Abstract:
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). We used descriptive and bivariate statistics to analyze the data. RESULTS:Of our sample of 2,098 early career family physicians, 1,016 (48.4%) responded. Seven hundred (68.9%) currently include obstetrics in their practices. Those currently including obstetrics were more likely to practice in a small rural or isolated (15.4% vs 5.2% and 4.6% vs 1.7%, P<0.001) community and report credentialing was easy (85.2% and 26.5%, respectively, P<0.001). Physicians not currently including obstetrics in their practice reported "found a job without OB" and "lifestyle concerns" as the most significant barriers. Respondents living in the Middle Atlantic and West South Central regions were least likely to provide obstetric deliveries, with fewer than 50% doing so. CONCLUSIONS:Among recent graduates who intended to practice obstetrics, finding a job without obstetrics and lifestyle concerns were the most significant barriers to realizing the scope of practice they intended.
journal_name
Fam Medjournal_title
Family medicineauthors
Barreto TW,Eden A,Hansen ER,Peterson LEdoi
10.22454/FamMed.2019.845581subject
Has Abstractpub_date
2019-05-01 00:00:00pages
383-388issue
5eissn
0742-3225issn
1938-3800journal_volume
51pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract::The results of the 1996 National Resident Matching Program (NRMP) set records in the number of positions filled in family practice residencies, with a 10.8% increase over 1995 (2,840 vs 2,563) and a 9.4% increase in positions filled with US seniors (2,276 vs 2,081). This is the largest number of US seniors choosing fa...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-09-01 00:00:00
abstract::This is the 26th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. Approximately 8.5% of the 16,110 graduates of US medical schools between July 2005 and June 2006 were first-year family medicine resi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract::Now that primary care practice-based research networks are known to be feasible, it is important to learn more about the reasons practices participate and withdraw. The Ambulatory Sentinel Practice Network (ASPN) experience presents a special opportunity to study 32 practices that withdrew from the Network since it be...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-08-01 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:There are few reports of systematic international physician development programs to create family medicine as a new specialty in a developing nation. This paper describes the process and outcomes of a large-scale effort to initiate new family medicine training through the Egyptian Ministry of ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Limited information exists about the application of the biopsychosocial model in medical practice. This study expanded our knowledge about the extent to which psychosocial content is included in medical interviews conducted by resident family physicians. METHODS:Interviews of 180 patients conducted by six s...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Electronic prescribing is one of the components of the Patient-centered Medical Home and is one of the "meaningful use" criteria to qualify electronic medical records for financial incentives. While there are many potential benefits of electronic prescribing, documentation of these is currentl...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2010-05-01 00:00:00
abstract::The results of the 2010 National Resident Matching Program (NRMP) reflect a small but promising increased level of student interest in family medicine residency training in the United States. Compared with the 2009 Match, 75 more positions (with 101 more US seniors) were filled in family medicine residency programs th...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There are multiple barriers that limit patients and primary care physicians (PCPs) from discussing sexual dysfunctions (SDs) during medical appointments. Exploring patient preferences in discussing SDs with PCPs may help address some barriers, which can improve doctor-patient communication abo...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Intern support groups have been instituted in many residency programs to improve resident well-being. In this article, we discuss the themes that emerged in intern support group meetings in a family medicine program operating in a setting of war and political instability. METHODS:We held supp...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-10-01 00:00:00
abstract::A pragmatic method for assisting family practice residents in deciding whether or not to counsel patients with psychosocial problems is described. Called "the problem assessment framework," this seven-step method uses a process of sequential analysis to guide the resident through problem identification, goal setting, ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Family-oriented medical care is one of the basic tenets of family practice. However, little is known about the extent to which: 1) resident physicians discuss family issues during outpatient office visits and 2) attending physicians address family issues during teaching consultations. METHODS:Two hundred an...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Physicians' encounters with dying patients are often problematic. This study was designed to facilitate understanding of what happens when residents encounter dying patients. METHODS:The research involved observing and interviewing 28 family practice residents as they worked with dying patients. The primary...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Global health tracks (GHTs) improve knowledge and skills, but their impact on career plans is unclear. The objective of this analysis was to determine whether GHT participants are more likely to practice in underserved areas than nonparticipants. METHODS:In this retrospective cohort study, us...
journal_title:Family medicine
pub_type: 杂志文章,多中心研究
doi:
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Health advocacy has been declared an essential physician skill in numerous professional physician charters. However, there is limited literature on whether, and how, family medicine residencies teach this skill. Our aim was to determine the prevalence of a formal mandatory advocacy curriculum ...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2020.591430
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Electronic Health Record (EHR) use in clinical practice has accelerated in recent years. While several aspects of EHR use have been extensively studied, there is little data on EHR impacts on medical student educators, especially those involved in outpatient family medicine. This study evaluat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:While debate surrounds the determinants of medical students' specialty choices, the presence of favorable role models is generally agreed upon as beneficial to students' selection of a specialty. This study assessed the influence of family medicine predoctoral education directors on students' ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study's purpose was to understand factors related to scholarly project publication among fellowship graduates and to explore the role of collegial relationships and institutional characteristics on ever having published and number of publications. METHODS:We surveyed 5 years of graduates...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:We describe the development of an urban track in family medicine residency designed to recruit a high percentage of minority students and promote their future practice in urban, underserved areas of Milwaukee. We report here on the residents and their first practice location and compared this ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::Data regarding waiting times and times with nurses and physicians were recorded for 656 patients visiting a large family practice unit. Patients also provided estimates of their own waiting times and ratings of the acceptability of these waits. The data were analyzed to assess whether any differences exist in terms of...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
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 Counci...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.773836
更新日期:2019-10-04 00:00:00
abstract::The family physician is the physician generalist who takes professional responsibility for the comprehensive care of unselected patients with undifferentiated problems and who is committed to the person regardless of age, gender, illness, or organ system. The clinical specialty of family practice is patient centered, ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2001-04-01 00:00:00
abstract::Through several recent and widely publicized cases, misconduct in science has caught the public's attention and reached the agenda of Congress. After a brief historical overview, this article presents a number of cases from family medicine raising issues of duplicate publication, plagiarism, inappropriate authorship, ...
journal_title:Family medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract::A review of the records of patients attending a rural family practice clinic indicated that 13% had received "cold shots" (lincomycin with or without chlorpheniramine). The providers who assumed management of the clinic when the previous physician retired judged these injections inappropriate, but patients believed th...
journal_title:Family medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1991-02-01 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:BACKGROUND AND OBJECTIVES:Pediatric literacy promotion programs carried out in the primary care setting, such as Reach Out and Read (ROR), have been associated with improved language skills for preschool children. Primary care physicians have frequent contact with young families and may be well situated for a literacy ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::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 cre...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.926312
更新日期:2019-02-01 00:00:00
abstract:BACKGROUND:Rotations by American medical students in foreign countries have been common in US medical schools for nearly half a century. Although anecdotal literature makes claims for the significant educational value of these foreign rotations, neither the nature and educational consequences of these experiences, nor ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-04-01 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:Communication between physicians caring for hospitalized patients and those patients' primary care providers (PCPs) is often suboptimal, which can lead to diminished health care quality and safety. It is unclear what hospital information PCPs would find most valuable in their patients' continu...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2012-06-01 00:00:00