4,484 results match your criteria Family medicine[Journal]


Entrustable Professional Activity Utilization: A CERA Study of Family Medicine Residency Program Directors.

Fam Med 2019 Apr 23. Epub 2019 Apr 23.

Department of Family Medicine, College of Medicine, University of Illinois, Chicago, IL.

Background And Objectives: Entrustable professional activities (EPAs) is a novel assessment framework in competency-based medical education. While there are published pilot reports about utilization and validation of EPAs within undergraduate medical education (UME), there is a paucity of research within graduate medical education (GME). This study aimed to explore the landscape of EPAs within family medicine GME, particularly related to the understanding of EPAs, extent of utilization, and benefits and challenges of EPAs implementation as an assessment framework within family medicine residency programs (FMRPs) in the United States. Read More

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http://dx.doi.org/10.22454/FamMed.2019.876961DOI Listing

Coding Family Medicine Residency Clinic Visits, 99213 or 99214? A Residency Research Network of Texas Study.

Fam Med 2019 Apr 23. Epub 2019 Apr 23.

University of Texas Health Science Center at San Antonio, Department of Family and Community Medicine.

Background And Objectives: The purpose of this study was to characterize Current Procedural Terminology (CPT) coding patterns for professional services in family physician (FP) residency clinics.

Methods: Trained assistants directly observed during every other FP-patient encounter in 10 clinics affiliated with eight residencies of the Residency Research Network of Texas. Three investigators later independently coded each visit for the highest code level reasonably allowed. Read More

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http://dx.doi.org/10.22454/FamMed.2019.862757DOI Listing

Work in Academic Family Medicine: Reflections Meant to Inspire.

Authors:
Beat Steiner

Fam Med 2019 04;51(4):367-369

University of North Carolina School of Medicine Family Medicine Residency, Chapel Hill, NC.

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http://dx.doi.org/10.22454/FamMed.2019.764125DOI Listing

In Response to the Entire January Issue of Family Medicine.

Authors:
William Ventres

Fam Med 2019 04;51(4):366

Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.

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http://dx.doi.org/10.22454/FamMed.2019.625056DOI Listing

Family Medicine Research "Bright Spots" in Low-Resource Settings.

Fam Med 2019 04;51(4):364-365

Holloman Family Health Clinic, Holloman Air Force Base, NM.

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http://dx.doi.org/10.22454/FamMed.2019.425475DOI Listing

We Are Better Together: Committed Partnerships in Global Health Development.

Authors:
Christine Young

Fam Med 2019 04;51(4):363-364

Mount Carmel Family Medicine Residency, Westerville, OH.

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https://journals.stfm.org/familymedicine/2019/april/lte-apr1
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http://dx.doi.org/10.22454/FamMed.2019.322350DOI Listing
April 2019
3 Reads

Burnout in Family Physician Maternity Care Providers?

Fam Med 2019 04;51(4):362-363

Sparrow-MSU Family Medicine Residency Program, Michigan State University College of Human Medicine.

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http://dx.doi.org/10.22454/FamMed.2019.323076DOI Listing

Supporting Family Physician Maternity Care Providers.

Fam Med 2019 04;51(4):362

University of Alabama School of Medicine, Department of Obstetrics and Gynecology, Tuscaloosa, AL.

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http://dx.doi.org/10.22454/FamMed.2019.636289DOI Listing

From Barrel Roll to Bedside.

Fam Med 2019 04;51(4):361

McKay-Dee Family Medicine Residency Program, Ogden, UT.

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http://dx.doi.org/10.22454/FamMed.2019.155670DOI Listing

The Value of Guidance.

Fam Med 2019 04;51(4):358-359

Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL.

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http://dx.doi.org/10.22454/FamMed.2019.256549DOI Listing

Medical-Legal Partnerships to Enhance Residency Training in Advance Care Planning.

Fam Med 2019 04;51(4):353-357

University of Arizona Center on Aging, Tucson, AZ.

Background And Objectives: Only about one-third of adult Americans have completed advance directives for end-of-life care, and primary care physicians report that they are not always comfortable discussing advance care planning (ACP) with patients. Current approaches to teaching clinicians about ACP have limited evidence of effectiveness. With the objective of improving residents' comfort and skill discussing ACP with patients, we developed a curriculum that involved clinicians and attorneys working together to teach first-year family medicine residents (R1) about leading ACP discussions with patients. Read More

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https://journals.stfm.org/familymedicine/2019/april/pettit-2
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http://dx.doi.org/10.22454/FamMed.2019.392574DOI Listing
April 2019
2 Reads

Incorporating the Patient Voice Into Practice Improvement: A Role for Medical Trainees.

Fam Med 2019 04;51(4):348-352

Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine.

Background And Objectives: Many primary care clinics rely on providers and staff to generate quality improvement (QI) ideas without explicitly including patients. However, without understanding patient perspectives, clinics may miss areas for improvement. We identified practice improvement opportunities using a medical student-driven pilot of QI design that incorporates the patient voice and explored provider/staff perceptions of patient perspectives. Read More

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http://dx.doi.org/10.22454/FamMed.2019.386631DOI Listing

Family Medicine Program Director Tenure: 2011 Through 2017.

Fam Med 2019 04;51(4):344-347

Banner University Medical Center Phoenix, AZ.

Background And Objectives: The program director (PD) position is challenging. PDs are faced with many competing priorities and risk of burnout. Short PD tenure may contribute to training program challenges. Read More

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http://dx.doi.org/10.22454/FamMed.2019.730498DOI Listing

Prevalence of Clinic First Curricula: A Survey of AFMRD Members.

Fam Med 2019 04;51(4):338-343

Department of Family and Community Medicine, University of Alabama-Birmingham School of Medicine, Birmingham, AL.

Background And Objectives: Clinic First residency curricular approaches hold promise as models to successfully prepare primary care residents for future practice. The objective of our study was to estimate the prevalence of the Clinic First model in current family medicine residency training environments, and assess beliefs surrounding curricular structure and postgraduate practice.

Methods: An eight-question survey was conducted among Association of Family Medicine Residency Directors (AFMRD) members in 2017. Read More

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http://dx.doi.org/10.22454/FamMed.2019.666943DOI Listing

Exploring Change After Implementation of Family Medicine Residency Curriculum Reform.

Fam Med 2019 04;51(4):331-337

University of Toronto Department of Family and Community Medicine.

Background And Objectives: In 2010, the College of Family Physicians of Canada (CFPC) launched its competency-based medical education (CBME) approach to residency curriculum and assessment. Named Triple C, this innovation was developed to ensure graduates of family medicine training programs are competent to begin unsupervised practice. Further, Triple C was intended to promote interest in practicing comprehensive family medicine. Read More

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http://dx.doi.org/10.22454/FamMed.2019.427722DOI Listing

Forward Feeding in Graduate Medical Education: Results of a National Survey.

Fam Med 2019 04;51(4):326-330

Department of Family Medicine, Medical University of South Carolina, Charleston, SC.

Background And Objectives: "Forward feeding" is defined as the sharing of information regarding learner behaviors and performance outside of formal institutional committee structures. The purpose of this study was to establish baseline opinions and policies of forward feeding in family medicine residency programs.

Methods: Data for this study were obtained as part of the 2015 CERA Program Directors Fall Survey. Read More

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https://journals.stfm.org/familymedicine/2019/april/mims-201
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http://dx.doi.org/10.22454/FamMed.2019.113783DOI Listing
April 2019
1 Read

Group Medical Visit Training in Family Medicine Residency: A 2015 CERA Program Directors Survey.

Fam Med 2019 04;51(4):319-325

Family Medicine Residency Faculty at the McLennan County Medical Education and Research Foundation, Waco, TX.

Background And Objectives: Group medical visits (GMV) have been shown to improve clinical outcomes and patient satisfaction and are included as a new tool in the patient-centered medical home (PCMH). The capacity for and interest in developing GMV skills in family medicine residency have not been assessed. This study aims to describe the extent of existing training in GMV as well as attitudes toward and barriers to this training. Read More

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http://dx.doi.org/10.22454/FamMed.2019.316336DOI Listing

Scope of Practice and Patient Panel Size of Family Physicians Who Work With Nurse Practitioners or Physician Assistants.

Fam Med 2019 04;51(4):311-318

American Board of Family Medicine, Lexington, KY.

Background And Objectives: Little is known about how the presence of nurse practitioners (NPs) and physician assistants (PAs) in a practice impacts family physicians' (FPs') scope of practice. This study sought to examine variations in FPs' practice associated with NPs and PAs.

Methods: We obtained data from American Board of Family Medicine practice demographic questionnaires completed by FPs who registered for the Family Medicine Certification Examination during 2013-2016. Read More

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http://dx.doi.org/10.22454/FamMed.2019.438954DOI Listing

How Can Family Physicians Contribute to Ending Childhood Obesity?

Fam Med 2019 04;51(4):308-310

Child Health Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.

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https://journals.stfm.org/familymedicine/2019/april/sutaria-
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http://dx.doi.org/10.22454/FamMed.2019.181036DOI Listing
April 2019
2 Reads

How Much Do Family Medicine Residency Programs Spend on Resident Recruitment? A CERA Study.

Fam Med 2019 Mar 13. Epub 2019 Mar 13.

Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita.

Background And Objectives: Resident recruitment is one of the most important responsibilities of residency programs. Resource demands are among the principal reasons for calls for recruitment reform. The purpose of this study was to provide a national snapshot of estimated costs of recruitment among US family medicine programs. Read More

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http://dx.doi.org/10.22454/FamMed.2019.663971DOI Listing

Opportunities and Barriers for Family Physician Contribution to the Maternity Care Workforce.

Fam Med 2019 Mar 13. Epub 2019 Mar 13.

American Board of Family Medicine, Lexington, KY.

Background And Objectives: The number of family physicians providing obstetric deliveries is decreasing, but high numbers of new graduates report they intend to include obstetric deliveries in their practices. The objective of this study was to understand barriers to providing obstetrical care faced by recent family medicine residency graduates who intended to provide obstetrical care at graduation.

Methods: Email surveys were sent to graduating family medicine residents who indicated intention to include obstetrics in their practice on the American Board of Family Medicine (ABFM) Certification Examination Registration Survey (2014-2016). Read More

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https://journals.stfm.org/familymedicine/online-first/barret
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http://dx.doi.org/10.22454/FamMed.2019.845581DOI Listing
March 2019
4 Reads

Language Matters.

Fam Med 2019 03;51(3):292-293

University of North Carolina School of Medicine Family Medicine Residency, Chapel Hill, NC.

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http://dx.doi.org/10.22454/FamMed.2019.258070DOI Listing

Authors' Reply to "Training and Supporting Residents, for All Family Medicine Practice Settings".

Fam Med 2019 03;51(3):291

Clinical Psychology Department, Virginia Commonwealth University, Richmond, VA.

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http://dx.doi.org/10.22454/FamMed.2019.874714DOI Listing

Training and Supporting Residents, for All Family Medicine Practice Settings.

Authors:
Velyn Wu

Fam Med 2019 03;51(3):290

Lynchburg Family Medicine Residency Program, Lynchburg, VA.

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http://dx.doi.org/10.22454/FamMed.2019.299886DOI Listing

Fear.

Authors:
Jeffrey Walden

Fam Med 2019 03;51(3):284-285

Cone Health Family Medicine Residency, Greensboro, NC.

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http://dx.doi.org/10.22454/FamMed.2019.859060DOI Listing
March 2019
1 Read

Choose Your Battles.

Fam Med 2019 03;51(3):282-283

Kaiser Permanente of Washington, Seattle, WA.

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http://dx.doi.org/10.22454/FamMed.2019.237126DOI Listing

Factors Affecting Specialty Choice Among Doctors Who Received Tuition Scholarships.

Fam Med 2019 03;51(3):276-281

IronEdge Group, Ltd, Houston, TX.

Background And Objectives: The United States is projected to have a shortage of up to 46,000 primary care physicians by 2025. In many cases, medical students appear to select other specialties for financial reasons, including educational debt. Physicians who were part of two BS/MD programs and received full tuition and fee scholarships for college and medical school were surveyed to examine factors that may have impacted their specialty choice. Read More

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http://dx.doi.org/10.22454/FamMed.2019.772315DOI Listing

Sustainable Curriculum to Increase Scholarly Activity in a Family Medicine Residency.

Fam Med 2019 03;51(3):271-275

Naval Branch Health Clinic Diego Garcia.

Background And Objectives: Scholarly activity (SA) is an Accreditation Council for Graduate Medical Education (ACGME) requirement for family medicine residency programs. Engaging residents in scholarly activity can be challenging. In 2010, the Naval Hospital Jacksonville Family Medicine Residency (NHJ FMR) program pioneered a research curriculum that dramatically increased resident SA output. Read More

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http://dx.doi.org/10.22454/FamMed.2019.906164DOI Listing
March 2019
1 Read

Training Pathways to Working as a General Practitioner in China.

Fam Med 2019 03;51(3):262-270

Department of Family Medicine, University of Michigan, Ann Arbor, MI.

Background And Objectives: To achieve the goal of 300,000 general practitioners by 2020-an increase of 215,200 in a decade-China is utilizing multiple training pathways. To comprehensively illustrate general practitioner training strategies in China, this article introduces and describes these pathways.

Methods: We used descriptive policy analysis. Read More

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http://dx.doi.org/10.22454/FamMed.2019.329090DOI Listing
March 2019
0.851 Impact Factor

The Impact of Oral Health Training for Primary Care Clinicians: A Systematic Review.

Fam Med 2019 03;51(3):251-261

Harvard Medical School Center for Primary Care.

Background And Objectives: Despite recent improvements in access to health care, many Americans still lack access to dental care. There has been a national focus on interprofessional education and team-based care to work toward the integration of services including dental care into primary care. The purpose of this systematic review is to understand the impact of implementing oral health curricula in primary care training on measurable changes in primary care practice. Read More

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https://journals.stfm.org/familymedicine/2019/march/sullivan
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http://dx.doi.org/10.22454/FamMed.2019.232634DOI Listing
March 2019
5 Reads

Trends in US Medical School Contributions to the Family Physician Workforce: 2018 Update From the American Academy of Family Physicians.

Fam Med 2019 03;51(3):241-250

S.U.N.Y. Upstate Medical University.

Background And Objectives: The United States needs more family physicians. Projections based on current trends show a deficit of 52,000 primary care physicians by 2025. Eight national family medicine (FM) organizations have set an ambitious goal of increasing the proportion of US medical school graduates who enter FM residencies to 25% by 2030. Read More

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http://dx.doi.org/10.22454/FamMed.2019.395617DOI Listing

Is Precision Medicine Consistent With Primary Care?

Authors:
Dana E King

Fam Med 2019 03;51(3):224-226

Department of Family Medicine, West Virginia University, Morgantown, WV.

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http://dx.doi.org/10.22454/FamMed.2019.687886DOI Listing

Self-reliance and Collaboration.

Authors:
John Saultz

Fam Med 2019 03;51(3):221-223

Oregon Health and Science University, OHSU Family Medicine, 3181 SW Sam Jackson Park Rd, Mail Code FM, Portland, OR 97239. 503-494-6602. Fax: 503-494-4496.

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http://dx.doi.org/10.22454/FamMed.2019.904643DOI Listing

Graduating Medical Student Perspectives on Factors Influencing Specialty Choice An AAFP National Survey.

Fam Med 2019 02;51(2):129-136

S.U.N.Y. Upstate Medical University.

Background And Objectives: Fewer than 10% of US medical school graduates enter family medicine residencies each year. Little is known about the perceptions and attitudes of senior medical students as they make final decisions about specialty choice, especially those that support a decision to pursue family medicine. The American Academy of Family Physicians (AAFP) administered a national survey to US seniors in 2015 to explore these factors. Read More

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https://journals.stfm.org/familymedicine/2019/february/kost-
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http://dx.doi.org/10.22454/FamMed.2019.136973DOI Listing
February 2019
4 Reads

What I Learned in China.

Authors:
Beat Steiner

Fam Med 2019 02;51(2):207-208

University of North Carolina School of Medicine Family Medicine Residency, Chapel Hill, NC.

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http://dx.doi.org/10.22454/FamMed.2019.122769DOI Listing
February 2019

Me and Research, It's Complicated Reflections From an FMAHealth Fellow.

Authors:
Vivian Jiang

Fam Med 2019 02;51(2):205-206

Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA.

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http://dx.doi.org/10.22454/FamMed.2019.767822DOI Listing
February 2019

Addressing Family Medicine's Capacity to Improve Health Equity Through Collaboration, Accountability and Coalition-Building.

Fam Med 2019 02;51(2):198-203

University of Alabama College of Community Health Services

Achieving health equity requires an evaluation of social, economic, environmental, and other factors that impede optimal health for all. Family medicine has long valued an ecological perspective of health, partnering with families and communities. However, both the quantity and degree of continued health disparities requires that family medicine intentionally work toward improvement in health equity. Read More

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http://dx.doi.org/10.22454/FamMed.2019.921819DOI Listing
February 2019

Report From the FMAHealth Practice Core Team: Achieving the Quadruple Aim Through Practice Transformation.

Fam Med 2019 02;51(2):193-197

American Board of Family Medicine, Lexington, KY.

Family Medicine for America's Health (FMAHealth) is a strategic planning organization effort that was created out of the reevaluation of the first Future of Family Medicine project from 2004. This article is a summary of the key findings of the FMAHealth Practice Core Team. At the highest level, we find that family medicine practices have compelling intrinsic and extrinsic reasons to evolve to new models of care delivery. Read More

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http://dx.doi.org/10.22454/FamMed.2019.553311DOI Listing
February 2019

Development, Value, and Implications of a Comprehensive Primary Care Payment Calculator for Family Medicine Report From Family Medicine for America's Health Payment Tactic Team.

Fam Med 2019 02;51(2):185-192

CFAR, Inc, Philadelphia, PA.

Background And Objectives: Fee for service (FFS), the dominant payment model for primary care in the United States, compensates physicians based on volume. There are many initiatives exploring alternative payment models that prioritize value over volume. The Family Medicine for America's Health (FMAHealth) Payment Team has developed a comprehensive primary care payment (CPCP) model to support the move from activity- and volume-based payment to performance-based payment for value. Read More

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http://dx.doi.org/10.22454/FamMed.2019.286478DOI Listing
February 2019

The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice.

Fam Med 2019 02;51(2):179-184

CFAR, Inc, Philadelphia, PA.

As America's health care system continues to transform, the foundational importance of primary care becomes more clear. The Joint Principles of the Patient Centered Medical Home are now more than a decade old. As delivery reform continues, the importance of seven essential shared principles have emerged from a dynamic, collaborative, and iterative process of consensus building across multiple stakeholders. Read More

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http://dx.doi.org/10.22454/FamMed.2019.925587DOI Listing
February 2019

A Systematic Approach to Understanding and Implementing Patient-Centered Care.

Fam Med 2019 02;51(2):173-178

CFAR, Inc, Philadelphia, PA.

In 2014, Family Medicine for America's Health (FMAHealth) began implementing a specialty-wide strategic plan. The FMAHealth Board of Directors created an Engagement Tactic Team and charged the team with two major objectives: (1) to engage patients as partners in transforming primary care, and (2) to strengthen working alliances with other primary care professions and key stakeholders to speak with a unified voice for primary care. The team's first objective sought to engage patients as partners to achieve the triple aim. Read More

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http://dx.doi.org/10.22454/FamMed.2019.320829DOI Listing
February 2019

Student and Resident Involvement in Family Medicine for America's Health A Step Toward Leadership Development.

Fam Med 2019 02;51(2):166-172

Pacific Northwest University of Health Sciences College of Osteopathic Medicine, Yakima, WA

Background And Objectives: Trainees-medical students and residents-are an important constituency of family medicine. The Family Medicine for America's Health (FMAHealth) Workforce Education and Development (WED) Tactic Team attempted to engage trainees in FMAHealth objectives via a nationally accessible leadership development program. We discuss a how-to mechanism to develop similar models, while highlighting areas for improvement. Read More

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http://dx.doi.org/10.22454/FamMed.2019.857539DOI Listing
February 2019
1 Read

Preceptor Expansion Initiative Takes Multitactic Approach to Addressing Shortage of Clinical Training Sites.

Fam Med 2019 02;51(2):159-165

S.U.N.Y. Upstate Medical University.

In late 2015, the Society of Teachers of Family Medicine (STFM) was charged with Family Medicine for America's Health's (FMAHealth) Workforce Education and Development Core Team's task of identifying, developing, and disseminating resources for community preceptors. The charge from FMAHealth came at a time when STFM was discussing strategies to address the critical shortage of clinical training sites for medical students. STFM hosted a summit to identify the most significant reasons for the shortage of community preceptors and shape the priorities, leadership, and investments needed to ensure the ongoing education of the primary care workforce. Read More

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https://journals.stfm.org/familymedicine/2019/february/theob
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http://dx.doi.org/10.22454/FamMed.2019.379892DOI Listing
February 2019
12 Reads

Collaborating to Achieve the Optimal Family Medicine Workforce.

Fam Med 2019 02;51(2):149-158

American Academy of Family Physicians, Leawood, KS.

When the Family Medicine for America's Health (FMAHealth) Workforce Education and Development Tactic Team (WEDTT) began its work in December 2014, one of its charges from the FMAHealth Board was to increase family physician production to achieve the diverse primary care workforce the United States needs. The WEDTT created a multilevel interfunctional team to work on this priority initiative that included a focus on student, resident, and early-career physician involvement and leadership development. One major outcome was the adoption of a shared aim, known as 25 x 2030. Read More

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https://journals.stfm.org/familymedicine/2019/february/kelly
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http://dx.doi.org/10.22454/FamMed.2019.926312DOI Listing
February 2019
3 Reads

Factors That Influence Student Choice in Family Medicine A National Focus Group.

Fam Med 2019 02;51(2):143-148

University of Arizona College of Medicine, Phoenix, AZ.

Background And Objectives: The Family Medicine for America's Health Workforce and Education Team aims to increase the number of medical students choosing family medicine to address the projected primary care physician shortage. This aim can be achieved by developing a well-trained primary care workforce. Our student- and resident-led FMAHealth work group aimed to identify factors that influenced fourth-year medical students' choice to become family physicians. Read More

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http://dx.doi.org/10.22454/FamMed.2019.927833DOI Listing
February 2019

Findings From FMAHealth's Bright Spots in Practice Transformation Project.

Fam Med 2019 02;51(2):137-142

CFAR, Inc, Philadelphia, PA.

Background And Objectives: Family physicians are increasingly making or contemplating various methods of practice transformation, but most report significant barriers to making that transition. Given strong interest in practice transformation, and perceived barriers to doing so, it is important to examine how some practices are implementing changes and overcoming barriers. In this project, Family Medicine for America's Health Practice Team learned from practices across the United States that are transforming and experiencing the benefits of working in a comprehensive, value-based practice. Read More

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http://dx.doi.org/10.22454/FamMed.2019.163860DOI Listing
February 2019
8 Reads

Supporting Family Medicine Research Capacity: The Critical Role and Current Contributions of US Family Medicine Organizations.

Fam Med 2019 02;51(2):120-128

North American Primary Care Research Group, Leawood, KS.

Background And Objectives: Family medicine is continuously advanced by a reinforcing research enterprise. In the United States, each national family medicine organization contributes to the discipline's research foundations. We sought to map the unique and interorganizational roles of the eight US family medicine professional organizations participating in Family Medicine for America's Health (FMAHealth) in supporting family medicine research. Read More

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http://dx.doi.org/10.22454/FamMed.2019.318583DOI Listing
February 2019
3 Reads