Family Medicine最新文献

{"title":"We Need Cats: A New Professionalism for a Broken System.","authors":"Joseph W Gravel","doi":"10.22454/FamMed.2025.768664","DOIUrl":"https://doi.org/10.22454/FamMed.2025.768664","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 3","pages":"239-241"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626095","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}

{"title":"Underrepresented in Medicine Mentorship Program: Perceived Benefits and Lessons Learned.","authors":"Kathryn Fraser, Kristen Hood Watson, Cesar A Gonzalez, Brittany Houston, George W Saba, William E Cayley, Mariquita Belen","doi":"10.22454/FamMed.2024.592893","DOIUrl":"10.22454/FamMed.2024.592893","url":null,"abstract":"<p><strong>Background and objectives: </strong>Faculty members who are underrepresented in medicine (URM) may benefit from mentorship that is designed specifically to meet their unique needs and is focused on improving their career pathways in academic medicine. The Underrepresented in Medicine Mentorship Program (URM-MP) is an academic society-based mentorship program that pairs early career URM faculty with mid- to late-career faculty specifically trained to address URM issues.</p><p><strong>Methods: </strong>During the first 3 years of the program, mentors received web-based training on addressing oppression and marginalization of URM faculty in academic medicine. Mentor and mentee pairs met monthly for 1 year and received support from program leaders through web-based check-in meetings twice per year. Pre- and postassessment data were collected from mentees to help identify their needs and evaluate their experiences. Check-in meetings provided feedback about the program.</p><p><strong>Results: </strong>Fifty-seven URM faculty participated in years 1, 2, and 3. Results of pre- and postsurveys showed that mentees significantly improved their self-perceived effectiveness to enhance their careers, to find resources to perform their jobs, and to navigate the challenges of advancing in academic medicine. Qualitative analyses revealed themes of appreciation for mentors supporting their unique experiences as URM faculty. Check-in feedback further reinforced the relationship aspects of the mentorship as a significant benefit of this program.</p><p><strong>Conclusions: </strong>Society-based mentorship that involves specific training for mentors and fosters trusting mentor-mentee relationships can improve URM faculty's confidence regarding their ability to succeed in academic medicine.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"177-184"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958314","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}

{"title":"An Evaluation of STFM's Academic Family Medicine Antiracism Learning Collaborative.","authors":"Anam Siddiqi, Radhika Laddha, Tristen Adams, Jeongyoung Park, Edgar Figueroa, Sarah Kureshi, Mary Theobald, Yalda Jabbarpour, Melissa K Filippi","doi":"10.22454/FamMed.2025.713835","DOIUrl":"https://doi.org/10.22454/FamMed.2025.713835","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Society of Teachers of Family Medicine (STFM) antiracism task force created and led an Antiracism Learning Collaborative (ALC) to help STFM members identify racist structures and behaviors within their academic institutions and develop projects to become leaders for change. The Robert Graham Center for Policy Studies in Family Medicine and Primary Care was tasked with evaluating whether the 2-year program's goals were met.</p><p><strong>Methods: </strong>Through a call for applications, 20 dyads were accepted for participation. At least one dyad member had to be of a racial or an ethnic population that is underrepresented in the medical profession. Participant involvement took place from January 2022 through September 2023. The following data sources were evaluated: project plans, four survey sets, anecdotal meeting notes, mentor meeting forms, and final reports and presentations from the dyads.</p><p><strong>Results: </strong>A total of 34 participants (17 dyads) completed the study from 17 institutions. Generally, participants learned several antiracism concepts and how to take steps to counter racist structures and behaviors through actionable approaches and language use. Strengths of the program were the tools and resources offered to dyads for their project implementation. Two major challenges were institutional opposition or lack of support and lack of time (both for dyads and for various local community partners).</p><p><strong>Conclusions: </strong>Overall, ALC met each goal. Future evaluations of similar initiatives should consider defining what success for individual projects looks like and provide a predefined rubric to gauge success.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 3","pages":"208-217"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625854","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}

{"title":"Best Practices for Early Intervention and Remediation of Residents in Family Medicine: Insights From an Interdisciplinary Delphi Study.","authors":"Christopher M Haymaker, Jessica Schilling, Kathryn Fraser, Emilee Delbridge, Amber Cadick, Amy Romain, Melissa E Arthur, Grace Pratt, Molly S Clark","doi":"10.22454/FamMed.2025.820384","DOIUrl":"10.22454/FamMed.2025.820384","url":null,"abstract":"<p><strong>Background: </strong>Remediation and early intervention for family medicine residents who experience performance problems represent a challenge for programs, faculty, and residents. Some evidence suggests that identifying those at risk for performance problems and providing support early may prevent more serious issues later in residency.</p><p><strong>Objectives: </strong>We wanted to explore the perspectives of content experts to identify best practices for early intervention and remediation to address common challenges and create a framework for more effective and inclusive early intervention and remediation.</p><p><strong>Methods: </strong>We used a Delphi approach to identify themes and best practices for early intervention and remediation, including qualitative interviews, identification of themes, clarification of essential practices, and confirmation of agreement with core medical faculty.</p><p><strong>Results: </strong>Our qualitative interviews and Delphi methodology identified best practices in five main categories: (a) early assessment and identification, (b) feedback, (c) resident engagement, (d) intervention strategies and resources, and (e) documentation. From an initial pool of 38 recommendations, we identified a final group of 11 practices that generated broad agreement among behavioral science faculty and core medical faculty.</p><p><strong>Conclusions: </strong>Key principles for early intervention and remediation include early skill assessment, data-driven feedback, collaborative processes, diverse resources, clear documentation, and faculty training for providing actionable feedback. While our Delphi study provided in-depth insights into various programs' practices, it may not capture unique practices across all programs. Future research on early intervention and remediation should explore current practices, aiming for specific, collaborative, and transparent processes, with insights from experienced faculty, to enhance equity and effectiveness.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 2","pages":"98-106"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426567","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}

{"title":"In the Journey, Choose Joy.","authors":"Velyn Wu, Amy Locke, José E Rodríguez","doi":"10.22454/FamMed.2025.378518","DOIUrl":"10.22454/FamMed.2025.378518","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 2","pages":"75-76"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922148/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425786","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}

{"title":"Our Scope Is Our Destiny.","authors":"Joseph W Gravel","doi":"10.22454/FamMed.2025.126877","DOIUrl":"10.22454/FamMed.2025.126877","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 2","pages":"148-150"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425801","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}

{"title":"Authors' Response to \"Anticipating Uncertainty: A New Frontier in Family Medicine Training\".","authors":"Laura Purkl, Konrad Hierasimowicz, Norbert Donner-Banzhoff","doi":"10.22454/FamMed.2024.869944","DOIUrl":"10.22454/FamMed.2024.869944","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"146"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958287","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}

{"title":"Reflection on Family Medicine Response to a Disaster.","authors":"Diana Rahme","doi":"10.22454/FamMed.2025.321378","DOIUrl":"10.22454/FamMed.2025.321378","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 2","pages":"134-135"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425989","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}

{"title":"Correlation of Milestone Ratings and Family Physicians' Early Diabetes Management.","authors":"Sean O Hogan, Kenji Yamazaki, Eric S Holmboe","doi":"10.22454/FamMed.2025.980357","DOIUrl":"10.22454/FamMed.2025.980357","url":null,"abstract":"<p><strong>Background and objectives: </strong>Family physicians manage the treatment of patients with chronic illnesses like type 2 diabetes mellitus (T2DM). During residency, trainees are assessed on their management of chronic disease under the Accreditation Council for Graduate Medical Education patient care (PC) milestone. Residency programs are expected to ensure that trainees are prepared to meet patients' needs; however, evidence is mixed as to whether milestone evaluations predict how well a physician will perform in early unsupervised practice. This study tested whether higher PC milestone evaluations predict greater adherence to T2DM guidelines for early-career family physicians.</p><p><strong>Methods: </strong>Using national provider identification numbers, we linked family medicine trainees' penultimate PC milestones with commercial insurance claims for T2DM patients. We associated doctors with patients by identifying the doctors who performed the evaluation and maintenance exams and observing the extent to which those patients received HbA1c, retinal, and renal functioning exams. We followed doctors who graduated in June 2016 through the first 18 months of unsupervised practice.</p><p><strong>Results: </strong>Milestones were not significantly associated with screening outcomes: HbA1c (OR=0.963, 95% CI [0.840, 1.104]), nephropathy (OR=0.983, 95% CI [0.901, 1.072]), or eye exam (OR=1.001, 95% CI [0.936, 1.070]). Rather, for every additional diabetes patient a family physician saw, administration of standard tests increased: HbA1c (OR=1.005, 95% CI [1.002, 1.009]) and nephropathy (OR=1.004, 95% CI [1.002, 1.006]).</p><p><strong>Conclusions: </strong>Milestones for chronic disease management were not correlated with diabetes management for early career family physicians. The volume of diabetic patients under a doctor's care was positively correlated with levels of expected screenings.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 2","pages":"83-90"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426569","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}

{"title":"Misalignment of Biostatistics Content Between Licensing Exam Study Aids and Contemporary Medical Research.","authors":"W Connor Haycox, Dmitry Tumin","doi":"10.22454/FamMed.2024.967125","DOIUrl":"10.22454/FamMed.2024.967125","url":null,"abstract":"<p><strong>Background and objectives: </strong>Medical trainees express difficulty with interpreting statistics in clinical literature. To elucidate educational gaps, we compared statistical methodologies in biomedical literature with biostatistical content in licensing exam study materials.</p><p><strong>Methods: </strong>In this bibliographic content analysis, we compiled a stratified random sample of articles involving original data analysis published during 2023 in 72 issues of three major medical journals. We recorded all discrete statistical methods and concepts detailed in the methods section of the articles and in three commercial licensing exam study resources. We created a unified list of discrete methods or concepts to define overarching domains and mapped each method to a domain to determine that domain's presence in each resource or article.</p><p><strong>Results: </strong>In a sample of 273 journal articles and three study resources, we identified 1,057 unique key words mapped onto 20 domains. Statistical error, significance, power analysis, and group comparisons of categorical data were high-frequency domains among the articles. Overall, 63% of articles included methods from domains not covered in any study resource.</p><p><strong>Conclusions: </strong>Medical licensing exam preparation does not reflect the breadth of contemporary statistics in biomedical research. Future interventions should expand medical students' understanding of research protocols and complex data manipulation.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"77-82"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11922151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958295","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}