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
{"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}
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
{"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}
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
{"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}
W. Ventres, Leslie A Stone, Kathleen T Rowland, Richard H Streiffer, Michael D Macechko, Julia A Roulier, Jeffrey M Borkan, Larry A Green
{"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}
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
{"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}
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
{"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}
Mo Wang, Pia Svedberg, Jurgita Narusyte, Annina Ropponen
{"title":"Changes in family situation and concurrent changes in working life: a 15-year longitudinal analysis","authors":"Mo Wang, Pia Svedberg, Jurgita Narusyte, Annina Ropponen","doi":"10.1136/fmch-2023-002438","DOIUrl":"https://doi.org/10.1136/fmch-2023-002438","url":null,"abstract":"Objective Currently, little is known regarding changes in family situation with concurrent changes in working life. This study aimed to examine whether changes in family situation (based on living with children and/or marrying/divorcing) were associated with changes in working life and whether the associations were influenced by sex, genetics and early life environment. Design Prospective cohort study. Setting and participants Data from Swedish national registers of 16 410 twins were used. Fixed-effects logistic regression models assessing ORs with 95% CIs were applied to examine associations between changes in family situation and working life controlling for time-invariant effects and adjusted for covariates, and conditional models to account for confounding of genetics and early life environment. Results Changes in individuals life situation from being single and living without children to married and living with children were associated with transitioning from unsustainable (ie, having unemployment or sickness absence/disability pension) to sustainable working life (men: OR 2.40, 95% CI 2.26 to 2.56; women: OR 1.68, 95% CI 1.59 to 1.78). Changes from being married to single, in contrast, attenuated the likelihood of transitioning to a sustainable working life. Moreover, changes in men’s working life seem to be more dependent on changes in family situation compared with women. Genetic factors and early life environment play a role in the associations. Conclusions Family formation increases the likelihood of a more stable working life whereas divorce is a risk factor for work interruptions. Our study emphasises that family formation improves the work life situation and to a higher degree for men. Data may be obtained from a third party and are not publicly available.","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":"140561623","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":"Forward from the Editor-in-Chief","authors":"Li Li","doi":"10.1136/fmch-2024-002868","DOIUrl":"https://doi.org/10.1136/fmch-2024-002868","url":null,"abstract":"","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":"140767314","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}
W. Ventres, Leslie A Stone, Lauren E Gibson-Oliver, Elizabeth Kyle Meehan, Mari A Ricker, David Loxterkamp, Stacy A. Ogbeide, Frank V. deGruy, Megan R Mahoney, Steven Lin, Clare MacRae, Stewart W Mercer
{"title":"Storylines of family medicine VIII: clinical approaches","authors":"W. Ventres, Leslie A Stone, Lauren E Gibson-Oliver, Elizabeth Kyle Meehan, Mari A Ricker, David Loxterkamp, Stacy A. Ogbeide, Frank V. deGruy, Megan R Mahoney, Steven Lin, Clare MacRae, Stewart W Mercer","doi":"10.1136/fmch-2024-002795","DOIUrl":"https://doi.org/10.1136/fmch-2024-002795","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 ‘VIII: clinical approaches’, authors address the following themes: ‘Evaluation, diagnosis and management I—toward a working diagnosis’, ‘Evaluation, diagnosis and management II—process steps’, ‘Interweaving integrative medicine and family medicine’, ‘Halfway—the art of clinical judgment’, ‘Seamless integration in family medicine—team-based care’, ‘Technology—uncovering stories from noise’ and ‘Caring for patients with multiple long-term conditions’. May readers recognise in these essays the uniqueness of a family medicine approach to care.","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":"140787260","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":"Implications of conscious AI in primary healthcare.","authors":"Dorsai Ranjbari, Samira Abbasgholizadeh Rahimi","doi":"10.1136/fmch-2023-002625","DOIUrl":"10.1136/fmch-2023-002625","url":null,"abstract":"<p><p>The conversation about consciousness of artificial intelligence (AI) is an ongoing topic since 1950s. Despite the numerous applications of AI identified in healthcare and primary healthcare, little is known about how a conscious AI would reshape its use in this domain. While there is a wide range of ideas as to whether AI can or cannot possess consciousness, a prevailing theme in all arguments is uncertainty. Given this uncertainty and the high stakes associated with the use of AI in primary healthcare, it is imperative to be prepared for all scenarios including conscious AI systems being used for medical diagnosis, shared decision-making and resource management in the future. This commentary serves as an overview of some of the pertinent evidence supporting the use of AI in primary healthcare and proposes ideas as to how consciousnesses of AI can support or further complicate these applications. Given the scarcity of evidence on the association between consciousness of AI and its current state of use in primary healthcare, our commentary identifies some directions for future research in this area including assessing patients', healthcare workers' and policy-makers' attitudes towards consciousness of AI systems in primary healthcare settings.</p>","PeriodicalId":44590,"journal":{"name":"Family Medicine and Community Health","volume":null,"pages":null},"PeriodicalIF":6.1,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10941173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}