Family Medicine

Andrea L Wendling, Andrew Short, Fredrick Hetzel, Julie P Phillips, William Short
BACKGROUND AND OBJECTIVES: Medical students who train in rural communities are often exposed to physicians practicing a broad scope of care, regardless of discipline. We examined how rural education is associated with practice specialization rates for students who match in primary care or general core specialties. METHODS: We linked practice and specialty data (2016 AMA Masterfile dataset), demographics (American Medical College Application Service data), and internal college data for 1974-2011 Michigan State University College of Human Medicine graduates who received clinical education on either the Upper Peninsula (rural) or Grand Rapids (urban) campuses...
March 17, 2020: Family Medicine
Patricia A Carney, Erin K Thayer, Larry A Green, Eric J Warm, Eric S Holmboe, Carol Carraccio, M Patrice Eiff
BACKGROUND AND OBJECTIVES: Much can be gained by the three primary care disciplines collaborating on efforts to transform residency training toward interprofessional collaborative practice. We describe findings from a study designed to align primary care disciplines toward implementing interprofessional education. METHODS: In this mixed methods study, we included faculty, residents and other interprofessional learners in family medicine, internal medicine, and pediatrics from nine institutions across the United States...
March 16, 2020: Family Medicine
Ann Marie Chiasson, Audrey J Brooks, Mari Ricker, Patricia Lebensohn, Mei-Kuang Chen, Victoria Maizes
BACKGROUND AND OBJECTIVES: Opioid misuse is at an all-time crisis level, and nationally enhanced resident and clinician education on chronic pain management is in demand. To date, broad-reaching, scalable, integrative pain management educational interventions have not been evaluated for effectiveness on learner knowledge or attitudes toward chronic pain management. METHODS: An 11-hour integrative pain management (IPM) online course was evaluated for effect on resident and faculty attitudes toward and knowledge about chronic pain...
February 4, 2020: Family Medicine
Ryan R Landoll, Ronald M Cervero, Jeffrey D Quinlan, Lauren A Maggio
BACKGROUND AND OBJECTIVES: Primary care behavioral health (PCBH) is a service delivery model of integrated care linked to a wide variety of positive patient and system outcomes. However, considerable challenges with provider training and attrition exist. While training for nonphysician behavioral scientists is well established, little is known about how to train physicians to work efficiently within integrated teams. METHODS: We conducted a case study analysis of family medicine residencies in the military health system using a series of 30 to 45-minute semistructured interviews...
February 4, 2020: Family Medicine
Catherine Coe, Cleveland Piggott, Ardis Davis, Mary N Hall, Kristen Goodell, Pablo Joo, Jeannette E South-Paul
BACKGROUND AND OBJECTIVES: Leadership positions in academic medicine lack racial and gender diversity. In 2016, the Council of Academic Family Medicine (CAFM) established a Leadership Development Task Force to specifically address the lack of diversity among leadership in academic family medicine, particularly for underrepresented minorities and women. APPROACH: The task force was formed in August 2016 with members from each of the CAFM organizations representing diversity of race, gender, and academic position...
January 10, 2020: Family Medicine
Amanda Weidner, Ryan Gilles, Dean A Seehusen
BACKGROUND AND OBJECTIVES: Finding scholarship opportunities is a common struggle for family medicine residency programs, especially community-based programs. Participation in practice-based research networks (PBRNs) has been suggested as one option, but little is known about resident engagement in PBRNs. This study explores how PBRNs are currently involving family medicine residency programs and whether there are additional opportunities for engagement. METHODS: We conducted a cross-sectional survey of 126 primary care PBRN directors regarding residency program involvement in PBRN governance and scholarly activity...
January 10, 2020: Family Medicine
Frederick M Chen, Joshua M Liao
No abstract text is available yet for this article.
March 2020: Family Medicine
Donald Pine
No abstract text is available yet for this article.
March 2020: Family Medicine
Gwen Jansz, Margaret Oldfield
No abstract text is available yet for this article.
March 2020: Family Medicine
Kirsten Winnie
No abstract text is available yet for this article.
March 2020: Family Medicine
Lauren Cowen, Elizabeth Loomis, Jocelyn Young
BACKGROUND AND OBJECTIVES: Group sharing of prenatal care and inpatient obstetric (OB) call is increasingly replacing single-provider longitudinal models including in family medicine (FM) residencies. Such change in care models could impact continuity of prenatal and delivery care.The University of Rochester's family medicine residency program changed the resident maternal care coverage to an obstetric group model from a single-provider model in 2016 to improve work-life balance, which provided an opportunity to examine how these two practice styles impacted provider continuity...
March 2020: Family Medicine
Peggy R Cyr, Julie M Schirmer, Victoria Hayes, Corinn Martineau, Meghan Keane
BACKGROUND AND OBJECTIVES: Interprofessional education is a critical component of medical student training, yet it is often difficult to implement. Medical students who learn with, from, and about learners from other disciplines have been shown to create more effective and safe health care teams. The investigators wanted to know how participating in two interprofessional observed structured clinical exams (OSCEs) at Tufts University School of Medicine (TUSM) would affect changes in medical students' attitudes and values in interprofessional teamwork...
March 2020: Family Medicine
Mallory McClester Brown, Karen Halpert, Maureen Dale, Margaret Helton, Gregg Warshaw
BACKGROUND AND OBJECTIVES: Older adults are the fastest growing subset of the population and residency training in the basic concepts of care to the older adult is limited. We created a 1-day interactive training program, Advanced Geriatric Evaluation Skills (AGES), to upskill first-year primary care residents in the care of older adults. METHODS: An interprofessional faculty team developed and taught the IRB-approved course to a convenience sample of family medicine and internal medicine interns in 2017, 2018, and 2019...
March 2020: Family Medicine
Anil Kopparapu, Greg Sketas, Taren Swindle
BACKGROUND AND OBJECTIVES: Screening for and addressing food insecurity in primary care may improve associated comorbidities. The purpose of this study was to explore patient attitudes regarding screening for food insecurity and to elicit patient preferences for intervention in a primary care setting. METHODS: Patients (N=284) completed a brief, voluntary survey in a university-based clinic and two community-based clinics over a 5-month period. Respondents were classified as either food-secure or food-insecure based on their responses to a validated food insecurity screener...
March 2020: Family Medicine
Joshua St Louis, Emma Worringer, Wendy B Barr
BACKGROUND AND OBJECTIVES: As the opioid crisis worsens across the United States, the factors that impact physician training in management of substance use disorders become more relevant. A thorough understanding of these factors is necessary for family medicine residency programs to inform their own residency curricula. The objective of our study was to identify factors that correlate with increased residency training in addiction medicine across a broad sample of family medicine residencies...
March 2020: Family Medicine
Lauren Penwell-Waines, Peter F Cronholm, Julie Brennan, Amy Romain, Christine Runyan, Katherine Buck, Lindsay Fazio, Aaron Grace, Mari Ricker, Valerie Ross, Jill Schneiderhan, Mary Talen
BACKGROUND AND OBJECTIVES: Many residency programs are developing resident wellness curricula to improve resident well-being and to meet Accreditation Council for Graduate Medical Education guidelines. However, there is limited guidance on preferred curricular components and implementation. We sought to identify how specific driving factors (eg, having an identified wellness champion with a budget and protected time to develop wellness programs) impact implementation of essential elements of a resident wellness curriculum...
March 2020: Family Medicine
Lisa R Chacko
No abstract text is available yet for this article.
March 2020: Family Medicine
David S Guzick
No abstract text is available yet for this article.
March 2020: Family Medicine
Joshua Freeman
No abstract text is available yet for this article.
March 2020: Family Medicine
Frederick M Chen
No abstract text is available yet for this article.
February 2020: Family Medicine
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