Family Medicine and Community Health最新文献

{"title":"Storylines of family medicine XII: family medicine and the healthcare system","authors":"W. Ventres, Leslie A Stone, J. South-Paul, Kendall M Campbell, Aerial R Petty, Hima Ekanadham, Kurt C Stange, Rebecca S. Etz, William L Miller, Robert L Ferrer, Marianna Kong, Thomas Bodenheimer, Roger Strasser, Sharon C M Reece, Joshua Freeman, John M Westfall","doi":"10.1136/fmch-2024-002829","DOIUrl":"https://doi.org/10.1136/fmch-2024-002829","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘XII: Family medicine and the future of the healthcare system’, authors address the following themes: ‘Leadership in family medicine’, ‘Becoming an academic family physician’, ‘Advocare—our call to act’, ‘The paradox of primary care and three simple rules’, ‘The quadruple aim—melding the patient and the health system’, ‘Fit-for-purpose medical workforce’, ‘Universal healthcare—coverage for all’, ‘The futures of family medicine’ and ‘The 100th essay.’ May readers of these essays feel empowered to be part of family medicine’s exciting future.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine II: foundational building blocks—context, community and health","authors":"W. Ventres, Leslie A Stone, Rupal Shah, Tamala Carter, Geoffrey M Gusoff, Winston R. Liaw, Bich-May Nguyen, Joanna V Rachelson, Mary Alice Scott, Teresa L Schiff-Elfalan, Seiji Yamada, R. Like, Kathleen Zoppi, A. P. Catinella, Richard M Frankel, Shailendra Prasad","doi":"10.1136/fmch-2024-002789","DOIUrl":"https://doi.org/10.1136/fmch-2024-002789","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘II: foundational building blocks—context, community and health’, authors address the following themes: ‘Context—grounding family medicine in time, place and being’, ‘Recentring community’, ‘Community-oriented primary care’, ‘Embeddedness in practice’, ‘The meaning of health’, ‘Disease, illness and sickness—core concepts’, ‘The biopsychosocial model’, ‘The biopsychosocial approach’ and ‘Family medicine as social medicine.’ May readers grasp new implications for medical education and practice in these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140768362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and attitude on childhood cancer survivorship among healthcare trainees: a multicentre study from India","authors":"Amritesh Grewal, Bhavik Bansal, Chetanya Mittal, Hardik Gupta, A. Sasi, Prasanth Ganesan, Aashima Dabas, Puneet Sahi, Lakshmi Ramamoorthy, H. T. Lalthanthuami, J. Ramamoorthy, Arwachi Sindhu, Suyash Arora, Anumeha Bhukya, Muthumani Hepzibah, Kanchana Devi, Karthick Krishnamurthy, S. K. Rai, Nikhil Mehta, Komal Antil, S. Bakhshi, S. Ganguly","doi":"10.1136/fmch-2023-002618","DOIUrl":"https://doi.org/10.1136/fmch-2023-002618","url":null,"abstract":"Background The proportion of childhood cancer survivors (CCS) in low/middle-income countries (LMICs) is rising. CCS often develop several physical and psycho-social long-term adverse effects, with unique healthcare needs. Primary healthcare providers (primary care physicians (PCPs)), especially in LMICs, are often not equipped to handle survivorship care. This study aimed to assess knowledge, and attitude among trainee healthcare providers concerning major issues of paediatric survivorship care. Methods A multi-centre, cross-sectional, questionnaire-based study was conducted among nursing and medical undergraduate students, and postgraduate medical residents across three tertiary-care teaching hospitals in India—All India Institute of Medical Sciences, New Delhi; Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry; and Maulana Azad Medical College, New Delhi. A questionnaire with total of 24 questions (14 knowledge-based and 10 attitude-based) was finalised after validation by expert review and piloting. The major domains covered in the questionnaire included knowledge and attitude regarding long-term adverse effects and psychosocial, employment-related issues faced by the survivors. It was administered to the study participants electronically. The knowledge-based questions had true/false responses (scored as 0 or 1 if incorrect or correct, respectively). Attitude-based questions were scored as 5-point Likert scale. Results Total 898 responses were collected (median age: 21 years, 64% (576/898) female). Among the respondents, 44% were undergraduate medical students, 42% were nursing students and 14% were postgraduate medical residents. The mean (SD) of knowledge score was 8.72 (2.04) (out of 14). On multivariable analysis, only discipline of training predicted knowledge scores regarding survivorship care. Postgraduate medical residents (9.08) as well as undergraduate medical students (8.85), had significantly higher mean knowledge scores than nursing students (8.47) (p=0.004). Two questions were answered incorrectly by the majority; children and siblings of CCS need additional genetic screening (79% incorrectly answered true), and CCS face intimacy issues in relation to normal sexual functioning (59% incorrectly answered false). Nearly half (48%) of respondents believed that their knowledge of cancer survivorship issues was inadequate. Majority of respondents (84%) suggested that oncologists should handle long-term survivorship care rather than PCPs. Conclusion Trainee healthcare providers in India reported inadequate knowledge regarding survivorship care. Improving awareness by incorporating survivorship in teaching curriculum is imperative to equip future PCPs to provide survivorship care across the country.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine V: ways of thinking—honing the therapeutic self","authors":"W. Ventres, Leslie A Stone, Johanna F Shapiro, Cynthia Haq, Jéssica R B Leão, Donald E. Nease, Liz Grant, Stewart W Mercer, John Gillies, P. G. Blasco, M. D. de Benedetto, G. Moreto, M. Levites, J. DeVoe, William R. Phillips, Jane M Uygur, T. R. Egnew, Colette S Stanley","doi":"10.1136/fmch-2024-002792","DOIUrl":"https://doi.org/10.1136/fmch-2024-002792","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘V: ways of thinking—honing the therapeutic self’, authors present the following sections: ‘Reflective practice in action’, ‘The doctor as drug—Balint groups’, ‘Cultivating compassion’, ‘Towards a humanistic approach to doctoring’, ‘Intimacy in family medicine’, ‘The many faces of suffering’, ‘Transcending suffering’ and ‘The power of listening to stories.’ May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine III: core principles—primary care, systems and family","authors":"W. Ventres, Leslie A Stone, Timothy A Joslin, J. Saultz, Sommer Aldulaimi, Paul R Gordon, John C Lane, Eric R Lee, Jacob Prunuske, Limor Gildenblatt, Michael H Friedman, Colleen T. Fogarty, Susan H. McDaniel, Tessa Rohrberg, Amy J Odom","doi":"10.1136/fmch-2024-002790","DOIUrl":"https://doi.org/10.1136/fmch-2024-002790","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘III: core principles—primary care, systems, and family’, authors address the following themes: ‘Continuity of care—building therapeutic relationships over time’, ‘Comprehensiveness—combining breadth and depth of scope’, ‘Coordination of care—managing multiple realities’, ‘Access to care—intersectional, systemic, and personal’, ‘Systems theory—a core value in patient-centered care’, ‘Family-oriented practice—supporting patients’ health and well-being’, ‘Family physician as family member’ and ‘Family in the exam room’. May readers develop new understandings from these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140767162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine XI: professional identity formation—nurturing one’s own story","authors":"W. Ventres, Leslie A Stone, Hamish J Wilson, S. Sexton, David J Doukas, Jessica P Cerdeña, David M Kelley, Michael D. Fetters, Jeffrey J Haney, John J Frey","doi":"10.1136/fmch-2024-002827","DOIUrl":"https://doi.org/10.1136/fmch-2024-002827","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘XI: professional identity formation—nurturing one’s own story’, authors address the following themes: ‘The social construction of professional identity’, ‘On becoming a family physician’, ‘What’s on the test?—professionalism for family physicians’, ‘The ugly doc-ling’, ‘Teachers—the essence of who we are’, ‘Family medicine research—it starts in the clinic’, ‘Socially accountability in medical education’, ‘Personal philosophy and how to find it’ and ‘Teaching and learning with Storylines of Family Medicine’. May these essays encourage readers to find their own creative spark in medicine.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140757656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine X: standing up for diversity, equity and inclusion","authors":"W. Ventres, Leslie A Stone, Wayne W Bryant, Mario F Pacheco, Edgar Figueroa, Francis N Chu, Shailendra Prasad, David N Blane, Na'amah Razon, R. Mishori, Robert L Ferrer, Garrett S Kneese","doi":"10.1136/fmch-2024-002828","DOIUrl":"https://doi.org/10.1136/fmch-2024-002828","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘X: standing up for diversity, equity and inclusion’, authors address the following themes: ‘The power of diversity—why inclusivity is essential to equity in healthcare’, ‘Medical education for whom?’, ‘Growing a diverse and inclusive workforce’, ‘Therapeutic judo—an inclusive approach to patient care’, ‘Global family medicine—seeing the world “upside down”’, ‘The inverse care law‘, ‘Social determinants of health as a lens for care’, ‘Why family physicians should care about human rights’ and ‘Toward health equity—the opportunome’. May the essays that follow inspire readers to promote change.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine I: framing family medicine – history, values and perspectives","authors":"W. Ventres, Leslie A Stone, Kathleen T Rowland, Richard H Streiffer, Michael D Macechko, Julia A Roulier, Jeffrey M Borkan, Larry A Green","doi":"10.1136/fmch-2024-002788","DOIUrl":"https://doi.org/10.1136/fmch-2024-002788","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘I: framing family medicine—history, values, and perspectives’, the authors address the following themes: ‘Notes on Storylines of Family Medicine’, ‘Family medicine—the generalist specialty’, ‘Family medicine’s achievements—a glass half full assessment’, ‘Family medicine’s next 50 years—toward filling our glasses’, ‘Four enduring truths of family medicine’, ‘Names matter’, ‘Family medicine at its core’ and ‘The ecology of medical care.’ May readers find much food for thought in these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140773525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine VII: family medicine across the lifespan","authors":"W. Ventres, Leslie A Stone, Katharine C Barnard, Sara G Shields, Mark J Nelson, M. Svetaz, Clara M Keegan, J. Heidelbaugh, Paige B Beck, Lucille Marchand","doi":"10.1136/fmch-2024-002794","DOIUrl":"https://doi.org/10.1136/fmch-2024-002794","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘VII: family medicine across the lifespan’, authors address the following themes: ‘Family medicine maternity care’, ‘Seeing children as patients brings joy to work’, ‘Family medicine and the care of adolescents’, ‘Reproductive healthcare across the lifespan’, ‘Men’s health’, ‘Care of older adults’, and ‘Being with dying’. May readers appreciate the range of family medicine in these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140756316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Storylines of family medicine VI: ways of being—in the office with patients","authors":"W. Ventres, Leslie A Stone, Lisa A LaVallee, David Loxterkamp, Jonisha R Brown, Dael M Waxman, Peter S Dorward, Jeanne Cawse-Lucas, Larry B Mauksch, A. Kieber-Emmons, Benjamin F. Crabtree, William L Miller, Veronica M Brohm, T. Daaleman, Kelly Bossenbroek Fedoriw","doi":"10.1136/fmch-2024-002793","DOIUrl":"https://doi.org/10.1136/fmch-2024-002793","url":null,"abstract":"Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In ‘VI: ways of being—in the office with patients’, authors address the following themes: ‘Patient-centred care—cultivating deep listening skills’, ‘Doctor as witness’, ‘Words matter’, ‘Understanding others—metaphor and its use in medicine’, ‘Communicating with patients—making good use of time’, ‘The patient-centred medical home—aspirations for the future’, ‘Routine, ceremony or drama?’ and ‘The life course’. May readers better appreciate the nuances of patient care through these essays.","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140759791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}