjfreyiii@gmail.com
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  • PLAIN-LANGUAGE ARTICLE SUMMARY

    Essay

    Revitalizing Primary Care: The Benefits of Small, Independent Practices 

    Background: This essay reflects on the history and evolution of medical practices, focusing on the shift from small, independent practices to large, corporatized systems. The essay points out similarities between small businesses and medical practices, highlighting the personal touch and community-oriented service of independent practices.

    Key Argument: The author argues that smaller, independent medical practices offer numerous benefits.The benefits include better communication, higher levels of trust among clinicians and staff, and lower levels of burnout. These practices foster a sense of autonomy and personal accountability, factors that large, corporatized systems often lack. The author advocates for a return to smaller, community-based practices to rejuvenate the primary care field.

    Why It Matters:Emphasizing the importance of small, independent practices in primary care can lead to increased physician satisfaction and a stronger sense of community.

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The Annals of Family Medicine: 22 (4)
The Annals of Family Medicine: 22 (4)
Vol. 22, Issue 4
July/August 2024
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The Shoeshine Stand and the Renaissance of Primary Care
John J. Frey
The Annals of Family Medicine Jul 2024, 22 (4) 347-349; DOI: 10.1370/afm.3137

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The Shoeshine Stand and the Renaissance of Primary Care
John J. Frey
The Annals of Family Medicine Jul 2024, 22 (4) 347-349; DOI: 10.1370/afm.3137
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  • The Day I Almost Walked Away: Trust, Gratitude, and the Power of Teamwork
  • What Are Doctors For? A Call for Compassion-Based Metrics as a Measure of Physician Value
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    • Mindfulness and reflection

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  • practice patterns physicians
  • primary care issues: continuity of care, physician satisfaction, professional autonomy

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