Family Medicine最新文献_第6页

Objective Admissions Data and In-State Practice: What Can We Really Predict? 客观招生数据和州内实践：我们能真正预测什么？

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.503525

Marlene P Ballejos, Jamie Riera, Robert L Williams, Robert E Sapién

{"title":"Objective Admissions Data and In-State Practice: What Can We Really Predict?","authors":"Marlene P Ballejos, Jamie Riera, Robert L Williams, Robert E Sapién","doi":"10.22454/FamMed.2025.503525","DOIUrl":"10.22454/FamMed.2025.503525","url":null,"abstract":"Background and objectives: Despite the widespread adoption of the holistic review initiative in medical school admissions, admissions committees continue to struggle with identifying applicant attributes that predict future practice location. This challenge has significant practical implications, particularly for institutions committed to addressing regional health care shortages.Methods: We analyzed eight cohorts of applicants who matriculated between 2006 and 2013 and then completed residency. We used univariate and multiple regression models to identify applicant objective attributes linked to later in-state practice. Objective data available in applications included high school location, legal state of residence, Medical College Admissions Test (MCAT) scores, grade point average, college details, graduate school, race/ethnicity, and gender; these were compared by posttraining practice location.Results: Of 509 graduates in practice, 212 (41.7%) were in-state. In-state graduates were older (P<.001), predominately underrepresented in medicine (42% vs 33%, P<.01), graduated from urban high schools (28% vs 18%, P<.05), attended in-state colleges (66% vs 55%, P<.05), and had lower MCAT scores (56th vs 67th percentile, P<.001). Regression analysis revealed that only age, urban high school, and MCAT score significantly contributed to the model (R 2=0.064, P=.004).Conclusions: This study shows the limited value of applicant objective data to admissions committees in predicting future in-state practice. The findings emphasize the importance of a holistic admissions process and the value of considering subjective applicant data in efforts to predict future practice location. Additional research may help identify which subjective aspects of an applicant can assist admissions committees in this effort.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 6","pages":"435-438"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295599/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644049","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

Best Practices for Creating an Addiction Curriculum Within Family Medicine Residency Programs: A Qualitative Analysis of Expert Opinion. 在家庭医学住院医师项目中创建成瘾课程的最佳实践：专家意见的定性分析。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.196843

Gregory A Jaffe, Bari Sue Brodsky, Jacob Buckley, Brooke A Mauriello, Corey Pasakarnis, Paul Rizzo, Madison Smith, Randi Sokol

{"title":"Best Practices for Creating an Addiction Curriculum Within Family Medicine Residency Programs: A Qualitative Analysis of Expert Opinion.","authors":"Gregory A Jaffe, Bari Sue Brodsky, Jacob Buckley, Brooke A Mauriello, Corey Pasakarnis, Paul Rizzo, Madison Smith, Randi Sokol","doi":"10.22454/FamMed.2025.196843","DOIUrl":"10.22454/FamMed.2025.196843","url":null,"abstract":"Background and objectives: Primary care physicians are well-positioned to be at the forefront of screening for and treating substance use disorders (SUDs). In addition, the Accreditation Council for Graduate Medical Education has deemed addiction training a common program requirement for all residency programs. With less than one-third of family medicine residency programs providing addiction training, understanding best practices for addiction training is important.Methods: We interviewed 12 faculty at family medicine residency programs across the country who have a strong reputation for addiction training. We analyzed interview transcripts thematically to identify best practices for creating and providing addiction curricula.Results: Creating an addiction curriculum originates with an addiction champion who garners the support of clinical leadership and provides faculty development that is augmented by a multidisciplinary team of providers, often grant-supported. Coupling didactic learning with a wide array of experiential opportunities is important, particularly allowing residents to care for patients with SUDs longitudinally in their primary care clinics. Residency programs should anticipate stigma and associated resistance from clinic staff and providers and should work collaboratively to mitigate these.Conclusions: Comprehensive and robust addiction training in family medicine residency training should include didactic and experiential learning opportunities with a well-supported and philosophically aligned clinical and educational culture that values caring for patients with SUDs.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 6","pages":"430-434"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644044","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

Understanding Population Health Management Practices Among Family Medicine Residency Programs. 了解家庭医学住院医师计划中的人口健康管理实践。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.22454/FamMed.2025.484181

Stephen M Carek, Carina Brown, Dana Neutze, John Emerson, Mark Shaffer, Alex Ewing, Peter J Carek

{"title":"Understanding Population Health Management Practices Among Family Medicine Residency Programs.","authors":"Stephen M Carek, Carina Brown, Dana Neutze, John Emerson, Mark Shaffer, Alex Ewing, Peter J Carek","doi":"10.22454/FamMed.2025.484181","DOIUrl":"10.22454/FamMed.2025.484181","url":null,"abstract":"Background and objectives: Population health management is a systematic approach to ensuring that all members of a given population receive appropriate preventative, chronic, and transitional care. It emphasizes addressing health inequities and the social determinants that influence health and related outcomes in communities served by family physicians. This study examines the current practices of family medicine residency programs in teaching population health management and the use of clinical data registries for their primary clinic sites.Methods: Data were collected through a survey conducted by the Council of Academic Family Medicine Educational Research Alliance (CERA) from September 26 to October 30, 2023. The survey targeted program directors of Accreditation Council for Graduate Medical Education accredited family medicine residency programs, with a final response rate of 37.90% (271/715).Results: We found significant variability in the clinical data registries and population-based reports provided to residents. Of the residency programs, 29.52% provided both resident-specific and practice-level panel data, while 12.92% did not provide regular data reports. Clinical quality and patient satisfaction were the most common elements in reports. Programs varied in the frequency and dedicated time for population health management, with many programs citing resource constraints.Conclusions: The findings highlight the need for standardized education and clinical systems to integrate population health into resident training. Ensuring consistent, accurate, and actionable data can enhance the quality and value of care and prepare residents for future practice in value-based care environments.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"417-423"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175742","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

New Diagnosis. 新诊断。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 Epub Date: 2025-05-20 DOI: 10.22454/FamMed.2025.575123

Colleen T Fogarty

引用次数: 0

Institutional Strategies to Boost Medical School Graduates Entering Family Medicine. 促进医学院毕业生进入家庭医学的制度策略。

IF 1.7 4区医学

Family Medicine Pub Date : 2025-06-01 DOI: 10.22454/FamMed.2025.271753

Amanda Weidner, May-Lorie Saint Laurent, Aniket Kini, Samantha Elwood, Kristin Paterson, Ashley Bentley, Michelle A Roett

{"title":"Institutional Strategies to Boost Medical School Graduates Entering Family Medicine.","authors":"Amanda Weidner, May-Lorie Saint Laurent, Aniket Kini, Samantha Elwood, Kristin Paterson, Ashley Bentley, Michelle A Roett","doi":"10.22454/FamMed.2025.271753","DOIUrl":"10.22454/FamMed.2025.271753","url":null,"abstract":"Background and objectives: With a projected primary care physician shortage, efforts must be made to increase the number of students choosing family medicine. Studies have explored what might influence student choice of family medicine, though questions remain about the impact of medical school policies and processes, including for admissions, as well as longitudinal tracks. This study explores some of these structural and institutional factors and how they are associated with rates of students entering into family medicine in subsequent years.Methods: Responses from a 2016 survey of family medicine department chairs were matched to 2017-2019 institutional family medicine graduate rates to compare the rates of students entering family medicine with (a) inclusion of primary care or family medicine in the medical school's mission statement; (b) perceived support of the dean's office in increasing family medicine teaching and leadership presence in the medical school curriculum; (c) whether the admissions committee had a charge to seek out applicants interested in primary care; and (d) the presence of Liaison Committee on Medical Education designated tracks in primary care/family medicine.Results and conclusions: Overall, schools whose admissions committees had a specific charge to seek out applicants interested in primary care were consistently more likely than their peer institutions to match more students into family medicine. Other institutional factors may play a role, particularly school mission statements and rural longitudinal tracks. The results of this study have helped to identify where departments of family medicine might focus institutional advocacy to support learners in choosing and subsequently matching into family medicine.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":"57 6","pages":"439-442"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12295598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644047","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

The Diagnostic Blind Spot in Early Medical Education. 早期医学教育中的诊断盲区

IF 1.7 4区医学

Family Medicine Pub Date : 2025-05-20 DOI: 10.22454/FamMed.2025.135278

Waseem Jerjes

引用次数: 0

A Beacon of Hope in the West Bank: An-Najah National University Family Medicine Clinic. 西岸的希望灯塔：安纳杰国立大学家庭医学诊所。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-04 DOI: 10.22454/FamMed.2025.424306

Suha Hamshari

引用次数: 0

Revisiting the Essence of Global Health Partnerships in Family Medicine. 重新审视家庭医学领域全球卫生伙伴关系的本质。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 DOI: 10.22454/FamMed.2025.872675

Klaus B Von Pressentin, Tasleem Ras, Ramakrishna Prasad, Viviana Martinez-Bianchi, Shailendra Prasad

引用次数: 0

The Evolution and Challenges of Family Medicine in Kyrgyzstan: A Health System Analysis. 吉尔吉斯斯坦家庭医学的演变与挑战：卫生系统分析。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.22454/FamMed.2025.891335

Aiperi Asanbek Kyzy, Gulnura Sulaimanova, Roman Kalmatov, Kanykey Mamyrova, Kubat Abdyrasulov, Paul Fonken, Inis Jane Bardella

{"title":"The Evolution and Challenges of Family Medicine in Kyrgyzstan: A Health System Analysis.","authors":"Aiperi Asanbek Kyzy, Gulnura Sulaimanova, Roman Kalmatov, Kanykey Mamyrova, Kubat Abdyrasulov, Paul Fonken, Inis Jane Bardella","doi":"10.22454/FamMed.2025.891335","DOIUrl":"10.22454/FamMed.2025.891335","url":null,"abstract":"Following its independence from the Soviet Union in 1991, Kyrgyzstan became a pioneer in Central Asia by implementing extensive health care reforms that introduced family medicine. Beginning in the late 1990s, these reforms strengthened primary health care by introducing family medicine as a specialty and a key component of the health care system. This approach improved the quality of medical care while reducing health care costs and gradually extended to reforms in medical education and the broader health care system, including efforts to address the rural medical workforce. However, challenges remain in fully embedding family medicine into Kyrgyzstan's medical education and health care system. This paper aims to analyze the progress made since the early reforms, assess recent developments, and explore the ongoing challenges in institutionalizing family medicine within Kyrgyzstan's health care landscape. A full-text Russian translation of this article is available from author Paul Fonken (paul.fonken@gmail.com).","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"349-354"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051071","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

As We Teach and Transform. 当我们教导和改变。

IF 1.8 4区医学

Family Medicine Pub Date : 2025-05-01 DOI: 10.22454/FamMed.2025.508500

Joseph W Gravel

引用次数: 0