Generic dispensing rates for substitutable drugs prescribed by general practitioners compared with other private ambulatory specialists: A study based on a French national reimbursement database

The use of generic drugs has been encouraged worldwide for several decades. Although increasing, their use in France remains limited in international comparisons. In the literature, among the factors associated with their use, several are linked to the prescriber, including their specialty. To our knowledge, this association has never been studied in France.The use of…

Teaching POCUS in General Practice: Results from a Resident Training Initiative

Point-of-care ultrasound (POCUS) is increasingly used in general practice, yet formal training during GP residency remains limited in many countries. Since 2022, the Department of General Medicine at XXX (France) has developed a structured ultrasound training program combining instruction from experts and training provided by GP trained in ultrasound to promote the long-term integration of…

What is the clinical pathway of women with lipedema ? A mixt study among French patients

Although lipedema might affect 11% of women in the world, it remains underdiagnosed, often confused with lymphedema or obesity. Although several countries have established national guidelines for the diagnosis and management of lipedema, there are none in France.The objective was to describe the clinical pathway of these women in France.We broadcasted a questionnaire among patients…

Usefulness of critical flicker fusion threshold (CFFT) as a measurement tool of fatigue symptom in primary care

Chronic fatigue commonly encountered in primary care have various aspects. As fatigue becomes more severe, cognitive dysfunction such as poor concentration and increased reaction time become more pronounced. However, there are few ways to objectively measure these symptoms. There are some reports that CFFT helps evaluate such symptoms, but the results are inconsistent.This study investigated…

Advanced Gout in a Universal Healthcare System: The Impact of Rural Barriers to Care

Chronic tophaceous gout has become uncommon in high-income countries due to improved diagnostics and effective urate-lowering therapies. However, its persistence in rural and geographically isolated communities reveals underlying inequities in access to healthcare services. These disparities, shaped by distance, limited local resources, and cultural or occupational constraints, continue to influence disease progression and management, even…

Association between smoking behaviors and hemoglobin levels in South Korean adult men: a population based analysis

Combustible cigarette smoking is known to elevate hemoglobin (Hb) levels primarily through carbon monoxide mediated erythropoietic stimulation. In contrast, the hematologic effects of exclusive e-cigarette use remain poorly defined, especially in primary care settings where clinicians frequently counsel on tobacco and nicotine products.To compare Hb concentrations across four tobacco use patterns non-smoking, exclusive e-cigarette use,…

Bridging Policy and Reality: Narrative Storytelling as a Cultural Driver of Gender Equity in STEMM

Women working across science, technology, engineering, mathematics and medicine (STEMM) continue to encounter structural barriers such as the glass ceiling, the motherhood penalty, gendered expectations and systemic bias. These barriers contribute to systemic patterns including the leaky pipeline, underrepresentation and visibility gaps. Although many institutions have implemented Gender Equality Plans (GEPs), Equality, Diversity and Inclusion…