Journal of the American Board of Family Medicine最新文献

{"title":"Gender Differences in National Institutes of Health Funding for Family Medicine Faculty.","authors":"Shurjeel Uddin Qazi, Jeanne Cawse-Lucas, Mehwish Hussain, Kiran Khurshid, Faisal Khosa","doi":"10.3122/jabfm.2025.250118R1","DOIUrl":"10.3122/jabfm.2025.250118R1","url":null,"abstract":"<p><strong>Introduction: </strong>The present study investigated the current trends of gender disparity in the National Institutes of Health (NIH) funding patterns for research within Family Medicine.</p><p><strong>Methods: </strong>Funding data was collected from the online NIH Research Portfolio Online Reporting Tools Expenditure and Results (RePORTER) system for fiscal years 2017-2020, and information regarding each Principal Investigator (PI) was retrieved from the Scopus database and departmental websites. Mann-Whitney U and Kruskal Wallis tests were performed on collected data for statistical comparison of continuous variables.</p><p><strong>Results: </strong>We analyzed 730 grants in our analysis. Amongst them, 398 (54.5%) were awarded to women PIs and 332 (45.5%) to men PIs. The mean NIH grant amount awarded to men PIs (518,862±490,793.32) was significantly higher than the mean grant amount awarded to women PIs (450,195±428,405.62) (p = 0.04). The strongest correlation between NIH funding and academic output was observed for the number of publications of men PIs. When the gender of PI and co-PI were analyzed together, there was no significant difference in the number of grants or mean grant amount. Stratification by academic degree revealed no significant difference between both genders for the mean NIH grant amount.</p><p><strong>Conclusion: </strong>Despite the increasing representation of women within the discipline of family medicine, men continue to receive higher average NIH grant amounts compared to women. The differences are multifactorial and may include differences in academic productivity or grant committees' heuristics. Overall, the results were promising with little evidence of significant gender disequilibrium within NIH-funding for researchers in FM.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934653","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}

{"title":"Honoring More Than Two Decades of JABFM Leadership.","authors":"Dean A Seehusen, Phillip Lupo, Christy Jw Ledford, Warren P Newton","doi":"10.3122/jabfm.2026.260071R0","DOIUrl":"10.3122/jabfm.2026.260071R0","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634992","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}

{"title":"Influencing through Writing and Editing for Family Medicine Journals.","authors":"Marjorie A Bowman","doi":"10.3122/jabfm.2026.260131R0","DOIUrl":"10.3122/jabfm.2026.260131R0","url":null,"abstract":"","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274951/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934870","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}

{"title":"Increasing Diabetes Self-Management Education and Support Referrals with an Electronic Best Practice Advisory.","authors":"Laura A Young, Jacqueline R Halladay, Ping Chen, Kathleen Mottus, Karen Goeke-Austin, Jennifer Rees, Maihan B Vu, Erica L Richman, Jordan Sharpe, Aaron Thomas, Katrina E Donahue","doi":"10.3122/jabfm.2025.250280R1","DOIUrl":"10.3122/jabfm.2025.250280R1","url":null,"abstract":"<p><strong>Introduction: </strong>Diabetes self-management education and support (DSMES) services are often underutilized, partly due to low referral rates by clinicians. This examines if using a Best Practice Advisory (BPA) integrated into the electronic health record (EHR) during clinic visits increases DSMES referral rates.</p><p><strong>Methods: </strong>We developed a BPA within the Epic EHR for patients with type 2 diabetes (T2D) eligible for DSMES services. This BPA was implemented in four primary care practices within a university-based health system, while two additional practices served as controls. We analyzed data using multilevel logistic regression with patient data nested within clinicians. We employed binary logit functions and maximum likelihood estimation to assess the odds of DSMES referrals postvisit. Both unadjusted and adjusted models were tested, accounting for clinic and patient variables.</p><p><strong>Results: </strong>From April 1, 2023, to March 31, 2024, 2,526 BPAs were deployed in intervention clinics, resulting in a 12.9% DSMES referral rate. In contrast, control clinics had 1,444 eligible patient visits with a 1.2% referral rate (p<0.001).</p><p><strong>Conclusions: </strong>Integrating BPA prompts into the EHR significantly enhances DSMES referral rates. This approach effectively identifies eligible patients and simplifies the referral process, addressing some barriers to DSMES utilization.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787610","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}

{"title":"Knowledge, Perceptions, and Barriers to Collection of Family Health History Data.","authors":"Christine M Kava, Anne K Julian, Anjel Vahratian, Michelle R Fletcher, Sun Hee Rim","doi":"10.3122/jabfm.2025.250278R1","DOIUrl":"10.3122/jabfm.2025.250278R1","url":null,"abstract":"<p><strong>Background: </strong>Family health history (FHH) is used to assess potential risk for diseases such as hereditary cancers. To date, limited data exist on potential barriers to collecting FHH information.</p><p><strong>Methods: </strong>We used National Center for Health Statistics Rapid Surveys System data collected between January-February 2024. The data were analyzed to estimate the prevalence of knowledge, perceptions, and barriers to collecting information on FHH. The final cumulative response rate ranged from 4.8%-4.4%.</p><p><strong>Results: </strong>Over 60% of adults had knowledge of the health history of their biological parents or grandparents. Nearly all adults (94.8%) believed that knowledge of FHH was somewhat or very important to their own health, though only 15.2% of adults reported actively collecting this information. An estimated 66.5% of adults reported that it was somewhat or very difficult to collect information about the health history of their biological relatives. Of these adults, the top two reasons for reported difficulty in collecting FHH were not being in contact with relatives/relatives no longer alive (76.0%) and not knowing what information to collect (45.9%). Differences in knowledge, perceptions, or barriers to collecting FHH were observed by several sociodemographic characteristics. Some of the biggest differences were observed for health insurance coverage; for example, 76.2% of adults with health insurance shared their FHH with a clinician compared to 46.1% of adults without health insurance.</p><p><strong>Conclusions: </strong>This report provides national estimates that can guide intervention efforts to increase knowledge and collection of FHH and address common barriers to collecting this information.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787621","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}

{"title":"My Autistic Sister Deserves a Pap Smear Too: Closing the Reproductive Care Gap for Neurodiverse Patients.","authors":"Reeda Iqbal","doi":"10.3122/jabfm.2025.250241R1","DOIUrl":"10.3122/jabfm.2025.250241R1","url":null,"abstract":"<p><p>Autistic women face significant disparities in reproductive healthcare including receiving lower rates of Pap smears and human papillomavirus (HPV) vaccinations. This editorial explores how widespread gaps in primary and gynecologic care exacerbate reproductive health inequities for this population. Drawing on peer-reviewed literature, national guidelines, and personal insight as a medical student and sibling to a profoundly autistic woman, this piece identifies widespread gaps in clinical training and practice. Key themes include low clinician training, limited use of communication accommodations, and the absence of neurodiversity-affirming care guidelines. Barriers to provider preparedness are discussed alongside coordinated solutions, such as collaboration between medical institutions, advocacy organizations, and accrediting bodies to implement longitudinal, evidence-based training across medical education. This editorial calls on professional organizations to adopt neurodiversity-affirming training into clinical guidelines, medical education, and residency curricula. Closing these gaps is essential to ensuring that all patients, regardless of neurodevelopmental profile, receive equitable reproductive healthcare.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934859","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}

{"title":"Abortion Provision by Family Physicians Before and After Dobbs: Trends Across Career Stages and State Restrictions.","authors":"Caroline Murtagh, Sarah Fleischer, Lars E Peterson","doi":"10.3122/jabfm.2025.250263R1","DOIUrl":"10.3122/jabfm.2025.250263R1","url":null,"abstract":"<p><strong>Objectives: </strong>Family physicians (FPs) are well-positioned to integrate abortion into primary care. However, little is known about how FPs' abortion practices have been affected by the Dobbs v Jackson Women's Health Organization (Dobbs) Supreme Court decision. This study examines the percentage of FPs providing abortion, comparing across career stages, state restrictions, and before and after the Dobbs decision.</p><p><strong>Methods: </strong>Data was collected from the American Board of Family Medicine National Graduate Survey (2016 to 2024) and the Practice Demographic Survey (2019 to 2024), representing early- and mid-to-late-career FPs, respectively. Respondents (n=60,077) were grouped by time of survey completion, before or after Dobbs. Bivariate analysis assessed associations between abortion provision and state restrictions, personal/practice characteristics, and reproductive health service provision. Regression analysis assessed changes in abortion provision after Dobbs.</p><p><strong>Results: </strong>Of 31,553 respondents in the three years pre-Dobbs, 1.3% provided abortion, and of 28,544 respondents in the three years post-Dobbs, 1.4% provided abortion. Post-Dobbs in abortion legal states, early-career FPs increasingly provided abortion (2.8% to 6.3%) compared to mid-to-late-career FPs (1.3% to 1.8%), which was confirmed in adjusted analyses (adjusted OR= 2.12, 1.67-2.70).</p><p><strong>Conclusion: </strong>While the overall percentage of FPs providing abortion remained stably low pre- and post- Dobbs, a modest but notable increase was observed among early-career FPs in abortion legal states. This trend among early-career FPs in specific states suggests a developing opportunity to enhance access, necessitating increased training and resources for this group.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787557","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}

{"title":"Diagnosis and Management of Pectus Excavatum in Primary Care.","authors":"Nour B Odeh, Ahmed E Khedr, Rawan M Zeineddine, Abdulrahman Senjab, Juan M Farina, Dawn E Jaroszewski","doi":"10.3122/jabfm.2025.250122R1","DOIUrl":"10.3122/jabfm.2025.250122R1","url":null,"abstract":"<p><p>Pectus is the most common congenital chest wall deformity, with pectus excavatum being the most prevalent type characterized by a sunken sternum. It has been proven that in severe cases this anomaly can result in cardiopulmonary compromise affecting patients' daily activity and ability to exercise. Despite the latest research, the deformity may still be viewed by some as a cosmetic issue that does not necessitate treatment. Since primary care physicians are often the first to evaluate these patients, a thorough understanding and comprehensive treatment approach for pectus is needed. Patients with pectus excavatum can present with a wide range of symptoms, although some may be entirely asymptomatic. Depending on the cardiopulmonary impact of the deformity, the severity of symptoms can range from mild exertional dyspnea to syncopal episodes, which may progress with aging. There have been several publications that have documented the improvement in quality of life and cardiopulmonary function that can occur in patients who have undergone repair of their pectus excavatum deformity. This article reviews updated information and recommendations and can serve as a guide to primary care physicians in the diagnosis, evaluation, and referral of pectus excavatum patients.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197138/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787564","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}

{"title":"Behavioral Health in Independently Owned Family Medicine Practices.","authors":"Brooke Ike, Brennan Keiser, Ajla Pleho, Kris Pui Kwan Ma, Annie Koempel, Madeline Byrd, Andrew Bazemore, Sebastian Tong","doi":"10.3122/jabfm.2025.250109R1","DOIUrl":"10.3122/jabfm.2025.250109R1","url":null,"abstract":"<p><p>IntroductionMental health and substance use diagnoses are increasing, and many patients cannot access behavioral health (BH) care. One-third of family physicians work in independently owned practices, but only a minority work collaboratively with BH clinicians. Our study sought to describe barriers to implementing integrated BH in independently owned family medicine practices and the alternate approaches family physicians are using to offer BH care services to their patients. # Methods We recruited eligible family physicians who completed the American Board of Family Medicine 2021-2022 Continuous Certification questionnaire. We interviewed 16 family physicians working in independently owned family medicine practices. Interviews were analyzed using a qualitative exploratory design guided by the Framework Method. # Results Participants identified cost, staffing, and space as principal barriers to implementing and sustaining integrated BH at independent practices. In the absence of integrated BH, participants reported that they provide BH support to their patients in the form of assessment and diagnosis, basic medication management, coaching on BH skills, and referring to outside resources. # Conclusions This study highlights that barriers to integrating BH at independent family medicine practices align with those at larger health systems, but that the nuances of those barriers differ based on the smaller practice context. Family physicians at independent practices are filling in BH services gaps to the best of their abilities but are constrained by training and resource limitations. Targeted strategies, particularly addressing cost, staffing, and clinical space limitations, are needed to support independent family physicians in achieving sustainable access to integrated BH care.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787599","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}

{"title":"Facilitating Abortion Services in Primary Care Settings After the Loss of Federal Protections.","authors":"Kathryn Fine, Anna Fiastro, Ying Zhang, Grace Shih, Emily M Godfrey, Dinah Aldrich, Ian M Bennett","doi":"10.3122/jabfm.2025.250136R1","DOIUrl":"10.3122/jabfm.2025.250136R1","url":null,"abstract":"<p><strong>Introduction: </strong>Abortion care access became more restricted following the 2022 US Supreme Court decision, Dobbs vs Jackson Women's Health, that eliminated federal protection. We sought to engage healthcare clinicians in states in the Northwestern U.S. with varied abortion regulations to develop strategies for primary care involvement in access to and follow up for abortion care.</p><p><strong>Methods: </strong>The \"Won't Go Back\" initiative began in July 2022, recruiting members from the five state WWAMI (Washington, Wyoming, Alaska, Montana and Idaho) region Practice Based Research Network (WPRN), Family Medicine Residency Network (FMRN) and Washington state family planning clinics. We completed a cross-sectional needs assessment survey (winter 2022) and virtual convenings (summer 2023). We used descriptive statistics to describe participant demographics, reproductive health services offered, documented needs, and proposed solutions including abortion care education and referral networks.</p><p><strong>Results: </strong>193 surveys were sent to individual clinicians with 40 responses (21% response rate) from Washington, Idaho, Montana and Alaska. All participants' provided reproductive health services, and 25% offered abortion care. All clinicians wished to support their patients seeking abortion care. Barriers faced by convening attendees included obtaining mifepristone, federal funding restrictions and navigating anti-abortion views. Proposed solutions from survey and convening representatives included creation of a learning collaborative and regional networks of primary care abortion clinicians.</p><p><strong>Conclusion: </strong>Survey and convening representatives were interested in enhancing abortion access for their patients. Clinicians faced barriers due to federal and state legal restrictions. Creation of an abortion learning collaborative and referral networks addressing identified barriers can potentially support patients.</p>","PeriodicalId":50018,"journal":{"name":"Journal of the American Board of Family Medicine","volume":"39 1","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13197140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787560","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}