Family Medicine最新文献_第5页

Critical Mentorship: The Application of Critical Andragogy in the Context of Mentoring Minoritized Faculty in Academic Medicine. 批判师徒关系：批判教育学在指导医学少数族裔教师中的应用。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-09 DOI: 10.22454/FamMed.2025.961683

Stacy Ogbeide, Yajaira Johnson-Esparza, Maria Montanez, Angel Ogbeide

引用次数: 0

The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine. 培训时间对应届毕业生临床准备的影响——来自家庭医学培训时间试点研究的报告。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-05 DOI: 10.22454/FamMed.2025.801918

Patricia A Carney, Steele Valenzuela, Annie Ericson, Dang H Dinh, Colleen Conry, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, James C Martin, M Patrice Eiff

{"title":"The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine.","authors":"Patricia A Carney, Steele Valenzuela, Annie Ericson, Dang H Dinh, Colleen Conry, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau, Karen B Mitchell, James C Martin, M Patrice Eiff","doi":"10.22454/FamMed.2025.801918","DOIUrl":"10.22454/FamMed.2025.801918","url":null,"abstract":"Background and objectives: Associations between training length and clinical preparedness are unknown. We compared assessments of clinical preparedness for family medicine graduates from 3-year and 4-year training programs.Methods: In this prospective case-control study, we compared responses from two surveys, which occurred 3 months after graduates started their first job. One survey was conducted by a supervising physician. The other was conducted by a clinic staff member who rated family medicine graduates from both 3-year and 4-year programs.Results: Our study included 403 graduates of 3-year programs, 185 who trained in 4-year programs with 36 months of training (4YR-36) and 274 who trained in 4-year programs with 48 months of training (4YR-48). Physician assessor ratings were similar across study groups on 18 of 21 Entrustable Professional Activities. The 4YR-48 graduates were rated higher for \"practicing independently\" on providing a usual source of comprehensive, longitudinal medical care for people of all ages (86.5% vs 77.9%); managing prenatal (63.1% vs 41.2%); and labor, delivery, and postpartum care (41.4% vs 25.7%). For five care process areas, physician assessors were more likely to rate 4YR-48 graduates as having \"no challenges\" with speed/timing related health care visits (91.9%) compared to 3YR graduates (82.4%). We noted no differences according to study group for staff member assessors.Conclusions: We found several differences in clinical preparedness according to length of training in this pilot study. Comprehensive longitudinal care, including prenatal and maternity care, were rated higher among graduates of 4YR-48 programs.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318519","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

Invisible. 看不见的。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.22454/FamMed.2025.897785

Iris Wagman Borowsky

引用次数: 0

Video Precepting: Giving Feedback to Learners in Family Medicine Clinic Using Direct Observation. 视频教学：家庭医学门诊直接观摩反馈。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-02-13 DOI: 10.22454/FamMed.2025.607473

Christopher M Haymaker, Stephanie Ellwood, Kari Beth Watts

引用次数: 0

"Teacher". “老师”。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.877707

Steven Lin

引用次数: 0

A Bone to Pick. 有得拣。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.106555

Russell S Blackwelder

引用次数: 0

Defining and Addressing Gaps in Mentorship for Underrepresented Faculty. 定义和解决未被充分代表的教师的指导差距。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-23 DOI: 10.22454/FamMed.2025.224099

Fareedat O Ajibade, Christopher L Smyre, Latasha S Perkins, Arianne Cordon-Duran, Kendall M Campbell

{"title":"Defining and Addressing Gaps in Mentorship for Underrepresented Faculty.","authors":"Fareedat O Ajibade, Christopher L Smyre, Latasha S Perkins, Arianne Cordon-Duran, Kendall M Campbell","doi":"10.22454/FamMed.2025.224099","DOIUrl":"10.22454/FamMed.2025.224099","url":null,"abstract":"The current political and social climate is directly and indirectly impacting the work-life wellness of family medicine faculty who are underrepresented in medicine (URiM). Furthermore, issues of social justice are an intimate part of the lived experience of URiM faculty physicians and cannot be ignored. Institutional programs and offices that have traditionally served to support URiM faculty-namely diversity, equity, and inclusion (DEI) offices and programs-are actively being dismantled through anti-DEI legislation across the country. Where do such changes leave URiM faculty in terms of career advancement and support? Studies show that mentorship is necessary and effective in URiM faculty development. Despite the gains through mentorship, gaps in the support of URiM faculty are obstacles to their reaching their highest potential. Obstacles such as pseudoleadership, scholarship delay, minority taxation, and income inequality make succeeding at their institution more difficult for these faculty members. These hurdles confound the reality that URiM faculty physicians tend to have value systems surrounding their own self-actualization, family structure, and professional development that differ from institutional priorities. Lack of awareness of these differences in mentorship needs has negative consequences for the growth and advancement of both URiM faculty and their institutions. Prioritization of effective mentorship strategies is necessary to bridge the value differences and overcome the obstacles that will ultimately benefit both the institutions and their URiM faculty. This article defines the gaps in mentorship of URiM faculty, introduces strategies for closing the mentorship gaps, and summarizes how doing so produces gains on a systemic level.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"403-409"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175620","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

Evolution of the Family Medicine Clerkship: A CERA Secondary Analysis. 家庭医学办事员制度的演变：CERA二次分析。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.22454/FamMed.2025.306815

Bryce A Ringwald, David Banas, Allison Macerollo, Ericka Bruce, Matthew Farrell

{"title":"Evolution of the Family Medicine Clerkship: A CERA Secondary Analysis.","authors":"Bryce A Ringwald, David Banas, Allison Macerollo, Ericka Bruce, Matthew Farrell","doi":"10.22454/FamMed.2025.306815","DOIUrl":"10.22454/FamMed.2025.306815","url":null,"abstract":"Background and objectives: The family medicine clerkship has been found to influence medical students' decision-making regarding specialty choice. Understanding how the family medicine clerkship has changed over the past decade may assist in recruitment efforts. Our study explored trends in family medicine clerkship design, length, and format and correlated these characteristics with high proportions of medical school graduates choosing family medicine.Methods: We performed a secondary analysis of the Council of Academic Family Medicine Educational Research Alliance annual family medicine clerkship director surveys from 2012 to 2023. We analyzed standard family medicine clerkship structure questions that were asked in each survey. We analyzed trends using Pearson's correlation coefficient test and correlations with χ2 test for independence.Results: Over the past 10 years, a transition from traditional block-style clerkships toward longitudinal-style clerkships has been increasing. Both block-style and longitudinal-style clerkships have decreased in length, with most clerkships lasting 4 weeks or less. A change also has taken place in the composition of clinical experiences, with reduced use of community preceptors as the primary source of clinical experiences. In 2021, schools with a higher percentage of students working with community preceptors were associated with higher percentages of medical students choosing to pursue family medicine.Conclusions: Alterations in the family medicine clerkships have led to medical students getting decreased and intermittent exposure to family medicine. Most clerkship experiences are not with community preceptors, a major change following the COVID-19 pandemic. The repercussions of recent changes to the family medicine clerkship on the rate of matching medical students into family medicine remains unclear.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"410-416"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295609/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175648","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

Evaluating the Agreement Between ChatGPT and the Clinical Competency Committee in Assigning ACGME Milestones for Family Medicine Residents. 评估ChatGPT和临床能力委员会在分配家庭医学住院医师ACGME里程碑方面的协议。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.363712

Michael Partin, Anthony B Dambro, Roland Newman, Yimeng Shang, Lan Kong, Karl T Clebak

{"title":"Evaluating the Agreement Between ChatGPT and the Clinical Competency Committee in Assigning ACGME Milestones for Family Medicine Residents.","authors":"Michael Partin, Anthony B Dambro, Roland Newman, Yimeng Shang, Lan Kong, Karl T Clebak","doi":"10.22454/FamMed.2025.363712","DOIUrl":"10.22454/FamMed.2025.363712","url":null,"abstract":"Background and objectives: Although artificial intelligence models have existed for decades, the demand for application of these tools within health care and especially medical education are exponentially expanding. Pressure is mounting to increase direct observation and faculty feedback for resident learners, which can create administrative burdens for a Clinical Competency Committee (CCC). This study aimed to assess the feasibility of utilizing a large language model (ChatGPT) in family medicine residency evaluation by comparing the agreement between ChatGPT and the CCC for the Accreditation Council for Graduate Medical Education (ACGME) family medicine milestone levels and examining potential biases in milestone assignment.Methods: Written faculty feedback for 24 residents from July 2022 to December 2022 at our institution was collated and de-identified. Using standardized prompts for each query, we used ChatGPT to assign milestone levels based on faculty feedback for 11 ACGME subcompetencies. We analyzed these levels for correlation and agreement between actual levels assigned by the CCC.Results: Using Pearson's correlation coefficient, we found an overall positive and strong correlation between ChatGPT and the CCC for competencies of patient care, medical knowledge, communication, and professionalism. We found no significant difference in correlation or mean difference in milestone level between male and female residents. No significant difference existed between residents with a high faculty feedback word count versus a low word count.Conclusions: This study demonstrates the feasibility for tools like ChatGPT to assist in the evaluation process of family medicine residents without apparent bias based on gender or word count.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 6","pages":"424-429"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644046","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

Connection, Commitment, and Community in Family Medicine. 家庭医学中的联系、承诺和社区。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.187845

José E Rodríguez

引用次数: 0