Family Medicine最新文献_第10页

Upstream Advocacy: Family Medicine Promotion of Voting. 上游宣传：家庭医学促进投票。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-16 DOI: 10.22454/FamMed.2024.724313

Bich-May Nguyen

引用次数: 0

Resident Instruction: Improving End-of-Year Medical Student Ultrasound Performance. 住院医师指导：提高医科学生的年终超声成绩。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-14 DOI: 10.22454/FamMed.2024.326354

Michael J Taylor, Ayesha Gittens, Drew Beaubian, James Grady, Meghan Kelly Herbst

{"title":"Resident Instruction: Improving End-of-Year Medical Student Ultrasound Performance.","authors":"Michael J Taylor, Ayesha Gittens, Drew Beaubian, James Grady, Meghan Kelly Herbst","doi":"10.22454/FamMed.2024.326354","DOIUrl":"10.22454/FamMed.2024.326354","url":null,"abstract":"Background and objectives: Having a limited number of trained faculty is a barrier to successful incorporation of ultrasound into undergraduate medical education. We evaluated the effectiveness of a resident-led extended focused assessment with sonography in trauma (eFAST) session administered to fourth-year medical students during their emergency medicine clerkship by measuring students' end-of-year eFAST performance and confidence.Methods: This was a single-site cross-sectional study of all graduating medical students enrolled in fourth-year clerkships between May 1, 2022 and April 30, 2023. A 60-minute, team-based eFAST session (intervention), taught by emergency medicine residents, was added to students' fourth-year emergency medicine clerkship in September 2022. All students were assigned to review an eFAST video (control). End-of-year performance and self-reported confidence assessments used a 20-point objective structured clinical examination (OSCE) and a 5-point Likert scale, respectively. The mean OSCE and confidence scores for control and intervention groups were compared using two-sample t tests and repeated after removing students exposed to additional US experiences.Results: Of 113 eligible students, 103 students participated: 48 in the control group, 55 in the intervention group. The intervention group scored higher on the OSCE than the control group (11.9 ±4.6 vs 9.9 ±5.1, P=.04) and reported similar confidence (3.2 ±1.0 vs 2.8 ±1.2; P=.09). After removing the 28 students with additional US experiences, the intervention group scored higher (10.8 ± 4.4 vs 8.2 ± 4.0; P=.01) and reported higher confidence (3.0 ±1.0 vs. 2.3 ±1.0, P=.01).Conclusions: Resident-taught eFAST instruction during emergency medicine clerkships led to improved end-of-year fourth-year medical student eFAST performance and confidence.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479689","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

Editors' Picks: Top 10 Diversity, Equity, Inclusion, and Antiracism Papers in Family Medicine Journals. 编辑推荐：十大全科医学期刊多样性、公平、包容和反种族主义论文。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-09 DOI: 10.22454/FamMed.2024.211985

José E Rodríguez, Octavia Amaechi, Renee Crichlow, Valerie J Flattes, Sumi M Sexton

{"title":"Editors' Picks: Top 10 Diversity, Equity, Inclusion, and Antiracism Papers in Family Medicine Journals.","authors":"José E Rodríguez, Octavia Amaechi, Renee Crichlow, Valerie J Flattes, Sumi M Sexton","doi":"10.22454/FamMed.2024.211985","DOIUrl":"10.22454/FamMed.2024.211985","url":null,"abstract":"Physicians within the family medicine workforce are the most diverse compared to other medical specialties in both primarily clinical and academic settings. Family physicians also provide care to the most diverse patients and communities across the United States. As such, research and scholarly work from family physicians on diversity, equity, inclusion, and antiracism (DEIA) can be incredibly impactful. Yet many practicing and teaching physicians are unaware of their colleagues' scholarly DEIA work, which aims to elucidate inequities and barriers to optimal care and, importantly, to educate on ways physicians and learners can recognize and address specific needs of patients and communities marginalized by health care policies and practices. In collaboration with editors from several family medicine journals, the authors move beyond the traditional editorial space to share recent practice-changing and innovative articles, adding voice and momentum to improve DEIA efforts in all spaces where the practice and teaching of family medicine exists.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394910","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

Orthopedic Injections: A Longitudinal Musculoskeletal Curriculum in a Family Medicine Residency. 骨科注射：全科住院医师培训中的纵向肌肉骨骼课程。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.22454/FamMed.2024.687020

Jason Xu, John Billimek, Brian Y Kim

{"title":"Orthopedic Injections: A Longitudinal Musculoskeletal Curriculum in a Family Medicine Residency.","authors":"Jason Xu, John Billimek, Brian Y Kim","doi":"10.22454/FamMed.2024.687020","DOIUrl":"10.22454/FamMed.2024.687020","url":null,"abstract":"Background and objectives: Musculoskeletal (MSK) complaints comprise more than 20% of all visits to health care providers each year. Despite required experiences in MSK care, family physicians report low confidence in diagnosing and treating MSK conditions. The purpose of this study was to analyze the effects of early and longitudinal exposure to MSK education on residents' confidence in and likelihood of performing MSK physical exams and injections in future practice.Methods: From 2017 to 2019, residents completed an annual survey assessing confidence in, frequency of, and future intentions to perform exams and injections for MSK conditions. We compared responses between family medicine residents who completed a 176-hour longitudinal sports medicine (LSM) curriculum distributed over all 3 years of residency and a comparable cohort of family medicine residents who completed a 188-hour concentrated MSK curriculum primarily in the final year of residency. We made comparisons using the Fisher exact test for categorical variables and an independent samples t test for numeric variables.Results: We analyzed the 98 total responses from 50 residents. The proportion of residents reporting high ratings of their residency MSK education (26% to 60%), performing >5 injections (38% to 73%), reporting confidence in performing injections (12% to 40%), and indicating likelihood to perform MSK injections in the future (52% to 65%) were all greater in the LSM versus concentrated MSK curriculum cohorts (P<.05 for all).Conclusions: Early and longitudinal exposure to MSK care and sports medicine in family medicine residency led to both an increase in MSK injections during residency training and a greater desire to perform these injections in postresidency practice.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"579-583"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114367","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

Inappropriate Survey Design Misstates Findings on Use of Preference Signaling. 不恰当的调查设计误导了关于偏好信号使用情况的调查结果。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.22454/FamMed.2024.994096

Bailey Slone White

引用次数: 0

Learning Networks: How Family Medicine Departments Are Meeting the Requirement. 学习网络：全科医学科如何满足要求。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-12 DOI: 10.22454/FamMed.2024.556157

Dean A Seehusen, Isabella Brout, Stephen A Wilson

{"title":"Learning Networks: How Family Medicine Departments Are Meeting the Requirement.","authors":"Dean A Seehusen, Isabella Brout, Stephen A Wilson","doi":"10.22454/FamMed.2024.556157","DOIUrl":"10.22454/FamMed.2024.556157","url":null,"abstract":"Background and objectives: In 2023, the Accreditation Council for Graduate Medical Education added participation within a \"learning collaborative\" or \"learning network\" (LN) as a requirement for family medicine residencies. The structure and scope of what makes an acceptable LN was only vaguely defined. The purpose of this study was to learn how many family medicine residencies associated with departments already belong to LNs, the purpose and funding of these existing LNs, and barriers to entering LNs.Methods: An online survey was sent to family medicine department chairs through a Council of Academic Family Medicine Educational Research Alliance omnibus study from August to September 2023. Survey questions explored the purpose, structure, and funding of LNs that associated residency programs already belonged to as well as the chairs' beliefs and knowledge about LNs.Results: Of the 227 chairs, 119 completed the survey (50.2%). About 53% reported that their department was part of an LN, with more than one-third belonging for 5 years or less; 47% had a low understanding of what an LN is; and 71% had little to no concern that collaborating in an LN would negatively affect residency recruitment. The purpose of most LNs was a mix of research, education, and clinical activities. Faculty's lack of knowledge about LNs and lack of time were the top barriers identified to joining an LN. Funding was varied, and departmental funding was positively associated with administrative control of the LN.Conclusions: About half of the residency programs associated with family medicine departments already belong to LNs. Wide variation among existing LNs may lead to significantly disparate outcomes for residents and residencies as they navigate this new requirement.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"561-566"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114366","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

Survey Design for Family Medicine Residents and Faculty. 针对全科住院医师和教师的调查设计。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-26 DOI: 10.22454/FamMed.2024.785866

Katherine M Wright, John L Gatta, Deborah S Clements

引用次数: 0

We Had Bodies. 我们有身体

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-09 DOI: 10.22454/FamMed.2024.636507

Sophie L Schott

引用次数: 0

Beyond the Mirage: Confronting Historic Inequities in Maternal Care Deserts. 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: 2024-09-09 DOI: 10.22454/FamMed.2024.850422

Chynna Smith

引用次数: 0

When Interruption Becomes Innovation: How Integrated Behavioral Health in Primary Care Adapted During COVID-19. 当中断成为创新：初级保健中的综合行为健康如何在 COVID-19 期间进行调整。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.22454/FamMed.2024.168465

Brianna M Lombardi, Lisa de Saxe Zerden, Danya K Krueger, Sundania J W Wonnum, Erica L Richman

{"title":"When Interruption Becomes Innovation: How Integrated Behavioral Health in Primary Care Adapted During COVID-19.","authors":"Brianna M Lombardi, Lisa de Saxe Zerden, Danya K Krueger, Sundania J W Wonnum, Erica L Richman","doi":"10.22454/FamMed.2024.168465","DOIUrl":"10.22454/FamMed.2024.168465","url":null,"abstract":"Background and objectives: Integrated behavioral health (IBH) delivered in primary care is critical to addressing the growing behavioral health crisis in the United States. COVID-19 prompted changes to the core components of IBH, causing the model to shift. The specifics of how IBH teams adapted and what these adaptations mean for the future of IBH teams in primary care are uncertain.Methods: We conducted individual interviews with IBH team members using a semistructured interview guide. A purposive convenience sample consisted of primary care clinicians (N=20) from nine states. We used qualitative thematic analysis to code and generate themes.Results: Four themes emerged: (a) permanent changes to the physical structure of the team; (b) increased reliance on technology for team communication; (c) shift in team collaboration, often occurring asynchronously; and (d) telehealth embraced for IBH.Conclusions: COVID-19 interrupted the originally designed IBH model of team-based care. Changes to the physical proximity of team members disrupted all other components of IBH, requiring adapted workflows, communication via digital channels, virtual team building, asynchronous care coordination, and remote service delivery. Long-term evaluation of these innovations is needed to examine whether shifts in core components impact model efficacy. Training family medicine, primary care, and behavioral health clinicians for these adapted models of IBH will be needed.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"548-554"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621690","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