Abstract：
BACKGROUND AND OBJECTIVES:Limited research has been done to understand outcomes of continuing medical education offered in three-dimensional, immersive virtual worlds. We studied a case of a virtual world workshop on motivational interviewing (MI) applied to smoking cessation counseling and its educational impact. METHODS:To facilitate content development and evaluation, we specified desired MI competencies. The workshop consisted of three sessions, which included lectures, practice with standardized patients, and chat interactions. Data were collected from 13 primary care physicians and residents through workshop observation, and pre- and 3-month post-workshop telephone/Skype interviews and interactions with standardized patients. Interactions with standardized patients were assessed by an expert using a validated MI tool and by standardized patients using a tool developed for this study. For 11 participants who attended two or three sessions, we conducted paired-samples t tests comparing mean differences between the competency scores before and after the workshop. RESULTS:Expert assessment showed significant improvement on six of seven MI competencies. All participants reported learning new knowledge and skills, and nine described incorporating new learning into their clinical practice. Practicing MI with standardized patients and/or observing others' practice appeared to be the most helpful workshop component. CONCLUSIONS:The evaluated workshop had positive impact on participants' competencies and practice as related to MI applied to smoking cessation counseling. Our findings support further exploration of three-dimensional virtual worlds as learning environments for continuing medical education.
journal_name
Fam Medjournal_title
Family medicineauthors
Shershneva M,Kim JH,Kear C,Heyden R,Heyden N,Lee J,Mitchell Ssubject
Has Abstractpub_date
2014-04-01 00:00:00pages
251-8issue
4eissn
0742-3225issn
1938-3800journal_volume
46pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract：:Approximately 25,000 recorded visits between primary care physicians and adults aged 25 and older in the 1985 National Ambulatory Medical Care Survey were analyzed to study the relationship between patient age and selected process measures of the physician-patient encounter. Multiple presenting complaints and visit di...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
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：
更新日期：1993-04-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Central to health insurance reform discussions was the recurring question: why are eligible children not enrolled in public insurance programs? We interviewed families with children eligible for public insurance to (1) learn how they view available services and (2) understand their experiences...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：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. METH...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2019.113783
更新日期：2019-04-01 00:00:00
abstract：:Research themes of interest to both clinical and social sciences have been proliferating in recent years. While the personal experiences of individuals who conduct interdisciplinary research probably vary widely, several general models of research and its conduct seem to be quite common. This is illustrated using the ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1989-05-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Partnering between families and their children's providers is the cornerstone of family-centered care. The aims of this study are to (1) identify factors associated with family-provider partnership and (2) determine the association between partnership and other outcome measures for children wi...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2012-07-01 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 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:Our objective was to describe the results of a 6-year patient-centered medical home (PCMH) transformation program in 11 Colorado primary care residency practices. METHODS:We used a parallel qualitative and quantitative evaluation including cross-sectional surveys of practice staff and clinici...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2019.928558
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:This study evaluated the effectiveness of a clinical interviewing training program for third-year family practice trainees and determined which other factors influence residents' training in clinical communication. METHODS:This was a randomized, multicenter, educational trial involving 193 th...
journal_title：Family medicine
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：
更新日期：2003-07-01 00:00:00
abstract：:A growing number of Americans will soon have a Web-based personal medical home with connectedness to their chosen providers of care. The personal health record will become integrated with the electronic health record. Like other services on the Internet, patients will be able to direct much of their health care using ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2009-04-01 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：BACKGROUND AND OBJECTIVES:Family physicians are poised to provide medical care to older adults residing in the broad range of facilities now currently available to this population. To date, geriatric training has focused on skilled nursing facilities, particularly for the required Review Committee for Family Medicine (...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Pharmacist inclusion in patient-centered medical home (PCMH) teams has been shown to benefit both patients and practices. However, pharmacists' inclusion on these teams is not widespread, partly because the work they do is not well known. The Successful Collaborative Relationships to Improve P...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2018.391124
更新日期：2018-09-01 00:00:00
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
更新日期：2019-03-01 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：:Family practice residency training in Venezuela is designed to prepare physicians to meet the health needs of the nation at a time of increasing societal concerns for the quality and cost of care. Since 1982, nine residency programs have been created throughout the country. Each two-year program is based in an ambulat...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：OBJECTIVE:This study describes an international acupuncture elective and its impact on medical students' development of cultural competence. METHODS:Collaborating with Chinese colleagues, we created a 4-week elective that teaches medical students about acupuncture in its native cultural environment. Three focus groups...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Family practice residency programs graduate about 600 rural physicians each year. Increases in resident positions have not increased the numbers who choose rural practice. This study examines the relationship between program characteristics and the graduation rate of rural physicians. METHODS...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1998-04-01 00:00:00
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：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：:Emerging infections and bioterrorism pose increasing threats to the health of our communities. To protect patients, frontline providers like family physicians must learn and use core public health skills such as disease detection, surveillance, and response activities. This paper describes a unique approach to teachin...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2004-11-01 00:00:00
abstract：:A questionnaire regarding perceived training and practice goals was distributed to 185 consecutive medical students interviewing for a 1986-87 internship at a community hospital in Southern California. Students were asked to estimate the dollar cost of professional liability insurance for a hypothetical family physici...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1988-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Interest in global health (GH) has increased significantly among medical trainees in the past 3 decades. Despite the potential for family medicine to be a major contributor to GH, there are no recent, large-scale studies of GH education and experiences in family medicine training. This study w...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2016-07-01 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：:A training method based on family of origin theory was designed to improve health care providers' interactions with difficult patients. The training is divided into five phases. First, leaders introduce participants to basic family of origin issues and the goals and format of the process. Second, participants discuss ...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Previous findings regarding a possible association between beta-blocker use and depression are mixed. To our knowledge there have been no studies investigating the association of beta-blockers with depression in primary care hypertension patients without previous myocardial infarction. The aim...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：2014-06-01 00:00:00
abstract：:Family practice as a career choice has been related to a number of educational variables, including the presence of a required clinical clerkship. In order to determine whether or not the timing of the required clinical clerkship was also related to family practice residency selection, a study was undertaken to invest...
journal_title：Family medicine
pub_type： 杂志文章
doi：
更新日期：1988-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVES:Current physician burnout levels are at historically high levels, especially in family medicine, with many factors playing a role. The goal of this study was to understand demographic, psychological, environmental, behavioral, and workplace characteristics that impact physician wellness and bu...
journal_title：Family medicine
pub_type： 杂志文章
doi：10.22454/FamMed.2019.424025
更新日期：2019-09-06 00:00:00
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：
更新日期：1999-01-01 00:00:00
