Family Medicine最新文献

An Exploration of Feedback Using Hattie and Timperley's Feedback Levels. 利用Hattie和Timperley的反馈水平探索反馈。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-16 DOI: 10.22454/FamMed.2025.362243

Kelsey Compagna, Shelley Ross, Ann Lee

{"title":"An Exploration of Feedback Using Hattie and Timperley's Feedback Levels.","authors":"Kelsey Compagna, Shelley Ross, Ann Lee","doi":"10.22454/FamMed.2025.362243","DOIUrl":"https://doi.org/10.22454/FamMed.2025.362243","url":null,"abstract":"Background and objectives: Effective feedback is recognized as essential to clinical training. Hattie and Timperley conducted a comprehensive review of feedback to develop their Model of Feedback to Enhance Learning (MFEL). The MFEL proposes that effective feedback can focus on any of four levels: task, process, self-regulation, and self. While Hattie and Timperley are frequently cited for their review, few studies in medical education have used the MFEL to explore feedback. We used the MFEL to examine the content of documented workplace-based feedback to explore how this model applies in a family medicine residency program.Methods: We conducted this retrospective cross-sectional observational secondary data analysis (learning analytics) study in a Canadian university-based family medicine residency program. Our data source was de-identified field notes (a tool to document workplace-based feedback) for residents at two teaching sites. We coded the feedback using the levels from the MFEL. We used descriptive statistics to analyze the frequencies of each level and combinations of levels.Results: Of the 2,250 field notes examined, 422 (18%) were excluded because they contained no feedback. The majority (1,105; 60%) included a single feedback level, while 705 (38%) contained two levels, and 17 (1%) included three levels. No field notes included all four levels. Of the field notes containing one feedback level, the most common levels were task (835; 76%) and process (248; 22%). The most common combination of levels was process and task (649; 92.1%).Conclusions: Hattie and Timperley's MFEL offers a way to explore feedback documented in medical education programs and may help programs identify opportunities for faculty development to improve feedback effectiveness.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318560","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

Milestones Progression of International Medical Graduates in Family Medicine. 家庭医学国际医学毕业生的里程碑式进展。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-13 DOI: 10.22454/FamMed.2025.517400

Varshaben M Songara, Regina Bray-Brown, Sarah Fleischer, Lars E Peterson

{"title":"Milestones Progression of International Medical Graduates in Family Medicine.","authors":"Varshaben M Songara, Regina Bray-Brown, Sarah Fleischer, Lars E Peterson","doi":"10.22454/FamMed.2025.517400","DOIUrl":"https://doi.org/10.22454/FamMed.2025.517400","url":null,"abstract":"Background and objectives: International medical graduates (IMGs) are a quarter of US practicing physicians and residents, with higher numbers in family medicine. Our objective was to determine whether the progression of milestone ratings varies between IMGs and US medical graduates based on a residency's historical percentage of IMGs.Methods: Data, which were all from the American Board of Family Medicine, included milestone ratings of each family medicine graduate from 2018 to 2020. We calculated the mean milestone rating for each core competency at each assessment. The main exposure was the 10-year percentage of residency graduates who were IMGs: very low (<10%), low (10%-33%), medium (34%-66%), and high (67%-100%). We used repeated measures multilevel regression to test for adjusted associations of resident and residency characteristics with milestone performance. Interactions between IMG status and historical percentage of IMGs tested for differential milestone growth.Results: Our sample included 12,302 residents from 538 residencies. Of the family medicine residencies, 41.8% had less than 10% IMGs. Across milestones, mean growth between rating periods ranged from 0.46 to 0.54. In adjusted regression analysis, both being an IMG (β=-0.003 to -0.07) and training in a higher historical IMG residency (β=-0.01 to -0.08) were associated with lower milestone ratings. IMGs in high IMG programs had higher ratings for medical knowledge and professionalism (β=0.07).Conclusions: We found comparable milestone ratings between IMGs and US medical graduates, with IMGs getting a small boost if they were trained in a program with a higher percentage of IMGs. Our results demonstrate that the performance of IMGs may be enhanced in residencies with a history of acculturating them.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318515","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

Knowledge Self-Assessment Engagement and Family Medicine Board Examination Outcomes. 知识自我评估参与和家庭医学委员会考试结果。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-13 DOI: 10.22454/FamMed.2025.200510

Peter M Wingrove, Andrew W Bazemore, Ting Wang, Keith Stelter, David W Price

{"title":"Knowledge Self-Assessment Engagement and Family Medicine Board Examination Outcomes.","authors":"Peter M Wingrove, Andrew W Bazemore, Ting Wang, Keith Stelter, David W Price","doi":"10.22454/FamMed.2025.200510","DOIUrl":"https://doi.org/10.22454/FamMed.2025.200510","url":null,"abstract":"Background and objectives: Evidence on the relationship between formative assessment engagement and summative assessment outcomes in practicing physicians is sparse. We evaluated the relationship between engagement in the American Board of Family Medicine (ABFM) formative Continuous Knowledge Self-Assessment (CKSA) and performance on high-stakes summative assessments.Methods: This retrospective cohort study included 24,926 ABFM diplomates who completed CKSA modules and summative assessments between 2017 and 2023. We analyzed CKSA engagement metrics-such as the number of quarters completed, time of completion, and self-reported confidence-against performance on summative assessments, measured by z scores. Multivariable regression models controlled for demographic factors and prior assessment performance.Results: The overall cohort summative assessment pass rate during the study period was 90.3%. Greater CKSA engagement was strongly associated with higher summative assessment performance. Diplomates who completed all four CKSA quarters had significantly higher summative assessment z scores than those completing fewer quarters (P<.001). Early CKSA completion and spending more time on low-confidence questions were also positively correlated with both CKSA and summative assessment scores (P<.001). These effects were observed across different levels of prior exam performance.Conclusions: Engagement in formative assessments like CKSA, particularly early and consistent participation and reviewing incorrect or low-confidence questions, is linked to better outcomes on high-stakes assessments. Future research should explore the mechanisms underlying these associations and consider developing an index of engagement to identify physicians at risk of poor performance. Incorporating structured, longitudinal self-assessments like CKSA into certification requirements could enhance continuous learning and improve summative exam readiness.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318565","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

Barriers to Implementing a Racial Justice Curriculum: CERA Comparison of Family Medicine Program Directors' and Residents' Perspectives. 实施种族正义课程的障碍：家庭医学项目主任和居民观点的CERA比较。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-12 DOI: 10.22454/FamMed.2025.951379

Tiffany Ho, Andrew D Curtin, Eliza Taylor, Gerardo Moreno

{"title":"Barriers to Implementing a Racial Justice Curriculum: CERA Comparison of Family Medicine Program Directors' and Residents' Perspectives.","authors":"Tiffany Ho, Andrew D Curtin, Eliza Taylor, Gerardo Moreno","doi":"10.22454/FamMed.2025.951379","DOIUrl":"https://doi.org/10.22454/FamMed.2025.951379","url":null,"abstract":"Background and objectives: The 2023 Accreditation Council for Graduate Medical Education (ACGME) program requirements for family medicine residencies state that family physicians must have the competence to address racial and ethnic health disparities experienced by their patients. Racial justice curricula (RJC) or antiracism curricula can provide residencies with the tools faculty and residents need. This study explores the differences in perceived barriers between family medicine program directors (PDs) and residents.Methods: Survey questions on RJCs were included in the 2020 Council of Academic Family Medicine Educational Research (CERA) survey of PDs and 2021 CERA survey of residents. Participants' perceived top two barriers to implementing an RJC in their residency program were illustrated with Sankey diagrams. We used the χ2 test and logistic regression for analysis.Results: Of the 578 participants included, 312 (54%) were PDs and 266 (46%) were residents. Compared to PDs, residents were more likely to identify as female, less likely White, and more likely from community-based, nonuniversity-affiliated residency programs. PDs ranked lack of faculty training as the most important barrier, while residents ranked lack of time as the top barrier. Residents also were significantly more likely to rank lack of faculty interest and resident interest as barriers.Conclusions: Family medicine PDs and residents identified different barriers to implementing an RJC. Additional research is needed to investigate the impact of knowledge and culture on residency programs' receptiveness to addressing racial and ethnic health disparities.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318562","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

Critical Mentorship: The Application of Critical Andragogy in the Context of Mentoring Minoritized Faculty in Academic Medicine. 批判师徒关系：批判教育学在指导医学少数族裔教师中的应用。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-09 DOI: 10.22454/FamMed.2025.961683

Stacy Ogbeide, Yajaira Johnson-Esparza, Maria Montanez, Angel Ogbeide

引用次数: 0

The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine. 培训时间对应届毕业生临床准备的影响——来自家庭医学培训时间试点研究的报告。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-05 DOI: 10.22454/FamMed.2025.801918

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

{"title":"The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine.","authors":"Patricia A Carney, Steele Valenzuela, Annie Ericson, Dang H Dinh, Colleen Conry, Colleen Conry, Lars E Peterson, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, Karen B Mitchell, James C Martin, M Patrice Eiff","doi":"10.22454/FamMed.2025.801918","DOIUrl":"https://doi.org/10.22454/FamMed.2025.801918","url":null,"abstract":"Background and objectives: Associations between training length and clinical preparedness are unknown. We compared assessments of clinical preparedness for family medicine graduates from 3-year and 4-year training programs.Methods: In this prospective case-control study, we compared responses from two surveys, which occurred 3 months after graduates started their first job. One survey was conducted by a supervising physician. The other was conducted by a clinic staff member who rated family medicine graduates from both 3-year and 4-year programs.Results: Our study included 403 graduates of 3-year programs, 185 who trained in 4-year programs with 36 months of training (4YR-36) and 274 who trained in 4-year programs with 48 months of training (4YR-48). Physician assessor ratings were similar across study groups on 18 of 21 Entrustable Professional Activities. The 4YR-48 graduates were rated higher for \"practicing independently\" on providing a usual source of comprehensive, longitudinal medical care for people of all ages (86.5% vs 77.9%); managing prenatal (63.1% vs 41.2%); and labor, delivery, and postpartum care (41.4% vs 25.7%). For five care process areas, physician assessors were more likely to rate 4YR-48 graduates as having \"no challenges\" with speed/timing related health care visits (91.9%) compared to 3YR graduates (82.4%). We noted no differences according to study group for staff member assessors.Conclusions: We found several differences in clinical preparedness according to length of training in this pilot study. Comprehensive longitudinal care, including prenatal and maternity care, were rated higher among graduates of 4YR-48 programs.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318519","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

Opioid Use Disorder Education in the Family Medicine Clerkships: A CERA Study. 家庭医学办事员阿片类药物使用障碍教育：CERA研究。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-04 DOI: 10.22454/FamMed.2025.301169

Kento Sonoda, Kelly M Everard

{"title":"Opioid Use Disorder Education in the Family Medicine Clerkships: A CERA Study.","authors":"Kento Sonoda, Kelly M Everard","doi":"10.22454/FamMed.2025.301169","DOIUrl":"https://doi.org/10.22454/FamMed.2025.301169","url":null,"abstract":"Background and objectives: Opioid use disorder (OUD) education is crucial early in medical education in response to the overwhelming number of drug overdose deaths and the stigma attached to addiction among health care professionals. Our study aimed to examine factors associated with teaching about OUD and to determine whether OUD education has increased over the past several years.Methods: Data were collected through a cross-sectional survey of 173 US and Canadian family medicine clerkship directors in summer 2024. Survey items included clerkship directors' perceived importance, presence of current OUD education, and perceived barriers to OUD education.Results: The response rate was 52.6% (91/173). Nine participants did not complete the addiction medicine questions and were excluded from analyses. Nearly three-fourths of clerkship directors thought teaching OUD was important, but 45% of clerkships did not include any OUD education. Approximately one-third of clerkship didactics covered screening, brief intervention, and referral to treatment (SBIRT; 40.2%); diagnosis of OUD (42.7%); pharmacological treatment of OUD (37.8%); and opioid overdose prevention education (31.7%). Lack of time in the curriculum was the most commonly perceived barrier to OUD education in clerkship.Conclusions: Clerkships were more likely to include OUD education if clerkship directors perceived OUD education as important or had faculty with expertise to teach OUD. Our survey revealed an increase in the inclusion of OUD education in family medicine clerkships over the past several years. Designing the addiction medicine curricula specifically for medical student education may contribute to enhancing OUD education.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318517","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

Inpatient Pediatric Training of Family Medicine Residents: A Pediatric Perspective. 家庭医学住院医师的儿科住院培训：儿科视角。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-04 DOI: 10.22454/FamMed.2025.431942

Tina V Halley, Priti Bhansali, Katharine N Clouser, Gayatri B Madduri, Kamakshya Patra, Joy L Solano, Laura Nell Hodo

{"title":"Inpatient Pediatric Training of Family Medicine Residents: A Pediatric Perspective.","authors":"Tina V Halley, Priti Bhansali, Katharine N Clouser, Gayatri B Madduri, Kamakshya Patra, Joy L Solano, Laura Nell Hodo","doi":"10.22454/FamMed.2025.431942","DOIUrl":"https://doi.org/10.22454/FamMed.2025.431942","url":null,"abstract":"Background and objectives: Family physicians contribute significantly to the pediatric workforce, but little is known about their pediatric training during residency, specifically in the inpatient setting. Our objective was to gather data on the inpatient pediatric training of family medicine residents from the perspective of pediatric faculty.Methods: We created a survey about inpatient pediatric training of family medicine residents, including pediatric rotation characteristics, ward team structure, educational resources, and faculty involvement. The Association of Pediatric Program Directors (APPD) accepted the survey for distribution to pediatric residency associate program directors. Demographic data about respondents were provided by APPD. Data were collected between January and February 2024. We performed descriptive analysis of survey responses.Results: We received 74 responses from 190 institutions, for a response rate of 39%. Of the respondents, 81% provided training to family medicine residents. We found wide variability in the structure of this training. Only 7% of sites reported having curricula specific to training family medicine residents in inpatient pediatric care. Inpatient pediatricians (76%) are often tasked with creating rotation structure and curricula for training family medicine residents.Conclusions: In the view provided by our limited survey population, we found variability in the training structure and content of pediatric inpatient experiences; few family medicine-specific curricular tools are being used for this training, with little to no family medicine faculty involvement in this training. An opportunity may be available for collaboration between pediatric and family medicine faculty to establish a foundation for future curricula.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318564","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

A Descriptive Bibliometric Study of CERA Publication Dissemination, Authorship, and Citation Rates. CERA出版物传播、作者身份和引用率的描述性文献计量学研究。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-04 DOI: 10.22454/FamMed.2025.354255

Bryce A Ringwald, Jennifer L Middleton

{"title":"A Descriptive Bibliometric Study of CERA Publication Dissemination, Authorship, and Citation Rates.","authors":"Bryce A Ringwald, Jennifer L Middleton","doi":"10.22454/FamMed.2025.354255","DOIUrl":"https://doi.org/10.22454/FamMed.2025.354255","url":null,"abstract":"Background and objectives: Barriers to performing family medicine research include funding, infrastructure, and mentorship shortages. The Council of Academic Family Medicine Educational Research Alliance (CERA) was created in 2011 to address these issues. This study explores the scope and impact of CERA-related publications in family medicine.Methods: We performed a descriptive bibliometric study of CERA-related publications from 2011 to 2023. Articles were sourced from Medline (PubMed), SCOPUS, and the CERA website. Data analysis focused on publication type, authors, CERA survey type, and citation rates.Results: From a total of 231 articles retrieved via initial searches and 166 from the CERA website, 174 were included in the analysis. Most studies (95.4%) were original research, with the journal Family Medicine publishing the majority (69.4%). General membership surveys had the highest citations per publication (6.3), while publications prior to 2017 had more citations on average (6.3) compared to those after 2017 (2.4). CERA-related publications featured 515 unique authors across 153 affiliations, with top contributors being Kelly Everard and Arch Mainous III.Conclusions: CERA provides essential infrastructure for family medicine research, fostering diversity in authorship and affiliations. While impactful in family medicine journals, opportunities exist to extend CERA's reach. Continued support and enhancements in data use are both needed.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318559","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

Write LIFE: Start Writing Without a Research Project. 写作生活：不做研究就开始写作。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-03 DOI: 10.22454/FamMed.2025.162513

Sarah I Ramírez, Héctor Arreaza, Viviana Martinez-Bianchi, Donna Baluchi, José E Rodríguez

引用次数: 0