Family Medicine最新文献_第4页

More Family Doctors: Good News on Career Choice-What's Next? 更多家庭医生：职业选择的好消息——下一步是什么？

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.444328

Richard H Streiffer

引用次数: 0

Components of a Residency POCUS Curriculum. 住院医师POCUS课程的组成部分。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 Epub Date: 2024-12-04 DOI: 10.22454/FamMed.2024.651571

Ryan Paulus, Hiten Patel, Natalie Nguyen

引用次数: 0

National Recommendations for Implementation of Competency-Based Medical Education in Family Medicine. 家庭医学实施能力本位医学教育的国家建议。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.866091

Priyanka Tulshian, Linda Montgomery, KrisEmily McCrory, Mary Theobald, Stephenie Matosich, Olivia Wright, Robert A Lambert, Randy Pearson, Pamela MacMillan, Velyn Wu, Bright Zhou, W F Miser, Michelle A Roett

{"title":"National Recommendations for Implementation of Competency-Based Medical Education in Family Medicine.","authors":"Priyanka Tulshian, Linda Montgomery, KrisEmily McCrory, Mary Theobald, Stephenie Matosich, Olivia Wright, Robert A Lambert, Randy Pearson, Pamela MacMillan, Velyn Wu, Bright Zhou, W F Miser, Michelle A Roett","doi":"10.22454/FamMed.2025.866091","DOIUrl":"10.22454/FamMed.2025.866091","url":null,"abstract":"Background and objectives: New family medicine residency program and graduate board certification requirements necessitate a transition within programs to competency-based medical education (CBME) to ensure that the discipline is training physicians to meet America's health care needs. A task force formed by the Society of Teachers of Family Medicine (STFM) created recommendations for implementation of CBME.Methods: The STFM CBME Task Force reviewed papers written by CBME experts and, through group discussions and consensus, drafted recommendations. Feedback on drafts of the recommendations was provided by leaders of the American Academy of Family Physicians, American Board of Family Medicine, American College of Osteopathic Family Physicians, Association of Departments of Family Medicine, Association of Family Medicine Residency Directors, North American Primary Care Research Group, and STFM.Results: The STFM CBME Task Force created 12 recommendations to guide programs and one recommendation for the specialty of family medicine for implementation of CBME.Conclusions: The transformation of the educational framework in family medicine to competency-based is a significant change for programs, learners, faculty, and staff. Residencies and family medicine organizations can reference these national recommendations as they incorporate CBME principles to advance residency education.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 4","pages":"253-260"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003925","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

Teaching and Assessing a New Professionalism: The Journey Begins. 教学与评估一种新的职业精神：旅程开始。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.611807

Joseph W Gravel

引用次数: 0

Family Medicine Specialty Choice at Matriculation and Graduation. 入学和毕业时的家庭医学专业选择。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 Epub Date: 2025-03-07 DOI: 10.22454/FamMed.2025.462568

John M Westfall, Douglas H Fernald, Douglas B Kamerow

{"title":"Family Medicine Specialty Choice at Matriculation and Graduation.","authors":"John M Westfall, Douglas H Fernald, Douglas B Kamerow","doi":"10.22454/FamMed.2025.462568","DOIUrl":"10.22454/FamMed.2025.462568","url":null,"abstract":"Background and objectives: Family medicine has experienced wide variation in the proportion of allopathic medical students it attracts, ranging from a high of 16.8% to a low of 6.8%. We sought to measure the changes in specialty choice between the start of medical school and graduation.Methods: We compared the specialty choice reported on the American Association of Medical Colleges annual allopathic Matriculating Student Questionnaire (MSQ) from 2014 to 2017 with the Graduation Questionnaire (GQ) from 2018 to 2021.Results: Among 55,635 students who completed both the MSQ and the GQ, more than 70% changed their specialty choice between matriculation and graduation. Just 45% of students who reported family medicine at matriculation chose family medicine at graduation. However, 70% of students entering family medicine at graduation had selected some other specialty at the start of medical school. This increase of more than 3,000 students who made their family medicine specialty choice during medical school represents a net gain of nearly 1,000 students entering family medicine over the 4 years.Conclusions: Most allopathic medical students change their specialty choice during medical school. The historic concern about students being talked out of family medicine during medical school is still partially valid, yet the data reported here show that the majority of students entering family medicine at graduation had reported a different specialty when they entered medical school. While increasing family medicine recruitment into medical school is crucial, these data also show the critical importance of family medicine departments helping recruit and support medical students' family medicine choice during medical school.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 4","pages":"292-297"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030835","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

CBME-The Challenge Is in the Details. cbme——挑战在于细节。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.990900

Sarina Schrager

引用次数: 0

Value-Based Care Education in Family Medicine Residency Programs: A CERA Study of Program Directors. 家庭医学住院医师项目中基于价值的护理教育：项目主任的CERA研究。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.502198

Maria Syl de la Cruz, Ashley Chou, Deborah Edberg, William T Leach, Catherine Guariglia, Julie T Schultz, Anna Flattau

{"title":"Value-Based Care Education in Family Medicine Residency Programs: A CERA Study of Program Directors.","authors":"Maria Syl de la Cruz, Ashley Chou, Deborah Edberg, William T Leach, Catherine Guariglia, Julie T Schultz, Anna Flattau","doi":"10.22454/FamMed.2025.502198","DOIUrl":"10.22454/FamMed.2025.502198","url":null,"abstract":"Background and objectives: Primary care is shifting to value-based care (VBC) payment models, which measure and prioritize quality outcomes and cost efficiency. These models include functions such as interdisciplinary teamwork, proactive panel management, and measurement of total cost of care, with the specific aim of improving quality and reducing health care costs. Graduating residents will require training in the key principles of VBC to succeed in many primary care settings. This research study explored current training practices in VBC within family medicine residency programs.Methods: A Council of Academic Family Medicine Educational Research Alliance study of family medicine program directors assessed the current state of VBC education. The survey questions assessed whether programs had a formal VBC curriculum, what elements of VBC are taught and how, and the present barriers and facilitators to VBC education.Results: The overall response rate for the survey was 45.39% (320/705). Most respondents (92.2%) agreed that teaching VBC within their residency curriculum was important, but only 26.9% of programs have established a formal VBC curriculum. The most frequently taught element is the \"evaluation and management of quality outcomes\" (80.9%), and VBC is mostly taught through didactics (79.7%). The most frequently reported barrier to teaching VBC was the lack of time within the curriculum and/or competing priorities (37.5%).Conclusions: Residency programs in primary care specialties would benefit from a formal VBC curriculum appropriate for graduate medical education. This curriculum should include assessment tools for residents that include objective measures for VBC skills and training.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 4","pages":"298-302"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037131","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

"Dad, What Do You Want My Role Here to Be?" “爸爸，你想让我在这里扮演什么角色？”

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.854157

Katherine M Mahon

引用次数: 0

Development and Validation of a Shave Biopsy Training Checklist. 剃须活检培训清单的制定和验证。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-05 DOI: 10.22454/FamMed.2025.615731

Alicia Ludden-Schlatter, Stephanie Bunt, Kate DuChene Hanrahan

{"title":"Development and Validation of a Shave Biopsy Training Checklist.","authors":"Alicia Ludden-Schlatter, Stephanie Bunt, Kate DuChene Hanrahan","doi":"10.22454/FamMed.2025.615731","DOIUrl":"10.22454/FamMed.2025.615731","url":null,"abstract":"Background and objectives: Residencies train residents in procedures and assess their competency, but existing assessment tools have demonstrated poor reliability and have not been validated.Methods: This mixed-methods study validated a shave biopsy checklist with family medicine and dermatology faculty at two academic centers. In each phase of the study, teaching faculty scored a video-recorded simulated procedure using the checklist, and investigators assessed content validity, interrater reliability, and accuracy.Results: In focus groups of nine family medicine and dermatology faculty, 16 of 18 checklist items met or surpassed 80% interrater reliability. Overall checklist reliability was 74%. Focus group surveys initially revealed insufficient content validity. Lowest performing items were removed, and then the follow-up content validity index (0.76) surpassed the required threshold (0.62). Twenty-one of 70 family medicine faculty completed a final survey, which showed a content validity index of 0.63, surpassing the required threshold of 0.42. Twelve of 70 family medicine faculty viewed and scored a simulated video-recorded procedure. Overall interrater reliability was 91% (Cohen's d=1.36). Fourteen of 16 checklist items demonstrated greater than or equal to 90% interrater reliability. Accuracy analysis revealed 67.9% correct responses in focus groups and 84.9% in final testing (simple t test, P<.001, Cohen's d=1.4).Conclusions: This rigorously validated checklist demonstrates appropriate content validity, interrater reliability, and accuracy. Findings support use of this shave biopsy checklist as an objective mastery standard for medical education and as a tool for formative assessment of procedural competency.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 4","pages":"268-275"},"PeriodicalIF":1.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147697/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048979","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

Is This Normal? 这正常吗？

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-01 DOI: 10.22454/FamMed.2025.667617

Brianna Moyer

引用次数: 0