Journal of the American Board of Family Medicine最新文献

{"title":"Team Science in Family Medicine Research.","authors":"Arch G Mainous","doi":"10.3122/jabfm.2023.230437R1","DOIUrl":"10.3122/jabfm.2023.230437R1","url":null,"abstract":"<p><p>Collaboration, particularly interdisciplinary collaboration, is very common in family medicine research. Interdisciplinary collaboration and team science are encouraged and have significant advantages but they also have challenges to implementation. Addressing those challenges, even with changes to how promotion and tenure are conceptualized to reward team science is necessary for family medicine research to continue to grow and prosper.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S56-S58"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640130","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":"CERA: A Vehicle for Facilitating Research in Family Medicine.","authors":"Dean A Seehusen, Heather L Paladine, Weyinshet P Gossa","doi":"10.3122/jabfm.2023.230434R1","DOIUrl":"10.3122/jabfm.2023.230434R1","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S77-S79"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640122","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":"Transforming Family Medicine Research: Strategic Planning, Summits, and a Special Issue.","authors":"Irfan Asif, Samantha Elwood, Amanda Weidner","doi":"10.3122/jabfm.2024.240301R0","DOIUrl":"10.3122/jabfm.2024.240301R0","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S27-S29"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898910","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":"Leveraging the Clinical Translational Science Award Network to Advance Family Medicine Research.","authors":"Nancy Pandhi, Aleksandra E Zgierska, Korey Kennelty, Wen-Jan Tuan, David P Rabago","doi":"10.3122/jabfm.2024.240075R1","DOIUrl":"10.3122/jabfm.2024.240075R1","url":null,"abstract":"<p><p>In this commentary, the authors present opportunities for the family medicine's strategic plan for research to build and expand research infrastructure by leveraging the federally funded Clinical and Translational Science and Clinical and Translational Research Awards programs. These include engaging patients and communities historically underrepresented in research throughout the research design, development, implementation, and dissemination process; building and expanding practice-based research networks; leveraging research resources, facilities, trainings, and mentorship opportunities; obtaining pilot funding; using informatics expertise to improve care quality; and embedding dissemination and implementation science expertise to promote the use of evidence-based interventions in real world clinical primary care settings.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S122-S128"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900009","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":"Diversity in Family Medicine Research.","authors":"Santina J G Wheat, José E Rodríguez","doi":"10.3122/jabfm.2024.240082R1","DOIUrl":"10.3122/jabfm.2024.240082R1","url":null,"abstract":"<p><p>In conjunction with the North American Primary Care Research Group (NAPCRG) Annual Conference in 2023, leaders in the field of family medicine came together to discuss and produce a Family Medicine Research Agenda. While multiple areas were discussed, diversity, equity, and inclusion did not rise to the top as research priorities. This article discusses the 3 areas family medicine leaders see as necessary to produce high-quality research. The authors present ideas on how diversity, equity, and inclusion can be prioritized in each area. In the first area, \"Grow the family medicine research workforce by expanding pathways and strengthening mentorship,\" the authors present existing models, with an emphasis on those pathway programs proven to increase scholarship and research, such as the Leadership Through Scholarship Fellowship sponsored by the Society of Teachers of Family Medicine (STFM) and the Building Research Capacity Program sponsored by the Association of Departments of Family Medicine (ADFM). In the second area, \"Increase funding for family medicine research and advocate for enhanced health policy and support,\" the authors present ideas on greater utilization of NIH diversity supplements as well as institutional advocacy by family medicine chairs to create seed grants and provide opportunities for diverse faculty to engage in research. Chairs can also increase the diversity of the researcher pool by recruiting among local full-time clinicians, a more diverse group than most faculties. For the final area, \"Build a national infrastructure for organizing and optimizing family medicine research opportunities,\" the authors present solutions including following demographic data surrounding authorship and reviewing for journals; having dedicated committees or editors focused on diversity, equity, and inclusion; and using demographic data from conference submissions to encourage those from underrepresented backgrounds to translate their presentations into a manuscript. These strategies can help equity, diversity, and inclusion become central to our research and be used as a national model for other specialties attempting to do the same.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S64-S68"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640124","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":"Every Day I Write the Book: Transforming EHR Data from Daily Practice into New Knowledge.","authors":"Robert L Phillips, Andrew W Bazemore","doi":"10.3122/jabfm.2024.240008R1","DOIUrl":"10.3122/jabfm.2024.240008R1","url":null,"abstract":"<p><p>Despite producing mountains of data in the daily course of care, the documentation labors of frontline clinicians currently return very little value to them or to the health system. The potential of these painstakingly collected data are enormous and clinical registries can extract the extraordinary capacity of these data and transform them into research-ready datasets while protecting the confidentiality of the patients and clinicians. Clinical registries represent transformative tools for primary care research, bringing together the dimensions of clinical practice, research, quality improvement, and policy impact from a large, nationally reflective, diverse sample of practices and patients. The PRIME Registry is one such clinical registry that extracts electronic health record data from more than 600 primary care practices across the United States that is helping advance research, improve quality, and shape the policies required to achieve high-performing primary care for all. Other examples of primary care registries exist, but most of the painstakingly captured data from frontline care remains fallow. Enabling use of these data are important for research, to prevent harm from mis-trained machine learning algorithms, and for monitoring the health of the public.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S138-S143"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899957","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":"Putting Trainees at the Center of the Family Medicine Research Workforce of Tomorrow.","authors":"Bryce Ringwald, Meghan Gilfoyle, Taylor Bosworth, Ashley Chisholm, Ione Locher, Minika Ohioma","doi":"10.3122/jabfm.2023.230499R1","DOIUrl":"10.3122/jabfm.2023.230499R1","url":null,"abstract":"<p><p>The Family Medicine Research Summit culminated in a strategic action plan to enhance research in family medicine and expand the primary care research workforce. The strategic plan focuses on infrastructure, mentorship, and funding objectives needed for robust family medicine research. Trainees play a central role in the success of the strategic plan. This commentary outlines how the strategic plan impacts trainees from undergraduate students to postdoctoral research fellows through funding initiatives for research and trainees, fostering curiosity among family medicine clinician trainees, transdisciplinary collaboration, enhancing primary care research knowledge, and mentoring the next generation of researchers.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S30-S34"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900018","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":"Leveraging the All of Us Database for Primary Care Research with Large Datasets.","authors":"Daniel J Parente","doi":"10.3122/jabfm.2023.230453R2","DOIUrl":"10.3122/jabfm.2023.230453R2","url":null,"abstract":"<p><p>The National Institutes of Health (NIH) are supporting the <i>All of Us</i> research program, a large multicenter initiative to accelerate precision medicine. The <i>All of Us</i> database contains information on greater than 400,000 individuals spanning thousands of medical conditions, drug exposure types, and laboratory test types. These data can be correlated with genomic information and with survey data on social and environmental factors which influence health. A core principle of the <i>All of Us</i> program is that participants should reflect the diversity present in the United States population.The <i>All of Us</i> database has advanced many areas of medicine but is currently underutilized by primary care and public health researchers. In this Special Communication article, I seek to reduce the \"barrier to entry\" for primary care researchers to develop new projects within the <i>All of Us</i> Researcher Workbench. This Special Communication discusses (1) obtaining access to the database, (2) using the database securely and responsibly, (3) the key design concepts of the Researcher Workbench, and (4) details of data set extraction and analysis in the cloud computing environment. Fully documented, tutorial R statistical programming language and Python programs are provided alongside this article, which researchers may freely adapt under the open-source MIT license. The primary care research community should use the <i>All of Us</i> database to accelerate innovation in primary care research, make epidemiologic discoveries, promote community health, and further the infrastructure-building strategic priority of the family medicine 2024 to 2030 National Research Strategy.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S144-S155"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640125","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":"Osteopathic Research in Family Medicine.","authors":"Stephen K Stacey, Peter H Seidenberg","doi":"10.3122/jabfm.2023.230482R1","DOIUrl":"10.3122/jabfm.2023.230482R1","url":null,"abstract":"<p><p>Osteopathic physicians (DOs) comprise a growing portion of family physicians. In 2023, more DO seniors matched into family medicine than MD seniors, and nearly a quarter of US DO seniors matched into family medicine. Family medicine benefits from the osteopathic philosophy of whole-person care, though this provides challenges regarding research in family medicine. Notably, among students entering family medicine, MD students report an average of 2.4 research activities compared with 1.7 for DO students, marking the lowest values across specialties. There are multifarious reasons for the limited research exposure of osteopathic medical students, and 2 may be amenable to change. First, osteopathic trainees have relatively limited research exposure. Second, osteopathic manipulation training emphasizes techniques that are not compatible with current theories of anatomy and pathology. The reduced research emphasis among osteopathic trainees can be addressed by strategies that focus on enhanced research exposure and a cultural shift toward fearless reevaluation of these inconsistent beliefs. Improvements in research training and culture among osteopathic trainees (including medical students and residents) will directly benefit osteopathic medicine, family medicine, and patients.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S59-S63"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640127","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":"Building a Culture of Curiosity in Family Medicine to Increase Research Capacity.","authors":"Peter H Seidenberg, Kabiul Haque, Stephen Stacey, Gene Kallenberg, Bernard Ewigman","doi":"10.3122/jabfm.2024.240030R1","DOIUrl":"10.3122/jabfm.2024.240030R1","url":null,"abstract":"<p><p>Family medicine as a discipline is the foundation of health care systems. In addition to clinical practice and education, research is a professional duty for family physicians. Unfortunately, the culture of family medicine has historically de-emphasized research. As a specialty, our clinical practices provide an excellent opportunity to create patient-oriented evidence that can benefit the patients and communities we serve. To accomplish this task, family medicine should weave curiosity into the fabric of the specialty. To create a culture of curiosity which normalizes the production of practice-based research and scholarship, the authors describe 2 approaches - top-down and grass-roots - that can be used to develop a culture of curiosity among individuals and institutions. Methods to sustain a culture of curiosity that leads to inquiry and creates further improvements in research and scholarship are also described. By harnessing the power of curiosity, we can transform our discipline into one that values and excels in research and scholarship and produces generations of family physicians that will include practice-based research as an essential part of their daily activities.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":" ","pages":"S35-S40"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899951","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}