Urban underserved program: an analysis of factors affecting practice outcomes.

Abstract:

BACKGROUND AND OBJECTIVES:Fewer medical students are choosing to work in primary care, and it is difficult to recruit and retain physicians to work in underserved communities. Positive exposures with underserved communities are known to increase a physician's likelihood of practicing in an underserved area. While a number of medical school programs are designed to address the rural physician workforce shortage, there are fewer medical school programs designed to specifically recruit and retain physicians to work in urban underserved areas. This article describes a multifaceted, longitudinal medical school curriculum at Jefferson Medical College known as the Urban Underserved Program (UUP) and a survey administered to UUP graduates exploring the association between program participation and practice outcomes. METHODS:A mixed methods analysis of an online survey was administered to UUP graduates. RESULTS:Results indicated that 75% of UUP graduates work in urban areas, 75% in an underserved or physician shortage area, and 61% in a primary care capacity. Additionally, results indicate that the UUP supports and encourages medical students to work with urban underserved populations by increasing knowledge of health disparities and empathy for underserved populations. CONCLUSIONS:Urban underserved communities have greater health disparities and less access to health care, and programs that promote and prepare students to enter practice in these communities can potentially impact the health of these populations.

journal_name

Fam Med

journal_title

Family medicine

authors

Roy V,Hurley K,Plumb E,Castellan C,McManus P

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

373-7

issue

5

eissn

0742-3225

issn

1938-3800

journal_volume

47

pub_type

杂志文章
  • Health career orientation of Oregon high school students.

    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:

    authors: Elder N,Taylor A,Anderson CE,Virgin R

    更新日期:1997-02-01 00:00:00

  • Pregnancy Options Counseling and Abortion Referrals Among US Primary Care Physicians: Results From a National Survey.

    abstract:BACKGROUND AND OBJECTIVES:Primary care physicians (PCPs) can play a critical role in addressing unintended pregnancy through high-quality options counseling and referrals. METHODS:We surveyed a nationally representative sample of 3,000 PCPs in general, family, and internal medicine on practices and opinions related to...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Holt K,Janiak E,McCormick MC,Lieberman E,Dehlendorf C,Kajeepeta S,Caglia JM,Langer A

    更新日期:2017-07-01 00:00:00

  • Teaching geriatric assessment: use of a hybrid method in a family medicine clerkship.

    abstract:BACKGROUND AND OBJECTIVES:We addressed a lack of geriatric content in our third-year family medicine clerkship. Adding this content posed a challenge in that students are dispersed to clinical sites across New England. Our goal was to promote student skill in functional assessment of elderly patients. METHODS:We used ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Goldman LN,Wiecha J,Hoffman M,Levine SA

    更新日期:2008-11-01 00:00:00

  • Screening for mental health using adolescent-reported parenting.

    abstract:BACKGROUND AND OBJECTIVES:Little is known in primary care practices about the relationship between parenting and adolescent mental health. In addition, current parenting measures have a narrow focus or do not lend themselves to clinical intervention. This study examined the clinical utility of a new instrument measurin...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Godkin MA,Baker S,Paradise JE,Domal L,Grant L

    更新日期:1994-09-01 00:00:00

  • Determinants of adjustment for children of divorcing parents.

    abstract::Family physicians frequently see children and parents when they are adjusting to marital separation. This study examined how well child adjustment at school could be determined from an assessment of interspousal relations, maternal functioning, and child perception variables. Teachers evaluated adaptive functioning, s...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Oppenheimer K,Prinz RJ,Bella BS

    更新日期:1990-03-01 00:00:00

  • Demonstrating prescribing competence: a successful pilot of a prescription competency curriculum for family medicine residents.

    abstract:BACKGROUND:Poor medication prescribing skills among residents have been widely reported. METHODS:We implemented a three-stage prescribing curriculum with eight interns in an urban family medicine residency. Clinical pharmacy faculty delivered two lectures, attended hospital rounds, and coprecepted in clinic. Evaluatio...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Ginzburg R,Cohrssen A

    更新日期:2007-11-01 00:00:00

  • Terrorism preparedness: have office-based physicians been trained?

    abstract:BACKGROUND AND OBJECTIVES:Terrorism may have a severe impact on physicians' practices. We examined terrorism preparedness training of office-based physicians. METHODS:The National Ambulatory Medical Care Survey uses a nationally representative multi-stage sampling design. In 2003 and 2004, physicians were asked if the...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Niska RW,Burt CW

    更新日期:2007-05-01 00:00:00

  • Area of Concentration programs in university-based family practice residency training.

    abstract::To encourage pursuit of focused academic and clinical interest by family practice residents, we developed an Area of Concentration (AOC) program at a university-based residency program. The program uses resources available throughout the university and permits residents to focus on a variety of interest areas, includi...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Frank SH,Smith CK

    更新日期:1993-04-01 00:00:00

  • FM POD: an evidence-based blended teaching skills program for rural preceptors.

    abstract:BACKGROUND AND OBJECTIVES:The University of Calgary's Rural Integrated Community Clerkship anchors final-year medical student education in 9 months of family medicine. The purpose of this pilot study was to evaluate the Family Medicine Preceptor Online Development (FM POD) program, designed to meet the faculty developm...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Delver H,Jackson W,Lee S,Palacios M

    更新日期:2014-05-01 00:00:00

  • An analysis of reasons for discontinuing participation in a practice-based research network.

    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:

    authors: Green LA,Niebauer LJ,Miller RS,Lutz LJ

    更新日期:1991-08-01 00:00:00

  • Uncertain health insurance coverage and unmet children's health care needs.

    abstract:BACKGROUND AND OBJECTIVES:The State Children's Health Insurance Program (SCHIP) has improved insurance coverage rates. However, children's enrollment status in SCHIP frequently changes, which can leave families with uncertainty about their children's coverage status. We examined whether insurance uncertainty was associ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: DeVoe JE,Ray M,Krois L,Carlson MJ

    更新日期:2010-02-01 00:00:00

  • Training Future Clinician-Educators: A Track for Family Medicine Residents.

    abstract:BACKGROUND AND OBJECTIVES:Despite a growing demand for skilled clinician-educators, residents today rarely receive formal training in clinical teaching, curriculum development, administration, leadership, or educational scholarship. The authors describe the development, implementation, and preliminary evaluation of the...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Lin S,Sattler A,Chen Yu G,Basaviah P,Schillinger E

    更新日期:2016-03-01 00:00:00

  • A survey of Balint group activities in U.S. family practice residency programs.

    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:

    authors: Brock CD,Stock RD

    更新日期:1990-01-01 00:00:00

  • Results of the 2010 national resident matching program: family medicine.

    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:

    authors: Pugno PA,McGaha AL,Schmittling GT,DeVilbiss Bieck AD,Crosley PW,Ostergaard DJ

    更新日期:2010-09-01 00:00:00

  • Dialogues in the exam room: medical interviewing by resident family physicians.

    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:

    authors: Marvel K,Major G,Jones K,Pfaffly C

    更新日期:2000-10-01 00:00:00

  • Research funding and mentoring in family medicine residencies.

    abstract:BACKGROUND AND OBJECTIVES:This study's purpose was to measure the current status of research funding and mentoring in family medicine residencies and to ascertain what resources are needed to increase residencies' research output. METHODS:This was a cross-sectional survey of family medicine residency program directors...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Young RA,DeHaven MJ,Passmore C,Baumer JG,Smith KV

    更新日期:2007-06-01 00:00:00

  • Community Preceptor Perspectives on Recruitment and Retention: The CoPPRR Study.

    abstract:BACKGROUND AND OBJECTIVES:Medical schools are increasingly challenged to recruit and retain community-based preceptors. Physicians experience various incentives and deterrents to teaching medical students while providing patient care. Self-determination theory (SDT) posits people act in response to internal and externa...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2019.937544

    authors: Minor S,Huffman M,Lewis PR,Kost A,Prunuske J

    更新日期:2019-05-01 00:00:00

  • Practical tools for qualitative community-oriented primary care community assessment.

    abstract:BACKGROUND AND OBJECTIVES:The evolution of managed care is creating a need for feasible methods for clinical practices to perform community assessments. Since some types of clinically useful data are best obtained through a qualitative community assessment, practical methods of carrying out this type of assessment are ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Williams RL,Crabtree BF,O'Brien C,Zyzanski SJ,Gilchrist VJ

    更新日期:1999-07-01 00:00:00

  • Utilizing Practice-Based Research Networks to Teach and Implement Quality Improvement in Academic Medicine.

    abstract:BACKGROUND AND OBJECTIVES:A 2019 study found that between 2014 and 2017, family medicine residents had little improvement in self-assessed preparedness to lead quality improvement projects. This study explored the effectiveness of leveraging a practice-based research network (PBRN) across multiple family medicine resid...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2020.411271

    authors: Hoff C,Caleon L,Lee G,Quan M

    更新日期:2020-10-01 00:00:00

  • The role of race in the clinical presentation.

    abstract::What role, if any, should race play in clinical presentations? While race is widely used as a way of identifying patients, this practice has been challenged as conceptually flawed, potentially misleading, and possibly prejudicial to the patient. There are, however; important reasons for not excluding information about...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Anderson MR,Moscou S,Fulchon C,Neuspiel DR

    更新日期:2001-06-01 00:00:00

  • A systematic approach to diabetes mellitus care in underserved populations: improving care of minority and homeless persons.

    abstract:BACKGROUND AND OBJECTIVES:Discrepancy in care of diabetes between racial and ethnic minority groups and Caucasians is well documented in America. System-based practices have been shown to improve quality of care outcomes. We implemented a disease registry and management system proven successful in a suburban practice n...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Baty PJ,Viviano SK,Schiller MR,Wendling AL

    更新日期:2010-10-01 00:00:00

  • Family medicine faculty development fellowships and the medically underserved.

    abstract:OBJECTIVE:This study measured the prevalence of service in federally designated medically underserved communities (FD-MUC) by Title VII-funded, full-time faculty development fellowship alumni. METHODS:A two-stage survey of alumni of full-time, family medicine faculty development fellowships was completed. Alumni were ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Kohrs FP,Mainous AG 3rd,Fernandez ES,Matheny SC

    更新日期:2001-02-01 00:00:00

  • Whither Family Medicine? Our Past, Future, and Enduring Scope of Practice.

    abstract::After 3 decades in private practice, I joined the faculty of a nearby residency program. Like most family medicine residencies, it follows a curriculum that my physician father would have recognized: heavy emphasis on inpatient medicine; short shrift to continuity care. Despite a changing marketplace, there is still a...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2019.633317

    authors: Loxterkamp D

    更新日期:2019-07-01 00:00:00

  • The impact of a health screening flow sheet on the performance and documentation of health screening procedures.

    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:

    authors: Prislin MD,Vandenbark MS,Clarkson QD

    更新日期:1986-09-01 00:00:00

  • Lincomycin injections for upper respiratory tract infections: a comparison of findings in a rural clinic with analysis of a national data base.

    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:

    authors: Lawhorne LW

    更新日期:1991-02-01 00:00:00

  • Introduction of a Motivational Interviewing Curriculum for Family Medicine Residents.

    abstract:BACKGROUND AND OBJECTIVES:The literature has shown that Motivational Interviewing (MI) education can be successfully implemented within the residency education environment; however, little research has described how to implement such a curriculum. We propose that residents' MI skills and confidence will increase follow...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Lazare K,Moaveni A

    更新日期:2016-04-01 00:00:00

  • Migraine in students of a US medical school.

    abstract:BACKGROUND AND OBJECTIVES:The study's aim was to determine migraine prevalence, severity, and educational impact in medical students. METHODS:A 23-item survey of all medical students of one US medical school addressed migraine frequency, triggers, pattern and severity of symptoms, medication use, impact on educational...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Johnson H,Guhl G,Arora J,Walling A

    更新日期:2014-09-01 00:00:00

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

    abstract: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 syst...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:10.22454/FamMed.2019.232634

    authors: Dwiel K,Hesketh MA,Alpert JL,Cellini J,Goodell K,Phillips RS,Sullivan EE

    更新日期:2019-03-01 00:00:00

  • A program to teach curriculum development to junior faculty.

    abstract:BACKGROUND AND OBJECTIVES:Even though curriculum skills are widely acknowledged to be an important part of faculty development in family medicine, reports of outcomes of programs that teach those skills are rarely found in the medical education literature. The Curriculum Workshop Series, one part of a 1-year faculty de...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Snyder S

    更新日期:2001-05-01 00:00:00

  • The role of the chair's spouse in academic departments of family medicine.

    abstract:BACKGROUND AND OBJECTIVES:Family medicine has the highest percentage of unfilled budgeted faculty positions of all clinical and basic science departments. To successfully recruit and retain academic leaders, personal and professional issues need to be recognized and valued. This study reports the results of a national ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Taylor AD

    更新日期:1999-01-01 00:00:00