Primary care
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Physician wellness and burnout are areas of increasing exploration. Physicians are more likely than the general population to suffer the effects of burnout and neglect their own wellness; medicine and its training are deeply engrained with the care of others, often to the detriment of self. ⋯ However, strategies exist to screen for and help alleviate the negative effects of burnout and to improve wellness among physicians. This will continue to be an area warranting further exploration despite increasing awareness regarding the health and well-being of physicians.
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Eating disorders are a complex set of illnesses most commonly affecting white adolescent girls and young women. The most common eating disorders seen in the primary care setting are anorexia nervosa, bulimia nervosa, and binge eating disorder. Treatment in the primary care environment ideally involves a physician, therapist, and nutritionist, although complex cases may require psychiatric and other specialist care. Early diagnosis and treatment are associated with improved outcomes, whereas the consequences of untreated eating disorders, particularly anorexia nervosa, can be devastating, including death.
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It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted clinical evaluation can aid in identification of CSA victims despite highly variable presentation. The primary care provider must be aware of potential signs and symptoms as well as differential diagnoses in order to identify children who may benefit from further mental health evaluation and intervention.