PRiMER (Leawood, Kan.)最新文献

Strengthening Clinical Cardiovascular Care Through Disparity-Specific Education. 通过差异化教育加强临床心血管护理。

PRiMER (Leawood, Kan.) Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.144778

Mahfujul Z Haque, Avery H Mendelson, Nishtha Sareen

引用次数: 0

Global Health Curriculum in US Family Medicine Residencies. 美国家庭医学住院医师的全球健康课程。

PRiMER (Leawood, Kan.) Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.419761

Kathy Z Chang, Lauren Bull, Ruben H Hernandez, Sommer Aldulaimi, Nora Kratz, Orrin Myers, Esther M Johnston

{"title":"Global Health Curriculum in US Family Medicine Residencies.","authors":"Kathy Z Chang, Lauren Bull, Ruben H Hernandez, Sommer Aldulaimi, Nora Kratz, Orrin Myers, Esther M Johnston","doi":"10.22454/PRiMER.2025.419761","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.419761","url":null,"abstract":"Introduction: Interest in training opportunities and ethical engagement in global health among medical trainees continues to increase. Preparation activities and formal curriculum for trainees traveling for international rotations vary widely across programs, and alignment with ethical best practice guidelines among US family medicine (FM) residency programs is unknown.Methods: We surveyed FM residency programs about their global health (GH) curricula, with focus on practice alignment with ethical guiding principles for pretravel training in GH programs. We analyzed the responses by type of residency program and availability of faculty lead with expertise in GH.Results: Fifty programs were included in analysis of GH curriculum specifics. Programs with expert leads were significantly more likely to have a formal GH curriculum and/or pretravel training, to offer formal and informal faculty mentorship on cultural expectations and global health ethics, and to include scope of practice (P=.001) and pretravel safety training with a standard institutional process (P=.011). Program type was not significantly correlated with global health curriculum specifics, except for availability of journal club. Small sample sizes limited our analysis of residency type.Conclusion: Programs with an expert GH faculty lead were more likely to have formal GH curriculum or pretravel training with inclusion of elements recommended by the WEIGHT ethical best practices for GH training. Residency programs should consider designating lead faculty to formalize GH curriculum and mentorship in alignment with Accreditation Council for Graduate Medical Education competency requirements and with WEIGHT ethical best practices.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical School Faculty Knowledge and Attitudes Toward Sex and Gender-Based Medicine. 医学院教师对性别和性别医学的知识和态度。

PRiMER (Leawood, Kan.) Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.910249

Abigail Duerst, Anna Vanderschaegen, Juliana M Kling, Lisa Graves

{"title":"Medical School Faculty Knowledge and Attitudes Toward Sex and Gender-Based Medicine.","authors":"Abigail Duerst, Anna Vanderschaegen, Juliana M Kling, Lisa Graves","doi":"10.22454/PRiMER.2025.910249","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.910249","url":null,"abstract":"Introduction: A person's sex and/or gender may influence the pathogenesis, presentation, and therapeutic response to disease; yet, the impact of sex and gender is not routinely evaluated in medical research, nor adequately emphasized in medical school curricula. Little is known about medical school faculty knowledge and attitudes regarding sex and gender-based medicine (SGBM).Methods: We administered an online survey to 158 faculty members at WMU Homer Stryker M.D. School of Medicine. The survey of knowledge on SGBM was adapted from two prior surveys used in medical student and resident populations and modified for faculty participants. Hidden curriculum theory, which proposes students learn through formal curriculum as well as through passive perceptions of faculty and institutional attitudes, was used as a theoretical lens.Results: Thirty-eight of 158 recipients completed the survey, for a 24% response rate. Respondents answered an average of 48.53% of the knowledge questions correctly; percent correct did not differ significantly between men and women faculty members (P= .2732). Seventy one percent of respondents indicated it was important or very important to consider sex and gender when providing patient care. Only 24% indicated they had some formal or continuing education on the topic. Respondents indicated interest in educational opportunities for SGBM in the form of online modules or lectures.Conclusion: Though faculty respondents endorsed SGBM, few have had formal education related to the topic. Faculty development on SGBM may close knowledge gaps and facilitate integration of this curriculum. The survey tool developed through this project may be useful for other institutions engaged in similar efforts related to SGBM.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

LGBTQ+ Health Education: Student Experiences at a Midwest Medical School. LGBTQ+健康教育：中西部一所医学院的学生经历。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.829484

Tess I Jewell, Eden F Charles, Elizabeth M Petty

{"title":"LGBTQ+ Health Education: Student Experiences at a Midwest Medical School.","authors":"Tess I Jewell, Eden F Charles, Elizabeth M Petty","doi":"10.22454/PRiMER.2025.829484","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.829484","url":null,"abstract":"Introduction: The current sociopolitical landscape surrounding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities involves discrimination in multiple areas of life. Medical education on LGBTQ+ health is often variable and incomplete. As part of a comprehensive evaluation of LGBTQ+ health in our curriculum, we explored student experiences learning about LGBTQ+ health during medical school, including the impact of the sociopolitical landscape.Methods: We conducted focus groups of medical students at a single Midwest institution in March 2024. All medical students were invited to participate. We analyzed the data using an inductive systematic hierarchical thematic qualitative analysis approach to describe key themes.Results: Eighteen medical students participated in three focus groups. Analysis demonstrated 13 key themes across three domains: (1) elements that impacted student learning (six key themes, 28 subthemes); (2) aspects participants would change regarding how LGBTQ+ health is taught (four key themes, 11 subthemes); and (3) ways the sociopolitical landscape has impacted their education or anticipated career trajectory (three key themes). Most participants reported that the current sociopolitical landscape surrounding LGBTQ+ communities has impacted their education or anticipated career trajectory.Conclusion: Medical students described positive, negative, and neutral factors that impacted their education on LGBTQ+ health in the formal and hidden curriculum. Students described insufficient learning opportunities in preclinical and clinical settings with various factors in the hidden curriculum impacting their learning. The current sociopolitical landscape surrounding LGBTQ+ communities may influence where medical students pursue future training and careers due to learning goals or identity.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physician Responses to Patients Experiencing Intimate Partner Violence. 医生对遭受亲密伴侣暴力的病人的反应。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-24 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.584466

Courtney A Chau, Vijay Singh, Alexandra Lutnick, Mary N R Lesser

{"title":"Physician Responses to Patients Experiencing Intimate Partner Violence.","authors":"Courtney A Chau, Vijay Singh, Alexandra Lutnick, Mary N R Lesser","doi":"10.22454/PRiMER.2025.584466","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.584466","url":null,"abstract":"Introduction: While guidelines exist for physicians to identify and respond to patients experiencing intimate partner violence (IPV), no studies describe physician practices of making mandated reports, advising patients about confidentiality limitations, or conducting homicide risk assessment. This pilot study aimed to explore current physician responses to patient disclosure of experiencing IPV.Methods: We sent interview invitations from March to August 2022 to 11 US national medical societies and 118 state chapters for family medicine, general internal medicine, obstetrics and gynecology, emergency medicine, and plastic surgery. We conducted semi-structured qualitative online interviews that were recorded and transcribed. We conducted a thematic analysis to determine codes and themes.Results: Participants consisted of ten female and three male physicians with a median of 16 years in practice. Analysis revealed two themes based on self-reported knowledge and actions: (1) limited knowledge and use of mandatory reporting and risk assessment, and (2) reliance on team members due to limited protocol awareness and time. Most participants did not recall reporting requirements, and few physicians described reporting IPV to law enforcement, advising patients of confidentiality limitations, or conducting risk assessments. As a result of time barriers and limited expertise about protocols and resources, participants relied on social work and nursing team members to respond to IPV.Conclusions: Physicians in this sample describe limited knowledge and use of mandatory reporting and safety assessment. These limitations can be further investigated in larger studies to determine the need for trainings that include reporting requirements and for developing IPV response protocols.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preparing Clinicians to Conduct Forensic Medical and Mental Health Evaluations for People Seeking Asylum. 准备临床医生为寻求庇护的人进行法医和心理健康评估。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.296906

Eleanor Emery, Sara A Snyder, Jenny X Wen, Gaurab Basu, Jessica Santos, Danny McCormick, Diya Kallivayalil

{"title":"Preparing Clinicians to Conduct Forensic Medical and Mental Health Evaluations for People Seeking Asylum.","authors":"Eleanor Emery, Sara A Snyder, Jenny X Wen, Gaurab Basu, Jessica Santos, Danny McCormick, Diya Kallivayalil","doi":"10.22454/PRiMER.2025.296906","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.296906","url":null,"abstract":"Introduction: Teaching graduate medical trainees to conduct forensic medical and mental health evaluations (FMEs) of people seeking asylum fosters knowledge and skills needed to care for displaced and trauma-exposed populations. The national Asylum Medicine Training Initiative (AMTI) is the new standard for training clinicians to conduct FMEs but has not yet been evaluated in graduate medical education.Methods: We designed a novel, year-long, interdisciplinary, graduate medical elective in asylum medicine that combines AMTI's asynchronous didactics with experiential learning in the form of small group skills practice and mentored FMEs. We used a formative, mixed-methods approach to evaluate participants' acquisition of knowledge essential for conducting FMEs, self-reported comfort with relevant skills, and self-reported preparedness for conducting independent FMEs.Results: Eight trainees participated in the elective from September 2022 to June 2023. The evaluation (response rate 100%, 8/8) showed a significant increase in knowledge essential for conducting FMEs, and most participants felt prepared to conduct FMEs independently. Qualitative analysis showed participants felt they benefited from the experiential learning and that, despite barriers to conducting FMEs, they intend to apply these skills in future work with displaced populations.Conclusions: Though limited by small sample size and reliance on self-assessment, our results indicate that this novel curriculum helped prepare interdisciplinary trainees to conduct FMEs and improved their comfort with skills applicable to working with displaced populations. This elective could be replicated at other institutions because of the accessibility of the AMTI curriculum and use of virtual space for small groups and mentored FMEs.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protocol for the 2024 CERA General Membership Survey. 2024年CERA一般会员调查议定书。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.436106

Arianne Cordon-Duran, Miranda A Moore, Wade M Rankin, Ray Biggs, Tiffany Ho

{"title":"Protocol for the 2024 CERA General Membership Survey.","authors":"Arianne Cordon-Duran, Miranda A Moore, Wade M Rankin, Ray Biggs, Tiffany Ho","doi":"10.22454/PRiMER.2025.436106","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.436106","url":null,"abstract":"Introduction: The Council of Academic Family Medicine (CAFM) Educational Research Alliance (CERA) consists of four family medicine organizations that aim to promote family medicine research. Each year, CAFM members can submit audience-specific survey questions. The purpose of this paper is to review the methods and demographics of the 2024 General Membership Survey and determine the generalizability of the survey respondents.Methods: CERA opened its call for the annual General Membership Survey proposals from May 2024 to June 2024. Twelve proposals underwent a competitive peer-reviewed process, and five were chosen. Select CAFM members received survey invitations via Survey Monkey between October 15, 2024 and November 22, 2024. Demographics of potential survey respondents and actual survey respondents were compared using χ2 tests or Fisher's exact tests.Results: Of the 4,844 CAFM members invited to participate, 1,194 responded, yielding a response rate of 24.7%. Demographic data from potential survey respondents were compared to actual respondents. Statistically significant differences were found at the categorical variable analysis level for variables of race/ethnicity, self-identification as underrepresented in medicine, highest degree earned, and state/ province of practice/program, between the potential respondents and actual respondents. Differences in age and gender were not statistically significant between responders and nonresponders. Several characteristics were also found to not be statistically significantly different at an α of 0.05.Conclusion: This paper describes the methods and the generalizability of the 2024 CERA General Membership Survey. The CERA surveys provide a mechanism for CAFM members to conduct national surveys on topics important to family medicine education.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breaking the Bias: Improving Medical Education on Sex Disparities in Myocardial Infarction. 打破偏见：改善心肌梗死性别差异的医学教育。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-21 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.152978

Manasicha Wongpaiboon, Eric Delgado Rendon, Jackson L Shelton

引用次数: 0

Associations Between Family Medicine Residency Applicants' Debt Concern and Their Perception of Virtual Residency Interviews. 家庭医学住院医师申请人债务忧虑与虚拟住院医师面谈感知之关系。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.898068

Srilakshmi P Vankina, Radhika Laddha, Alison N Huffstetler

{"title":"Associations Between Family Medicine Residency Applicants' Debt Concern and Their Perception of Virtual Residency Interviews.","authors":"Srilakshmi P Vankina, Radhika Laddha, Alison N Huffstetler","doi":"10.22454/PRiMER.2025.898068","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.898068","url":null,"abstract":"Introduction: Since the shift to virtual residency interviews following the COVID-19 pandemic and the initial 2021 and 2022 endorsement from the Accreditation Council for Graduate Medical Education, applicants and programs have been weighing the benefits and disadvantages of this transition. This study examines the impact of debt concern among family medicine residency applicants and their likelihood of (1) accepting virtual interview offers and (2) recommending the digital format for future application cycles.Methods: Using responses from the American Academy of Family Physicians 2023 Medical Student Education Survey, we applied descriptive bivariate analysis and rapid cycle thematic evaluation to explore associations between 2023 family medicine residency applicants' debt concern and their perception of digital residency interviews.Results: A majority of our study sample (86%) had some level of debt concern. A majority (88.8%) also noted that most of their interviews were virtual. Regardless of debt concern, most students (87.4%) indicated that they accepted offers for virtual interviews that they otherwise may not have accepted if travel time and expenses were involved. Furthermore, most students (87.1%) recommended a virtual component to future residency interviews.Conclusion: Contrary to our expectations, there was no association between concern for debt and preference for virtual interviews. Most candidates preferred the virtual setting, stating that they were more likely to accept virtual interview offers, and recommended this format for future cycles.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of Reproductive Health Policy on West Texas Medical Students' Specialty and Residency Choices. 生殖健康政策对西德州医学院学生专业和住院医师选择的影响

PRiMER (Leawood, Kan.) Pub Date : 2025-04-04 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.512781

Sachi Khemka, Merry Mathew, Betsy Jones

{"title":"Influence of Reproductive Health Policy on West Texas Medical Students' Specialty and Residency Choices.","authors":"Sachi Khemka, Merry Mathew, Betsy Jones","doi":"10.22454/PRiMER.2025.512781","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.512781","url":null,"abstract":"Introduction: Gender-based differences in medical student preferences are of growing interest. This study examines specialty choice and family planning preferences among medical students in Lubbock, Texas. It also assesses the impact of reproductive health policy changes on specialty choice and desired residency location.Methods: A Qualtrics (Silver Lake) survey was sent to 172 first-year medical students from Texas Tech University Health Sciences Center (TTUHSC) School of Medicine. Males' responses were compared with females' responses using an unpaired t test with a significance threshold of 0.05.Results: Surveys were returned by 90 male and 82 female participants. Results show that both genders exhibited moderate interest in primary care and surgical specialties, with males showing higher interest in becoming medical subspecialists (P=.0010). Female participants were less inclined than males to consider having a child during medical school (P=.0168) and residency (P=.0461). Males expressed lower concern than females about reproductive health policy impacts on specialty choice (P<.0001) and preferred residency location (P=.0003). Family planning considerations were equally moderate in impacting specialty choice for both genders.Conclusions: The findings indicate that male students are more open to the idea of having a child during training and that reproductive health policy changes have had a larger influence on female students' specialty choice and desired match location. To support physicians-in-training, educators should integrate family planning discussions, prioritize reproductive health education, advocate for and improve residency transparency on parental leave policies, and help students navigate residency applications amid policy changes.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0