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Imagine you are an outstanding physician, providing safe care in a way that your patients appreciate. But despite your skill as a physician, you are still frustrated because some problems are bigger than your individual skill. Some of your patients lack healthy nutrition, others are out of work. Often they have a difficult time making it to clinic appointments. A few are homeless. More battle addictions to alcohol or drugs. Your patients describe how they are lonely and socially isolated. These factors have a huge impact on your patients’ health, but you feel powerless to do anything. You can’t write a prescription to solve these tough problems. There was no class in medical school for tackling these complex problems. (more …)