Family Medicine最新文献

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-13 Epub Date: 2024-11-11 DOI: 10.22454/FamMed.2024.219090

Jordan Knox, Stephen M Carek, Rajalakshmi Cheerla, Susan Cochella, Alexei O DeCastro, Jason W Deck, Sherilyn DeStefano, Jennifer Hartmark-Hill, Michael Petrizzi, Dan Sepdham, Irvin Sulapas, James Wilcox, Matthew W Wise, Velyn Wu

{"title":"Recommended Elements of a Musculoskeletal Course for Fourth-Year Medical Students: A Modified Delphi Consensus.","authors":"Jordan Knox, Stephen M Carek, Rajalakshmi Cheerla, Susan Cochella, Alexei O DeCastro, Jason W Deck, Sherilyn DeStefano, Jennifer Hartmark-Hill, Michael Petrizzi, Dan Sepdham, Irvin Sulapas, James Wilcox, Matthew W Wise, Velyn Wu","doi":"10.22454/FamMed.2024.219090","DOIUrl":"10.22454/FamMed.2024.219090","url":null,"abstract":"Background and objectives: A recognized gap exists between primary care physicians' training in musculoskeletal (MSK) medicine and the burden of MSK complaints in primary care. Family medicine interns often lack adequate baseline MSK physical exam skills, which prompted a proposal to introduce a fourth-year preceptorship to reinforce MSK education. The aim of this study was to prioritize the most important elements to include in this new clinical rotation.Methods: We employed a three-round, modified Delphi method to derive consensus. Eleven panelists with experience and expertise in MSK training, medical education, or both generated a list of 118 elements. Each panelist then ranked each element by level of importance, and we reviewed the results. The ranking process was repeated two more times with a goal of achieving consensus.Results: Seventy-seven curricular elements (topics, skills, experiences) achieved consensus recommendation by being ranked either \"fairly important\" or \"very important\" for inclusion in the curriculum. Twenty-eight items were unanimously ranked \"very important,\" 42 received a mix of \"very important\" and \"fairly important\" rankings, and seven received unanimous ranking of \"fairly important.\" Three items were unanimously ranked \"neither important nor unimportant.\"Conclusions: Longitudinal repetition of physical exam skills, reinforcement of relevant anatomy, and incorporation of specific frameworks for approaching MSK care are important components. Physical examination of the shoulder, knee, back, and hip are especially meaningful clinically.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"48-54"},"PeriodicalIF":1.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958298","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

Using Our Agency-Pushing Forward and Pushing Back. 利用我们的机构——向前推进和向后推进。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 DOI: 10.22454/FamMed.2025.121136

Joseph W Gravel

引用次数: 0

Dancing in the Rain. 《雨中之舞》

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-18 DOI: 10.22454/FamMed.2024.358233

Antonio Yaghy

引用次数: 0

The Value of Family Medicine and Female Leadership During the Gaza War. 加沙战争中家庭医学和女性领导的价值。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-22 DOI: 10.22454/FamMed.2024.984888

Salam Khashan, Therese Zink

引用次数: 0

Scope of Practice Intentions Among Family Medicine Residents for Integrated Care of HIV and Hepatitis C Infection in People With Opioid Use Disorder. 阿片类药物使用障碍患者HIV和丙型肝炎感染综合护理家庭医学住院医师的实践意向范围

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI: 10.22454/FamMed.2024.703890

Kento Sonoda, Zachary J Morgan, Lars E Peterson

{"title":"Scope of Practice Intentions Among Family Medicine Residents for Integrated Care of HIV and Hepatitis C Infection in People With Opioid Use Disorder.","authors":"Kento Sonoda, Zachary J Morgan, Lars E Peterson","doi":"10.22454/FamMed.2024.703890","DOIUrl":"10.22454/FamMed.2024.703890","url":null,"abstract":"Background and objectives: Because deaths from opioid overdoses have increased in the United States, family physicians are needed who can provide integrated care for a patient with HIV, hepatitis C, and opioid use disorder. We sought to describe the individual and residency characteristics of graduating family medicine residents who intend to practice such integrated care.Methods: We used 2017-2021 data from the American Board of Family Medicine Initial Certification Questionnaire. Our primary outcomes were individual and residency characteristics of resident graduates who intended to provide integrated care. We used logistic regression to assess independent associations with providing integrated care.Results: The response rate was 100% with 18,479 total respondents. After exclusions, our final sample size was 10,660 (57.7%) respondents. Of those, 782 (7.3%) respondents intended to practice integrated care. Using regression analyses, we found that resident graduates who intended to provide integrated care were more likely to be male, non-Hispanic or Latinx. After residency, they were more likely to intend to practice at a federally qualified health center, Indian Health Service, or nonfederal government clinic.Conclusions: Only 7% of residency graduates reported their intention to provide integrated care for people with opioid use disorder after residency. In response to a surging opioid crisis, policymakers, residency educators, and residency funders/sponsors should increase the workforce of family physicians who can provide this integrated care.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"41-47"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958310","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

The Family Consult That Never Happened. 从未发生过的家庭咨询。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-12-06 DOI: 10.22454/FamMed.2024.168753

Lizzeth N Alarcon

引用次数: 0

Family Medicine's Role in Policy and Advocacy: Reflections From a Team's Advocacy for People With Disabilities. 家庭医学在政策和倡导中的作用：来自一个团队为残疾人倡导的思考。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-13 DOI: 10.22454/FamMed.2024.747272

Kaitlyn Davis, Allison R Casola, Mary M Stephens

引用次数: 0

Navigating Communication in Racially Concordant Care: Considerations for Medical Education. 在种族和谐关怀中引导沟通：对医学教育的思考。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-22 DOI: 10.22454/FamMed.2024.888925

LaKesha N Anderson, Taryn R Taylor, Tylin Siwemuke, Nicole Rockich-Winston, DeJuan White, Tasha R Wyatt

{"title":"Navigating Communication in Racially Concordant Care: Considerations for Medical Education.","authors":"LaKesha N Anderson, Taryn R Taylor, Tylin Siwemuke, Nicole Rockich-Winston, DeJuan White, Tasha R Wyatt","doi":"10.22454/FamMed.2024.888925","DOIUrl":"10.22454/FamMed.2024.888925","url":null,"abstract":"Background and objectives: Black/African American medical professionals and students engage in patient-centered communication in ways that are not yet described in medical education literature. The purpose of this paper is to explore the ways in which Black/African American attending physicians, residents, and medical students enact patient-centered communication while interacting with their Black/African American patients.Methods: Forty-one Black/African American attending physicians, residents, and medical students were recruited through a snowball sample of the authors' personal and professional networks. Participants engaged in semistructured interviews about their experiences of being Black in a predominantly White profession. Data were transcribed and analyzed using thematic analysis.Results: Black/African American attending physicians, residents, and medical students used patient-centered communication when engaging with Black/African American patients. Rather than relying on physician-focused styles of communication, participants situated their communication within their shared cultural backgrounds and approached their patients as they would approach family members. Participants reported that by centering the patient, they could communicate in a way that reflects shared norms and understandings.Conclusions: This study suggests that Black/African American attending physicians, residents, and medical students approach communication from a personal and familial space in an effort to disrupt conventional modes of provider-patient communication that do not center the patient or consider the patient's cultural background.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"35-40"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958296","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

An Exploratory Study of Published Case Reports Using a Systematic Typology. 利用系统分类法对已发表的病例报告进行探索性研究。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.22454/FamMed.2024.976230

Dean A Seehusen, Ahana Gaurav, Lina Nguyen, Piawoh Bujung, Jesica Burke, Kathleen McIntyre, Sandya Vikram, Taylor Lee, Stephanie Jiang, Toure Jones, Elijah Alston, Thomas Lyons, William Hood Souter, B Palmer Freshley, Christy J W Ledford

{"title":"An Exploratory Study of Published Case Reports Using a Systematic Typology.","authors":"Dean A Seehusen, Ahana Gaurav, Lina Nguyen, Piawoh Bujung, Jesica Burke, Kathleen McIntyre, Sandya Vikram, Taylor Lee, Stephanie Jiang, Toure Jones, Elijah Alston, Thomas Lyons, William Hood Souter, B Palmer Freshley, Christy J W Ledford","doi":"10.22454/FamMed.2024.976230","DOIUrl":"10.22454/FamMed.2024.976230","url":null,"abstract":"Background and objectives: Case reports are a popular publication type, especially for medical learners. They also are an excellent educational vehicle that can spark a long-term interest in scholarship for medical learners. To maximize publication potential, authors need a framework when writing a case report.Methods: We did a manifest content analysis on case reports published in 12 peer-reviewed medical journals between 2010 and 2019. We classified the case reports as detection, extension, diffusion, or fascination. The objective of our study was to determine whether case reports can successfully be classified by their primary contribution to the medial literature as detection, extension, diffusion, or fascination case reports.Results: Using a predefined search strategy, we identified 1,005 manuscripts identified as case reports published from 2010 to 2019 in 12 journals from a variety of medical specialties. Only 673 of the 1,005 (67.0%) met our criteria for a case report. Of these, 59.1% most closely fit the category of diffusion case reports. Fascination case reports were the least common (1.2%). The format of published case reports varied widely among journals.Conclusions: Case reports can be categorized according to their main contribution to the medical literature. Nearly 60% of all published case reports in this study were not published for the purpose of introducing a novel clinical entity. Instead, they were used as a vehicle to educate clinicians about previously described phenomena. Authors seeking to publish case reports should understand how the framing of their report is likely to influence their chances of being published.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"16-19"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479688","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

Three Types of Uncertainty: A Qualitative Study of Family Medicine Residents. 三种不确定性：对全科医学住院医生的定性研究。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.22454/FamMed.2024.798978

Laura Purkl, Konrad Hierasimowicz, Norbert Donner-Banzhoff

{"title":"Three Types of Uncertainty: A Qualitative Study of Family Medicine Residents.","authors":"Laura Purkl, Konrad Hierasimowicz, Norbert Donner-Banzhoff","doi":"10.22454/FamMed.2024.798978","DOIUrl":"10.22454/FamMed.2024.798978","url":null,"abstract":"Background and objectives: Many past studies have focused on uncertainty in medical practice, yet it is still not well understood in the field of family medicine, especially among residents. The aim of this study was to examine situations in which residents experience uncertainty and the coping strategies they use to deal with it. The results may have implications for advanced training programs and the specialist training in family medicine.Methods: We conducted semistandardized interviews with 15 residents and young family doctors from Hesse, Germany and asked them to describe cases in which they experienced uncertainty. In total, 40 cases were reported. Using established methods, we derived a coding system with different categories.Results: Uncertainty occurred in a broad and heterogenous range of cases, and it often involved complex interaction of biomedical, interpersonal, and psychosocial factors. The participants described various strategies that were helpful in dealing with the three different types of uncertainty. To deal with biomedical uncertainty, the residents primarily found information-seeking and consulting more experienced colleagues to be useful. In dealing with interpersonal and psychosocial uncertainty, they applied reflective strategies. Participants suggested open communication and honest dialogue about uncertainty and the thematization of the topic at much earlier stages (eg, during medical studies).Conclusions: Family medicine residents experience uncertainty as an important part of their daily work. They do not necessarily interpret it as a negative phenomenon. Instead, uncertain situations often accompany learning effectiveness and an increase of self-confidence.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"9-15"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479691","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