Family Medicine最新文献_第2页

Integrating Accelerated Medical School Programs With Extended Family Medicine Residency Programs: Innovations in Length of Training. 整合加速医学院项目与扩展家庭医学住院医师项目：培训时间的创新。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-09-10 DOI: 10.22454/FamMed.2025.155751

Bryce A Ringwald, Jennifer L Middleton, Stephen Auciello

引用次数: 0

Perceived Value of Family Physicians Inquiries Network Membership: A Qualitative Study. 家庭医生问诊网络成员的感知价值：一项质性研究。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-29 DOI: 10.22454/FamMed.2025.611142

José E Rodríguez, Santina J G Wheat, Anamika Blomgren, Lushawna Gerdes, Adalayna Hufendiek, Edén Cortés López

{"title":"Perceived Value of Family Physicians Inquiries Network Membership: A Qualitative Study.","authors":"José E Rodríguez, Santina J G Wheat, Anamika Blomgren, Lushawna Gerdes, Adalayna Hufendiek, Edén Cortés López","doi":"10.22454/FamMed.2025.611142","DOIUrl":"10.22454/FamMed.2025.611142","url":null,"abstract":"Background and objectives: Leaders in academic family medicine founded the Family Physicians Inquiries Network (FPIN) 27 years ago to facilitate scholarship and research in family medicine residency programs. This study evaluates the perceived value of FPIN membership (defined as what members feel FPIN membership adds to their program) by analyzing responses to open-ended questions in the annual membership survey from 2018 to 2023.Methods: The survey asked questions such as, \"Would you recommend FPIN to a friend? Why or why not?\" and \"Do you believe that the care you are providing patients in your community is better as a result of your involvement with FPIN?\" Researchers applied thematic analysis to code and categorize responses into themes that capture a meta-summary of ideas.Results: Over the 5-year study period, individuals in 109 of the 169 programs (66% of programs) responded to the survey, including 289 responses to open-ended questions. We were unable to calculate an accurate response rate, but our best estimate is about 2%, making the quantitative portion less useful. Qualitative analysis revealed themes of strengths, impact, and areas for improvement. Strengths subthemes included publishing clinically useful summaries, assisting novice writers, welcoming supportive environment, and publishing guidance and feasibility. Impact subthemes included journal impact and objective, and broader visibility. Areas for improvement subthemes included FPIN financial constraints, help desk answers publishing frustrations, and website difficulties.Conclusions: FPIN members responded positively and valued participating in FPIN.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884214","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

Impact of Training Length on Scope of Practice Among Residency Graduates: A Report From the Length of Training Pilot Study in Family Medicine. 实习时间对住院医师毕业生执业范围的影响——来自家庭医学实习时间试点研究的报告。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-23 DOI: 10.22454/FamMed.2025.224773

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

{"title":"Impact of Training Length on Scope of Practice Among Residency Graduates: A Report From the Length of Training Pilot Study in Family Medicine.","authors":"Patricia A Carney, Steele Valenzuela, Dang H Dinh, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, Colleen Conry, James C Martin, M Patrice Eiff","doi":"10.22454/FamMed.2025.224773","DOIUrl":"10.22454/FamMed.2025.224773","url":null,"abstract":"Background and objectives: Associations between training length and scope of practice in family medicine are unknown. We compared scope of practice among family medicine graduates from 3YR and 4YR training programs.Methods: We compared survey responses 1 year after graduates started their first job as an independently practicing physician according to their length of training. Comparisons were made across three groups: (1) 3-year program graduates with 36 months of training (3YR-36); (2) all 4-year program graduates with either 36 or 48 months of training (4YR-36/48); (3) 4-year program graduates with only 48 months of training (4YR-48).Results: Our sample included 1,136 graduates. Of these 423 (37.2%) were in 3YR programs, 447 (39.4%) were in 4YR-36/48, and 266 (23.4%) were in 4YR-48 months. Participant demographics and practice characteristics were similar across groups. Graduates with 4 years of training were more likely to provide pediatric inpatient care than 3YR program graduates (4YR-48 [43.6%] vs 3YR [35.1%], P=.032); and more 4YR program graduates provide adult inpatient care (3YR [39.8%] vs 4YR-48 [52.5%], P=.002). Graduates of 4YR programs (both groups) were statistically more likely to include 13 of 24 procedures in practice compared to those from 3YR programs, including point-of-care ultrasound, vaginal delivery, joint injection/aspiration, circumcision, and vasectomy. Graduates of all participating programs reported performance that exceeded national means for 20 of 32 (62.5%) clinical practice areas and procedures.Conclusions: Graduates of 4YR programs reported obtaining a unique set of skills and undertaking a broader scope of practice postgraduation compared to graduates of 3YR programs.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884212","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

Five Days. 五天。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-21 DOI: 10.22454/FamMed.2025.884730

Elizabeth J Trout

引用次数: 0

A Divine Slap. 神圣的一巴掌。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-18 DOI: 10.22454/FamMed.2025.839576

James Schindler

引用次数: 0

What Do Residents Want From Clinical Supervision in Primary Care Practice? Identifying Desired Behaviors for Outpatient Precepting. 在初级保健实践中，居民希望从临床监督中得到什么？确定门诊病人的期望行为。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-18 DOI: 10.22454/FamMed.2025.122314

Allen F Shaughnessy, Omar Wahid, Judy Fleishman, Randi Sokol

{"title":"What Do Residents Want From Clinical Supervision in Primary Care Practice? Identifying Desired Behaviors for Outpatient Precepting.","authors":"Allen F Shaughnessy, Omar Wahid, Judy Fleishman, Randi Sokol","doi":"10.22454/FamMed.2025.122314","DOIUrl":"10.22454/FamMed.2025.122314","url":null,"abstract":"Background and objectives: Feedback to clinical supervisors of residents (preceptors) is critical to ensure quality teaching. Most feedback tools are based on theoretical models or expert opinion. No research has asked residents their thoughts on teaching practices. Our objective was to identify desired precepting practices by analyzing written feedback provided to preceptors by residents.Methods: This project was conducted in a family medicine residency training program, analyzing feedback to preceptors from residents collected over 5 years. We used the nonviolent communication format, which identifies a request to a preceptor to continue an existing teaching behavior or change to a new one. The request statements were qualitatively analyzed by coders, aligning them when possible to categories of the Mayo Outpatient Precepting Evaluation Tool. Using content analysis, we coalesced all codes into categories from which we derived behaviorally based desired practices for precepting.Results: Most (66.49%) of the requests were to continue a teaching behavior. We identified 26 desired practices in the following categories: setting the learning climate (n=5); preprecepting (n=2); preceptor presence (n=1); conveying clinical knowledge (n=4); decision-making (n=5); time management (n=4); and feedback on performance (n=5).Conclusions: We identified precepting practices that residents desire. Some of these desired behaviors are not reflected in existing preceptor evaluation tools.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884220","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

Integrating Interprofessional Education and Service-Learning: A Call to Action. 整合跨专业教育和服务学习：行动呼吁。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-17 DOI: 10.22454/FamMed.2025.896586

Melanie Stone

引用次数: 0

Everything Old Is New Again. 一切旧的都是新的。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-17 DOI: 10.22454/FamMed.2025.312139

Esther M Johnston

引用次数: 0

Structurational Divergence: A Contributing Factor to Moral Injury Among Health Care Workers. 结构差异：卫生保健工作者道德伤害的一个促成因素。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-10 DOI: 10.22454/FamMed.2025.602498

LaKesha N Anderson, Joshua Freeman

{"title":"Structurational Divergence: A Contributing Factor to Moral Injury Among Health Care Workers.","authors":"LaKesha N Anderson, Joshua Freeman","doi":"10.22454/FamMed.2025.602498","DOIUrl":"10.22454/FamMed.2025.602498","url":null,"abstract":"To provide quality patient care, health professionals must be able to effectively communicate interpersonally and in team environments. While a lack of communication and conflict negotiation skills certainly can create obstacles to patient care, the organizational structures in which health professionals do their work also can obstruct communication or make it more difficult. Structurational divergence theory helps identify and explain the negative communication cycles that result when individuals must fulfill obligations from multiple competing systems, each with its own social rules. The structure of health care delivery systems also can result in structurational divergence, as health care workers must often navigate the space between their clinician priorities of improved patient health and the corporate priorities of greater efficiency and profit. This divergence creates tension for the clinician that can lead to burnout and moral injury, especially when the clinician feels forced to act outside the patient's best interests. Individual efforts to address moral injury are less likely to be successful than collective group action. However, medical education can take steps to prepare students with the knowledge and tools necessary to navigate competing role demands, systemic obstacles, and ethical dilemmas to ensure quality patient care.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884217","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

When the Heart Stops: A Doctor Mom's Experience With Life and Fetal Loss. 当心脏停止跳动：一个医生妈妈的生命和胎儿丢失的经验。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-07-02 DOI: 10.22454/FamMed.2025.917137

Katie P Nguyen

引用次数: 0