Family Medicine最新文献_第5页

Five Years of Family Medicine Education in Zambia: Challenges, Milestones, and Lessons Learned. 赞比亚五年家庭医学教育：挑战、里程碑和经验教训。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-14 DOI: 10.22454/FamMed.2025.569547

Matthew S Haldeman, Evaristo Kunka, Bassim Birkland, Mpundu Makasa

{"title":"Five Years of Family Medicine Education in Zambia: Challenges, Milestones, and Lessons Learned.","authors":"Matthew S Haldeman, Evaristo Kunka, Bassim Birkland, Mpundu Makasa","doi":"10.22454/FamMed.2025.569547","DOIUrl":"10.22454/FamMed.2025.569547","url":null,"abstract":"Over the past 2 decades, the growing need to strengthen primary care in southern Africa has fueled a rising interest in the specialty of family medicine. Given the region's heavy burden of both communicable and noncommunicable diseases, along with restricted health care resources and limited access to care, family physicians may play a key role in improving health care access and quality in these settings. The development of family medicine in Zambia began in 2013 as a working group of committed clinical and public health academics, and progressed to the launch of that country's first family medicine residency in 2019. Despite enormous challenges, the program has flourished since that time, growing rapidly from the inaugural two residents in 2019 to 45 residents and recent graduates by 2025. While this growth has allowed the residency to become a leader in family medicine education in the region, it also has brought a new set of challenges. In this narrative, we describe the health care context of Zambia, the introduction of family medicine as a specialty to a new health care landscape, and the launch of that country's first ever and rapidly growing family medicine residency, as well as unique challenges, strategies employed, and lessons learned along the way. We conclude the article by looking ahead at new challenges and recommendations for the program's continued growth. The experiences and lessons learned may be used by future family medicine residency start-ups throughout sub-Saharan Africa.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"333-339"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030834","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

Just in One Lifetime. 一生一世。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-14 DOI: 10.22454/FamMed.2025.857163

Amanda Howe

引用次数: 0

Family Medicine for a Changing World. 改变世界的家庭医学。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 DOI: 10.22454/FamMed.2025.361452

Cynthia Haq, Esther M Johnston

引用次数: 0

Family Medicine Education and Training in Sub-Saharan Africa. 撒哈拉以南非洲的家庭医学教育和培训。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-02-06 DOI: 10.22454/FamMed.2025.291430

Robert Mash, Innocent Besigye, Akye Essuman, Jean-Pierre Fina Lubaki, Mpundu Makasa, Martha Makwero, Gulnaz Mohamoud

{"title":"Family Medicine Education and Training in Sub-Saharan Africa.","authors":"Robert Mash, Innocent Besigye, Akye Essuman, Jean-Pierre Fina Lubaki, Mpundu Makasa, Martha Makwero, Gulnaz Mohamoud","doi":"10.22454/FamMed.2025.291430","DOIUrl":"10.22454/FamMed.2025.291430","url":null,"abstract":"In this article we reflect on the state of family medicine education and training in sub-Saharan Africa; in particular, we focus on these key issues: advocacy, evidence of impact, barriers and enablers, and implementation strategies. Sub-Saharan Africa is the last region of the world to embrace family medicine, and adoption varies widely among countries. Family physicians with postgraduate training are relatively few. In the public sector, primary care is mostly offered by nurses or physician assistants, while in the private sector, it is offered by general practitioners. Family physicians work in both primary care and primary hospitals, in multidisciplinary teams; as clinicians, consultants, capacity builders, clinical trainers, leaders of clinical governance and may also have some managerial functions. Advocacy for the contribution of family physicians and training programs is needed with departments of health, regulatory bodies, higher education institutions, and other health professions. Evidence of impact in the African context is limited due to the small numbers and limited research outputs. Barriers and enablers to education and training are related to the stage of development. Key issues include a lack of academic and teaching expertise, a need to develop learning environments and clinical trainers, sufficient training posts, and appropriate deployment of new graduates. Implementation strategies to overcome these barriers can be categorized into planning, educational, financial, quality management, and policy related strategies. A South-South-North approach to support and partnerships is advocated. More attention should be given to engaging the public on the contribution of family medicine.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"342-348"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059602","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

Doing Global Health Work: Approaches That Really Make a Difference. 开展全球卫生工作：真正发挥作用的方法。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-04-04 DOI: 10.22454/FamMed.2025.213347

Shivani Malhotra

引用次数: 0

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