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The Power of Enough. 足够的力量。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 DOI: 10.22454/FamMed.2026.769865
Steven Lin
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引用次数: 0
Response to "The Primary Care Workforce Is Transitioning Away From a Physician-Dominated Model". 对“初级保健劳动力正在从医生主导的模式转变”的回应。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.22454/FamMed.2026.249527
Joseph W Gravel, Wendy B Barr, Grant S Hoekzema, Jay Fetter, Alan B Douglass
{"title":"Response to \"The Primary Care Workforce Is Transitioning Away From a Physician-Dominated Model\".","authors":"Joseph W Gravel, Wendy B Barr, Grant S Hoekzema, Jay Fetter, Alan B Douglass","doi":"10.22454/FamMed.2026.249527","DOIUrl":"https://doi.org/10.22454/FamMed.2026.249527","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"247-248"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857458","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
Hidden Curriculum in Silence. 沉默中的隐性课程。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.652996
Vangipuram Harshil Sai
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引用次数: 0
The Primary Care Exception During and After a Public Health Emergency. 突发公共卫生事件期间和之后的初级保健例外。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.22454/FamMed.2026.740206
Stephen Fuest, Peter J McDonnell, Nickole Forget
{"title":"The Primary Care Exception During and After a Public Health Emergency.","authors":"Stephen Fuest, Peter J McDonnell, Nickole Forget","doi":"10.22454/FamMed.2026.740206","DOIUrl":"https://doi.org/10.22454/FamMed.2026.740206","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Primary Care Exception (PCE) in US graduate medical education allows billing for low complexity outpatient primary care visits with indirect faculty supervision, where the faculty does not directly see the patient. The PCE historically applied only to lower complexity billing codes; but during the COVID-19 public health emergency (PHE) from March 2020 to May 2023, the PCE was expanded to include moderate and high complexity visits. Prior PCE studies have evaluated family medicine residencies before the 2021 update to the Evaluation and Management Services guidelines, which include different definitions of complexity. This is the first study to evaluate the billing impact of PCE in a primary care residency of internal medicine after the Evaluation and Management Services update.</p><p><strong>Methods: </strong>We conducted a retrospective billing data evaluation of 99213, 99214, and 99215 billing codes from July to September 2022 (during PHE) and July to September 2023 (post-PHE) in a single institution internal medicine residency clinic. We assessed the frequencies using χ2.</p><p><strong>Results: </strong>A total of 11,358 patient visits met criteria. During the PHE, the majority were billed 99214 (4,602 of 5,557, or 82.8%) followed by 99213 (870 of 5,557, or 15.7%). Post-PHE, the majority were 99213 (4,000 of 5,801, or 68.3%) followed by 99214 (1,742 of 5,801, or 30.6%).</p><p><strong>Conclusions: </strong>We observed an absolute 52.2% higher use of 99214 during the COVID-19 PHE expansion of the PCE. This finding has important implications for both clinic operations and education.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"220-223"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857461","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
The Silent Grief in Residency. 住院医师无声的悲伤。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.663007
Kelly McGuigan
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引用次数: 0
Using DISC Personality Assessments in Medical Education. DISC人格评估在医学教育中的应用
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.22454/FamMed.2026.987566
Bryce A Ringwald, Stephen Auciello, Jennifer L Middleton, Stephen Auciello
{"title":"Using DISC Personality Assessments in Medical Education.","authors":"Bryce A Ringwald, Stephen Auciello, Jennifer L Middleton, Stephen Auciello","doi":"10.22454/FamMed.2026.987566","DOIUrl":"https://doi.org/10.22454/FamMed.2026.987566","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"252"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857567","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
FEAR: Faculty Evaluation and Retaliation-A Survey of Family Medicine Program Directors. 恐惧：教师评价与报复——对家庭医学项目主任的调查。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-20 DOI: 10.22454/FamMed.2026.315048
J Lane Wilson, Kevin Gray, Carlie Nikel, Jennifer Quaintance, Katherine T Fortenberry
{"title":"FEAR: Faculty Evaluation and Retaliation-A Survey of Family Medicine Program Directors.","authors":"J Lane Wilson, Kevin Gray, Carlie Nikel, Jennifer Quaintance, Katherine T Fortenberry","doi":"10.22454/FamMed.2026.315048","DOIUrl":"https://doi.org/10.22454/FamMed.2026.315048","url":null,"abstract":"<p><strong>Background and objectives: </strong>Evaluating resident physicians is essential for resident development and patient safety. Fear of retaliation from residents may be a barrier to faculty completing resident physician evaluations. This study examined family medicine program directors' perceptions on fear of retaliation from resident physicians as a barrier to faculty completing honest, high-quality evaluations.</p><p><strong>Methods: </strong>The study was conducted as part of the 2024 Council of Academic Family Medicine Educational Research Alliance study of family medicine residency program directors. The 10-item survey assessed program directors' perceptions of faculty fear of retaliation, the impact of this fear, and rates of retaliation occurring in their programs in the last 3 years.</p><p><strong>Results: </strong>The response rate was 45.39% (320/705). More than half (56.4%, 172/305) perceived that faculty in their programs are reluctant to give critical feedback on evaluations; nearly half (48.9%, 150/305) believed that fear of retaliation is a barrier. Fear of a reciprocal negative evaluation (34.5%, 106/305) and fear of formal complaints (38.9%, 119/305) were prevalent. Lack of adequate documentation was attributed to a failure to remediate and dismiss a resident in 19.8% (61/307) and 11.7% (36/306) of programs, respectively. Formal complaints against an evaluator or program occurred in 18.6% (57/307) of programs, and civil lawsuits were filed in 5.2% (16/306) in the preceding 3 years.</p><p><strong>Conclusions: </strong>Family medicine program directors perceive fear of retaliation from residents as a barrier to faculty completing honest, high-quality evaluations. Formal complaints and even civil lawsuits against evaluators or programs are not uncommon.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"178-184"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857791","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
From Monolith to Mosaic: Rethinking Mentorship for Asian Faculty. 从巨石到马赛克：重新思考亚洲教师的师友关系。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.22454/FamMed.2026.987401
Michelle Ikoma
{"title":"From Monolith to Mosaic: Rethinking Mentorship for Asian Faculty.","authors":"Michelle Ikoma","doi":"10.22454/FamMed.2026.987401","DOIUrl":"https://doi.org/10.22454/FamMed.2026.987401","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"245-246"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857786","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
In the Arena: A Narrative of Grit, Resilience, and Becoming. 在竞技场上：关于勇气、韧性和成长的叙述。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-03-01 Epub Date: 2026-02-19 DOI: 10.22454/FamMed.2026.855122
Crystal Marquez
{"title":"In the Arena: A Narrative of Grit, Resilience, and Becoming.","authors":"Crystal Marquez","doi":"10.22454/FamMed.2026.855122","DOIUrl":"https://doi.org/10.22454/FamMed.2026.855122","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 3","pages":"234-235"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856991","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
Methods Matter: Strengthening Research in Family Medicine and Beyond. 方法：加强家庭医学及其他学科的研究。
IF 1.7 4区 医学
Family Medicine Pub Date : 2026-02-01 DOI: 10.22454/FamMed.2026.772073
LaKesha N Anderson
{"title":"Methods Matter: Strengthening Research in Family Medicine and Beyond.","authors":"LaKesha N Anderson","doi":"10.22454/FamMed.2026.772073","DOIUrl":"https://doi.org/10.22454/FamMed.2026.772073","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 2","pages":"79-80"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857638","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
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