Family MedicinePub Date : 2025-07-01Epub Date: 2025-06-04DOI: 10.22454/FamMed.2025.354255
Bryce A Ringwald, Jennifer L Middleton
{"title":"A Descriptive Bibliometric Study of CERA Publication Dissemination, Authorship, and Citation Rates.","authors":"Bryce A Ringwald, Jennifer L Middleton","doi":"10.22454/FamMed.2025.354255","DOIUrl":"10.22454/FamMed.2025.354255","url":null,"abstract":"<p><strong>Background and objectives: </strong>Barriers to performing family medicine research include funding, infrastructure, and mentorship shortages. The Council of Academic Family Medicine Educational Research Alliance (CERA) was created in 2011 to address these issues. This study explores the scope and impact of CERA-related publications in family medicine.</p><p><strong>Methods: </strong>We performed a descriptive bibliometric study of CERA-related publications from 2011 to 2023. Articles were sourced from Medline (PubMed), SCOPUS, and the CERA website. Data analysis focused on publication type, authors, CERA survey type, and citation rates.</p><p><strong>Results: </strong>From a total of 231 articles retrieved via initial searches and 166 from the CERA website, 174 were included in the analysis. Most studies (95.4%) were original research, with the journal Family Medicine publishing the majority (69.4%). General membership surveys had the highest citations per publication (6.3), while publications prior to 2017 had more citations on average (6.3) compared to those after 2017 (2.4). CERA-related publications featured 515 unique authors across 153 affiliations, with top contributors being Kelly Everard and Arch Mainous III.</p><p><strong>Conclusions: </strong>CERA provides essential infrastructure for family medicine research, fostering diversity in authorship and affiliations. While impactful in family medicine journals, opportunities exist to extend CERA's reach. Continued support and enhancements in data use are both needed.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"493-499"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318559","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}
Family MedicinePub Date : 2025-07-01Epub Date: 2025-06-16DOI: 10.22454/FamMed.2025.362243
Kelsey Compagna, Shelley Ross, Ann Lee
{"title":"An Exploration of Feedback Using Hattie and Timperley's Feedback Levels.","authors":"Kelsey Compagna, Shelley Ross, Ann Lee","doi":"10.22454/FamMed.2025.362243","DOIUrl":"10.22454/FamMed.2025.362243","url":null,"abstract":"<p><strong>Background and objectives: </strong>Effective feedback is recognized as essential to clinical training. Hattie and Timperley conducted a comprehensive review of feedback to develop their Model of Feedback to Enhance Learning (MFEL). The MFEL proposes that effective feedback can focus on any of four levels: task, process, self-regulation, and self. While Hattie and Timperley are frequently cited for their review, few studies in medical education have used the MFEL to explore feedback. We used the MFEL to examine the content of documented workplace-based feedback to explore how this model applies in a family medicine residency program.</p><p><strong>Methods: </strong>We conducted this retrospective cross-sectional observational secondary data analysis (learning analytics) study in a Canadian university-based family medicine residency program. Our data source was de-identified field notes (a tool to document workplace-based feedback) for residents at two teaching sites. We coded the feedback using the levels from the MFEL. We used descriptive statistics to analyze the frequencies of each level and combinations of levels.</p><p><strong>Results: </strong>Of the 2,250 field notes examined, 422 (18%) were excluded because they contained no feedback. The majority (1,105; 60%) included a single feedback level, while 705 (38%) contained two levels, and 17 (1%) included three levels. No field notes included all four levels. Of the field notes containing one feedback level, the most common levels were task (835; 76%) and process (248; 22%). The most common combination of levels was process and task (649; 92.1%).</p><p><strong>Conclusions: </strong>Hattie and Timperley's MFEL offers a way to explore feedback documented in medical education programs and may help programs identify opportunities for faculty development to improve feedback effectiveness.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"508-512"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318560","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}
Family MedicinePub Date : 2025-06-30DOI: 10.22454/FamMed.2025.193586
Kathleen M Young, Karen M Isaacs, Kate L Jansen
{"title":"Perspectives on Quiet Quitting in Family Medicine Residency Programs.","authors":"Kathleen M Young, Karen M Isaacs, Kate L Jansen","doi":"10.22454/FamMed.2025.193586","DOIUrl":"10.22454/FamMed.2025.193586","url":null,"abstract":"<p><strong>Background and objectives: </strong>Quiet quitting, or doing only the minimum work necessary for one's job, is a phenomenon in the work environment that has been discussed widely in popular media but only recently referenced in academic literature and not formally examined in the context of residency education. This study examined the concept of quiet quitting in residency education, gathering perspectives from leaders in family medicine residency programs.</p><p><strong>Methods: </strong>Quiet quitting and similar concepts were presented at a workshop at the 2024 Residency Leadership Summit hosted by the American Academy of Family Physicians. Participant responses were collected during the workshop from approximately 250 attendees to gather perspectives on and experiences with these behaviors in their residency programs. Investigators independently coded responses using thematic analysis.</p><p><strong>Results: </strong>Responses from 215 participants (approximate response rate=86%) identified disengagement, professionalism concerns, and strategic time usage as quiet quitting behaviors in residency. Contributing factors to quiet quitting reflected generational shift in work values, systemic issues, faculty modeling, and lack of training or work experience. Identified consequences were primarily negative and related to decreased physician competence and poorer quality of patient care. Proposed interventions included making systemic changes, establishing clear expectations and consequences, and bolstering well-being and resilience.</p><p><strong>Conclusions: </strong>This study provides residency leadership perspectives on quiet quitting in family medicine residency programs. Given the potential for negative consequences of quiet quitting on physician competence and patient care, developing a shared understanding of this phenomenon within residency education is important.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884215","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}
Family MedicinePub Date : 2025-06-30DOI: 10.22454/FamMed.2025.774718
Angela Renee Rodgers
{"title":"Research Is (Not) a Bad Word.","authors":"Angela Renee Rodgers","doi":"10.22454/FamMed.2025.774718","DOIUrl":"10.22454/FamMed.2025.774718","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884216","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}
Family MedicinePub Date : 2025-06-30DOI: 10.22454/FamMed.2025.996645
Andres Luis Rodriguez, Wayne W Bryant, Ryaja Johnson
{"title":"How DEI Experiences Add Value to Residency Applications.","authors":"Andres Luis Rodriguez, Wayne W Bryant, Ryaja Johnson","doi":"10.22454/FamMed.2025.996645","DOIUrl":"10.22454/FamMed.2025.996645","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884210","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}
Family MedicinePub Date : 2025-06-30DOI: 10.22454/FamMed.2025.141220
Althea Gunther, Kaylette Jenkins, Jessica Mitchum, Oanh H Truong
{"title":"Using a Shared Framework for Monitoring EDI in Academic Family Medicine Departments.","authors":"Althea Gunther, Kaylette Jenkins, Jessica Mitchum, Oanh H Truong","doi":"10.22454/FamMed.2025.141220","DOIUrl":"10.22454/FamMed.2025.141220","url":null,"abstract":"","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884219","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}
Family MedicinePub Date : 2025-06-27DOI: 10.22454/FamMed.2025.611581
Kimberly Schiel, Kelly M Everard, Joel J Heidelbaugh
{"title":"Impact of Grade Inquiries and Appeals on Clerkship Directors.","authors":"Kimberly Schiel, Kelly M Everard, Joel J Heidelbaugh","doi":"10.22454/FamMed.2025.611581","DOIUrl":"10.22454/FamMed.2025.611581","url":null,"abstract":"<p><strong>Background and objectives: </strong>Grade inquiries and appeals are a common occurrence in family medicine clerkships, and they are a source of stress to clerkship directors (CDs). This survey sought to establish the rate of grade inquiries and appeals in family medicine clerkships, to determine whether CDs perceive these rates to be increasing, and to determine whether grade appeals or inquiries contribute to CD burnout or to changes in grading criteria.</p><p><strong>Methods: </strong>Data were collected as part of the 2024 Council of Academic Family Medicine Educational Research Alliance (CERA) clerkship directors survey. Respondents answered questions about the rates of grade inquiries and appeals, whether CDs feel burned out, and whether they ascribe the cause of their burnout to be related to grade inquiries/appeals.</p><p><strong>Results: </strong>The response rate was 53%. In a given academic year, 6% of family medicine students initiated grade inquiries, and 3% initiated grade appeals. Correlations showed that the percentage of students initiating grade appeals was associated with general burnout, grade appeal related burnout, and the desire to give up their CD role. CDs who felt less supported in their decisions about grade appeals were significantly more likely to report burnout or to want to resign from that role.</p><p><strong>Conclusions: </strong>Grade inquiries and appeals contribute to CD burnout. CDs who experience more inquiries/appeals or who perceive the number of inquiries/appeals to be increasing may modify their grading criteria to avoid grade appeals. Supporting CDs in their decisions regarding grade inquiries and appeals is important.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884211","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}
Family MedicinePub Date : 2025-06-13DOI: 10.22454/FamMed.2025.517400
Varshaben M Songara, Regina Bray-Brown, Sarah Fleischer, Lars E Peterson
{"title":"Milestones Progression of International Medical Graduates in Family Medicine.","authors":"Varshaben M Songara, Regina Bray-Brown, Sarah Fleischer, Lars E Peterson","doi":"10.22454/FamMed.2025.517400","DOIUrl":"https://doi.org/10.22454/FamMed.2025.517400","url":null,"abstract":"<p><strong>Background and objectives: </strong>International medical graduates (IMGs) are a quarter of US practicing physicians and residents, with higher numbers in family medicine. Our objective was to determine whether the progression of milestone ratings varies between IMGs and US medical graduates based on a residency's historical percentage of IMGs.</p><p><strong>Methods: </strong>Data, which were all from the American Board of Family Medicine, included milestone ratings of each family medicine graduate from 2018 to 2020. We calculated the mean milestone rating for each core competency at each assessment. The main exposure was the 10-year percentage of residency graduates who were IMGs: very low (<10%), low (10%-33%), medium (34%-66%), and high (67%-100%). We used repeated measures multilevel regression to test for adjusted associations of resident and residency characteristics with milestone performance. Interactions between IMG status and historical percentage of IMGs tested for differential milestone growth.</p><p><strong>Results: </strong>Our sample included 12,302 residents from 538 residencies. Of the family medicine residencies, 41.8% had less than 10% IMGs. Across milestones, mean growth between rating periods ranged from 0.46 to 0.54. In adjusted regression analysis, both being an IMG (β=-0.003 to -0.07) and training in a higher historical IMG residency (β=-0.01 to -0.08) were associated with lower milestone ratings. IMGs in high IMG programs had higher ratings for medical knowledge and professionalism (β=0.07).</p><p><strong>Conclusions: </strong> We found comparable milestone ratings between IMGs and US medical graduates, with IMGs getting a small boost if they were trained in a program with a higher percentage of IMGs. Our results demonstrate that the performance of IMGs may be enhanced in residencies with a history of acculturating them.</p>","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318515","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}