Family Medicine

Peter G Harper, Pita Adam, Mike Wooten, Angela Smithson, Casey Martin, Samantha Carlson, Andrew M Pattock, David J Satin
BACKGROUND AND OBJECTIVES: Precepting methods have significant impact on the financial viability of family medicine residency programs. Following an adverse event, four University of Minnesota Family Medicine residency clinics moved from using Medicare's Primary Care Exception (PCE) and licensure precepting (LP) to a "universal precepting" method in which preceptors see every patient face to face. Variation in the implementation of universal precepting created a natural experiment of its financial impact...
November 4, 2019: Family Medicine
Stephanie A Hooker, Robert E Post, Michelle D Sherman
BACKGROUND AND OBJECTIVES: Burnout is considered a public health crisis among physicians and is related to poor quality of life, increased medical errors, and lower patient satisfaction. A recent literature review and conceptual model suggest that awareness of life meaning, or meaning salience, is related to improved stress and coping, and may also reduce experience of burnout. This study examined associations among meaning salience, burnout, fatigue, and quality of life among family medicine residency program directors...
November 4, 2019: Family Medicine
Andrea Wendling, Heather L Paladine, Carol Hustedde, Iris Kovar-Gough, Derjung M Tarn, Julie P Phillips
BACKGROUND AND OBJECTIVES: Adequate parental leave policies promote a supportive workplace environment. This study describes how US family medicine (FM) residency program parental leave policies compare to reported leave taken by residents and faculty. METHODS: This is a descriptive study of questions from a 2017 Council of Academic Medicine Educational Research Alliance (CERA) survey of accredited US FM program directors. RESULTS: The overall survey response rate was 54...
August 26, 2019: Family Medicine
Paula Varnado-Sullivan, Michele Larzelere, Kaly Solek, Shalinder Gupta, Jackson E Hatfield, Mohammad H Cheema, Matthew Delfino
BACKGROUND AND OBJECTIVES: Few studies address the impact of physician attire on ratings of personality characteristics in the presence of varied physician demographic characteristics (gender, racial/ethnic background). Even fewer have examined the boundaries of acceptable physician attire, given recent loosening of societal standards of dress. METHODS: Using an online survey methodology, adult participants (N=505; 45% medical professionals) were recruited. Participants rated target photos depicting a male and female individual from three ethnic/racial categories each dressed in business casual (with and without a white coat) or in professional attire (with and without a white coat) on a number of personality characteristics...
August 26, 2019: Family Medicine
Dean A Seehusen
No abstract text is available yet for this article.
October 2019: Family Medicine
Daniel J Hurst
No abstract text is available yet for this article.
October 2019: Family Medicine
Mack Thomas Ruffin, Bernice L Hausman
No abstract text is available yet for this article.
October 2019: Family Medicine
Jeffrey H Millstein
No abstract text is available yet for this article.
October 2019: Family Medicine
Robert C Like
No abstract text is available yet for this article.
October 2019: Family Medicine
Kirsten Winnie, Christine Broszko, Amy Whittle
BACKGROUND AND OBJECTIVES: Barriers to research in family medicine are common. Resident studies are at risk of remaining incomplete. This report describes a process improvement (PI) to optimize survey data collection in a longitudinal research protocol led by family medicine residents. The protocol subject to the process improvement sought to evaluate maternal outcomes in group prenatal care vs traditional care. In the months preceding the PI, the resident researchers noted many surveys were not completed in their intended timeframe or were missing, threatening study validity...
October 2019: Family Medicine
Samuel Ofei-Dodoo, Paul Callaway, Kendra Engels
BACKGROUND AND OBJECTIVES: Burnout rates among American physicians and trainees are high. The objectives of this study were: (1) to compare burnout rates among residents and faculty members of the graduate medical education (GME) programs sponsored by the University of Kansas School of Medicine-Wichita (KUSM-W) to previously published data, and (2) to evaluate the physicians' feedback on perceived causes and activities to promote wellness. METHODS: Between April and May 2017, we surveyed 439 residents and core faculty members from 13 residency programs sponsored by the KUSM-W...
October 2019: Family Medicine
Gregory H Blake, Rebecca K Kemmet, Justin Jenkins, Robert E Heidel, Garland Anthony Wilson
BACKGROUND AND OBJECTIVES: Faced with a limited supply of applicants for faculty positions, increasing demands for residency faculty, and a growing number of programs, our program has increasingly filled ranks with recent residency graduates with broad scope but limited experience and training in academics. These early-career clinicians often require further mentorship as they seek advancement in clinical skills and development of teaching and scholarly activity skill sets. METHODS: To educate our recent residency graduates in teaching/scholarly activity skills, and to provide a career trajectory, we created a process to guide their maturation with milestones using the six core competencies from the Accreditation Council for Graduate Medical Education...
October 2019: Family Medicine
Nicola A Conners Edge, Shashank Kraleti, Lorraine McKelvey, Diane M Jarrett, Jackie D Sublett, Ian M Bennett
BACKGROUND AND OBJECTIVES: Untreated maternal depression negatively impacts both the mother and her children's health and development. We sought to assess family medicine program directors' (PDs) knowledge and attitudes regarding maternal depression management as well as resident training and clinical experience with this disorder. METHODS: Data were gathered through the Council of Academic Family Medicine's (CAFM) Educational Research Alliance (CERA) national survey of family medicine PDs in US and Canadian programs, from January through February, 2018...
October 2019: Family Medicine
Amanda Weidner, Nancy Stevens, Grace Shih
BACKGROUND AND OBJECTIVES: The role of training in the declining rate of family physicians' provision of women's reproductive health care is unclear. No requirements for abortion training exist, and curricula vary widely. This study assessed the impact of program-level abortion training availability on graduates' feelings of training adequacy and their postgraduate practice in reproductive health. METHODS: We conducted secondary analysis of graduate survey data from 18 family medicine residency programs in the Northwest categorized by whether or not their program routinely offered abortion training (opt out or elective rotation)...
October 2019: Family Medicine
Michael R Peabody, Lars E Peterson, Mingliang Dai, Aimee Eden, Elizabeth Rose Hansen, James C Puffer
BACKGROUND AND OBJECTIVES: Board certification programs have been criticized as not relevant to practice, not improving patient care, and creating additional burdens on already overburdened physicians. Many physicians may feel compelled to participate in board certification programs in order to satisfy employer, hospital, and insurer requirements; however, the influence of forces as motivators for physicians to continue board certification is poorly understood. METHODS: We used data from the 2017 American Board of Family Medicine (ABFM) Family Medicine Certification Examination practice demographic registration questionnaire for those seeking to continue their certification, removing physicians who indicated they did not provide direct patient care...
October 2019: Family Medicine
Toby Keys, Mark H Ryan, Sharon Dobie, David Satin, David V Evans
BACKGROUND AND OBJECTIVES: Direct pharmaceutical marketing to physicians by pharmaceutical representatives is effective in changing behavior of health care providers, resulting in less evidence-based prescribing. Although much has been written about pharmaceutical marketing exposures among medical students, less is known about direct marketing exposures before students matriculate. This study examined the types of pharmaceutical representative direct marketing exposures for premedical students and where they occurred...
October 2019: Family Medicine
Bich-May Nguyen
No abstract text is available yet for this article.
October 2019: Family Medicine
John Saultz
No abstract text is available yet for this article.
October 2019: Family Medicine
Katherine Buck, Meredith Williamson, Stacy Ogbeide, Bethany Norberg
BACKGROUND AND OBJECTIVES: Current physician burnout levels are at historically high levels, especially in family medicine, with many factors playing a role. The goal of this study was to understand demographic, psychological, environmental, behavioral, and workplace characteristics that impact physician wellness and burnout, focusing on family medicine physicians and residents. METHODS: Survey respondents were 295 family medicine residents and faculty members across 11 residency programs within the Residency Research Network of Texas (RRNeT)...
September 6, 2019: Family Medicine
Frederick M Chen
No abstract text is available yet for this article.
September 2019: Family Medicine
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