Family Medicine最新文献_第10页

Performance of Language Models on the Family Medicine In-Training Exam. 语言模型在全科医学实习考试中的表现。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-12 DOI: 10.22454/FamMed.2024.233738

Rana E Hanna, Logan R Smith, Rahul Mhaskar, Karim Hanna

{"title":"Performance of Language Models on the Family Medicine In-Training Exam.","authors":"Rana E Hanna, Logan R Smith, Rahul Mhaskar, Karim Hanna","doi":"10.22454/FamMed.2024.233738","DOIUrl":"10.22454/FamMed.2024.233738","url":null,"abstract":"Background and objectives: Artificial intelligence (AI), such as ChatGPT and Bard, has gained popularity as a tool in medical education. The use of AI in family medicine has not yet been assessed. The objective of this study is to compare the performance of three large language models (LLMs; ChatGPT 3.5, ChatGPT 4.0, and Google Bard) on the family medicine in-training exam (ITE).Methods: The 193 multiple-choice questions of the 2022 ITE, written by the American Board of Family Medicine, were inputted in ChatGPT 3.5, ChatGPT 4.0, and Bard. The LLMs' performance was then scored and scaled.Results: ChatGPT 4.0 scored 167/193 (86.5%) with a scaled score of 730 out of 800. According to the Bayesian score predictor, ChatGPT 4.0 has a 100% chance of passing the family medicine board exam. ChatGPT 3.5 scored 66.3%, translating to a scaled score of 400 and an 88% chance of passing the family medicine board exam. Bard scored 64.2%, with a scaled score of 380 and an 85% chance of passing the boards. Compared to the national average of postgraduate year 3 residents, only ChatGPT 4.0 surpassed the residents' mean of 68.4%.Conclusions: ChatGPT 4.0 was the only LLM that outperformed the family medicine postgraduate year 3 residents' national averages on the 2022 ITE, providing robust explanations and demonstrating its potential use in delivering background information on common medical concepts that appear on board exams.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"555-560"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114368","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 Social Media to Teach About and Engage Residents in Evidence-Based Medicine. 利用社交媒体向住院医师传授循证医学知识并吸引其参与。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.22454/FamMed.2024.808735

Gregory Castelli, Stella Winters, Alexandria Taylor, Yufei Ge

{"title":"Using Social Media to Teach About and Engage Residents in Evidence-Based Medicine.","authors":"Gregory Castelli, Stella Winters, Alexandria Taylor, Yufei Ge","doi":"10.22454/FamMed.2024.808735","DOIUrl":"10.22454/FamMed.2024.808735","url":null,"abstract":"Background and objectives: Evidence-based medicine (EBM) is an important concept for family medicine and is part of several Accreditation Council for Graduate Medical Education milestones. Social media (SM) has become a cornerstone in most of our lives. Previous studies show the use of SM in medical education is expanding. The objective of this study is to use SM for medical education focusing on teaching EBM through an innovative, engaging video series.Methods: This quasi-experimental study used pre- and postintervention surveys between May 2022 and June 2022 using the American Board of Family Medicine National Journal Club initiative as a foundation. A total of 196 residents and fellows from various family medicine residency programs were eligible to participate. Surveys consisted of SM usage, EBM engagement, EBM comfort and confidence adapted from a validated tool, and questions about the articles reviewed in the videos.Results: A total of 44 of 196 residents and fellows from various family medicine residency programs participated in the preintervention survey. Most participants identified learning about EBM through residency didactics. The most popular SM platforms were Instagram and YouTube for medical content. Participants were least comfortable on the 10-point scale for critically appraising study methods. Postintervention cumulative scores for knowledge about the journal articles increased from 64% to 85%.Conclusions: The video series taught EBM concepts and were well received, albeit with a low postintervention response rate. These findings contribute to the evolving landscape of medical education with implications for improving the effectiveness of EBM teaching through SM platforms.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"572-578"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114382","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

Author's Response to "Beyond the Mirage: Confronting Historic Inequities in Maternal Care Deserts". 作者对 "超越海市蜃楼：面对孕产妇护理荒漠中历史性的不平等"。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.22454/FamMed.2024.150895

Alison N Huffstetler

引用次数: 0

Results of the Family Medicine Journal Reviewer Demographic Survey. 家庭医学杂志》审稿人人口调查的结果。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 DOI: 10.22454/FamMed.2024.768129

José E Rodríguez, Octavia Amaechi

引用次数: 0

Medical Students' Views of the Future in a Rapidly Changing World. 医科学生在瞬息万变的世界中对未来的看法。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.22454/FamMed.2024.918294

Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange

{"title":"Medical Students' Views of the Future in a Rapidly Changing World.","authors":"Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange","doi":"10.22454/FamMed.2024.918294","DOIUrl":"10.22454/FamMed.2024.918294","url":null,"abstract":"Background and objectives: Physicians have long been considered valued members of a solid US health care system. Significant changes in medical education, health care, and society at-large suggest that current medical students may face a different future. To help guide educators and policy makers, we set out to understand medical students' perceptions of the future of health care and their place in it.Methods: In year one of a longitudinal study, we conducted in-depth interviews of Case Western Reserve University medical students. A multidisciplinary team performed iterative thematic analyses and sampling until reaching saturation on major themes.Results: Eleven medical student participants described social and health care issues as major influences on their professional futures. Concerns included health care system failings, unsustainable costs, climate change, demographic shifts, disinformation, and public distrust in health care. Students looked forward to team practice and using technology, data, and artificial intelligence in care delivery. They hoped for greater access and equity in health care, with a focus on prevention and social, behavioral, and environmental drivers of health. Most students expected to be employed rather than in private practice and sought time/flexibility for professional and personal interests. Paying off medical school debt and advocating for patients and change were priorities. Many saw primary care as important, but fewer envisioned it as their career path of choice.Conclusions: Medical students envision a future shaped by health care systems and social issues. These findings can inform those helping students prepare for uncertainty and rapid change in their careers, their lives, and the lives of their patients.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"541-547"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621685","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

Baby Jesús. 赫苏斯宝宝

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.22454/FamMed.2024.157846

José E Rodríguez

引用次数: 0

Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates. 实施分娩阵痛检查表，降低 NTSV 剖宫产率。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-24 DOI: 10.22454/FamMed.2024.891654

Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson

{"title":"Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates.","authors":"Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson","doi":"10.22454/FamMed.2024.891654","DOIUrl":"10.22454/FamMed.2024.891654","url":null,"abstract":"Background and objectives: Cesarean section (c-section) rates among nulliparous, term, singleton, and vertex (NTSV) pregnancies are increasing, posing risk to the infant and birthing parent. To reach the Healthy People 2030 goal of an NTSV c-section rate below 23.6%, teams must remain aware of their NTSV c-section rate and implement mechanisms to reduce it. This project was conducted to assess the impact of quality improvement interventions implemented by family medicine residents to reduce a hospital's NTSV rate.Methods: From 2021 to 2023, family medicine residents were educated on evidenced-based diagnosis of labor dystocia, failed induction of labor, arrest of dilation, and arrest of descent in first-time birthing parents. Learning was reinforced by implementing the Colorado Perinatal Care Quality Collaborative's labor dystocia checklist. Quarterly assessment of the hospital's NTSV rate and checklist utilization were monitored and widely reported.Results: After the implementation of a standard checklist, the NTSV c-section rate at the tertiary care center declined from 35.6% in 2020 to a sustained rate below the 2030 Healthy People goal of 23.6%. Notably, patients with public insurance saw the greatest reduction in NTSV c-section rates. Hospital staff highlighted the benefits of using the checklist, including more effective electronic documentation of labor progression, improvement in team dynamics, and increased team communication.Conclusions: Using a labor dystocia checklist is a successful method for teams to reduce NTSV c-section rates and can be used as a training tool for family medicine and obstetrics and gynecology residency programs that care for laboring persons.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394912","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

Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy. 有个性的政策简报：如何创新性地传播宣传证据。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-23 DOI: 10.22454/FamMed.2024.390472

Yohualli B Anaya, Alison N Huffstetler, Yalda Jabbarpour, Andrew W Bazemore

引用次数: 0

The ABFM Core Outcomes: The Next Step to Outcome-Based, Time-Variable Training in Family Medicine. ABFM 核心成果：以成果为基础、时间可变的全科医学培训的下一步。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-19 DOI: 10.22454/FamMed.2024.424308

Bryce A Ringwald

引用次数: 0

Family Medicine Resident Remediation Compared Across Two CERA Studies. 两项 CERA 研究中全科住院医师补救措施的比较。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-06 DOI: 10.22454/FamMed.2024.375189

David Rebedew, Theodore Bell, Abdul Waheed, Erum Azhar

{"title":"Family Medicine Resident Remediation Compared Across Two CERA Studies.","authors":"David Rebedew, Theodore Bell, Abdul Waheed, Erum Azhar","doi":"10.22454/FamMed.2024.375189","DOIUrl":"10.22454/FamMed.2024.375189","url":null,"abstract":"Background and objectives: From 2020 to 2022, multiple medical schools transitioned from teaching patient care directly to online electives. Family medicine program directors reported on these learners' abilities to meet the Accreditation Council of Graduate Medical Education (ACGME) core competencies during residency. The authors hypothesized an increased need for medical knowledge remediation in the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) study.Methods: Using the 2017 and 2023 CERA studies, the authors evaluated which factors were associated with residents requiring remediation, residents completing remediation, the duration of remediation, and the most remediated core competency.Results: Compared to 2017, the percentage of residents who successfully remediated in the 2023 study increased (P=.006), while remediation duration stayed unchanged at 6 to 12 months. The top ACGME core competency needing remediation remained professionalism in both studies (2017: 38.1%; 2023: 45.1%; P=.10) with medical knowledge being second most common (2017: 30.2%; 2023: 25.2%; P=.20). We found no associations between non-U.S. medical graduate percentage, core faculty remediation training, professionalism training, or didactic hours and the number of residents undergoing remediation, the percentage of residents remediating successfully, or the most common competency remediated. Program director gender, degree, race, years of experience, underrepresented in medicine status, and remediation training were not associated with any resident remediation variables studied.Conclusions: Professionalism remains the top core competency requiring remediation. We found no associations between resident, program, training, or program director factors and the core competency requiring remediation, the number of residents needing remediation, or the percentage of residents who completed remediation.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394911","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