Michael Munger is president-elect of the American Academy of Family Physicians and a family doctor in Overland Park, Kansas. He said that prior experience and institutional history also plays a role. “The thought and common wisdom was that a great deal of upper respiratory infections were bacterial in nature, and thus an antibiotic treatment would be necessary,” Munger said. “The beauty of following a discipline in primary care is that you continue to evaluate what you do, look at the evidence and what does the evidence support,” he continued. “We’re recognizing now emerging studies that show most of upper respiratory infections are viral in basis as opposed to bacterial, so now it’s a process of changing practice habits.” Qaseem and Munger agreed that patients should feel free to question their doctor about prescribed medications and treatments, rather than accepting things at face value. some answers on interview skills courses strategies“I personally welcome it,” Munger said, “because I have a partnership with a patient, and part of my role is to fully inform a patient of what they have and what the treatment options are.” Patients already are starting to question prescriptions for antibiotics, probably based on media attention around antibiotic-resistant bacteria, Munger noted. “I had a recent case of pneumonia , and I said, ‘We need to use antibiotics,'” he recalled. “She said, ‘Are you sure?’ and I had to reassure her that this was the best course.” On the other hand, patients now are beginning to learn through their doctors that many dietary supplements cost a lot but do little to no good. “We’re getting now evidence to say to the patient, ‘You know, you really don’t need this supplement. This won’t be helpful to you,” Munger said.
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