Family Medicine最新文献

Family Doctors Say Goodbye: Shifting Grounds and Relationships 家庭医生说再见：转变立场和关系

Family Medicine Pub Date : 2024-06-14 DOI: 10.22454/fammed.2024.929136

Holly Salzman

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Writing for Busy Readers: Communicate More Effectively in the Real World 为忙碌的读者写作：在现实世界中更有效地交流

Family Medicine Pub Date : 2024-06-14 DOI: 10.22454/fammed.2024.182251

William E. Cayley

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Fighting for the Soul of General Practice: The Algorithm Will See You Now 为全科医学的灵魂而战：算法现在就能看到你

Family Medicine Pub Date : 2024-06-13 DOI: 10.22454/fammed.2024.107921

Lucas Magalhães Moreira

引用次数: 1

Imprecise Clinical Assessments and Inaccurate Grades: Family Medicine Clerkship Director Perspectives 不精确的临床评估和不准确的评分：全科实习主任的观点

Family Medicine Pub Date : 2024-06-13 DOI: 10.22454/fammed.2024.819598

Arindam Sarkar, J. Heidelbaugh, Gage Hallbauer, Nital Appelbaum

{"title":"Imprecise Clinical Assessments and Inaccurate Grades: Family Medicine Clerkship Director Perspectives","authors":"Arindam Sarkar, J. Heidelbaugh, Gage Hallbauer, Nital Appelbaum","doi":"10.22454/fammed.2024.819598","DOIUrl":"https://doi.org/10.22454/fammed.2024.819598","url":null,"abstract":"Background and Objectives: As application to residency programs becomes increasingly competitive, educational leaders face growing student concern about imprecise clinical assessments and clerkship grades.\u0000Methods: As part of a large annual survey of family medicine clerkship directors (FMCDs), 10 questions were disseminated in May 2023 about perceived levels of imprecise assessments by faculty. We aimed to determine to what extent respondents felt their institution’s evaluation system propagated inaccurate grading.\u0000Results: A total of 52% of 169 FMCDs responded to the survey. Of these, 7% of respondents were completely confident that their preceptors would give two students of identical competence the same clinical evaluation rating. FMCDs estimated that an average of 38% of their preceptors inaccurately rate student performance. Most clerkships use an Honors/High Pass/Pass/Fail grading system. We found that 51% of FMCDs prefer to use a different grading paradigm than they currently use. We asked FMCDs to estimate the percentage of students that expressed concern over inaccurate preceptor ratings. Grading systems with more tiers were associated with a higher percentage of concerned students.\u0000Conclusions: Clerkship grades are widely used by residency program directors to classify and differentiate student applicants. We identified a significant concern from FMCDs that clinical evaluation ratings can vary greatly. Given the high stakes and perceived inaccuracy of clerkship grading, we recommend continued investigation into the appropriate weighing and usage of clinical evaluations. Continued exploration is recommended to develop grading paradigms centered on criterion-based assessment.","PeriodicalId":503980,"journal":{"name":"Family Medicine","volume":"56 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141349224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowerment and the P-Word 赋权与 "P "字

Family Medicine Pub Date : 2024-06-05 DOI: 10.22454/fammed.2024.326878

Joseph W. Gravel

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Mandates, Metrics, Mothers, Meals 任务、指标、母亲、膳食

Family Medicine Pub Date : 2024-06-05 DOI: 10.22454/fammed.2024.984970

Joseph B. Hirst, Stephanie Berger

引用次数: 0

The Right Decision at the Right Time 在正确的时间做出正确的决定

Family Medicine Pub Date : 2024-06-05 DOI: 10.22454/fammed.2024.978362

Elizabeth J. Dockery

引用次数: 1

The Kirkpatrick Model: A Tool for Evaluating Educational Research 柯克帕特里克模型：评估教育研究的工具

Family Medicine Pub Date : 2024-06-05 DOI: 10.22454/fammed.2024.161519

LaKesha N Anderson, Jerusalem Merkebu

引用次数: 0

At Moonlighting’s End 月光的尽头

Family Medicine Pub Date : 2024-06-05 DOI: 10.22454/fammed.2024.776684

Tamara A. Huson

引用次数: 0

Identification and Accommodation of ADHD in Family Medicine Residencies: A CERA Study 全科医学住院医生对多动症的识别和适应：一项 CERA 研究

Family Medicine Pub Date : 2024-05-24 DOI: 10.22454/fammed.2024.641042

Christopher M Haymaker, Amber Cadick, Cynthia M. Bane, Christopher S. Percifield, Nicole McGuire, Kristi Vanderkolk

{"title":"Identification and Accommodation of ADHD in Family Medicine Residencies: A CERA Study","authors":"Christopher M Haymaker, Amber Cadick, Cynthia M. Bane, Christopher S. Percifield, Nicole McGuire, Kristi Vanderkolk","doi":"10.22454/fammed.2024.641042","DOIUrl":"https://doi.org/10.22454/fammed.2024.641042","url":null,"abstract":"Background: An increasing number of medical students applying to residency programs request accommodations for attention deficit hyperactivity disorder (ADHD). Early implementation of accommodations for individuals with ADHD during family medicine (FM) residency could help learners and programs, but the number of programs prepared to invite learners to disclose ADHD and to implement accommodations is unclear.\u0000Objectives: The purpose of this study was to describe practices employed by FM residency programs to identify residents who need accommodations for ADHD. We also chose to examine the frequency with which basic categories of ADHD accommodations are used and whether review of technical standards (ie, resident job description) is associated with timing of accommodations.\u0000Methods: We analyzed responses from the 2022 Council of Academic Family Medicine Educational Research Alliance (CERA) national survey of FM residency program directors, which was distributed via email invitation to all US programs accredited by the Accreditation Council for Graduate Medical Education. A total of 298 program directors (44.3%) responded.\u0000Results: Approximately one in six FM residency programs are proactive in their identification of learners with ADHD, typically recognizing the need for accommodations during the interview process or orientation. Once the need is identified, most programs implement accommodations within 1 month, and many employ multiple types of accommodations.\u0000Conclusions: While a small subset of programs has developed processes to identify and accommodate ADHD proactively, results suggested that the majority of programs approach accommodation processes on an ad hoc basis. In turn, ad hoc identification precludes a proactive approach, given use of poor performance to identify the need for supports.","PeriodicalId":503980,"journal":{"name":"Family Medicine","volume":"31 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141102466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0