Family Medicine最新文献

Response to "Impact of Training Length on Scope of Practice Among Residency Graduates: A Report From the Length of Training Pilot Study in Family Medicine". 对“实习时间对住院医师毕业生执业范围的影响——来自家庭医学实习时间试点研究的报告”的回应

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-22 DOI: 10.22454/FamMed.2025.268733

Joe M Skariah, Nicholas Weida, Kimberly Legere-Sharples, Richard A Young, Yadira Acevedo, Jennifer Somers, Alex Verdieck Devlaeminck

引用次数: 0

Authors' Response to "Appreciating the LoTP Study: Further Refining Scope-of-Practice Analysis". 作者对“欣赏LoTP研究：进一步完善实践范围分析”的回应。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-22 DOI: 10.22454/FamMed.2025.186494

Patricia A Carney, Lars E Peterson, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, Karen B Mitchell, Colleen Conry, Colleen Conry, James C Martin, M Patrice Eiff

引用次数: 0

Authors' Response to Letter From 4-Year Program's Faculty. 作者对四年制课程教师来信的回应。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-22 DOI: 10.22454/FamMed.2025.719664

Patricia A Carney, Lars E Peterson, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, Karen B Mitchell, Colleen Conry, Colleen Conry, James C Martin, M Patrice Eiff

引用次数: 0

Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway. 使用倾向分数匹配队列来评估完成服务不足途径的医学生的职业结果。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-22 DOI: 10.22454/FamMed.2025.305728

Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, Ayan Mohamed, Mansi Shah, Amanda Kost, Lynn Oliver, Sharon Dobie, Samira Farah

{"title":"Using Propensity-Score Matched Cohorts to Evaluate Career Outcomes for Medical Students Completing the Underserved Pathway.","authors":"Genya Shimkin, Kimberly Kardonsky, Alisse Cassell, Ayan Mohamed, Mansi Shah, Amanda Kost, Lynn Oliver, Sharon Dobie, Samira Farah","doi":"10.22454/FamMed.2025.305728","DOIUrl":"https://doi.org/10.22454/FamMed.2025.305728","url":null,"abstract":"Background and objectives: The purpose of this study is to compare the career outcomes of medical students who completed the Underserved Pathway (UP) at the University of Washington School of Medicine (UWSOM) to a matched cohort of their peers who did not complete the UP. Were participants more likely to practice in rural communities and/or primary care specialties than their peers who did not complete the UP?Methods: Starting with a list of 243 UP students enrolled between 2004 and 2012, we used propensity-score matching to build a matched cohort of non-UP graduates and then used multiple regression to compare the groups, with a focus on career outcomes.Results: A total of 384 UWSOM graduates were included in the analysis: 191 UP graduates and 193 non-UP graduates. Overall, UP graduates had three times the odds of practicing family medicine in a rural community than their non-UP peers and three and a half times the odds of practicing rural primary care.Conclusions: Longitudinal cocurricular programs that encourage students to explore and gain experience in underserved communities may help address physician workforce shortages in rural areas.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126423","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 Influence of the Residency Interview Format on Future Interviewing Models and Use of Preference Signals. 住院医师访谈形式对未来访谈模式及偏好信号使用的影响。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-18 DOI: 10.22454/FamMed.2025.569187

John E Snellings, Hanwen Miao, Daniel L Meyer, Miranda A Moore

{"title":"The Influence of the Residency Interview Format on Future Interviewing Models and Use of Preference Signals.","authors":"John E Snellings, Hanwen Miao, Daniel L Meyer, Miranda A Moore","doi":"10.22454/FamMed.2025.569187","DOIUrl":"https://doi.org/10.22454/FamMed.2025.569187","url":null,"abstract":"Background and objectives: The COVID-19 pandemic dramatically altered the format of residency recruitment, leading to the widespread adoption of virtual interviews, followed by the adoption of preference signaling. This study examines how the structure of the 2023-2024 interview season influenced family medicine residency program directors' intentions for future interview formats and their preferences regarding the number of preference signals.Methods: A Council of Academic Family Medicine Educational Research Alliance survey, including demographic questions, was distributed to all family medicine residency program directors in the United States in spring 2024. Data analysis included descriptive statistics, cross-tabulations, χ2 tests, and multivariable logistic regression.Results: The overall response rate to the question set was 43.7% (308/705). The majority of programs used a fully virtual interview structure in 2023-2024; programs with 100% virtual interviewing were significantly more likely to plan to maintain this model for future interviewing (P=.000) and to favor the current allotment of five preference signals (P=.005). Program director gender, ethnicity, or program type did not significantly influence the intention to maintain a virtual interview format.Conclusions: The structure of the 2023-2024 interview season was significantly consistent with program directors' plans for future recruitment practices.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126371","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

Assessment of the Family Medicine Residency Training Environment in Guangdong, China, Based on the PHEEM: A Cross-Sectional Study. 基于PHEEM的广东省家庭医学住院医师培训环境评估：一项横断面研究。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-17 DOI: 10.22454/FamMed.2025.161161

Kangping Deng, Caipu Huang, Weiwen Liu, Xihong Liu, Junxian Wang, Zhihong Huang, Yilan Li, Ning Ma, Kunhao Wu, Yongqiang Li

{"title":"Assessment of the Family Medicine Residency Training Environment in Guangdong, China, Based on the PHEEM: A Cross-Sectional Study.","authors":"Kangping Deng, Caipu Huang, Weiwen Liu, Xihong Liu, Junxian Wang, Zhihong Huang, Yilan Li, Ning Ma, Kunhao Wu, Yongqiang Li","doi":"10.22454/FamMed.2025.161161","DOIUrl":"https://doi.org/10.22454/FamMed.2025.161161","url":null,"abstract":"Background and objectives: The clinical learning environment exerts a profound influence on trainees' educational outcomes and professional development. Despite its recognized importance, no validated instrument currently exists to systematically assess this environment within family medicine residency programs in the Chinese context. This study aimed to evaluate the educational environment of family medicine residents in Guangdong Province, China, and to examine the validity of the Chinese version of the Postgraduate Hospital Educational Environment Measure (PHEEM) for this population.Methods: In this multicenter cross-sectional study, 240 residents from six hospitals were surveyed using the 40-item Chinese version of the PHEEM (scored on a 5-point Likert scale). Principal component analysis with Varimax rotation was used to identify factors (eigenvalue >1).Results: Three domains were identified-role autonomy, teaching, and social support-explaining 63.07% of total variance. Cronbach's α was 0.966 overall; subscale α values were 0.858, 0.969, and 0.890, respectively.Conclusions: The PHEEM shows strong internal consistency and structural validity for assessing the family medicine residency learning environment in China. Further research is recommended to confirm its broader applicability.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126183","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

Minority Student Tax. 少数民族学生税。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-12 DOI: 10.22454/FamMed.2025.369231

Jessica L Jones, Kharisma Carmichael, Chris Harris

引用次数: 0

Introducing the TDM-20: A Validated 20-Item Instrument to Measure Team Development. 介绍TDM-20：一个经过验证的20项测量团队发展的工具。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-12 DOI: 10.22454/FamMed.2025.548925

Hiroto Inoue, Kathryn Bonuck, Patricia A Carney, Daisuke Yamashita

{"title":"Introducing the TDM-20: A Validated 20-Item Instrument to Measure Team Development.","authors":"Hiroto Inoue, Kathryn Bonuck, Patricia A Carney, Daisuke Yamashita","doi":"10.22454/FamMed.2025.548925","DOIUrl":"https://doi.org/10.22454/FamMed.2025.548925","url":null,"abstract":"Background and objectives: Research has shown that effective team functioning increases patient satisfaction and reduces medical errors and burnout. The Team Development Measure (TDM), a 31-item instrument, was validated to assess four areas of team development: cohesion, communication, roles and goals, and team priorities. Despite its high reliability and psychometric validity, the large number of items in the TDM may be a barrier to its use in busy health care settings.Methods: Using the original dataset of 1,194 participants from 120 primary care teams, we conducted an exploratory factor analysis. We used principal component analysis with varimax rotation and Kaiser normalization to validate a 20-item shortened version (TDM-20). We also performed a scree test as a parallel analysis.Results: Our exploratory factor analysis identified two domains in the TDM-20. The first was communication and engagement, which we defined as team members' ability to respectfully interact toward accomplishing goals. The second domain was shared values and cohesion, which we defined as core beliefs that guide the behaviors of a group from an empathetic and psychologically safe position. Each domain comprised 10 items. The eigenvalues for the two domains were 10.9 and 1.10, accounting for 54.5% and 5.5% of the variance, respectively. Both domains demonstrated high internal consistency (Cronbach's α were 0.92 and 0.93, respectively).Conclusions: The TDM-20 demonstrated high validity and is suitable for measuring team development in primary care medical settings. Further research is needed to examine whether the pandemic affected the results of the instrument in various cultural backgrounds and current medical environments.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126285","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 Value of Cultural Representation in Medicine: Personal Reflections of Medical Students. 医学文化表征的价值：医学生的个人思考。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-11 DOI: 10.22454/FamMed.2025.936347

Erica Browne, Alexxis Gutierrez, Sarah Gebauer, Keniesha Thompson

引用次数: 0

Appreciating the LoTP Study: Further Refining Scope-of-Practice Analysis. 欣赏LoTP研究：进一步完善实践范围分析。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-11 DOI: 10.22454/FamMed.2025.270596

Eduardo Rivé Lockwood

引用次数: 0