Abstract:
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 54.6% (261/478). Paid maternity leave policies varied widely (0 to >12 weeks; mean=5.3 weeks for faculty and 4.5 weeks for residents); paid paternity leave ranged from 0 to 12 weeks (mean=2.7 weeks for faculty and 2.4 weeks for residents). Some FM programs reported offering residents (29.1%) and faculty (28.5%) no paid maternity leave; 37.2% offered residents and 40.4% offered faculty no paid paternity leave. Both female and male faculty took significantly less leave than was offered (maternity leave: faculty 0.6 weeks less, P<.01; residents 0.5 weeks less, P<.01; paternity leave: faculty 1.6 weeks less, P<.01; residents 0.6 weeks less, P<.01). The amount of paid and total maternity and paternity leave surrendered by residents was strongly correlated with the amount surrendered by faculty in the same program (correlation coefficients 0.46-0.87, P<.01). Residents in smaller programs, and programs with a rural focus, surrendered more parental leave. CONCLUSIONS:Programs vary widely in their parental leave offerings, and FM residents and faculty frequently take less parental leave than offered. As the amount of leave taken by residents and faculty at the same institution is correlated, institutional culture may contribute to parental leave use.
journal_name
Fam Medjournal_title
Family medicineauthors
Wendling A,Paladine HL,Hustedde C,Kovar-Gough I,Tarn DM,Phillips JPdoi
10.22454/FamMed.2019.773836subject
Has Abstractpub_date
2019-10-04 00:00:00pages
742-749issue
9eissn
0742-3225issn
1938-3800journal_volume
51pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract:OBJECTIVES:This study explored family physicians' attitudes about smoking cessation counseling-its importance, their confidence in their ability to counsel, outcome expectations of counseling, perception of their influence on patient behavior types of counseling skills used, and the extent to which office-based activit...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2002-02-01 00:00:00
abstract::The investigators conducted a survey of Balint group activities among family practice residencies in the United States. The survey was designed to discover how many programs have Balint groups as well as the groups' characteristics, leadership, and structure. Of the 381 family practice residencies surveyed, 93% respon...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Interviewing for residency positions is increasingly stressful for students and challenging for programs. Little information is available about the costs and time invested by students in interviewing or about the key factors in decisions to accept interview offers. Our objective was to assess ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Clinical coaching programs can improve clinician performance through feedback following direct observation and the promotion of reflection. This study assessed the feasibility and acceptability of a primary care coaching program applied in community-based practices. METHODS:Using a 31-item be...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.791011
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:We examined the use of inexpensive handheld computers in documenting resident procedures. With a handheld computer, data is entered at the time of the procedure, eliminating the problem of double entry. METHODS:Connectivity and ease of use were important factors considered when choosing a han...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:In Japan, family medicine training is driven by community-based medical education (CBME) and is often provided in rural community hospitals and clinics. Although CBME's positive relationship to family medicine in rural community hospitals is proven, the learning processes of medical students a...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2021.308872
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Physician workforce projections fuel interest in addressing the shortage of family physicians. Copious research has investigated personality as a variable influencing specialty intention. Medical school rural longitudinal integrated clerkships (LICs) nurture interest in family medicine. This s...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Nurse practitioners and physician assistants (physician extenders) are playing an increased role in medical care. The purpose of this research was to determine the proportion of adults who have received health care from physician extenders. METHODS:This study used the subject population of the 1990 Kentucky...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract::This article is intended to inform STFM and NAPCRG members of current developments regarding this organizational process and the future of each organization. These preliminary discussions have provided a basis for determining how family medicine can be more effective as an academic discipline. The board of directors a...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Teaching outpatient procedures is a major responsibility of family practice residencies. This requires equipment, faculty expertise, and curricula. This report documents one residency program's attempt to enhance the teaching of outpatient procedures. METHODS:We tabulated all office procedure...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Because a shortage of physicians for the rural United States persists, it is important to better understand why individuals from rural areas consider careers in medicine. This study assessed and compared rural and urban high school students' interest in careers in medicine. METHODS:Students a...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-02-01 00:00:00
abstract::Increasing the quality and quantity of geriatric medicine training for family practice residents is a particular challenge for community-based programs. With support from the John A. Hartford Foundation of New York City, the American Academy of Family Physicians (AAFP) implemented in 1995 a multi-part project to impro...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:More effective diabetes care is desperately needed, especially for ethnic minority populations. Provider cultural competence promises to be an important means for reducing disparities in outcomes for patients with diabetes. The objectives of this study were to understand the role of cultural c...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residents find it difficult to access medical care. Some seek care within their own program. Our objectives were to (1) determine whether family medicine program directors see their own resident physicians as patients, (2) describe whether they perceive the residency culture as actively encour...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Diabetes requires substantial ongoing medical management and use of monitoring tests. However, physicians' performance of these tests is often suboptimal. This study explored primary care physicians' management of diabetes in the context of both planned diabetes visits and acute visits for con...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The I3 POP Collaborative sought to improve health of patients attending North Carolina, South Carolina, and Virginia primary care teaching practices using the triple aim framework of better quality, appropriate utilization, and enhanced patient experience. We examined change in triple aim meas...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.885946
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVE:This study demonstrates the use of a community household survey and how it can provide information beyond that obtained with secondary epidemiologic data alone. METHODS:Adults in 215 randomly selected households in an inner-city neighborhood in Bronx, NY, were assessed by in-person interviews in homes of nei...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract::To investigate factors influencing a resident's decision to participate in obstetrical care, a survey was undertaken of program directors and third-year residents from the 16 Michigan family practice residency programs. Responses indicated that the majority of third-year residents (55%) intended to practice obstetrics...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1987-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A home visit program was designed to teach family practice residents how to evaluate patients for elder abuse and capacity (the ability to make one's own decisions). METHODS:Residents assessed potential abuse victims reported to Arizona's Adult Protective Service (APS) in their homes. Written...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract::A model for research, aptitude x treatment interactions (ATI), is presented. This model has some specific utility for family medicine research. ATI can test the interaction between individual differences (aptitudes) and experimental interventions (treatments). Thus, in an applied setting one might choose an interventi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study compared the training programs and career paths of family medicine graduates in the National Research Service Award (NRSA) Program for Research in Primary Medical Care with general internal medicine and general pediatric peers. METHODS:We mailed a survey to NRSA fellows graduating ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Rural populations experience more adverse living circumstances than urban populations, but the evidence regarding the prevalence of mental health disorders in rural areas is contradictory. We examined the prevalence of depression in rural versus urban areas. METHODS:We performed a cross-secti...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Intimate partner violence (IPV) is a silent epidemic affecting one in three women. The US Preventive Services Task Force recommends routine IPV screening for women of childbearing age, but actual rates of screening in primary care settings are low. Our objectives were to determine how often IP...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.311843
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There is a national shortage of primary care physicians; many medical school departments of family medicine are searching for new ways to attract and retain students who may be interested in primary care. In 2004, our department began a "pipeline" program targeted at entering first-year studen...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A personal physician and enhanced access to care are principles of the patient-centered medical home. Despite the importance of these concepts, measuring and improving interpersonal continuity of care and access to care in academic family medicine centers has received little attention. The aut...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Determining authorship for publications is often a difficult process, even more so when individuals from several disciplines collaborate with community organizations to conduct projects. Although multidisciplinary and community-academic partnerships provide fertile ground for publication effor...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract::The improvement of clinical teaching skills has consistently been an important focus of faculty development in family medicine. Successful faculty development programs depend on an understanding of the components of clinical teaching and a profile of the strengths and weaknesses of each faculty member with respect to ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::We monitored physician performance of stool occult blood testing and breast exams during health maintenance visits of patients aged 50 or greater, to assess the impact of a physician education program and the use of a health screening flow sheet on performance of these health screening procedures. During the baseline ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract::The inpatient setting is commonly used to teach residents various aspects of the practice of medicine. This paper describes how inpatient teaching rounds can be expanded to teach the biopsychosocial approach to patient care. The background and early development, the structure of the teaching, and specific case example...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study determined the perceived characteristics of family practice residency training programs that produce a high percentage of graduates who provide maternity care. METHODS:We surveyed a Delphi panel of 28 family practice maternity care experts. RESULTS:Consensus was reached after the ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00