Family Medicine最新文献_第2页

Fertility Awareness-Based Methods for Family Planning and Women’s Health: Impact of an Online Elective 基于生育意识的计划生育和妇女健康方法：在线选修课的影响

Family Medicine Pub Date : 2024-05-23 DOI: 10.22454/fammed.2024.562177

Marguerite R. Duane, Logan Waechtler, Margaret May, Deepa Manda, Noah F. Gomez, Theresa M. Stujenske

{"title":"Fertility Awareness-Based Methods for Family Planning and Women’s Health: Impact of an Online Elective","authors":"Marguerite R. Duane, Logan Waechtler, Margaret May, Deepa Manda, Noah F. Gomez, Theresa M. Stujenske","doi":"10.22454/fammed.2024.562177","DOIUrl":"https://doi.org/10.22454/fammed.2024.562177","url":null,"abstract":"Background and Objectives: Fertility awareness-based methods (FABMs) are evidence-based means of tracking observable biomarkers of a woman’s fertility for the purpose of reproductive health monitoring and family planning. However, medical education regarding FABMs is limited. The purpose of this study was to examine the effect of a 4-week, two-part online elective on students’ knowledge of FABMs, confidence in explaining and offering them to patients, and anticipated behaviors in future practice.\u0000Methods: The online elective, “FABMs for Family Planning and Women’s Health,” was delivered from August 2020 to May 2023. Students completed pre- and postknowledge surveys. Paired t tests and the Wilcoxon signed rank test were used for analysis of the data.\u0000Results: A total of 571 students completed the elective, and 462 students completed both pre- and posttest surveys (response rate=81%). Students’ knowledge of FABMs increased significantly. Posttest scores increased by a mean of 9.02 for Part A and 5.95 for Part B. We identified a significant increase in students’ confidence discussing FABMs to avoid pregnancy, achieve pregnancy, monitor reproductive health, and address reproductive health concerns. At the completion of the elective, students were significantly more likely to offer FABMs as an option for most or all women.\u0000Conclusions: This online elective addresses the knowledge gap in FABMs and was effective in improving students’ knowledge of FABMs and their confidence and willingness to offer these methods to patients for family planning and management of common women’s health conditions.","PeriodicalId":503980,"journal":{"name":"Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141106840","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

Not-So-Simple Solutions for Improving Maternal Morbidity in Maternity Care Deserts 改善孕产妇护理荒漠地区孕产妇发病率的不简单解决方案

Family Medicine Pub Date : 2024-05-23 DOI: 10.22454/fammed.2024.892916

Alison N. Huffstetler

引用次数: 0

From Crisis to Catastrophe: Care, COVID, and Pathways to Change 从危机到灾难：护理、COVID 和变革之路

Family Medicine Pub Date : 2024-05-21 DOI: 10.22454/fammed.2024.306922

P. Lazar

引用次数: 2

Guardrails: Guiding Human Decisions in the Age of AI 护栏：人工智能时代的人类决策指南

Family Medicine Pub Date : 2024-05-21 DOI: 10.22454/fammed.2024.383539

Franklin J. Berkey

引用次数: 0

Administrative Time Expectations for Residency Core Faculty: A CERA Study 住院实习骨干教师的管理时间期望：CERA 研究

Family Medicine Pub Date : 2024-05-20 DOI: 10.22454/fammed.2024.991075

Bryce Ringwald, Stephen Auciello, Joseph Ginty, Melissa Jefferis, Stephen Stacey

{"title":"Administrative Time Expectations for Residency Core Faculty: A CERA Study","authors":"Bryce Ringwald, Stephen Auciello, Joseph Ginty, Melissa Jefferis, Stephen Stacey","doi":"10.22454/fammed.2024.991075","DOIUrl":"https://doi.org/10.22454/fammed.2024.991075","url":null,"abstract":"Background: Academic family medicine (FM) physicians aim to balance competing needs of providing clinical care with nonclinical duties of program administration, formal education, and scholarly activity. FM residency is unique in its scope of practice, clinical settings, and training priorities, which may differ between university-based and community-based programs. In both types of programs, these competing needs are a source of faculty dissatisfaction and burnout. We performed this study to explore the allocation of nonclinical administrative full-time equivalents (FTE) for FM residency core faculty members.\u0000Results: Reported nonclinical administrative FTE time allocation is equivalent between university/medical school-based and community-based programs. The ideal proportion of FTE distribution identified by DCs had greater amounts of direct clinical care compared to greater emphasis on precepting time identified by PDs. DCs and PDs agreed that administrative time should be used for advising residents, curriculum development and delivery, and evaluation of resident performance. Barriers to allocating additional administrative time for DCs included loss of revenue and pressure by hospital-level leadership. PDs responded that the need for clinical supervision of residents was most significant.\u0000Methods: We performed our research through a cross-sectional survey of FM department chairs (DC) and residency program directors (PD) conducted by the Council of Academic Family Medicine Educational Research Alliance. We used descriptive statistics to characterize the data and Pearson’s χ2 tests to evaluate bivariate relationships.\u0000Conclusions: DCs and PDs offer a similar ideal picture of core responsibilities, though subtle differences remain. These differences should be considered for the next revision of the Accreditation Council for Graduate Medical Education minimum program standards to best meet the needs of all FM programs.","PeriodicalId":503980,"journal":{"name":"Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141121893","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

Social History 社会历史

Family Medicine Pub Date : 2024-03-01 DOI: 10.22454/fammed.2024.582535

John M. Westfall

引用次数: 0

Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training 十年成果：社区卫生中心/学术医学合作开展农村全科医学培训

Family Medicine Pub Date : 2024-03-01 DOI: 10.22454/fammed.2024.400615

Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page

{"title":"Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training","authors":"Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page","doi":"10.22454/fammed.2024.400615","DOIUrl":"https://doi.org/10.22454/fammed.2024.400615","url":null,"abstract":"Background and Objectives: The widening gap between urban and rural health outcomes is exacerbated by physician shortages that disproportionately affect rural communities. Rural residencies are an effective mechanism to increase physician placement in rural and medically underserved areas yet are limited in number due to funding. Community health center/academic medicine partnerships (CHAMPs) can serve as a collaborative framework for expansion of academic primary care residencies outside of traditional funding models. This report describes 10-year outcomes of a rural training pathway developed as part of a CHAMP collaboration.\u0000Methods: Using data from internal registries and public sources, our retrospective study examined demographic and postgraduation practice characteristics for rural pathway graduates. We identified the rates of postgraduation placement in rural (Federal Office of Rural Health Policy grant-eligible) and federally designated Medically Underserved Areas/Populations (MUA/Ps). We assessed current placement for graduates >3 years from program completion.\u0000Results: Over a 10-year period, 25 trainees graduated from the two residency expansion sites. Immediately postgraduation, 84% (21) were in primary care Health Professional Shortage Areas (HPSAs), 80% (20) in MUA/Ps, and 60% (15) in rural locations. Sixteen graduates were >3 years from program completion, including 69% (11) in primary care HPSAs, 69% (11) in MUA/Ps, and 50% (5) in rural locations.\u0000Conclusions: This CHAMP collaboration supported development of a rural pathway that embedded family medicine residents in community health centers and effectively increased placement in rural and MUA/Ps. This report adds to national research on rural workforce development, highlighting the role of academic-community partnerships in expanding rural residency training outside of traditional funding models.","PeriodicalId":503980,"journal":{"name":"Family Medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140092621","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

Moving Your Work From Presentation to Publication 将作品从展示转为出版

Family Medicine Pub Date : 2024-03-01 DOI: 10.22454/fammed.2024.429019

Octavia Amaechi, S. Schrager

引用次数: 0

Maladies of Empire: How Colonialism, Slavery, and War Transformed Medicine 帝国的弊病：殖民主义、奴隶制和战争如何改变医学

Family Medicine Pub Date : 2024-03-01 DOI: 10.22454/fammed.2024.692838

Kenneth W. Lin

引用次数: 0

Courage to Shape Our Future 塑造未来的勇气

Family Medicine Pub Date : 2024-03-01 DOI: 10.22454/fammed.2024.736919

James E. Hougas, J. Heidelbaugh, Aaron J. Michelfelder, David V. Power, Allison R. Newman

引用次数: 0