Family Medicine最新文献

Defining and Addressing Gaps in Mentorship for Underrepresented Faculty. 定义和解决未被充分代表的教师的指导差距。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-23 DOI: 10.22454/FamMed.2025.224099

Fareedat O Ajibade, Christopher L Smyre, Latasha S Perkins, Arianne Cordon-Duran, Kendall M Campbell

{"title":"Defining and Addressing Gaps in Mentorship for Underrepresented Faculty.","authors":"Fareedat O Ajibade, Christopher L Smyre, Latasha S Perkins, Arianne Cordon-Duran, Kendall M Campbell","doi":"10.22454/FamMed.2025.224099","DOIUrl":"https://doi.org/10.22454/FamMed.2025.224099","url":null,"abstract":"The current political and social climate is directly and indirectly impacting the work-life wellness of family medicine faculty who are underrepresented in medicine (URiM). Furthermore, issues of social justice are an intimate part of the lived experience of URiM faculty physicians and cannot be ignored. Institutional programs and offices that have traditionally served to support URiM faculty-namely diversity, equity, and inclusion (DEI) offices and programs-are actively being dismantled through anti-DEI legislation across the country. Where do such changes leave URiM faculty in terms of career advancement and support? Studies show that mentorship is necessary and effective in URiM faculty development. Despite the gains through mentorship, gaps in the support of URiM faculty are obstacles to their reaching their highest potential. Obstacles such as pseudoleadership, scholarship delay, minority taxation, and income inequality make succeeding at their institution more difficult for these faculty members. These hurdles confound the reality that URiM faculty physicians tend to have value systems surrounding their own self-actualization, family structure, and professional development that differ from institutional priorities. Lack of awareness of these differences in mentorship needs has negative consequences for the growth and advancement of both URiM faculty and their institutions. Prioritization of effective mentorship strategies is necessary to bridge the value differences and overcome the obstacles that will ultimately benefit both the institutions and their URiM faculty. This article defines the gaps in mentorship of URiM faculty, introduces strategies for closing the mentorship gaps, and summarizes how doing so produces gains on a systemic level.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Invisible. 看不见的。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-20 DOI: 10.22454/FamMed.2025.897785

Iris Wagman Borowsky

引用次数: 0

Evolution of the Family Medicine Clerkship: A CERA Secondary Analysis. 家庭医学办事员制度的演变：CERA二次分析。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-20 DOI: 10.22454/FamMed.2025.306815

Bryce A Ringwald, David Banas, Allison Macerollo, Ericka Bruce, Matthew Farrell

{"title":"Evolution of the Family Medicine Clerkship: A CERA Secondary Analysis.","authors":"Bryce A Ringwald, David Banas, Allison Macerollo, Ericka Bruce, Matthew Farrell","doi":"10.22454/FamMed.2025.306815","DOIUrl":"https://doi.org/10.22454/FamMed.2025.306815","url":null,"abstract":"Background and objectives: The family medicine clerkship has been found to influence medical students' decision-making regarding specialty choice. Understanding how the family medicine clerkship has changed over the past decade may assist in recruitment efforts. Our study explored trends in family medicine clerkship design, length, and format and correlated these characteristics with high proportions of medical school graduates choosing family medicine.Methods: We performed a secondary analysis of the Council of Academic Family Medicine Educational Research Alliance annual family medicine clerkship director surveys from 2012 to 2023. We analyzed standard family medicine clerkship structure questions that were asked in each survey. We analyzed trends using Pearson's correlation coefficient test and correlations with χ2 test for independence.Results: Over the past 10 years, a transition from traditional block-style clerkships toward longitudinal-style clerkships has been increasing. Both block-style and longitudinal-style clerkships have decreased in length, with most clerkships lasting 4 weeks or less. A change also has taken place in the composition of clinical experiences, with reduced use of community preceptors as the primary source of clinical experiences. In 2021, schools with a higher percentage of students working with community preceptors were associated with higher percentages of medical students choosing to pursue family medicine.Conclusions: Alterations in the family medicine clerkships have led to medical students getting decreased and intermittent exposure to family medicine. Most clerkship experiences are not with community preceptors, a major change following the COVID-19 pandemic. The repercussions of recent changes to the family medicine clerkship on the rate of matching medical students into family medicine remains unclear.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Diagnostic Blind Spot in Early Medical Education. 早期医学教育中的诊断盲区

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-20 DOI: 10.22454/FamMed.2025.135278

Waseem Jerjes

引用次数: 0

Understanding Population Health Management Practices Among Family Medicine Residency Programs. 了解家庭医学住院医师计划中的人口健康管理实践。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-20 DOI: 10.22454/FamMed.2025.484181

Stephen M Carek, Carina Brown, Dana Neutze, John Emerson, Mark Shaffer, Alex Ewing, Peter J Carek

{"title":"Understanding Population Health Management Practices Among Family Medicine Residency Programs.","authors":"Stephen M Carek, Carina Brown, Dana Neutze, John Emerson, Mark Shaffer, Alex Ewing, Peter J Carek","doi":"10.22454/FamMed.2025.484181","DOIUrl":"https://doi.org/10.22454/FamMed.2025.484181","url":null,"abstract":"Background and objectives: Population health management is a systematic approach to ensuring that all members of a given population receive appropriate preventative, chronic, and transitional care. It emphasizes addressing health inequities and the social determinants that influence health and related outcomes in communities served by family physicians. This study examines the current practices of family medicine residency programs in teaching population health management and the use of clinical data registries for their primary clinic sites.Methods: Data were collected through a survey conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA) from September 26 to October 30, 2023. The survey targeted program directors of Accreditation Council for Graduate Medical Education accredited family medicine residency programs, with a final response rate of 37.90% (271/715).Results: We found significant variability in the clinical data registries and population-based reports provided to residents. Of the residency programs, 29.52% provided both resident-specific and practice-level panel data, while 12.92% did not provide regular data reports. Clinical quality and patient satisfaction were the most common elements in reports. Programs varied in the frequency and dedicated time for population health management, with many programs citing resource constraints.Conclusions: The findings highlight the need for standardized education and clinical systems to integrate population health into resident training. Ensuring consistent, accurate, and actionable data can enhance the quality and value of care and prepare residents for future practice in value-based care environments.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Family Medicine Diploma Program in Jordan: Components for Success and Sustainability. 约旦家庭医学文凭课程：成功和可持续性的组成部分。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-17 DOI: 10.22454/FamMed.2025.442203

Benjamin Colton, Therese Zink

{"title":"Family Medicine Diploma Program in Jordan: Components for Success and Sustainability.","authors":"Benjamin Colton, Therese Zink","doi":"10.22454/FamMed.2025.442203","DOIUrl":"https://doi.org/10.22454/FamMed.2025.442203","url":null,"abstract":"Background and objectives: Jordan has residency positions available for approximately 20% of graduates from Jordanian medical schools, with approximately 30 in family medicine. Most graduates never complete a residency program and instead work as outpatient general practitioners (GPs). The need for more well-trained GPs is overwhelming. To address this gap, ERASMUS+ funding provided the money and technical expertise of European family medicine faculty to create a diploma program that enhanced prior efforts. In this paper, we share the evaluation data gathered for three levels of Kirkpatrick's four-level model and discuss the additional steps taken to ensure sustainability of the diploma program.Methods: A needs analysis consisting of a series of surveys, site visits, personal interviews, and bilateral meetings was conducted by the project consortium to identify the items most necessary in developing a sustainable project. The four levels of the Kirkpatrick evaluation model were used to evaluate the project.Results: Trainees improved in areas of understanding primary care, ethics and values, communication skills, and patient management. Six months after diploma completion, Level 3 data showed decreases in both antibiotic prescriptions and referral rates. To increase sustainability, our program involved local stakeholders from the beginning of the project, provided training for family medicine mentors, offered incentives for program trainees, and developed a sustainable financial model.Conclusions: Diploma programs fill an important void in the expertise of GPs. Building on prior diploma program efforts, our program added critical elements to create a successful and sustainable program.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Five Years of Family Medicine Education in Zambia: Challenges, Milestones, and Lessons Learned. 赞比亚五年家庭医学教育：挑战、里程碑和经验教训。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-14 DOI: 10.22454/FamMed.2025.569547

Matthew S Haldeman, Evaristo Kunka, Bassim Birkland, Mpundu Makasa

{"title":"Five Years of Family Medicine Education in Zambia: Challenges, Milestones, and Lessons Learned.","authors":"Matthew S Haldeman, Evaristo Kunka, Bassim Birkland, Mpundu Makasa","doi":"10.22454/FamMed.2025.569547","DOIUrl":"https://doi.org/10.22454/FamMed.2025.569547","url":null,"abstract":"Over the past 2 decades, the growing need to strengthen primary care in southern Africa has fueled a rising interest in the specialty of family medicine. Given the region's heavy burden of both communicable and noncommunicable diseases, along with restricted health care resources and limited access to care, family physicians may play a key role in improving health care access and quality in these settings. The development of family medicine in Zambia began in 2013 as a working group of committed clinical and public health academics, and progressed to the launch of that country's first family medicine residency in 2019. Despite enormous challenges, the program has flourished since that time, growing rapidly from the inaugural two residents in 2019 to 45 residents and recent graduates by 2025. While this growth has allowed the residency to become a leader in family medicine education in the region, it also has brought a new set of challenges. In this narrative, we describe the health care context of Zambia, the introduction of family medicine as a specialty to a new health care landscape, and the launch of that country's first ever and rapidly growing family medicine residency, as well as unique challenges, strategies employed, and lessons learned along the way. We conclude the article by looking ahead at new challenges and recommendations for the program's continued growth. The experiences and lessons learned may be used by future family medicine residency start-ups throughout sub-Saharan Africa.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Just in One Lifetime. 一生一世。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-14 DOI: 10.22454/FamMed.2025.857163

Amanda Howe

引用次数: 0

Progress and Challenges in Family Medicine and Residency Training Over 25 Years in Nepal. 尼泊尔25年来家庭医学和住院医师培训的进展和挑战。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-11 DOI: 10.22454/FamMed.2025.591411

Tula Krishna Gupta, Lani Kay Ackerman

{"title":"Progress and Challenges in Family Medicine and Residency Training Over 25 Years in Nepal.","authors":"Tula Krishna Gupta, Lani Kay Ackerman","doi":"10.22454/FamMed.2025.591411","DOIUrl":"https://doi.org/10.22454/FamMed.2025.591411","url":null,"abstract":"Over the past 25 years, Nepal has made admirable progress not only in improving living conditions and health indices but also in training family physicians, called medical doctors in general practice (MDGPs). This article examines the evolution and contributions of family physicians, the development of their own unique residency curriculum, and their current and evolving practice scope. It also evaluates recruitment and retention challenges and suggests strategies for advancing family medicine in Nepal. Family physicians have been pioneers in health care delivery in Nepal and have had a profound impact on improving access to primary and emergent medical care for the rural population. They have contributed to the decrease in morbidity and mortality rates and improved life expectancy. Family medicine residencies and physicians have been and are evolving to meet the ever-changing needs of their country, leading primary and emergency care; but urgent reforms are needed for their recruitment and retention. Despite Nepal's uniqueness and leadership in South Asia in its recognition for and development of full-scope, well-trained family physicians, MDGP leaders need collaboration and support from both their own government and medical community, as well as from international educators, to continue to lead the country in improving health and decreasing health disparities.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching Family-Oriented Patient Care to Family Medicine Residents in Chile. 向智利家庭医学住院医师教授以家庭为导向的病人护理。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-11 DOI: 10.22454/FamMed.2025.245190

Diego Garcia-Huidobro, Gabriela Soto, Maria Victoria Rodgriguez, Pamela vonBorries, Solange Rivera

{"title":"Teaching Family-Oriented Patient Care to Family Medicine Residents in Chile.","authors":"Diego Garcia-Huidobro, Gabriela Soto, Maria Victoria Rodgriguez, Pamela vonBorries, Solange Rivera","doi":"10.22454/FamMed.2025.245190","DOIUrl":"https://doi.org/10.22454/FamMed.2025.245190","url":null,"abstract":"Background and objectives: Family-oriented patient care, an approach to involve the patient's family in clinical encounters, is essential to family medicine. The Pontificia Universidad Católica de Chile offers a Family-Oriented Patient Care (FOPC) course within its family medicine residency program, aiming to enhance family involvement skills among residents. We present the course and report residents' self-efficacy, satisfaction, and competencies with family-oriented care after the course.Methods: The FOPC course is an 8-week program using a flipped-classroom model with interactive discussions, role-play with simulated patients, and clinical activities. Evaluation methods include resident-reported self-efficacy, course relevance, satisfaction, clinical supervisors' assessments of family-oriented care competencies, and Observed Structured Clinical Examination (OSCE) scores on simulated scenarios.Results: Residents reported high self-efficacy in family-oriented practices, with mean scores above 4.0 on a 5-point scale across various domains, including conducting family-oriented clinical visits and using family assessment tools. Course relevance and satisfaction received high ratings, with average scores of 4.7±0.7 on a 1-5 scale for relevance and 6.2±0.8 on a 1-7 scale for satisfaction. Clinical supervisors' evaluations indicated integration of family-oriented skills in patient care. However, OSCE scores suggested partial application of these skills in simulated clinical encounters.Conclusions: After participating in the FOPC course, residents reported having confidence to apply family-oriented care skills in patient encounters, but OSCE ratings did not confirm clinical translation. Results highlight the need for continued reinforcement to enhance skill application in real clinical contexts, supporting the need for longitudinal training integration throughout residency.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0