Accreditation Process by ONA to Improve Medical Team Performance and Care Quality at the AMA Primary Emergency Unit in São Paulo

The Unidade de Assistência Médica Ambulatorial (AMA) Jardim Pirajussara, located in the southern region of São Paulo, Brazil, is a pre-hospital care facility managed since 2016 through a public-private partnership between the Einstein Hospital Israelita and the Municipal Health Department. The unit performs approximately 14,000 monthly urgent and emergency consultations in Pediatrics and Internal Medicine,…

From Primary Care to Cavitated Empyema: Navigating Diagnostic Complexity in a Frail Older Adult

Complications of community-acquired pneumonia (CAP) such as empyema are uncommon but carry high morbidity in older adults,particularly those with frailty,prior airway surgery,and cognitive impairment.Primary care often faces the challenge of differentiating mild infections from early signs of severe disease.This case reflects how subtle clinical changes detected in primary care can lead to early referral and…

The role of teamwork in primary care in early recognition of CSF fistula as post-lumbar surgery complication – a case report

Multiprofessional collaboration within Family Health Units (FHU) is essential for the early identification of postoperative complications. Cerebrospinal fluid (CSF) fistula is an important postoperative complication after lumbar spine surgery due to the risk of rapid progression to central nervous system infection (CNS).We report a 50-year-old male patient, previously submitted to two L5–S1 discectomy and decompression.…

Practice what you preach

As GPs (general physicians) we often criticize our patients about their diet, body weight, and lifestyle. But do we follow our own advice?We aimed to determine the overall health of GPs in Southeast Europe and assess their adherence to medical advice they give.We conducted an anonymous online survey among our colleagues in Serbia and the…

Obesity and female infertility : a literature review with focus on XXX

Female obesity is a growing public health concern worldwide, including in XXX , and represents a major contributor to infertility. Its impact on ovulatory function, hormonal balance, and assisted reproductive technology (ART) outcomes is well established. Given the central role of primary care in early infertility evaluation, lifestyle counselling, and obesity management, synthesizing existing evidence…

From Inclusive Education to Impactful Care: Medical Educators as Catalysts for Future Healthcare through DEI Leadership

Inclusive medical education is essential for attracting, supporting, and retaining diverse trainees, thereby reinforcing sustainable and patient-centered healthcare systems. Evidence shows that patients feel better understood and adhere more effectively to treatment when physicians recognize social, cultural, and personal dimensions of care. Such awareness fosters trust, enhances self-management, and improves efficiency and quality across healthcare…

Active Arterial Mid-Gut Bleeding Identified in the Prehospital Setting: A Case Enabling Timely Specialized Management

A 71-year-old woman with a history of obscure gastrointestinal bleeding developed sudden epigastric pain followed by multiple episodes of coffee-ground vomiting, hematochezia, and a syncopal episode at home. Prehospital emergency services found her pale and hypotensive (85/55 mmHg) and initiated early management with IV access, crystalloid infusion and intravenous omeprazole, achieving initial hemodynamic stabilization. The…

Association between metabolic syndrome and lower urinary tract symptoms suggestive of benign prostatic hyperplasia in male patients

Benign Prostatic Hyperplasia (BPH) is a primary cause of Lower Urinary Tract Symptoms (LUTS), adversely affecting the quality of life in elderly men. While patients with Metabolic Syndrome (MetS) frequently present with LUTS, evidence regarding the association between MetS and LUTS remains unclear.To analyze the association of MetS with the severity of LUTS and Quality…

Clinical Efficacy of Codeine in Arthritic Pain: A Systematic Review

Osteoarthritis affects 65% of the French population over the age of 65. Osteoarthritis is a painful condition and results in reduced physical function and quality of life, and increased risk of all cause mortalityThis study evaluates the efficacy of oral codeine, with or without paracetamol and/or NSAIDs, in the treatment of arthritic pain.Included studies assessed…

ABC Basic Clinical Ultrasound in Family Medicine: Scaling POCUS Training Across Europe

Point-of-Care Ultrasound (POCUS) is reshaping family medicine, enabling rapid bedside diagnosis for cardiovascular, respiratory, abdominal, and musculoskeletal conditions. Building on the successful Pilot Leonardo 3 EURACT project, supported by WONCA Europe and WESIG POCUS, this workshop adapts the ABC Clinical Ultrasound curriculum for a pan-European audience. The initiative was experimented with in a pilot project…