Family Medicine最新文献

{"title":"Limited Agreement Regarding Outpatient Preceptor Behaviors: Observer, Residents, Self.","authors":"Brandon H Hidaka, Terri Nordin, Hannah J Kolarik, Deirdre Paulson","doi":"10.22454/FamMed.2026.238874","DOIUrl":"10.22454/FamMed.2026.238874","url":null,"abstract":"<p><strong>Background and objectives: </strong>We developed the Mayo Outpatient Precepting Evaluation Tool (MOPET) to assess and improve clinical teaching for family medicine residents. Given the scheduling challenges of peer evaluation, we sought to improve the MOPET's usefulness by evaluating the reliability of self- and resident-reported teaching behaviors during clinical precepting compared to peer observation.</p><p><strong>Methods: </strong>Forty-eight half-day sessions in a family medicine residency clinic were assessed with parallel observer, preceptor, and resident MOPET forms. Interrater reliability was calculated using the κ (kappa) statistic.</p><p><strong>Results: </strong>Residents reported that preceptors used 14 of 20 teaching behaviors more often than observers. Observers and preceptors significantly agreed on the use of five teaching behaviors, while residents agreed with observers on two teaching behaviors.</p><p><strong>Conclusions: </strong>Although self-assessment and resident-based feedback of preceptor teaching behavior may improve practicality, they are less reliable compared to direct peer observation with the validated MOPET.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671167","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":"Dominant.","authors":"Beatriz De Faria Sousa","doi":"10.22454/FamMed.2026.934059","DOIUrl":"10.22454/FamMed.2026.934059","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671132","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":"Beyond Admissions: Strengthening the Primary Care Pipeline Across the Educational Continuum.","authors":"Humza Siddiqi, Zaiba Jetpuri, Zubair Syed","doi":"10.22454/FamMed.2026.427038","DOIUrl":"10.22454/FamMed.2026.427038","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13555500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671137","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":"Quantifying the Disrupted Pathway: The Representation Gap for Hispanics/Latinos in Academic Family Medicine Leadership.","authors":"Carlos Acosta-Batista","doi":"10.22454/FamMed.2026.525528","DOIUrl":"10.22454/FamMed.2026.525528","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"538-539"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273609","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":"On the Birth of US Family Medicine and the Residency Assistance Program.","authors":"Valerie J Gilchrist, Robert Graham, Norman B Kahn, Daniel J Ostergaard, Kelly Heide","doi":"10.22454/FamMed.2026.516578","DOIUrl":"10.22454/FamMed.2026.516578","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 7","pages":"478-480"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450238","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":"Early Intervention and Remediation in Family Medicine Residencies: Behavioral Science Faculty Ratings of the Integration of Consensus-Based Recommendations.","authors":"Christopher M Haymaker, Jessica Schilling, Kathryn Fraser, Amy Romain, Emilee Delbridge, Amber Cadick, Melissa E Arthur, Grace Pratt, Krithika Malhotra, Austin Brubaker","doi":"10.22454/FamMed.2026.820447","DOIUrl":"10.22454/FamMed.2026.820447","url":null,"abstract":"<p><strong>Background and objectives: </strong>Remediation during residency training remains underexplored despite unique challenges. Residencies face complex factors including increasing awareness of learning difficulties, greater diversity in training programs, and elevated rates of mental health concerns. Aiming to understand remediation best practices, this study leveraged behavioral science faculty (BSF), who often support early identification, intervention, and remediation for family medicine residency programs. BSF perceptions of the frequency of best practice implementation for early intervention and remediation within family medicine residency programs served as an initial step toward developing a questionnaire to help programs assess their process and infrastructure.</p><p><strong>Methods: </strong>Seventy BSF from university-based, university-affiliated, and community programs completed a national survey developed through a Delphi process identifying consensus-based best practices (CBBP). The questionnaire assessed the frequency with which BSF observed best practice implementation across their programs. Data were analyzed using χ2 tests, Fisher's exact tests, and factor analysis with Promax rotation to identify underlying dimensions of remediation practices.</p><p><strong>Results: </strong>Implementation of CBBP varied across programs. Preliminary factor analysis revealed two factors that could be used for program evaluation. The two factors emerged as indicators of the remediation process. Organization and follow-up (Factor 1) reflected processes characterized by transparency, predictability, and follow-through. People and development (Factor 2) reflected a culture that normalizes challenges inherent in residency, understands key experiences, and develops faculty skill in effectively delivering feedback.</p><p><strong>Conclusions: </strong>Effective remediation requires organized processes and culture that support growth and psychological safety. This study presents a preliminary questionnaire assessing these practices from the BSF perspective.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 7","pages":"504-510"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450308","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":"Integration of Patient Feedback in Family Medicine Residency Programs: A CERA Study.","authors":"Kirsten Stoesser, Sonja Van Hala, Joshua B Hunt, Katherine T Fortenberry, Bernadette Kiraly","doi":"10.22454/FamMed.2026.357146","DOIUrl":"10.22454/FamMed.2026.357146","url":null,"abstract":"<p><strong>Background and objectives: </strong>The Accreditation Council of Graduate Medical Education endorses inclusion of patient feedback in performance evaluations during residency training.</p><p><strong>Methods: </strong>A Council of Academic Family Medicine Educational Research Alliance survey was distributed in spring 2025 to program directors (PDs) at family medicine (FM) residencies, with 321/726 (44.2%) responding. PDs were asked about perceptions and implementation of patient feedback in residency training.</p><p><strong>Results: </strong>The majority of PDs agree incorporating patient feedback into residency training prepares residents for independent practice (92.5%), improves residents' morale (64.4%), quality of care (61.7%), and communication skills (69.5%), with 68.8% of programs providing written patient feedback to residents twice yearly or greater, and 65.4% of programs providing verbal coaching on patient feedback twice yearly or greater. However, 37.4% of programs implement residency curricula and 33.0% of programs provide faculty development on patient feedback. PDs from programs providing patient feedback curricula are more likely to view this feedback as improving resident morale, quality of care, and communication with patients (P=0.005, P=0.002, P=0.003), with a similar pattern seen among PDs from programs with faculty development on coaching residents about patient feedback. Increased frequency of coaching residents was positively correlated with PD agreement that patient feedback is valuable for improving residents' morale, quality of care, patient communication, and preparation for independent practice.</p><p><strong>Conclusions: </strong>Although PDs value patient feedback, there are gaps with implementing patient feedback into residency training, and an opportunity exists to better prepare family medicine residents for future independent practice.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"495-503"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273616","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":"I've Been Waiting for You.","authors":"Kristin Reavis","doi":"10.22454/FamMed.2026.522549","DOIUrl":"10.22454/FamMed.2026.522549","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"525-526"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273638","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":"Apprenticeship.","authors":"Allen F Shaughnessy","doi":"10.22454/FamMed.2026.349530","DOIUrl":"10.22454/FamMed.2026.349530","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"516"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273478","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":"Residency Program Solutions at 50: A History of Promoting Excellence in Family Medicine.","authors":"Mary K Nordling, Steven Crane, Alan B Douglass, Hobart Lee, Louis Sanner, Karen B Mitchell","doi":"10.22454/FamMed.2026.454506","DOIUrl":"10.22454/FamMed.2026.454506","url":null,"abstract":"<p><p>Over the past 50 years, Residency Program Solutions (RPS) has been a key participant in supporting family medicine residency training programs and program leadership development. RPS is a peer consultation service offered by the American Academy of Family Physicians to help both new and established family medicine residency programs fulfill related Accreditation Council for Graduate Medical Education program requirements for residency training. Shepherded by an RPS Criteria for Excellence manual, which is constantly evolving and updated regularly, RPS consultants utilize various in-person and virtual consultation formats in response to the needs of their clients. This article summarizes the contributions of RPS over the last five decades and highlights the continued evolution of consultation and other educational offerings that help family medicine residency programs strive for excellence.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"58 7","pages":"481-487"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13367396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148450287","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}