PRiMER (Leawood, Kan.)最新文献_第2页

Improving Workflow With a Task Buddy System in a Family Medicine Residency. 利用任务伙伴系统改进家庭医学住院医师的工作流程。

PRiMER (Leawood, Kan.) Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.685891

Kathryn Hawks, Brandi Dahl, Alexander Melkonian, Laura Helmly

{"title":"Improving Workflow With a Task Buddy System in a Family Medicine Residency.","authors":"Kathryn Hawks, Brandi Dahl, Alexander Melkonian, Laura Helmly","doi":"10.22454/PRiMER.2025.685891","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.685891","url":null,"abstract":"Introduction: Inbox management in outpatient primary care consumes a substantial amount of time, and residency training programs face unique challenges related to provider schedules. Long work hours, provider burnout, and worse patient outcomes can all be attributed to task management burden. Team-based care models can provide support through coverage systems and group inboxes. However, more empirical study of these systems may help to inform their implementation in interdisciplinary medical residency outpatient clinics.Methods: The current study investigated the implementation of a \"task buddy\" system, which paired providers in teams to manage electronic health record (EHR) tasks. Data were collected on average task age and number of late tasks preimplementation, postimplementation, and 6 months postimplementation. Paired samples t tests were used to compare average task age for each task team. Participation was encouraged through a small monetary reward.Results: A total of 23 resident physicians and 13 faculty from multiple disciplines participated. Our data demonstrated that the average age of tasks was more than 1 day lower with this system, but total late tasks did not improve.Conclusions: The task buddy system resulted in quicker response time to complete tasks, but the number of late tasks stayed stagnant. Future studies should assess any correlation between improved patient outcomes with more efficient EHR task management. Additional studies across multiple residencies and specialties could better elucidate generalizability and provider perspectives of this pilot program.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081922","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 Students' Views on Family Medicine in Japan: Insights from an International Comparison. 日本医学生对家庭医学的看法：来自国际比较的启示。

PRiMER (Leawood, Kan.) Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.358588

Yuki Takeuchi, Qi Chen, Michael D Fetters

{"title":"Medical Students' Views on Family Medicine in Japan: Insights from an International Comparison.","authors":"Yuki Takeuchi, Qi Chen, Michael D Fetters","doi":"10.22454/PRiMER.2025.358588","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.358588","url":null,"abstract":"Introduction: Promoting family medicine (FM) among medical students is essential for strengthening future primary care systems. This study examines Japanese medical students' perspectives on FM and compares them with findings from an identical study conducted in China to identify effective strategies for promoting FM.Methods: A cross-sectional, self-administered, online survey was conducted from November 2020 to February 2021, involving 438 medical students across 28 medical schools in Japan. The survey, modeled after an identical study in China, assessed career decision factors, perceptions of FM careers and lifestyles, and attitudes toward FM, using a 5-point Likert scale.Results: Of the 363 respondents who indicated a preferred specialty, 19.8% selected FM, making it the second most popular choice. Japanese medical students valued social commitment, manageable work hours, and career stability but perceived FM as less prestigious compared to medical students in China. Both groups recognized the importance of FM in rural health care and the role of government support. However, Japanese medical students were less optimistic about FM careers offering good income and work-life balance.Conclusion: While FM is relatively popular among medical students in Japan, challenges such as perceptions of low prestige and poor work-life balance remain. Addressing these issues might enhance interest in FM. Study limitations include response bias, cultural differences affecting generalizability, and differences in timing of the survey and participant grade levels between studies. Future research should address these limitations and further explore cultural influences on medical students' career decisions.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081018/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082541","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

Evaluating Oral Health Care Among Medical Students. 医学生口腔保健评价

PRiMER (Leawood, Kan.) Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.121136

Aditya Vangala, Judith Savageau, Hugh Silk

{"title":"Evaluating Oral Health Care Among Medical Students.","authors":"Aditya Vangala, Judith Savageau, Hugh Silk","doi":"10.22454/PRiMER.2025.121136","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.121136","url":null,"abstract":"Introduction: Oral health is important and affects overall health. Medical students face both common and unique barriers to preserving their own oral health care. This study was designed to survey medical students at the University of Massachusetts Chan Medical School (UMass Chan) to evaluate their oral health hygiene practice and identify barriers to dental care.Methods: We disseminated a 15-question survey to the student body via email, class Facebook pages, and in-person lecture announcements. We used bivariate analyses (using χ2 tests) to identify any associations among select variables.Results: Fifty-four percent of students responded to the survey. Of those, 84% brushed their teeth at least twice a day, however only 63% visited a dentist in the last 12 months. Reported barriers to dental visits included being too busy, not knowing how to find local dentists that accepted student dental insurance plans, and lack of finances especially for Hispanic students. We found no significant differences between preclinical and clinical students, however younger age (<26) was associated with more recent dental visits. Students enrolled in Medicaid had larger gaps in care compared to those with private insurance.Conclusions: UMass Chan students face barriers to professional dental care and do reasonably well on personal dental hygiene. To improve access to dental care, especially for those on Medicaid, efforts should be made to provide referral resources and consider an on-campus dental clinic. Hispanic students may need more money in their loan package. More study on this topic is needed nationally.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082748","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 Department Chair Survey. 2024年CERA系主任调查方案。

PRiMER (Leawood, Kan.) Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.600324

Heather L Paladine, Alexis Reedy-Cooper, Wade M Rankin, Miranda A Moore

{"title":"Protocol for the 2024 CERA Department Chair Survey.","authors":"Heather L Paladine, Alexis Reedy-Cooper, Wade M Rankin, Miranda A Moore","doi":"10.22454/PRiMER.2025.600324","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.600324","url":null,"abstract":"Introduction: CERA, the Council of Academic Family Medicine (CAFM) Educational Research Alliance, is a program that provides an infrastructure for educational survey research. Members of the CAFM organizations can submit proposals to survey subgroups within academic family medicine. CERA's mission includes the production of rigorous medical education research as well as mentorship for newer researchers. The purpose of this article is to describe the methodology of the 2024 CERA Department Chair survey.Methods: The call for proposals for the survey was open from April 1-30, 2024. Ten proposals were received and five were accepted following a competitive peer-review process. The survey, which included questions from these five research teams as well as standard demographic questions, was approved by the American Academy of Family Physicians Institutional Review Baord. The sample was all chairs of departments of family medicine in the United States and Canada, as identified using member databases of CAFM organizations and responses to prior CERA surveys. The survey was then sent out via email using the Survey Monkey platform from August 13, 2024 through September 20, 2024.Results: The survey received 111 responses out of a population 218 potential participants, for a response rate of 50.92%. No significant differences were found for race/ethnicity, gender, age, or location between responders and the overall population.Conclusions: The 2024 CERA Department Chair Survey had an acceptable response rate, and no difference was found in demographic characteristics between responders and the overall population.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082671","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

Methodology, Respondents, and Past Topics for 2024 CERA Clerkship Director Survey. 2024年CERA职员主管调查的方法、受访者和过去的主题。

PRiMER (Leawood, Kan.) Pub Date : 2025-03-06 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.677955

Amanda Kost, Rachel Ellenbogen, Ray Biggs, Heather L Paladine

{"title":"Methodology, Respondents, and Past Topics for 2024 CERA Clerkship Director Survey.","authors":"Amanda Kost, Rachel Ellenbogen, Ray Biggs, Heather L Paladine","doi":"10.22454/PRiMER.2025.677955","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.677955","url":null,"abstract":"Introduction: CERA, the Council of Academic Family Medicine (CAFM) Educational Research Alliance, is a collaboration between four family medicine organizations to conduct omnibus surveys of different groups within family medicine. This article describes the methodology of the 2024 Clerkship Directory (CD) Survey, presents the demographic results of respondents, and categorizes CD topics from 2012 through 2024.Methods: Five topics for the annual CD survey were selected via peer review after a call for proposals in early 2024. The survey was sent to family medicine clerkship directors from June 4, 2024 to July 12, 2024. We used χ2 tests to compare the demographics of sampling frame against the sample to determine if they were representative of the sampling frame. We used program records to describe past survey topics.Results: One hundred seventy-nine surveys were sent out; after receiving updated clerkship information, the final 2024 pool size was 173 survey recipients (158 in the United States and 15 in Canada); 91 clerkship directors completed the survey, with a response rate of 52.60% (91/173). We compared demographic data of sampling frame with the sample. There was no significant difference in demographics including location, gender, race/ethnicity, underrepresented in medicine status, or MD degree. CD survey topics from 2012-2024 included 6 on preceptors, 29 on content/curriculum, 8 on grading/assessment, 8 on administration, and 9 on other.Discussion: 2024 Clerkship Directory Survey respondents are representative of clerkship directors. From 2012-2024 the most studied topic was content/curriculum. The Clerkship Director Survey continues to offer important scholarship opportunities and insights into current themes in undergraduate medical education.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082557","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

Investigating Critical Disparities in USMLE Step 1 Resources: Myocardial Infarction Symptoms in Women. 调查USMLE的关键差异第1步资源：女性心肌梗死症状

PRiMER (Leawood, Kan.) Pub Date : 2025-03-04 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.856977

Mahfujul Z Haque, Avery H Mendelson, Nishtha Sareen

{"title":"Investigating Critical Disparities in USMLE Step 1 Resources: Myocardial Infarction Symptoms in Women.","authors":"Mahfujul Z Haque, Avery H Mendelson, Nishtha Sareen","doi":"10.22454/PRiMER.2025.856977","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.856977","url":null,"abstract":"Introduction: Coronary heart disease (CHD) is the leading cause of death in the United States. Myocardial infarction (MI) is a major complication of CHD and often fatal. Women with MI are at risk for underdiagnosis due to unique symptoms such as fatigue, nausea, and shortness of breath. Younger women under 55 have a higher risk of death from MI compared to men. Early recognition of these symptoms is essential but may not be adequately taught in medical education.Methods: We conducted a cross-sectional analysis on November 13, 2023. The study examined the most recommended Step 1 resources listed in First Aid for the USMLE Step 1 2023. We performed a search for terms such as \"women,\" \"female,\" and \"myocardial infarction\" to identify content on biologic sex differences in MI symptoms.Results: None of the evaluated resources, including First Aid for the USMLE Step 1 2023, UWorld Question Bank, and National Board of Medical Examiners Practice Exams, discussed biologic sex-specific MI symptoms.Conclusions: The findings reveal a gap in medical education. USMLE Step 1 resources do not address the unique presentation of MI in women. This oversight may affect students' ability to recognize MI symptoms in clinical practice. Medical curricula and licensing exams should include this topic to better prepare students. Improving education on biologic sex-specific symptoms can lead to better care and outcomes for women with CHD.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082362","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

Educating Health Professions Students About Older Adults: Results From the Age-Friendly Students Senior Connection. 对卫生专业学生进行老年教育：来自年龄友好型学生的老年联系的结果。

PRiMER (Leawood, Kan.) Pub Date : 2025-02-24 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.121114

Jo Marie Reilly, Devika Chandramohan, Jeanine Yonashiro-Cho

{"title":"Educating Health Professions Students About Older Adults: Results From the Age-Friendly Students Senior Connection.","authors":"Jo Marie Reilly, Devika Chandramohan, Jeanine Yonashiro-Cho","doi":"10.22454/PRiMER.2025.121114","DOIUrl":"https://doi.org/10.22454/PRiMER.2025.121114","url":null,"abstract":"Introduction: The Age-Friendly Student Senior Connection (AFSSC) is a graduate-level interprofessional (IP) health student service-learning effort launched early in the COVID-19 pandemic to connect older adults to students providing both social support and health resources to seniors through dyad phone calls between IP health students and community-dwelling elderly. Our study aimed to examine changes in students' attitudes toward older adults after participation in the program.Methods: IP graduate health students were paired with community-dwelling older adults to engage in weekly remote interactions over a 6 to 10-week period. Students completed a postparticipation online survey that included an open-ended qualitative question about program impact on challenging or reinforcing their preconceived notions about older adults. We used descriptive statistics to characterize participants, and conducted thematic content analysis to inductively explore student-reported lessons learned.Results: Students reported that program participation challenged their preconceived notions of older adults and aging. Commonly identified themes included resilience, continued activity, and social interactions among older adults, observations about health conditions, and the early impact of the COVID-19 pandemic on older adults.Conclusions: Study findings demonstrate the positive effects of the AFSSC on health professions students' attitudes toward and perceptions of older adults. Student participation in intergenerational service-learning programs may reduce negative elderly stereotypes by challenging preconceived notions and improving student understanding and appreciation of older adults.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082745","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

Starting the Conversation: Patient Perceptions of Self-Assessed Type-2 Diabetes Risk. 开始对话：患者对自我评估的2型糖尿病风险的认知。

PRiMER (Leawood, Kan.) Pub Date : 2025-01-08 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.751797

Bennett Collis, Huda Kutmah, Peyton Couch, Neelima J Kale, Karen L Roper

{"title":"Starting the Conversation: Patient Perceptions of Self-Assessed Type-2 Diabetes Risk.","authors":"Bennett Collis, Huda Kutmah, Peyton Couch, Neelima J Kale, Karen L Roper","doi":"10.22454/PRiMER.2025.751797","DOIUrl":"10.22454/PRiMER.2025.751797","url":null,"abstract":"Introduction: Little is known about patients' perceptions of their risk for type-2 diabetes (T2D), or if knowledge of risk could facilitate weight and diabetes prevention discussions with health care professionals.Methods: In our academic family medicine practice, 25 patients completed a previsit T2D risk assessment on their phone and answered interview and survey questions to assess their understanding of their risk for developing T2D.Results: Interest in their T2D risk was high, but self-estimation of risk before obtaining their score was low (21/25 reported ≤30% chance of developing diabetes). All patients perceived T2D to be very serious, most remembered their risk score (18/23 correct) when interviewed 3-5 days later, and many reported that the score increased their motivation to prevent T2D development. Despite this, the calculated risk result was not considered accurate by 8/23 patients and only 4/23 patients shared their score during their appointment visit.Conclusion: T2D risk evaluation can facilitate patient awareness of their risk and lifestyle improvement, but clinician engagement and communication are needed for interpretation, treatment, and linkage to prediabetes care.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"9 ","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11789698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191522","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

Use of AI in Family Medicine Publications: A Joint Editorial From Journal Editors. 人工智能在家庭医学出版物中的应用：期刊编辑的联合社论。

PRiMER (Leawood, Kan.) Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.889328

Sarina Schrager, Dean A Seehusen, Sumi M Sexton, Caroline R Richardson, Jon O Neher, Nicholas Pimlott, Marjorie A Bowman, José E Rodríguez, Christopher P Morley, Li Li, James Dom Dera

引用次数: 0

Contextualizing COVID-19 Vaccine Hesitancy in the Broader Vaccination Debate. 在更广泛的疫苗接种辩论中理解 COVID-19 疫苗的犹豫不决。

PRiMER (Leawood, Kan.) Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.867785

Alexander Kaysin

引用次数: 0