Family Medicine最新文献_第7页

Medical Students' Views of the Future in a Rapidly Changing World. 医科学生在瞬息万变的世界中对未来的看法。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-07-15 DOI: 10.22454/FamMed.2024.918294

Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange

{"title":"Medical Students' Views of the Future in a Rapidly Changing World.","authors":"Robin S Gotler, Bethany Snyder, C Kent Smith, Patricia Moore, James Bindas, Rebecca S Etz, William L Miller, Kurt C Stange","doi":"10.22454/FamMed.2024.918294","DOIUrl":"10.22454/FamMed.2024.918294","url":null,"abstract":"Background and objectives: Physicians have long been considered valued members of a solid US health care system. Significant changes in medical education, health care, and society at-large suggest that current medical students may face a different future. To help guide educators and policy makers, we set out to understand medical students' perceptions of the future of health care and their place in it.Methods: In year one of a longitudinal study, we conducted in-depth interviews of Case Western Reserve University medical students. A multidisciplinary team performed iterative thematic analyses and sampling until reaching saturation on major themes.Results: Eleven medical student participants described social and health care issues as major influences on their professional futures. Concerns included health care system failings, unsustainable costs, climate change, demographic shifts, disinformation, and public distrust in health care. Students looked forward to team practice and using technology, data, and artificial intelligence in care delivery. They hoped for greater access and equity in health care, with a focus on prevention and social, behavioral, and environmental drivers of health. Most students expected to be employed rather than in private practice and sought time/flexibility for professional and personal interests. Paying off medical school debt and advocating for patients and change were priorities. Many saw primary care as important, but fewer envisioned it as their career path of choice.Conclusions: Medical students envision a future shaped by health care systems and social issues. These findings can inform those helping students prepare for uncertainty and rapid change in their careers, their lives, and the lives of their patients.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"541-547"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621685","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

Author's Response to "Beyond the Mirage: Confronting Historic Inequities in Maternal Care Deserts". 作者对 "超越海市蜃楼：面对孕产妇护理荒漠中历史性的不平等"。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-09-10 DOI: 10.22454/FamMed.2024.150895

Alison N Huffstetler

引用次数: 0

Results of the Family Medicine Journal Reviewer Demographic Survey. 家庭医学杂志》审稿人人口调查的结果。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 DOI: 10.22454/FamMed.2024.768129

José E Rodríguez, Octavia Amaechi

引用次数: 0

Baby Jesús. 赫苏斯宝宝

IF 1.8 4区医学

Family Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.22454/FamMed.2024.157846

José E Rodríguez

引用次数: 0

Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates. 实施分娩阵痛检查表，降低 NTSV 剖宫产率。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-24 DOI: 10.22454/FamMed.2024.891654

Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson

{"title":"Implementation of a Labor Dystocia Checklist to Reduce NTSV C-Section Rates.","authors":"Karli Swenson, Michael Bradfield, Alexa Czmowski, Kelsey West, Gretchen Schulz, Amber Johnson","doi":"10.22454/FamMed.2024.891654","DOIUrl":"10.22454/FamMed.2024.891654","url":null,"abstract":"Background and objectives: Cesarean section (c-section) rates among nulliparous, term, singleton, and vertex (NTSV) pregnancies are increasing, posing risk to the infant and birthing parent. To reach the Healthy People 2030 goal of an NTSV c-section rate below 23.6%, teams must remain aware of their NTSV c-section rate and implement mechanisms to reduce it. This project was conducted to assess the impact of quality improvement interventions implemented by family medicine residents to reduce a hospital's NTSV rate.Methods: From 2021 to 2023, family medicine residents were educated on evidenced-based diagnosis of labor dystocia, failed induction of labor, arrest of dilation, and arrest of descent in first-time birthing parents. Learning was reinforced by implementing the Colorado Perinatal Care Quality Collaborative's labor dystocia checklist. Quarterly assessment of the hospital's NTSV rate and checklist utilization were monitored and widely reported.Results: After the implementation of a standard checklist, the NTSV c-section rate at the tertiary care center declined from 35.6% in 2020 to a sustained rate below the 2030 Healthy People goal of 23.6%. Notably, patients with public insurance saw the greatest reduction in NTSV c-section rates. Hospital staff highlighted the benefits of using the checklist, including more effective electronic documentation of labor progression, improvement in team dynamics, and increased team communication.Conclusions: Using a labor dystocia checklist is a successful method for teams to reduce NTSV c-section rates and can be used as a training tool for family medicine and obstetrics and gynecology residency programs that care for laboring persons.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394912","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

Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy. 有个性的政策简报：如何创新性地传播宣传证据。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-23 DOI: 10.22454/FamMed.2024.390472

Yohualli B Anaya, Alison N Huffstetler, Yalda Jabbarpour, Andrew W Bazemore

引用次数: 0

The ABFM Core Outcomes: The Next Step to Outcome-Based, Time-Variable Training in Family Medicine. ABFM 核心成果：以成果为基础、时间可变的全科医学培训的下一步。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-19 DOI: 10.22454/FamMed.2024.424308

Bryce A Ringwald

引用次数: 0

Family Medicine Resident Remediation Compared Across Two CERA Studies. 两项 CERA 研究中全科住院医师补救措施的比较。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-06 DOI: 10.22454/FamMed.2024.375189

David Rebedew, Theodore Bell, Abdul Waheed, Erum Azhar

{"title":"Family Medicine Resident Remediation Compared Across Two CERA Studies.","authors":"David Rebedew, Theodore Bell, Abdul Waheed, Erum Azhar","doi":"10.22454/FamMed.2024.375189","DOIUrl":"10.22454/FamMed.2024.375189","url":null,"abstract":"Background and objectives: From 2020 to 2022, multiple medical schools transitioned from teaching patient care directly to online electives. Family medicine program directors reported on these learners' abilities to meet the Accreditation Council of Graduate Medical Education (ACGME) core competencies during residency. The authors hypothesized an increased need for medical knowledge remediation in the 2023 Council of Academic Family Medicine Educational Research Alliance (CERA) study.Methods: Using the 2017 and 2023 CERA studies, the authors evaluated which factors were associated with residents requiring remediation, residents completing remediation, the duration of remediation, and the most remediated core competency.Results: Compared to 2017, the percentage of residents who successfully remediated in the 2023 study increased (P=.006), while remediation duration stayed unchanged at 6 to 12 months. The top ACGME core competency needing remediation remained professionalism in both studies (2017: 38.1%; 2023: 45.1%; P=.10) with medical knowledge being second most common (2017: 30.2%; 2023: 25.2%; P=.20). We found no associations between non-U.S. medical graduate percentage, core faculty remediation training, professionalism training, or didactic hours and the number of residents undergoing remediation, the percentage of residents remediating successfully, or the most common competency remediated. Program director gender, degree, race, years of experience, underrepresented in medicine status, and remediation training were not associated with any resident remediation variables studied.Conclusions: Professionalism remains the top core competency requiring remediation. We found no associations between resident, program, training, or program director factors and the core competency requiring remediation, the number of residents needing remediation, or the percentage of residents who completed remediation.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394911","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 Premier Medical Education Model: Improving Preceptor Recruitment in Underserved Areas. 顶级医学教育模式：改善服务不足地区的实习医生招聘工作。

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-07-03 DOI: 10.22454/FamMed.2024.513346

Karla Finnell, Karen Ortiz, Mary Gowin, Whiskey Kelsey, Mary Williams, Ellin Ellis, Olivia Lust, Frances Wen, Zsolt Nagykaldi

{"title":"The Premier Medical Education Model: Improving Preceptor Recruitment in Underserved Areas.","authors":"Karla Finnell, Karen Ortiz, Mary Gowin, Whiskey Kelsey, Mary Williams, Ellin Ellis, Olivia Lust, Frances Wen, Zsolt Nagykaldi","doi":"10.22454/FamMed.2024.513346","DOIUrl":"10.22454/FamMed.2024.513346","url":null,"abstract":"Background and objectives: Building on research highlighting the success of tribal, rural, and underserved clerkships to increase students' intention to practice family medicine in these areas, we explored the perspectives of prospective precepting physicians and administrators to develop an optimal structure to facilitate recruitment of external preceptors.Methods: We conducted semistructured interviews with family physicians (N=14) and health system administrators (N=14) working in tribal, rural, and underserved areas. Discussions were recorded, transcribed verbatim, and coded independently by two researchers. Applying rapid assessment qualitative research methods, we used a framework method to identify emergent themes that were applied to improve the recruitment of external preceptors.Results: Physicians identified key facilitating factors and barriers to serving as a preceptor, which paralleled those common within the existing literature. However, administrators were motivated to serve as a precepting site to increase the potential of recruiting future physicians. We developed the Premier Medical Education Hub model to align these different but compatible interests with the goal to increase preceptor participation. In this model, each host site dedicates staff and adopts standardized procedures to manage rotations, hosts at least five students annually, provides housing, has procedures to facilitate electronic health record access, and offers student immersion experiences.Conclusions: As practice ownership shifts from physician-owned to health system ownership, administrators become the gatekeepers for prospective preceptors. Our findings demonstrate that integrating the compatible interests between physicians and administrators allows for the creation of a synergistic model that facilitates preceptor recruitment.","PeriodicalId":50456,"journal":{"name":"Family Medicine","volume":" ","pages":"485-491"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11412298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621689","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

Who Will Teach the Teachers Themselves? 谁来教教师自己？

IF 1.8 4区医学

Family Medicine Pub Date : 2024-09-01 Epub Date: 2024-06-28 DOI: 10.22454/FamMed.2024.341071

Lauren Owens

引用次数: 0