PRiMER (Leawood, Kan.)最新文献_第3页

Beyond the Workshop: Advancing Antiracist Medical Education. 超越研讨会：推进反种族主义医学教育。

PRiMER (Leawood, Kan.) Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.893043

Brittany Houston, Morgan S White, Melissa See

引用次数: 0

Integrating Bias Reduction Into Medical Teaching Cases: Addressing the Overrepresentation of Skin of Color Images in Infectious Disease and Sexually Transmitted Infection Cases. 将减少偏见纳入医学教学案例：解决传染病和性传播感染病例中有色皮肤图像比例过高的问题。

PRiMER (Leawood, Kan.) Pub Date : 2025-01-02 eCollection Date: 2025-01-01 DOI: 10.22454/PRiMER.2025.348401

DanTasia Welch, Shermeeka Hogans-Mathews

引用次数: 0

Telehealth in Family Medicine Clerkships After Return of In-Person Care: A CERA Study. 家庭医学书记员返岗后远程医疗的CERA研究。

PRiMER (Leawood, Kan.) Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.899806

Kathleen Wong, Misbah Keen, Tian Zhou, Charlotte Bolch, John Ashurst

{"title":"Telehealth in Family Medicine Clerkships After Return of In-Person Care: A CERA Study.","authors":"Kathleen Wong, Misbah Keen, Tian Zhou, Charlotte Bolch, John Ashurst","doi":"10.22454/PRiMER.2024.899806","DOIUrl":"10.22454/PRiMER.2024.899806","url":null,"abstract":"Introduction: The COVID-19 pandemic encouraged widespread implementation of telemedicine. With the increased normalization of telemedicine in clinical practice, the authors sought to characterize telemedicine training during family medicine clerkships after the return to in-person care.Methods: Data were collected as part of the 2023 Council of Academic Family Medicine's Educational Research Alliance (CERA) survey of family medicine clerkship directors (CDs). Along with baseline demographics about the clerkship and themselves, CDs answered which Association of American Medical Colleges (AAMC) telehealth competencies were taught during family medicine clerkships and indicated challenges related to involving medical students in telemedicine visits.Results: More than half of the responding family medicine clerkships (57.3%) did not teach any of the AAMC telehealth core competencies and only 4.3% taught all six competencies. The three most commonly taught competencies during the clerkship included communication via telehealth (32.2%), patient safety and appropriate use of telehealth (27.1%), and technology for telehealth (17.7%). Most family medicine clerkships (68.0%) identified at least one challenge of the three possible perceived challenges with \"limited site resources\" as the most reported barrier. There was no significant difference in telemedicine training from CD based on type of medical school (P=.73), gender (P=.82), being a CD for 5 years or less (P=.41), or self-identification as an underrepresented minority in medicine (P=.19).Conclusions: Of those CDs who responded, many still do not teach the AAMC telehealth core competencies within their family medicine clerkship. The majority reported limited site resources as a barrier to telehealth education.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191429","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

Resident Perspectives on a Wellness Program: A Qualitative Analysis. 居民对健康计划的看法：定性分析。

PRiMER (Leawood, Kan.) Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.835671

Alyssa Warburton-Silva, Julia Pudar, Colleen Cooper, Thomas Bishop

{"title":"Resident Perspectives on a Wellness Program: A Qualitative Analysis.","authors":"Alyssa Warburton-Silva, Julia Pudar, Colleen Cooper, Thomas Bishop","doi":"10.22454/PRiMER.2024.835671","DOIUrl":"10.22454/PRiMER.2024.835671","url":null,"abstract":"Background and objectives: Resident physicians experience high levels of burnout and depression compared to the general population. While focus on promoting resident wellness, including required wellness programming from the Accreditation Council for General Medical Education (ACGME), has increased, research into resident perspectives on what should be included in these programs has been limited. This study aimed to evaluate resident perspectives on a wellness program at the University of Michigan Family Medicine Residency (UM FMR).Methods: This qualitative study evaluated transcripts from a focus group and an anonymous survey of residents at UM FMR. Two authors reviewed transcripts using descriptive coding and a classical analysis strategy. All authors reached consensus on themes, which were then sent to residents for review and feedback.Results: Six themes emerged as important to the resident wellness program: (a) program variety, (b) developing a supportive resident community, (c) workplace wellness skills development, (d) addressing basic needs, (e) options for processing difficult situations, and (f) acknowledgment of structural limitations to resident wellness.Conclusions: This analysis of the survey revealed opportunities for improvements in this residency wellness program and also serves as a model for future studies on resident perspectives on resident wellness.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"56"},"PeriodicalIF":0.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191421","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

Impact of an Inpatient Family Medicine Exposure: Changing Student Perception. 住院全科医学实习的影响：改变学生的认知。

PRiMER (Leawood, Kan.) Pub Date : 2024-10-25 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.490057

Lisa Graves, Kristi VanDerKolk, Jeffrey Greene

{"title":"Impact of an Inpatient Family Medicine Exposure: Changing Student Perception.","authors":"Lisa Graves, Kristi VanDerKolk, Jeffrey Greene","doi":"10.22454/PRiMER.2024.490057","DOIUrl":"10.22454/PRiMER.2024.490057","url":null,"abstract":"Introduction: Currently there is a primary care physician shortage in the United States, and this shortage is expected to worsen into the foreseeable future. In 2023, only 7.5 % of US allopathic graduates entered family medicine (FM) residencies. Opportunities to create increased interest in family medicine as a career choice and address hidden curriculum messages in career choice must be explored to address shortages in family medicine.Methods: A 5-day inpatient experience with family medicine residents on a family medicine inpatient service was implemented during a required third-year core medical student clerkship in family medicine. Students who participated in this clerkship change were invited to complete a survey on how this experience altered their perceptions on the roles of family medicine physicians in inpatient medical care, intrapartum care, and care of the newborn, and how it affected their view of FM as a career choice.Results: Of the eligible students, 34% completed the survey. Participating in the FM inpatient experience significantly enhanced students' perceptions about the depth of knowledge and skill needed for the specialty, increased students' respect for the specialty, and contradicted students' perceptions about the complexity of cases treated in the specialty.Conclusion: Adding an inpatient component to a third-year FM clerkship experience significantly can change the perceptions of medical students about the specialty of FM. Brief inpatient exposure to medical students has an impact on hidden curriculum messaging about family medicine.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"55"},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683815","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

Prescription for Progress: Mediating Opioid Education and Awareness for Physicians. 进步的处方：对医生进行阿片类药物教育和宣传。

PRiMER (Leawood, Kan.) Pub Date : 2024-10-17 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.684360

Manasicha Wongpaiboon, Nicole Uthuppan, Shermeeka Hogans-Mathews

引用次数: 0

Health Care Personnel Attitudes Toward Pediatric COVID-19 Vaccines. 医护人员对小儿 COVID-19 疫苗的态度。

PRiMER (Leawood, Kan.) Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.405060

Alyssa M Indelicato, Jana Shaw, Steven D Blatt, Telisa M Stewart, Christopher P Morley

{"title":"Health Care Personnel Attitudes Toward Pediatric COVID-19 Vaccines.","authors":"Alyssa M Indelicato, Jana Shaw, Steven D Blatt, Telisa M Stewart, Christopher P Morley","doi":"10.22454/PRiMER.2024.405060","DOIUrl":"10.22454/PRiMER.2024.405060","url":null,"abstract":"Introduction: A level of hesitancy existed among parents when United States Food and Drug Administration (FDA)-approved pediatric COVID-19 vaccines were introduced. We explored attitudes, beliefs, and willingness of health care personnel (HCP) as parents to vaccinate children less than 18 years of age.Methods: We developed a cross-sectional survey for HCPs as parents, including clinical and nonclinical staff, researchers, and trainees at a single academic medical institution. We assessed role categories by vaccination status, willingness to vaccinate their children, and COVID-19 history. We analyzed data via cross tabulation and Pearson correlation to examine relationships across variables.Results: There were a total of 1,538 research respondents. Nurses had a higher COVID-19 history compared to other roles (29.2%, P<.001). Vaccinated nurses were more likely to vaccinate their children (64.6%, P<.001). There was a significant negative correlation between self-identification as a nurse and willingness to vaccinate themselves (r=-.157, P<.001) or any child (r=-.150, P<.001), and a significant positive correlation among nurses having any COVID-19 history (r=.118, P<.001). Having a positive COVID-19 history was negatively correlated with personal vaccine status (r=-.217, P<.001) and intent to vaccinate any child (r=-.252, P<.001). While 77.8% (n=123) of all nurses with children were vaccinated willingly, 65.8% (n=104) had at least one child vaccinated; 81.3% of willingly vaccinated nurses (n=100) vaccinated at least one child, vs 11.4% (n=4) of nurses who mandated or were unvaccinated themselves.Conclusions: Nurses were more hesitant to vaccinate themselves than other roles, had higher rates of COVID-19 history, and were more hesitant to vaccinate their children if they were unvaccinated.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683757","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

National Family Medicine Residency Outcomes Project Methodology. 国家全科住院医师培训成果项目方法。

PRiMER (Leawood, Kan.) Pub Date : 2024-09-24 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.588860

Wendy B Barr, Lars E Peterson, Sarah Fleischer, Dean A Seehusen

{"title":"National Family Medicine Residency Outcomes Project Methodology.","authors":"Wendy B Barr, Lars E Peterson, Sarah Fleischer, Dean A Seehusen","doi":"10.22454/PRiMER.2024.588860","DOIUrl":"10.22454/PRiMER.2024.588860","url":null,"abstract":"Introduction: Multiple specialties including family medicine are engaging in a robust re-envisioning of residency training that culminates with new program requirements. No large-scale prospective studies linking curriculum to graduate outcomes have been available to guide the new standards. This report describes the methodology including representativeness and response rates of the Council of Academic Family Medicine Education Research Alliance (CERA) and American Board of Family Medicine (ABFM) National Family Medicine Residency Outcomes Project (FM-ROP).Methods: FM-ROP is a prospective cohort study that followed ABFM diplomates who graduated in 2018 into practice. A CERA survey conducted in 2018 measured residency exposures as reported by program directors. We measured graduate outcomes through the 2021 National Graduate Survey (NGS). We compared participant demographics to available demographics of the sample frame using bivariate analysis.Results: The response rate for the 2018 CERA program director survey was 43.3% (254/587). The response rate to the 2021 NGS was 45.1% (1,623/3,596). After merging the two data sets, our final analytic sample included 779 graduates from 211 residencies. Graduates from larger programs and those with an MD degree were more likely to be included in the matched data set.Conclusion: This study is the first national cohort study in any specialty that follows residency graduates by assessing program director perspectives on their training, including program structures and processes, and then linking this to graduate data on practice patterns and outcomes. The methodology of this project could be used in other specialties to help guide residency redesign.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"52"},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683818","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

Artificial Intelligence-Prompted Explanations of Common Primary Care Diagnoses. 人工智能提示的常见初级保健诊断解释。

PRiMER (Leawood, Kan.) Pub Date : 2024-09-17 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.916089

Mafaz Kattih, Max Bressler, Logan R Smith, Anthony Schinelli, Rahul Mhaskar, Karim Hanna

{"title":"Artificial Intelligence-Prompted Explanations of Common Primary Care Diagnoses.","authors":"Mafaz Kattih, Max Bressler, Logan R Smith, Anthony Schinelli, Rahul Mhaskar, Karim Hanna","doi":"10.22454/PRiMER.2024.916089","DOIUrl":"10.22454/PRiMER.2024.916089","url":null,"abstract":"Background: Artificial intelligence (AI)-generated explanations about medical topics may be clearer and more accessible than traditional evidence-based sources, enhancing patient understanding and autonomy. We evaluated different AI explanations for patients about common diagnoses to aid in patient care.Methods: We prompted ChatGPT 3.5, Google Bard, HuggingChat, and Claude 2 separately to generate a short patient education paragraph about seven common diagnoses. We used the Flesch Reading Ease (FRE) and Flesch-Kincaid Grade Level (FKGL) to evaluate the readability and grade level of the responses. We used the Agency for Healthcare Research and Quality's Patient Education Materials Assessment Tool (PEMAT) grading rubric to evaluate the understandability and actionability of responses.Results: Claude 2 demonstrated scores of FRE (67.0), FKGL (7.4), and PEMAT, 69% for understandability, and 34% for actionability. ChatGPT scores were FRE (58.5), FKGL (9.3), PEMAT (69% and 31%, respectively). Google Bard scores were FRE (50.1), FKGL (9.9), PEMAT (52% and 23%). HuggingChat scores were FRE (48.7) and FKGL (11.6), PEMAT (57% and 29%).Conclusion: Claude 2 and ChatGPT demonstrated superior readability and understandability, but practical application and patient outcomes need further exploration. This study is limited by the rapid development of these tools with newer improved models replacing the older ones. Additionally, the accuracy and clarity of AI responses is based on that of the user-generated response. The PEMAT grading rubric is also mainly used for patient information leaflets that include visual aids and may contain subjective evaluations.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683766","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

Family Medicine Clerkship Directors' Remediation of Faculty With Mistreatment Concerns: Results From a CERA Clerkship Directors Survey. 全科实习主任对存在虐待问题的教师的补救措施：来自 CERA 实习主任调查的结果。

PRiMER (Leawood, Kan.) Pub Date : 2024-09-05 eCollection Date: 2024-01-01 DOI: 10.22454/PRiMER.2024.989728

William Y Huang, Yuanyuan Zhou, Jonnae Atkinson, Kenneth Barning, Misbah Keen, Joel Purkiss

{"title":"Family Medicine Clerkship Directors' Remediation of Faculty With Mistreatment Concerns: Results From a CERA Clerkship Directors Survey.","authors":"William Y Huang, Yuanyuan Zhou, Jonnae Atkinson, Kenneth Barning, Misbah Keen, Joel Purkiss","doi":"10.22454/PRiMER.2024.989728","DOIUrl":"10.22454/PRiMER.2024.989728","url":null,"abstract":"Introduction: Little is known about how frequently family medicine (FM) clerkship directors remediate faculty with student mistreatment concerns and their comfort level in performing the remediations. In this exploratory study, we investigated factors associated with the number of faculty remediated for student mistreatment concerns by FM clerkship directors and the comfort level of FM clerkship directors in remediating these faculty.Methods: Data were collected as part of the 2022 Council of Academic Family Medicine Educational Research Alliance (CERA) survey of FM clerkship directors. FM clerkship directors provided responses on how frequently they remediated faculty with mistreatment concerns and their comfort level in performing remediations.Results: Ninety-four of 159 FM clerkship directors (59.1%) responded to the survey. FM clerkship directors remediated more community faculty than employed faculty (P<.001). FM clerkship directors at schools where a larger percentage of students spent at least half of their rotation with a community faculty (P=.002) or where there were a higher percentage of paid community faculty (P=.004) were more likely to have remediated community faculty. FM clerkship directors reported more comfort in remediating employed faculty compared to community faculty (P=.048). FM clerkship directors with access to a formal mechanism for remediation (P=.016) or having a better adequacy in number of precepting sites (P=.041) reported higher comfort levels in remediating community faculty.Conclusions: Our study identified factors associated with remediating family medicine clerkship faculty with mistreatment concerns. Additional research is needed to determine the most effective strategies to remediate faculty with mistreatment concerns.","PeriodicalId":74494,"journal":{"name":"PRiMER (Leawood, Kan.)","volume":"8 ","pages":"48"},"PeriodicalIF":0.0,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683770","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