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    McFarland acknowledged that the inactivity led to his weight shooting up with his own version of the "freshman 15” that seems to affect many new college students. It wasn’t until winter workouts, when he started to drop the pounds and get his speed back, that McFarland started feeling like himself.

    “When I was hurt, that was like a depressing time for me. All I was doing was lifting and putting bad things in my body,” he said. “I had to mature and get better and understand that I had to treat my body right. I felt my twitches [in his legs] come back to normal.”

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    ’s last nine games in 2017 and putting up respectable numbers in the process, quarterback Max Borteschlager is widely viewed as more a caretaker this spring than a legitimate contender for the No. 1 job in the fall.

    With redshirt sophomore Tyrrell Pigrome and redshirt...

    With both Johnson and junior Lorenzo Harrison III, a former DeMatha teammate, being given fewer reps in the spring so that Durkin can better assess the depth behind them, McFarland’s quickness to burst through holes and his ability to make defenders miss in the open field will add to a rotation that also features Funk, a junior, and sophomore Javon Leake.

    “They're all pushing each other, and Anthony really finally looks his old self right now," Durkin said after a practice last week. “He's been tremendous at practice … And now he's finally looking like the guy that we all knew who he is. He's explosive. He's dynamic.”

    Said senior center Brendan Moore: “He can make some people miss, man. That guy, he can get a little sauce on people. It's pretty crazy if he gets a linebacker or a safety squared up. It's going to be hard to take him down.”

    Still, based on what Johnson has done in leading the Terps in rushing the past two seasons and what Harrison demonstrated early in his freshman year before being suspended, as well as in spurts last season, McFarland is going to have to be patient.

    It is not something new to him.

    DeMatha coach Elijah Brooks recalled Thursday how he told McFarland the same thing when he was coming out of middle school. At the time, the Stags had three Division I prospects at running back in seniors Taiwan Deal and Mark Allen, as well as Harrison, a sophomore.

    “At the time, Anthony knew the obstacles he would face, but he chose DeMatha because it was the most realistic situation to what college is going to be,” Brooks said. “He knew that he was going to be an All-American [in high school] and he was going to be courted by all the top universities around the country and no matter you go, they have talent.”

    It didn’t faze McFarland, then or now.

    Nor does he come into his first healthy college season big-headed.

    Jalen Brooks never allowed his career as a college football player at Maryland to get in the way of his lifelong pursuit of traveling abroad. Brooks, a linebacker who finished his eligibility last season, is taking the same approach to a potential pro career.

    A little less than two weeks after...

    “Ever since I was a kid, I was used to playing against players just as good as me … so I never want people to think I'm coming in thinking I want to be that guy. I just want to make plays and help my team win football games,” McFarland said. “It’s one of the big reasons I came here.”

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    doi: 10.1370/afm.1531

    + Author Affiliations

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    Abstract

    We highlight primary care innovations gathered from high-functioning primary care practices, innovations we believe can facilitate joy in practice and mitigate physician burnout. To do so, we made site visits to 23 high-performing primary care practices and focused on how these practices distribute functions among the team, use technology to their advantage, improve outcomes with data, and make the job of primary care feasible and enjoyable as a life’s vocation. Innovations identified include (1) proactive planned care, with previsit planning and previsit laboratory tests; (2) sharing clinical care among a team, with expanded rooming protocols, standing orders, and panel management; (3) sharing clerical tasks with collaborative documentation (scribing), nonphysician order entry, and streamlined prescription management; (4) improving communication by verbal messaging and in-box management; and (5) improving team functioning through co-location, team meetings, and work flow mapping. Our observations suggest that a shift from a physician-centric model of work distribution and responsibility to a shared-care model, with a higher level of clinical support staff per physician and frequent forums for communication, can result in high-functioning teams, improved professional satisfaction, and greater joy in practice.

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    Next Section

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    Fewer physicians are choosing primary care; many are leaving it. 4 6 Although waning interest in adult primary care careers is multifactorial, driven by such forces as the primary care–subspecialty income gap, medical schools’ devaluing of primary care, and the unsustainable primary care work life, we focus on the work life issue. One study suggests that the difficult work life may be the most influential factor discouraging medical students from primary care careers. 7

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