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https://www.readbyqxmd.com/read/27896692/teaching-structure-a-qualitative-evaluation-of-a-structural-competency-training-for-resident-physicians
#1
Joshua Neff, Kelly R Knight, Shannon Satterwhite, Nick Nelson, Jenifer Matthews, Seth M Holmes
BACKGROUND: The influence of societal inequities on health has long been established, but such content has been incorporated unevenly into medical education and clinical training. Structural competency calls for medical education to highlight the important influence of social, political, and economic factors on health outcomes. AIM: This article describes the development, implementation, and evaluation of a structural competency training for medical residents. SETTING: A California family medicine residency program serving a patient population predominantly (88 %) with income below 200 % of the federal poverty level...
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27875781/long-term-pediatrician-outcomes-of-a-parent-led-curriculum-in-developmental-disabilities
#2
Bruce L Keisling, Elizabeth A Bishop, David A Kube, Jenness M Roth, Frederick B Palmer
: Previous research has demonstrated high satisfaction and perceived relevance of Project DOCC (Delivery of Chronic Care), a parent led curriculum in developmental disabilities, across a sample of medical residents. AIMS: The influence of such a training program on the clinical practices and professional activities of these residents once they are established in their careers as physicians, however, has not been studied; this was the aim of the present study. METHODS: An anonymous follow-up survey was designed and disseminated to physicians who participated in Project DOCC during their one-month developmental disabilities rotation as part of their pediatrics or medicine/pediatric residency between 2002 and 2010...
November 19, 2016: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/27875614/teaching-chronic-pain-in-family-medicine
#3
Amanda Davis, Mary Beth Wright, Leslie Norris, Hunter Woodall, Nata Young, AnMed Health Family Medicine Residency Program
No abstract text is available yet for this article.
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27875601/association-between-patient-centered-medical-home-features-and-satisfaction-with-family-medicine-residency-training-in-the-us
#4
Patricia A Carney, Elaine Waller, Eve Dexter, Miguel Marino, Stephanie E Rosener, Larry A Green, Geoffrey Jones, J Drew M Keister, Julie A Dostal, Samuel M Jones, M Patrice Eiff
BACKGROUND AND OBJECTIVES: Primary care residencies are undergoing dramatic changes because of changing health care systems and evolving demands for updated training models. We examined the relationships between residents' exposures to patient-centered medical home (PCMH) features in their assigned continuity clinics and their satisfaction with training. METHODS: Longitudinal surveys were collected annually from residents evaluating satisfaction with training using a 5-point Likert-type scale (1=very unsatisfied to 5=very satisfied) from 2007 through 2011, and the presence or absence of PCMH features were collected from 24 continuity clinics during the same time period...
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27875598/results-of-the-2016-national-resident-matching-program%C3%A2-1986-2016-a-comparison-of-family-medicine-e-roads-and-other-select-specialties
#5
Stanley M Kozakowski, Alexandra Travis, Ashley Bentley, Gerald Fetter
This article is a continuation in a series of national studies conducted by the American Academy of Family Physicians that reports the performance of family medicine and other primary care specialties in the National Residency Matching Program® (NRMP) Main Residency Match, hereafter called the Match. Match data from 1986-2016 were analyzed to compare the numbers of positions offered and filled in family medicine, other primary care specialties, emergency medicine, diagnostic radiology, ophthalmology, anesthesiology, and dermatology (E-ROAD), and other select specialties...
November 2016: Family Medicine
https://www.readbyqxmd.com/read/27777669/learnings-from-the-pilot-implementation-of-mobile-medical-milestones-application
#6
Cristen P Page, Alfred Reid, Catherine L Coe, Martha Carlough, Daryl Rosenbaum, Janalynn Beste, Blake Fagan, Erika Steinbacher, Geoffrey Jones, Warren P Newton
BACKGROUND : Implementation of the educational milestones benefits from mobile technology that facilitates ready assessments in the clinical environment. We developed a point-of-care resident evaluation tool, the Mobile Medical Milestones Application (M3App), and piloted it in 8 North Carolina family medicine residency programs. OBJECTIVE : We sought to examine variations we found in the use of the tool across programs and explored the experiences of program directors, faculty, and residents to better understand the perceived benefits and challenges of implementing the new tool...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27777663/factors-associated-with-resident-continuity-in-ambulatory-training-practices
#7
Robert J Fortuna, Lynn Garfunkel, Michael D Mendoza, Megan Ditty, Julia West, Karen Nead, Brett W Robbins
BACKGROUND : Continuity of care is a critical element of residents' educational experience in primary care programs. OBJECTIVE : We examined how continuity in resident practices compares to nonteaching practices, identified factors associated with increased continuity, and explored the association between continuity and quality measures. METHODS : We analyzed 117 235 patient visits to 4 resident practices (26 resident teams in internal medicine, pediatrics, family medicine, and medicine-pediatrics) and 270 242 visits to nonteaching community practices between July 2013 and May 2014...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27777662/rounds-today-a-qualitative-study-of-internal-medicine-and-pediatrics-resident-perceptions
#8
Raphael Rabinowitz, Jeanne Farnan, Oliver Hulland, Lisa Kearns, Michele Long, Bradley Monash, Priti Bhansali, H Barrett Fromme
BACKGROUND : Attending rounds is a key component of patient care and education at teaching hospitals, yet there is an absence of studies addressing trainees' perceptions of rounds. OBJECTIVE : To determine perceptions of pediatrics and internal medicine residents about the current and ideal purposes of inpatient rounds on hospitalist services. METHODS : In this multi-institutional qualitative study, the authors conducted focus groups with a purposive sample of internal medicine and pediatrics residents at 4 teaching hospitals...
October 2016: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/27740668/entry-of-us-medical-school-graduates-into-family-medicine-residencies-2015-2016
#9
Stanley M Kozakowski, Alexandra Travis, Ashley Bentley, Gerald Fetter
This is the 35th national study conducted by the American Academy of Family Physicians (AAFP) that reports retrospectively the percentage of graduates from MD-granting and DO-granting medical schools who entered Accreditation Council for Graduate Medical Education (ACGME)-accredited family medicine residency programs as first-year residents. Approximately 8.7% of the 18,929 students graduating from US MD-granting medical schools and 15.5% of the 5,314 students graduating from DO-granting medical schools between July 2014 and June 2015 entered an ACGME family medicine residency in 2015...
October 2016: Family Medicine
https://www.readbyqxmd.com/read/27638987/joint-sogc-ccmg-opinion-for-reproductive-genetic-carrier-screening-an-update-for-all-canadian-providers-of-maternity-and-reproductive-healthcare-in-the-era-of-direct-to-consumer-testing
#10
R Douglas Wilson, Isabelle De Bie, Christine M Armour, Richard N Brown, Carla Campagnolo, June C Carroll, Nan Okun, Tanya Nelson, Rhonda Zwingerman, Francois Audibert, Jo-Ann Brock, Richard N Brown, Carla Campagnolo, June C Carroll, Isabelle De Bie, Jo-Ann Johnson, Nan Okun, Melanie Pastruck, Karine Vallée-Pouliot, R Douglas Wilson, Rhonda Zwingerman, Christine Armour, David Chitayat, Isabelle De Bie, Sara Fernandez, Raymond Kim, Josee Lavoie, Norma Leonard, Tanya Nelson, Sherry Taylor, Margot Van Allen, Clara Van Karnebeek
OBJECTIVE: This guideline was written to update Canadian maternity care and reproductive healthcare providers on pre- and postconceptional reproductive carrier screening for women or couples who may be at risk of being carriers for autosomal recessive (AR), autosomal dominant (AD), or X-linked (XL) conditions, with risk of transmission to the fetus. Four previous SOGC- Canadian College of Medical Geneticists (CCMG) guidelines are updated and merged into the current document. INTENDED USERS: All maternity care (most responsible health provider [MRHP]) and paediatric providers; maternity nursing; nurse practitioner; provincial maternity care administrator; medical student; and postgraduate resident year 1-7...
August 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27629689/satisfaction-with-civilian-family-medicine-residency-training-perspectives-from-serving-general-duty-medical-officers-in-the-canadian-armed-forces
#11
Brent Wolfrom, Geoff Hodgetts, Jyoti Kotecha, Emily Pollock, Mary Martin, Han Han, Pierre Morissette
OBJECTIVE: To evaluate satisfaction with civilian residency training programs among serving general duty medical officers within the Canadian Armed Forces. DESIGN: A 23-item, cross-sectional survey face-validated by the office of the Surgeon General of the Canadian Armed Forces. SETTING: Canada. PARTICIPANTS: General duty medical officers serving in the Canadian Armed Forces as of February 2014 identified through the Directorate of Health Services Personnel of the Canadian Forces Health Services Group Headquarters...
September 2016: Canadian Family Physician Médecin de Famille Canadien
https://www.readbyqxmd.com/read/27549644/reducing-the-physician-workforce-crisis-career-choice-and-graduate-medical-education-reform-in-an-emerging-arab-country
#12
Halah Ibrahim, Satish Chandrasekhar Nair, Sami Shaban, Margaret El-Zubeir
BACKGROUND: In today's interdependent world, issues of physician shortages, skill imbalances and maldistribution affect all countries. In the United Arab Emirates (UAE), a nation that has historically imported its physician manpower, there is sustained investment in educational infrastructure to meet the population's healthcare needs. However, policy development and workforce planning are often hampered by limited data regarding the career choice of physicians-in-training. The purpose of this study was to determine the specialty career choice of applicants to postgraduate training programs in the UAE and factors that influence their decisions, in an effort to inform educational and health policy reform...
May 2016: Education for Health: Change in Training & Practice
https://www.readbyqxmd.com/read/27549420/establishing-in-hospital-geriatrics-services-in-africa-insights-from-the-university-of-benin-teaching-hospital-geriatrics-project
#13
Obehi Aituaje Akoria
BACKGROUND: Unawareness of the peculiar healthcare needs of the elderly and resource constraints may be some reasons why until recently, Nigerian hospitals have not been equipped with the human and infrastructural resources required to meet older adults' special healthcare needs. There is paucity of specialized health services for the elderly in Africa. Nigeria, with a population of over 170 million, did not have any healthcare facility with dedicated services for the elderly until 2012...
July 2016: Annals of African Medicine
https://www.readbyqxmd.com/read/27536169/effects-of-adding-a-new-pcmh-block-rotation-and-resident-team-to-existing-longitudinal-training-within-a-certified-pcmh-primary-care-residents-attitudes-knowledge-and-experience
#14
Gowri Anandarajah, Christopher Furey, Rabin Chandran, Arnold Goldberg, Fadya El Rayess, David Ashley, Roberta E Goldman
BACKGROUND: Although the patient-centered medical home (PCMH) model is considered important for the future of primary care in the USA, it remains unclear how best to prepare trainees for PCMH practice and leadership. Following a baseline study, the authors added a new required PCMH block rotation and resident team to an existing longitudinal PCMH immersion and didactic curriculum within a Level 3-certified PCMH, aiming for "enhanced situated learning". All 39 residents enrolled in a USA family medicine residency program during the first year of curricular implementation completed this new 4-week rotation...
2016: Advances in Medical Education and Practice
https://www.readbyqxmd.com/read/27497457/integrating-motivational-interviewing-and-narrative-therapy-to-teach-behavior-change-to-family-medicine-resident-physicians
#15
Lauren D Oshman, Gene N Combs
INTRODUCTION: Motivational interviewing is a useful skill to address the common problem of patient ambivalence regarding behavior change by uncovering and strengthening a person's own motivation and commitment to change. The Family Medicine Milestones underline the need for clear teaching and monitoring of skills in communication and behavior change in Family Medicine postgraduate training settings. METHODS: This article reports the integration of a motivational interviewing curriculum into an existing longitudinal narrative therapy-based curriculum on patient-centered communication...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27497456/innovative-patient-centered-skills-training-addressing-challenging-issues-in-cancer-communications-using-patient-s-stories-that-teach
#16
Thomas W Bishop, James Gorniewicz, Michael Floyd, Fred Tudiver, Amy Odom, Kathy Zoppi
This workshop demonstrated the utility of a patient-centered web-based/digital Breaking Bad News communication training module designed to educate learners of various levels and disciplines. This training module is designed for independent, self-directed learning as well as group instruction. These interactive educational interventions are based upon video-recorded patient stories. Curriculum development was the result of an interdisciplinary, collaborative effort involving faculty from the East Tennessee State University (ETSU) Graduate Storytelling Program and the departments of Family and Internal Medicine at the James H...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27497454/comprehensive-care-of-pain-developing-systems-and-tools-to-improve-patient-care-and-resident-education
#17
Julie Rickert, Kwanza Devlin, Kimberly Krohn
Chronic non-cancer pain is a common condition associated with tremendous risk for morbidity and mortality. In many settings, the management of chronic non-cancer pain by primary care providers, although customary, can be difficult due to inadequate training and conflicts between patient expectations and best practices. Resident physicians, faculty, and staff of this family medicine residency program developed a comprehensive chronic pain management program to address these issues while improving patient outcomes...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27497453/patient-perceptions-of-weight-loss-implications-for-patients-providers-and-trainees
#18
David A Nelson, Leslie A Ruffalo, Alexandra J Dyer, Karen H Nelson
OBJECTIVES: The prevalence of overweight and obese individuals in the United States is growing, and primary health care represents a setting in which providers may address weight with their patients. However, many providers and medical trainees feel ill-prepared to address the full scope of complexities associated with weight loss. This study sought to investigate patients' perceptions of the barriers and facilitators they encountered in their weight loss journeys. The results of the mixed-methods study will be used to inform a better understanding among providers and medical students of how to address weight loss with their patients...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27497452/caring-for-lgbtq-patients-methods-for-improving-physician-cultural-competence
#19
Elizabeth W Klein, Maliheh Nakhai
This article summarizes the components of a curriculum used to teach family medicine residents and faculty about LGBTQ patients' needs in a family medicine residency program in the Pacific Northwest region of the United States. This curriculum was developed to provide primary care physicians and physicians-in-training with skills to provide better health care for LGBTQ-identified patients. The curriculum covers topics that range from implicit and explicit bias and appropriate terminology to techniques for crafting patient-centered treatment plans...
May 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27472792/differential-experience-with-men-s-and-women-s-health-care-visits-between-male-and-female-family-medicine-residents
#20
Gregory M Garrison, Natalie Gentile, Benjamin Lai, Kurt B Angstman, Robert Bonacci
BACKGROUND AND OBJECTIVES: Few studies have addressed whether male family medicine residents have more exposure to men's health issues than their female colleagues. Additionally, the association between panel demographics or continuity of care and the differential experience with gender-specific health care is unclear. METHODS: Between July 1, 2011, and June 30, 2014, all residents in the family medicine program had their gender, the number of women's and men's health care visits, the total number of male and female visits, and the number of visits with patients assigned to their primary care panel recorded each academic year...
July 2016: Family Medicine
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