Teaching family in family medicine residency programs: results of a national survey.

Abstract:

BACKGROUND AND OBJECTIVES:Integrating family into family medicine has been recognized as important for the discipline, yet there is little known about how family-oriented care is taught in training environments. This paper presents results of a national survey assessing the status of teaching family concepts/skills in family medicine residency programs. METHODS:We sought to survey the program director (PD), a behavioral science faculty (BSF), and a chief resident (CR) from all 454 Accreditation Council for Graduate Medical Education (ACGME) family medicine residency programs. RESULTS:Respondents (n=489) were PDs (29%), CRs (34%), and BSF (36%). Of all respondents, 47% to 66% believe that integrating family concepts/skills into family medicine training is very important (highest level of importance). However, only 19%--23% believe their own programs place this level of importance on this curricular area. Less weight is given to family topics when compared with other behavior science subjects. Behavioral scientists who reported inclusion of (1) family concepts/skills in the formulation of ACGME competencies, (2) evaluation of residents on these skills, or (3) the presence of a family champion or scholar in the program, all reported teaching significantly more family-oriented skills compared to those that did not, respectively, 1 (6.96 versus 4.48), 2 (6.55 versus 4.97), and 3 (6.62 versus 4.54). CONCLUSIONS:Teaching about the family in family medicine continues to be highly valued among educators and their trainees; however, it is not perceived to be similarly valued in residency programs. Current changes in health care offer opportunities to promote and affirm family-oriented care. New curricular strategies are needed so that family-oriented care continues to define the uniqueness of family medicine.

journal_name

Fam Med

journal_title

Family medicine

authors

Korin EC,Odom AJ,Newman NK,Fletcher J,Lechuga C,McKee MD

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

209-14

issue

3

eissn

0742-3225

issn

1938-3800

journal_volume

46

pub_type

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