Author Archives

Audrey M. Provenzano, MD, MPH is a General Internist in the Boston area. She cares for patients in a community health center and works in quality improvement. She is interested in primary care practice reform and quality improvement and healthcare policy. She is the host and producer of the primary care and health policy podcast Review of Systems, which can be found at www.rospod.org.

Survey says: Most women don’t know about breast cancer overdiagnosis and overtreatment

October is here, so along with the fall foliage, prepare yourself for a deluge of pink ribbons, umbrellas, bumper stickers, and billboards: it’s Breast Cancer Awareness Month. Started as a well-intentioned campaign to raise awareness about breast cancer and fundraise for breast cancer research, some have said that the movement commodifies a deadly disease at… Read More »

Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Project

Every physician fears being sued. Almost half of primary care doctors are subject to a malpractice lawsuit at some point in their careers. In some quarters, physicians are fatalistic about this fact. I have heard colleagues say: “It’s going to happen at some point, I know it.” But since the publication of the Institute of… Read More »

Patterns of Opioid Use and Risk of Opioid Overdose

Opiate overdose is now the leading cause of accidental death in the United States, killing more than 50,000 people in 2015. About 20,000 of those deaths were attributed to the use of prescription opiate medications. As a physician, I want to alleviate my patients’ pain, but I have also taken an oath to do my… Read More »

Smoking cessation treatment among newly covered individuals under the ACA

Smoking cessation is not innovative or trendy or even particularly exciting, but as a primary care doctor, in most cases helping a patient quit smoking is the best thing that I can do to help that patient over their lifetime. Without question. And for that reason, I always make it a priority to talk about it… Read More »

Primary Care is a Team Sport

One remedy for the looming shortage of physicians in the United States is expanding the caregiver workforce to include nurse practitioners (NPs) and physician assistants (PAs). These health professionals come from fairly disparate backgrounds, yet over the years, increasing numbers of them have practiced side by side with physicians in primary care and specialty settings… Read More »

Do Not Repeal the ACA Without a Comparable Replacement

I once saw a breast cancer so advanced that the tumor had eroded through the woman’s chest wall. This wasn’t in a foreign country with little access to healthcare – it was in the city where I attended medical school: New Haven, Connecticut. The patient worked a full-time job and raised a family, but did… Read More »