Family Medicine最新文献_第2页

Grammars of the Clinical Encounter: A Universal Language of Care. 临床遇到的语法：一种通用的护理语言。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-23 DOI: 10.22454/FamMed.2026.756198

Guilherme Coelho

引用次数: 0

The Language of Medicine. 医学语言。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-23 DOI: 10.22454/FamMed.2026.873134

Benjamin Popokh

引用次数: 0

On Pride Lost. 《迷失的骄傲》

IF 2 4区医学

Family Medicine Pub Date : 2026-07-23 DOI: 10.22454/FamMed.2026.481101

Shelby R Hahn

引用次数: 0

From Pipeline to System Design: Reframing Diversity in Academic Family Medicine Leadership. 从管道到系统设计：重塑学术家庭医学领导的多样性。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-23 DOI: 10.22454/FamMed.2026.519817

Jesus Ruiz

引用次数: 0

Trends in Rural and Urban Family Physician Teaching of Health Professions Students and Residents. 城乡家庭医生在卫生专业学生和居民中的教学趋势。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-21 DOI: 10.22454/FamMed.2026.266557

C Holly A Andrilla, Lars E Peterson, Davis G Patterson, David V Evans, Janessa M Graves

{"title":"Trends in Rural and Urban Family Physician Teaching of Health Professions Students and Residents.","authors":"C Holly A Andrilla, Lars E Peterson, Davis G Patterson, David V Evans, Janessa M Graves","doi":"10.22454/FamMed.2026.266557","DOIUrl":"10.22454/FamMed.2026.266557","url":null,"abstract":"Background and objectives: Place-based clinical education is vital for promoting the growth of the rural clinician workforce; where learners receive their education strongly influences where they practice. Yet students may struggle to find rural placements. In this study, we sought to understand trends in teaching by family physicians for varied health professions and the associated physician, practice, and community factors.Methods: We analyzed data from 14,789 early career family physicians surveyed from 2016 to 2023. We compared the teaching status of rural and urban physicians overall and by year. We conducted trend analyses and multivariate regression to investigate the relationship between physician and practice characteristics, practice activities, community characteristics, and teaching status.Results: More rural than urban physicians taught premedical students (30.8% vs 18.7%), medical students (62.2% vs 54.4%), and advanced practice professional students (51.2% vs 33.7%), while more urban than rural physicians taught residents (41.9% vs 37.8%) and fellows (8.7% vs 2.3%). Trend analyses showed an 8.4% increase in rural physicians teaching residents from 2016 to 2023, and a decline in teaching advanced practice professional students over the same time period. In adjusted analyses, family physicians who were younger, male, and White non-Hispanic were more likely to teach, as were osteopathic physicians, those with a broad scope of practice, and those who provided obstetric services.Conclusions: A larger share of rural than urban early career family physicians teach health professions students, but the rate who are teaching advanced practice professional students has declined significantly. Understanding and arresting the decline will be essential to addressing rural workforce capacity.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671091","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

IF 2 4区医学

Family Medicine Pub Date : 2026-07-16 DOI: 10.22454/FamMed.2026.396905

Nicholas M LeFevre, William Hui, Puja Dalal, Carolyn Christ, Joy Shen-Wagner, Ryan Trantham, Johnny Tenegra, Varshaben M Songara, Anthony M Recidoro, Hiten Patel, Natalie Nguyen, Nicoll Capizzano, Sally Bobbitt-Hartwell, Sheryl Zimmerman, Philip D Sloane, Ryan Paulus

{"title":"Recommended Point-of-Care Ultrasound (POCUS) Applications for US Family Medicine Residency Training: A National Delphi Study From the STFM POCUS Task Force.","authors":"Nicholas M LeFevre, William Hui, Puja Dalal, Carolyn Christ, Joy Shen-Wagner, Ryan Trantham, Johnny Tenegra, Varshaben M Songara, Anthony M Recidoro, Hiten Patel, Natalie Nguyen, Nicoll Capizzano, Sally Bobbitt-Hartwell, Sheryl Zimmerman, Philip D Sloane, Ryan Paulus","doi":"10.22454/FamMed.2026.396905","DOIUrl":"10.22454/FamMed.2026.396905","url":null,"abstract":"Background and objectives: Multiple organizations and accrediting bodies support or require teaching of point-of-care ultrasound (POCUS) in US family medicine residency programs. To date, no evidence-based approach has been used to determine which of the numerous POCUS applications should be required components of curricula. A task force of expert POCUS educators sponsored by the American Board of Family Medicine Foundation and the Society of Teachers of Family Medicine was formed to conduct research and draft guidelines addressing these gaps.Methods: We conducted a traditional three-round Delphi study with a national group of 25 expert panelists, all POCUS educators at US family medicine residency programs. Panelists were diverse in geographic location, practice setting, and scope of practice. A systematic literature search identified 243 potentially relevant clinical applications of POCUS. Surveys were administered to the panel with anchored Likert scale questions. Rounds were iterative and anonymous, with 80% agreement required for consensus. Clinical applications that did not meet consensus after three rounds were excluded.Results: Three Delphi rounds were completed with a 100% response rate for each. Among the applications, 54 met positive consensus for inclusion, 41 met consensus for exclusion, and the remaining 162 were excluded for lack of consensus.Conclusions: US family medicine residency programs should prioritize these 54 consensus applications when structuring POCUS curricular implementation plans with a goal of facilitating graduating residents' competency in these clinical applications.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671103","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

Establishing Point-of-Care Ultrasound General Competencies: A Consensus-Based Delphi Process in Family Medicine. 建立护理点超声一般能力：家庭医学中基于共识的德尔菲过程。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-16 DOI: 10.22454/FamMed.2026.945379

Hiten Patel, Natalie Nguyen, Puja Dalal, Varshaben M Songara, Joy Shen-Wagner, Nicholas M LeFevre, William Hui, Ryan Trantham, Johnny Tenegra, Anthony M Recidoro, Sally Bobbitt-Hartwell, Carolyn Christ, Nicoll Capizzano, Ryan Paulus

{"title":"Establishing Point-of-Care Ultrasound General Competencies: A Consensus-Based Delphi Process in Family Medicine.","authors":"Hiten Patel, Natalie Nguyen, Puja Dalal, Varshaben M Songara, Joy Shen-Wagner, Nicholas M LeFevre, William Hui, Ryan Trantham, Johnny Tenegra, Anthony M Recidoro, Sally Bobbitt-Hartwell, Carolyn Christ, Nicoll Capizzano, Ryan Paulus","doi":"10.22454/FamMed.2026.945379","DOIUrl":"10.22454/FamMed.2026.945379","url":null,"abstract":"Background and objectives: As more family medicine residency programs incorporate point-of-care ultrasound (POCUS), effective ways to teach and assess POCUS competency remain a major challenge. This Delphi study aimed to create expert consensus to define POCUS general competencies for family medicine residents.Methods: We used a traditional Delphi study design to draft and validate a list of POCUS general competencies. We recruited a panel of 25 family medicine POCUS education experts from various backgrounds. Three rounds of voting occurred between February and July of 2025. Drafted survey items were categorized to correspond to the six Accreditation Council for Graduate Medical Education (ACGME) milestones. In each round, panelists rated agreement using a 5-point Likert scale. Items failing to reach consensus after round three were excluded from the final general competency list.Results: A total of 49 general competencies were drafted prior to round one, and an additional three competencies were added between rounds. After three rounds, 45 general competencies met positive consensus, and seven lacked consensus leading to their exclusion from the final list.Conclusions: This study used standardized, evidence-based Delphi methodology to establish the first set of POCUS general competencies for teaching and assessing family medicine residents. The general competencies identified represent a broad scope of skills correlating to the six ACGME milestones. The study provides the foundation for future research evaluating how these general competencies can be used to assess POCUS competence for family medicine residents.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671155","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 Other Side of the Park: Reflections From a Mobile Medical Team. 公园的另一边：来自流动医疗队的思考。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-15 DOI: 10.22454/FamMed.2026.717710

Sandhya Kumar

引用次数: 0

I Don't Like Questions. 我不喜欢被提问。

IF 2 4区医学

Family Medicine Pub Date : 2026-07-15 DOI: 10.22454/FamMed.2026.166858

Brittany Houston

引用次数: 0

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