Family Medicine最新文献

Precepting Dissonance: Reconciling Expectations in Graduate Medical Education. 认知失调：调和研究生医学教育的期望。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.589020

Maria Montanez Villacampa, Stacy Ogbeide, Yajaira Johnson-Esparza

引用次数: 0

An Innovative Model of Delivering Resident Didactics in Two Family Medicine Residency Programs. 在两个家庭医学住院医师项目中提供住院医师教学的创新模式。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.722512

Laura Haagenson DiPaolo, Jennifer Moranda, Amanda Mooneyham, Elizabeth Evangelista, Patricia A Carney

{"title":"An Innovative Model of Delivering Resident Didactics in Two Family Medicine Residency Programs.","authors":"Laura Haagenson DiPaolo, Jennifer Moranda, Amanda Mooneyham, Elizabeth Evangelista, Patricia A Carney","doi":"10.22454/FamMed.2026.722512","DOIUrl":"https://doi.org/10.22454/FamMed.2026.722512","url":null,"abstract":"Background and objectives: Didactic training in residency is crucial for competency development. While traditional noon conferences (NCs) are common, challenges exist. The academic half-day (AHD) model has emerged as a promising alternative, showing improved resident engagement and learning outcomes. A hybrid model that blends NCs with AHDs may improve resident learning while minimizing productivity and administrative challenges.Methods: A 6-month project was implemented and evaluated during the 2023-2024 academic year. The project comprised 3 weeks of traditional NC didactics and 1 week of AHD each month. We assessed didactic quality, resident satisfaction, and attendance, including data from Accreditation Council for Graduate Medical Education (ACGME) surveys. Statistical analyses included paired-samples t tests. All tests were two-sided with α set at 0.05. We also analyzed effect sizes.Results: Resident attendance increased from 60.07%-65.96% overall, with AHD attendance reaching 97.5%. Survey responses indicated significant improvements in engagement (mean 2.46 to 4.46; P<0.001), in-depth learning (mean 2.39 to 4.46; P<0.001), work-life balance (mean 1.77 to 4.23; P<0.001), and wellness (mean 1.92 to 4.39; P<0.001). Preferences varied, with 60% of residents favoring weekly AHDs. ACGME surveys showed that compliance for educational balance and protected time increased from 67%-76% and 47%-71%, respectively.Conclusions: Transitioning to a hybrid AHD model was associated with improved resident engagement, satisfaction, attendance, and educational value compared to the traditional NC model. Continued evaluation is recommended to optimize educational outcomes and resource utilization, while minimizing challenges to productivity and administrative details.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"215-219"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857736","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 Weight That Grounds Me. 支撑我的重量。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.924639

Martina Mookadam

引用次数: 0

HEART-IM: A Fourth-Year Humanistic Elective for Improving Medical Education. HEART-IM：改进医学教育的四年级人文选修课。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.22454/FamMed.2026.512704

Allison Hecht, Adriana Herrera, Sachi Desai, Michelle L Dossett, Anthony N Fleg

{"title":"HEART-IM: A Fourth-Year Humanistic Elective for Improving Medical Education.","authors":"Allison Hecht, Adriana Herrera, Sachi Desai, Michelle L Dossett, Anthony N Fleg","doi":"10.22454/FamMed.2026.512704","DOIUrl":"https://doi.org/10.22454/FamMed.2026.512704","url":null,"abstract":"Background and objectives: Self-care during medical education is challenging for both students and faculty, and results in high rates of burnout and depression. We analyzed data from participants in the Humanistic Elective in Advocacy, Reflective Transformation, and Integrative Medicine (HEART-IM) course as a lens for identifying potential areas of improvement in medical education for both learners and faculty.Methods: We surveyed student and faculty participants in the spring 2022 HEART-IM course shortly following course completion. Surveys involved open-ended questions, and we used a conventional content analysis approach to analyze the data.Results: Survey completion rates were 59% and 42% for students and faculty, respectively. Our qualitative analyses identified four themes each from students and faculty. The student themes were self-care as professional development, healing from their medical education, connection with self, and confidence in being able to pursue personal wellness. The faculty themes were connection and community with/for students, crucial learning outside of current medical curriculum, faculty inspired by students, and renewed passion for medicine. Collectively, the eight qualitative themes suggested three meta themes: (a) the need for personal wellness and self-care, (b) cultivating community among students and faculty, and (c) healing the disconnect between one's whole self and one's academic self.Conclusions: Innovative curricula such as HEART-IM may provide a valuable lens for improving medical education for both learners and faculty.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"192-198"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857771","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

Training Needs for Rural Primary Care Practice: A Scoping Review of Resident Physician Preparation. 农村初级保健实践的培训需求：住院医师准备的范围审查。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.22454/FamMed.2026.909274

David F Schmitz, Annie Koempel, Campbell Cook, Andrew W Bazemore

{"title":"Training Needs for Rural Primary Care Practice: A Scoping Review of Resident Physician Preparation.","authors":"David F Schmitz, Annie Koempel, Campbell Cook, Andrew W Bazemore","doi":"10.22454/FamMed.2026.909274","DOIUrl":"https://doi.org/10.22454/FamMed.2026.909274","url":null,"abstract":"Background and objectives: Some graduate medical education programs focus on the preparation of physicians for rural primary care practice. More exploration is needed to understand what is taught and how medical educators prepare resident and fellow physicians for rural practice. The purpose of this scoping review was to identify the primary dimensions of the concept of graduate medical education competencies for rural practice settings and describe the related evidence and gaps in the literature.Methods: In 2024, we used a modified PRISMA-ScR approach to identify studies that addressed the unique training needs and competencies of residents intending practice in a rural area of the United States. For our study, we gathered peer-reviewed materials from a 10 year period (2013-2023) using PubMed as our data source.Results: A total of 423 articles were identified. We screened abstracts and manuscripts, and included 22 articles. Eleven articles (50%) described training in preparation for rural practice, including two concerning fellowship-level graduate medical education. Five (23%) articles described residency or fellowship training occurring in rural areas. Six (27%) articles described studies involving focused training occurring in rural versus nonrural locations.Conclusions: Limited literature exists to systematically define the graduate medical education competencies required for eventual rural practice. This gap necessitates a clearer framework for training and preparing physicians for these settings.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"199-207"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857552","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

Hepatitis C Treatment by Early-Career US Family Physicians. 早期职业美国家庭医生治疗丙型肝炎。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.22454/FamMed.2026.180297

Michael Topmiller, Lars E Peterson, Mark A Carrozza, Aaron T Vissman, Adam Visconti, Andrew W Bazemore

{"title":"Hepatitis C Treatment by Early-Career US Family Physicians.","authors":"Michael Topmiller, Lars E Peterson, Mark A Carrozza, Aaron T Vissman, Adam Visconti, Andrew W Bazemore","doi":"10.22454/FamMed.2026.180297","DOIUrl":"https://doi.org/10.22454/FamMed.2026.180297","url":null,"abstract":"Background and objectives: Despite highly effective therapies for the hepatitis C virus (HCV), treatment rates remain low. Management of HCV is shifting to primary care, and family physicians are positioned to provide this care. Our objective was to determine the extent of early-career family physicians' provision of HCV treatment.Methods: We merged 2016-2023 data from the American Board of Family Medicine National Graduate Survey, which is administered 3 years after completing residency, with state-level HCV mortality data from the Centers for Disease Control and Prevention (2017-2021). We conducted bivariate analyses to examine differences in HCV treatment by physician characteristics, practice type, and practice location. We created maps to visually explore HCV treatment and mortality by state.Results: Overall, less than 20% of early-career family physicians reported treating HCV patients. Early-career family physicians HCV treatment rates exceeded 25% in 2016 and 2017, with rates falling to below 15% from 2018 to 2020, before rebounding to 23% in 2023. Early-career family physicians who were males, had MDs (compared to DOs), were international medical graduates, and were in nonmetropolitan areas and in medically underserved area practice types had significantly higher HCV treatment rates. State-level variation was observed, with higher early-career HCV treatment rates in states with higher HCV mortality.Conclusions: While HCV treatment has been simplified over the past decade, HCV treatment by early-career family physicians has declined. Despite this decline, early-career family physicians have higher rates of HCV treatment in higher-need areas and in medically underserved practice settings. Supporting family physicians through education, clinical exposure, and incentives may increase provision of HCV care to address unmet needs.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"185-191"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857776","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

Assessing and Sustaining Competence in Rural Practice. 评估和维持农村实践能力。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 DOI: 10.22454/FamMed.2026.932630

Randall Longenecker

引用次数: 0

A Case for Increasing Race Discordant Mentorship for Faculty Who Are Underrepresented in Medicine. 为医学中代表性不足的教员增加种族不和谐的指导案例。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.22454/FamMed.2026.863897

Brittany Houston, Kathryn Fraser

引用次数: 0

The Symphony of the Hospital Corridor. 《医院走廊交响曲》

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 DOI: 10.22454/FamMed.2026.807824

Jiaxuan Tan, Hongmei Shen

引用次数: 0

Prioritizing Research Metrics in Family Medicine: A CERA Study of Department Chairs. 家庭医学优先研究指标：CERA对系主任的研究。

IF 1.7 4区医学

Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.619937

Stephen K Stacey, Khyati Patel, Bennett Harmelink, John Merfeld, Dean A Seehusen

{"title":"Prioritizing Research Metrics in Family Medicine: A CERA Study of Department Chairs.","authors":"Stephen K Stacey, Khyati Patel, Bennett Harmelink, John Merfeld, Dean A Seehusen","doi":"10.22454/FamMed.2026.619937","DOIUrl":"https://doi.org/10.22454/FamMed.2026.619937","url":null,"abstract":"Background and objectives: Despite wide agreement on the importance of building research capacity to the specialty of family medicine, no standard exists for defining or measuring that growth. Previous work to address this gap yielded the Productivity and Capacity Evaluation in Research (PACER) Tool, a list of quantitative research metrics grouped into seven categories. We surveyed family medicine department chairs to understand which categories of PACER metrics they considered most valuable in evaluating their department's research capacity. We also aimed to compare reported research capacity in 2024 with answers given by family medicine department chairs in 2021.Methods: A cross-sectional survey administered through the Council of Academic Family Medicine Educational Research Alliance (CERA) was used to gather information from family medicine department chairs in the United States and Canada. One question asked chairs to evaluate their department's research capacity, and nine questions assessed the relative importance of the seven PACER Tool categories.Results: A total of 218 surveys were delivered, with 111 (50.9%) completed. Survey results demonstrated that program chairs determined funding to be the most impactful category. We found no clear trend in the second most important or least important categories. Results also showed no statistically significant change in reported research capacity between 2021 and 2024.Conclusions: Funding emerged as the category of research metrics viewed as most important by the greatest number of family medicine department chairs. Although other categories of metrics also were viewed as important, this survey demonstrated no clear pattern of their relative importance in this population.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"208-214"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857428","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