Family Medicine最新文献

Student Competency in Outpatient Documentation: Insights From the 2025 CERA Clerkship Directors Study. 门诊记录的学生能力：来自2025年CERA助理主任研究的见解。

IF 2 4区医学

Family Medicine Pub Date : 2026-08-03 DOI: 10.22454/FamMed.2026.866657

William Dabbs, Tomoko Sairenji, Samira Farah, Eric Heidel, Amirreza Nikbakht, Joel J Heidelbaugh, Shaunta' Chamberlin

{"title":"Student Competency in Outpatient Documentation: Insights From the 2025 CERA Clerkship Directors Study.","authors":"William Dabbs, Tomoko Sairenji, Samira Farah, Eric Heidel, Amirreza Nikbakht, Joel J Heidelbaugh, Shaunta' Chamberlin","doi":"10.22454/FamMed.2026.866657","DOIUrl":"10.22454/FamMed.2026.866657","url":null,"abstract":"Background and objectives: Competency in clinical documentation is a core entrustable professional activity expected of graduating medical students, and multiple national organizations have established expectations for documentation training and assessment. However, limited guidance exists on how these competencies are operationalized and assessed in clinical settings, and little is known about current educational practices. This study aimed to characterize how family medicine clerkships teach and assess outpatient documentation competency.Methods: We conducted a cross-sectional analysis using five documentation-related items embedded in the 2025 Council of Academic Family Medicine Educational Research Alliance clerkship directors survey. The survey was distributed to 174 US and Canadian family medicine clerkship directors. Descriptive statistics summarized the responses.Results: The response rate was 57.4% (100/174). Most directors (78.7%) rated assessing documentation competency as important or very important. At clerkship entry, 60.2% of students required intermittent prompting, while 32.3% needed repeated direction. Teaching methods varied: 33.3% reported no formal instruction, and only 19.4% used a common rubric. Informal assessment predominated (56.4%), and 8.5% reported no formal process. Regarding accuracy and integrity, 37.6% had no formal evaluation, while 25.8% used direct observation and 22.6% employed standardized patients or simulations.Conclusions: Teaching and assessment of outpatient documentation competency in family medicine clerkships are highly variable, with many programs lacking structured approaches. These findings underscore the need for standardized guidelines and curricular integration to ensure that all students achieve competency prior to residency.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Weight Stigma Internalization in the Medical School Curriculum. 体重耻辱感在医学院课程中的内化。

IF 2 4区医学

Family Medicine Pub Date : 2026-08-03 DOI: 10.22454/FamMed.2026.794542

Cathleen Beliveau

引用次数: 0

From Pilot to Practice: A Checklist Approach to POCUS Training in Family Medicine. 从试点到实践：家庭医学POCUS培训的清单方法。

IF 2 4区医学

Family Medicine Pub Date : 2026-08-03 DOI: 10.22454/FamMed.2026.296247

Patty Tran, Kana Maeji Carter, Leimomi Kanagusuku, Chien-Wen Tseng, Komal Soin

{"title":"From Pilot to Practice: A Checklist Approach to POCUS Training in Family Medicine.","authors":"Patty Tran, Kana Maeji Carter, Leimomi Kanagusuku, Chien-Wen Tseng, Komal Soin","doi":"10.22454/FamMed.2026.296247","DOIUrl":"10.22454/FamMed.2026.296247","url":null,"abstract":"Background and objectives: Point-of-care ultrasound (POCUS) is increasingly used in primary care and is now an Accreditation Council for Graduate Medical Education training expectation for family medicine residents. However, standardized methods for teaching, observing, and assessing POCUS skills in clinical settings remain limited.Methods: The University of Hawai'i Family Medicine Residency Program developed direct-observation checklists for obstetric (OB) and musculoskeletal (MSK) POCUS. OB assessments included first- and third-trimester scans, while MSK assessments focused on knee and shoulder examinations. Checklist content was adapted from existing validated tools and refined through Plan-Do-Study-Act cycles. The checklists were designed for use before, during, and/or after patient encounters to guide observation and feedback. Faculty and residents completed surveys to evaluate usability, workflow integration, and educational impact.Results: From March to October 2025, 39 checklists (28 OB, 11 MSK) and 60 surveys were collected from faculty and residents at two clinical sites. Most attending physicians reported checklist completion and feedback delivery in less than 5 minutes. Faculty most frequently used the tools postencounter. Perceived utility was high: 76% of OB and 88% of MSK attending responses rated the checklist as very useful, and nearly all residents (95% OB; 100% MSK) reported that the checklists supported a systematic approach and reinforced learning. Time constraints and certain indirectly observable checklist items were identified as implementation challenges.Conclusions: Structured POCUS teaching checklists are feasible and well-received in family medicine residency training. These tools support direct observation, structured feedback, and standardizing expectations during supervised scanning encounters.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Trauma Stabilization Training for Rural Family Medicine Residents. 加强农村家庭医学居民创伤稳定培训。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-31 DOI: 10.22454/FamMed.2026.328271

Christine Maisano, Patricia A Carney, Margaret Jolley, Joel Klas

引用次数: 0

A Novel Learner- and Patient-Oriented Needs Assessment for a Point-of-Care Ultrasound Curriculum in Family Medicine. 一种新颖的以学习者和病人为导向的家庭医学点超声课程需求评估。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-31 DOI: 10.22454/FamMed.2026.429202

Matthew Rudolph, Katherine M Wright

{"title":"A Novel Learner- and Patient-Oriented Needs Assessment for a Point-of-Care Ultrasound Curriculum in Family Medicine.","authors":"Matthew Rudolph, Katherine M Wright","doi":"10.22454/FamMed.2026.429202","DOIUrl":"10.22454/FamMed.2026.429202","url":null,"abstract":"Background and objectives: New Accreditation Council for Graduate Medical Education and American Board of Family Medicine guidelines encourage training family medicine residents in point-of-care ultrasound (POCUS). Prior studies have focused on the perceived needs of learners but did not assess patient or community need.Methods: We performed a triangulated learner- and patient-oriented needs assessment to inform POCUS curriculum development within a family medicine residency. Our learner assessment consisted of a Likert scale survey of the perceived skill and importance of 36 POCUS modalities discussed in the 2016 American Academy of Family Physicians POCUS curriculum guidelines. Our patient-oriented needs assessment was collected through analysis of all family medicine practice (FMP) site imaging orders placed in 2023.Results: The learner survey demonstrated the highest skill gaps in POCUS training to be evaluation for hemothorax and evaluation for pleural effusion. FMP site imaging order analysis demonstrated that hepatobiliary and obstetrics/gynecology concerns were the most frequently answered by POCUS for patients seen at the FMP site.Conclusions: POCUS is an important and underutilized diagnostic tool in family medicine. POCUS curricula in graduate medical education are vital to successful implementation of POCUS in primary care; however, needs assessment techniques used in prior studies differ from the patient and community needs in our study. We recommend the use of both needs assessment strategies for optimal POCUS training outcomes. Further research replicating this modality is necessary to determine the optimal needs assessment approach for POCUS in family medicine.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Building a POCUS Escape Room Taught Me to Teach. 如何建立一个POCUS逃生室教会我如何教书。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-31 DOI: 10.22454/FamMed.2026.780701

Kyle Flattery

引用次数: 0

Multiorganizational Recommendations for Point-of-Care Ultrasound in Family Medicine Residency Education. 家庭医学住院医师教育中点护理超声的多组织建议。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-31 DOI: 10.22454/FamMed.2026.426882

Ryan Paulus

引用次数: 0

The Thoughtful Yes: Framework for a Fulfilling Career in Academic Medicine. 深思熟虑的“是”：学术医学充实职业生涯的框架。