Family Medicine最新文献_第3页

Using Social Media to Teach About and Engage Residents in Evidence-Based Medicine. 利用社交媒体向住院医师传授循证医学知识并吸引其参与。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI: 10.22454/FamMed.2024.808735

Gregory Castelli, Stella Winters, Alexandria Taylor, Yufei Ge

{"title":"Using Social Media to Teach About and Engage Residents in Evidence-Based Medicine.","authors":"Gregory Castelli, Stella Winters, Alexandria Taylor, Yufei Ge","doi":"10.22454/FamMed.2024.808735","DOIUrl":"10.22454/FamMed.2024.808735","url":null,"abstract":"Background and objectives: Evidence-based medicine (EBM) is an important concept for family medicine and is part of several Accreditation Council for Graduate Medical Education milestones. Social media (SM) has become a cornerstone in most of our lives. Previous studies show the use of SM in medical education is expanding. The objective of this study is to use SM for medical education focusing on teaching EBM through an innovative, engaging video series.Methods: This quasi-experimental study used pre- and postintervention surveys between May 2022 and June 2022 using the American Board of Family Medicine National Journal Club initiative as a foundation. A total of 196 residents and fellows from various family medicine residency programs were eligible to participate. Surveys consisted of SM usage, EBM engagement, EBM comfort and confidence adapted from a validated tool, and questions about the articles reviewed in the videos.Results: A total of 44 of 196 residents and fellows from various family medicine residency programs participated in the preintervention survey. Most participants identified learning about EBM through residency didactics. The most popular SM platforms were Instagram and YouTube for medical content. Participants were least comfortable on the 10-point scale for critically appraising study methods. Postintervention cumulative scores for knowledge about the journal articles increased from 64% to 85%.Conclusions: The video series taught EBM concepts and were well received, albeit with a low postintervention response rate. These findings contribute to the evolving landscape of medical education with implications for improving the effectiveness of EBM teaching through SM platforms.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"572-578"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114382","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

Medical Students' Views of the Future in a Rapidly Changing World. 医科学生在瞬息万变的世界中对未来的看法。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.22454/FamMed.2024.918294

Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange

{"title":"Medical Students' Views of the Future in a Rapidly Changing World.","authors":"Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange","doi":"10.22454/FamMed.2024.918294","DOIUrl":"10.22454/FamMed.2024.918294","url":null,"abstract":"Background and objectives: Physicians have long been considered valued members of a solid US health care system. Significant changes in medical education, health care, and society at-large suggest that current medical students may face a different future. To help guide educators and policy makers, we set out to understand medical students' perceptions of the future of health care and their place in it.Methods: In year one of a longitudinal study, we conducted in-depth interviews of Case Western Reserve University medical students. A multidisciplinary team performed iterative thematic analyses and sampling until reaching saturation on major themes.Results: Eleven medical student participants described social and health care issues as major influences on their professional futures. Concerns included health care system failings, unsustainable costs, climate change, demographic shifts, disinformation, and public distrust in health care. Students looked forward to team practice and using technology, data, and artificial intelligence in care delivery. They hoped for greater access and equity in health care, with a focus on prevention and social, behavioral, and environmental drivers of health. Most students expected to be employed rather than in private practice and sought time/flexibility for professional and personal interests. Paying off medical school debt and advocating for patients and change were priorities. Many saw primary care as important, but fewer envisioned it as their career path of choice.Conclusions: Medical students envision a future shaped by health care systems and social issues. These findings can inform those helping students prepare for uncertainty and rapid change in their careers, their lives, and the lives of their patients.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"541-547"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621685","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

Author's Response to "Beyond the Mirage: Confronting Historic Inequities in Maternal Care Deserts". 作者对 "超越海市蜃楼：面对孕产妇护理荒漠中历史性的不平等"。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.22454/FamMed.2024.150895

Alison N Huffstetler

引用次数: 0

Results of the Family Medicine Journal Reviewer Demographic Survey. 家庭医学杂志》审稿人人口调查的结果。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 DOI: 10.22454/FamMed.2024.768129

José E Rodríguez, Octavia Amaechi

引用次数: 0

Baby Jesús. 赫苏斯宝宝

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.22454/FamMed.2024.157846

José E Rodríguez

引用次数: 0

Nurturing Resilience in Family Medicine: Strategies for Faculty Development. 在全科医学中培养恢复力：教师发展战略。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-30 DOI: 10.22454/FamMed.2024.662495

Sagar Kamprath

引用次数: 0

Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates. 实施分娩阵痛检查表，降低 NTSV 剖宫产率。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-24 DOI: 10.22454/FamMed.2024.891654

Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson

{"title":"Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates.","authors":"Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson","doi":"10.22454/FamMed.2024.891654","DOIUrl":"10.22454/FamMed.2024.891654","url":null,"abstract":"Background and objectives: Cesarean section (c-section) rates among nulliparous, term, singleton, and vertex (NTSV) pregnancies are increasing, posing risk to the infant and birthing parent. To reach the Healthy People 2030 goal of an NTSV c-section rate below 23.6%, teams must remain aware of their NTSV c-section rate and implement mechanisms to reduce it. This project was conducted to assess the impact of quality improvement interventions implemented by family medicine residents to reduce a hospital's NTSV rate.Methods: From 2021 to 2023, family medicine residents were educated on evidenced-based diagnosis of labor dystocia, failed induction of labor, arrest of dilation, and arrest of descent in first-time birthing parents. Learning was reinforced by implementing the Colorado Perinatal Care Quality Collaborative's labor dystocia checklist. Quarterly assessment of the hospital's NTSV rate and checklist utilization were monitored and widely reported.Results: After the implementation of a standard checklist, the NTSV c-section rate at the tertiary care center declined from 35.6% in 2020 to a sustained rate below the 2030 Healthy People goal of 23.6%. Notably, patients with public insurance saw the greatest reduction in NTSV c-section rates. Hospital staff highlighted the benefits of using the checklist, including more effective electronic documentation of labor progression, improvement in team dynamics, and increased team communication.Conclusions: Using a labor dystocia checklist is a successful method for teams to reduce NTSV c-section rates and can be used as a training tool for family medicine and obstetrics and gynecology residency programs that care for laboring persons.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394912","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

Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy. 有个性的政策简报：如何创新性地传播宣传证据。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-23 DOI: 10.22454/FamMed.2024.390472

Yohualli B Anaya, Alison N Huffstetler, Yalda Jabbarpour, Andrew W Bazemore

引用次数: 0

The ABFM Core Outcomes: The Next Step to Outcome-Based, Time-Variable Training in Family Medicine. ABFM 核心成果：以成果为基础、时间可变的全科医学培训的下一步。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-19 DOI: 10.22454/FamMed.2024.424308

Bryce A Ringwald

引用次数: 0

Mini Med School: Knowledge and Resources for Underrepresented in Medicine Youth. 迷你医学院：为医学领域代表性不足的青少年提供知识和资源。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-10 DOI: 10.22454/FamMed.2024.388919

Kimberly M Papp, Amanda R Krysler, Sicheng Lee, Shelley Ross

{"title":"Mini Med School: Knowledge and Resources for Underrepresented in Medicine Youth.","authors":"Kimberly M Papp, Amanda R Krysler, Sicheng Lee, Shelley Ross","doi":"10.22454/FamMed.2024.388919","DOIUrl":"https://doi.org/10.22454/FamMed.2024.388919","url":null,"abstract":"Background and objectives: Physician demographics in North America do not yet reflect the diversity of the communities they serve, accounted to systemic barriers targeting underrepresented in medicine (URiM) groups. URiM medical graduates are more likely to pursue generalist specialties, including family medicine. Mini Med Schools (MMSs) are pathway programs intended to motivate URiM youth to pursue medicine. A gap in literature exists regarding the potential of MMSs to provide youth with useful information. We examined the extent to which youth reported a change in knowledge about medicine as a career before and after attending an MMS.Methods: Asclepius Medical Camp for Youth is a weeklong MMS for high school students, held at one Canadian university. In 2022, 50 youth participants were invited to complete surveys and quizzes measuring their knowledge about pursuing a career in medicine.Results: The mean self-reported knowledge differed significantly precamp (n=34, M=5.87/10, SD=1.9) versus postcamp (n=26, M=8.28/10, SD=1.4; t[35]=7.07, P<.05). Likewise, participants' scores demonstrated a significant difference in mean scores precamp (n=43, M=7.12, SD=2.39) versus postcamp (n=39, M=9.31, SD=1.13; t[42]=5.08, P<.05).Conclusions: These findings highlight MMSs as a promising strategy to provide knowledge about medical careers beyond instilling motivation. By both inspiring and informing URiM youth, the long-term outcome of diversifying medicine may be achieved.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394913","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