The association between global health training and underserved care: early findings from two longstanding tracks.

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, using the 2009 American Medical Association Masterfile, we assessed the practice location of the 480 graduates from 1980--2008 of two family medicine residencies-Residency 1 and Residency 2. The outcomes of interest were the percentage of graduates in health professional shortage areas (HPSAs), medically underserved areas (MUAs), rural areas, areas of dense poverty, or any area of underservice. RESULTS:Thirty-seven percent of Residency 1 participants and 20% of nonparticipants practiced in HPSAs; 69% of Residency 2 participants and 55.5% of nonparticipants practiced in areas of dense poverty. All other combined and within-residency differences were not statistically significant. CONCLUSIONS:These findings neither confirm nor refute the results of prior surveys suggesting that global health training is associated with increased interest in underserved care. Studies involving more GHTs and complimentary methods are needed to more precisely elucidate the impact of this training.

journal_name

Fam Med

journal_title

Family medicine

authors

Liaw W,Bazemore A,Xierali I,Walden J,Diller P,Morikawa MJ

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

263-7

issue

4

eissn

0742-3225

issn

1938-3800

journal_volume

45

pub_type

杂志文章,多中心研究
  • Students' evaluations of teaching and learning experiences at community- and residency-based practices.

    abstract:BACKGROUND:Research has identified students' preferences for clinical sites and the clinical teaching behaviors of preceptors valued by students. This study investigated medical students' perceptions of preceptor teaching behaviors and student performance information at community- and residency-based sites. METHODS:Th...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Leone-Perkins M,Schnuth RL,Lipsky MS

    更新日期:1999-09-01 00:00:00

  • Teaching family-centered perinatal care in family medicine, Part I.

    abstract::Pregnancy, childbirth, postpartum, and infant care are a continuum in the family life cycle for which the family physician is especially qualified to provide primary, comprehensive care. The purpose of this paper is to document and share the controversies, wisdom, and knowledge about caring for women and their familie...

    journal_title:Family medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Scherger JE,Levitt C,Acheson LS,Nesbitt TS,Johnson CA,Reilly KE,Ratcliffe S,Marquardt D,Pfenninger JL,Rodney WM

    更新日期:1992-05-01 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

  • Disarming the family ghost: a family of origin experience.

    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:

    authors: Mengel MB,Mauksch LB

    更新日期:1989-01-01 00:00:00

  • Family physicians and first-trimester abortion: a survey of residency programs in southern California.

    abstract:INTRODUCTION:Since abortion has become a focus of increased public attention, it is important to assess family physicians' attitudes and scope of training regarding this outpatient procedure. METHODS:Residents and faculty at eight southern California family practice residency programs were surveyed about their views o...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Lerner D,Taylor F

    更新日期:1994-03-01 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

  • Teaching practice management during residency.

    abstract:BACKGROUND AND OBJECTIVES:Practice management is a required component in family practice residency education. A few studies have reported that recently graduated primary care physicians indicated that their practice management training was inadequate. Our study describes the current nature of practice management educat...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Rose EA,Neale AV,Rathur WA

    更新日期:1999-02-01 00:00:00

  • A closer look at confounding.

    abstract:BACKGROUND AND OBJECTIVES:Confounding is one of the most common and important biases in primary care research. This article explains the genesis and effects of two common misconceptions of confounding: 1) Confounding can be assessed with a statistical test. 2) All covariates should be included in a multivariate model t...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Sonis J

    更新日期:1998-09-01 00:00:00

  • Results of the 1996 National Resident Matching Program: family practice.

    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:

    authors: Kahn NB Jr,Garner JG,Schmittling GT,Ostergaard DJ,Graham R

    更新日期:1996-09-01 00:00:00

  • Finding the Words: Medical Students' Reflections on Communication Challenges in Clinic.

    abstract:BACKGROUND AND OBJECTIVES:Interpersonal communication is essential to providing excellent patient care and requires ongoing development. Although aspects of medical student interpersonal communication may degrade throughout career progression, it is unknown what specific elements pose challenges. We aimed to characteri...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Braverman G,Bereknyei Merrell S,Bruce JS,Makoul G,Schillinger E

    更新日期:2016-11-01 00:00:00

  • Improvement in rural neonatal mortality: a case study of medical community intervention.

    abstract::Previous studies have demonstrated that maternity care by family physicians can produce statistically similar outcomes to obstetric management in some communities. Obstetrical and perinatal literature suggest that those specialties may be able to decrease rural neonatal mortality. However, family practice literature h...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Marquardt DN

    更新日期:1990-07-01 00:00:00

  • Aptitude x treatment interactions in family medicine research.

    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:

    authors: Holloway RL,Rogers JC

    更新日期:1989-09-01 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

  • Strengthening the Community College Pathway to Medical School: A Study of Latino Students in California.

    abstract:BACKGROUND AND OBJECTIVES:One third of Latino medical students begin their premedical undergraduate education at a community college (CC) or 2-year college, compared to a 4-year university. This study explored the academic and personal experiences Latino premedical students commonly encounter at the CC. METHODS:In 201...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Talamantes E,Gonzalez K,Mangione CM,Ryan G,Jimenez A,Gonzalez F,Greenwood SS,Hayes-Bautista DE,Moreno G

    更新日期:2016-10-01 00:00:00

  • Rural-urban differences in depression prevalence: implications for family medicine.

    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:

    authors: Probst JC,Laditka SB,Moore CG,Harun N,Powell MP,Baxley EG

    更新日期:2006-10-01 00:00:00

  • Discussing organ donations with patients.

    abstract:BACKGROUND:The gap between the demand and supply of organs has prompted examination of health care professionals' roles in organ retrieval. This study examines Illinois family physicians' advisory roles as reflected in their beliefs and conversations with patients about cadaveric organ donation. METHODS:A 50-item ques...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Spielman B,Verhulst S

    更新日期:1996-11-01 00:00:00

  • Training family physicians in community health centers: a health workforce solution.

    abstract:PURPOSE:For more than 25 years, family medicine residencies (FMRs) have worked with community health centers (CHCs) to train family physicians. Despite the long history of this affiliation, little research has been done to understand the effects of training residents in this underserved community setting. This study co...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Morris CG,Johnson B,Kim S,Chen F

    更新日期:2008-04-01 00:00:00

  • Teaching medical students to prioritize preventive services.

    abstract:BACKGROUND:Clinicians cannot provide all recommended preventive services in a single office visit and must learn to prioritize. This skill is not overtly addressed in medical school. METHODS:We designed a workshop to teach third-year medical students to prioritize preventive services during an office visit. In a prosp...

    journal_title:Family medicine

    pub_type: 杂志文章,随机对照试验

    doi:

    authors: Chumley HS,Dobbie A,Pollock M,Delzell JE Jr

    更新日期:2006-11-01 00:00:00

  • Implementation of a smoking cessation counseling module in a preceptorship program.

    abstract:BACKGROUND:Family medicine preceptorships are underused opportunities for learning smoking cessation counseling skills. To prepare students for their future roles in preventing health problems in patients who use tobacco, we implemented a patient-centered instructional module within the elective Texas Statewide Family ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Nieman LZ,Velasquez MM,Groff JY,Cheng L,Foxhall LE

    更新日期:2005-02-01 00:00:00

  • Outcomes of Embedded Care Management in a Family Medicine Residency Patient-Centered Medical Home.

    abstract:BACKGROUND AND OBJECTIVES:Much attention is devoted nationally to preventing hospital readmissions and emergency department (ED) use, given the high cost of this care. There is a growing body of evidence from the Patient Centered Primary Care Collaborative that a patient-centered medical home (PCMH) model successfully ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Newman RJ,Bikowski R,Nakayama K,Cunningham T,Acker P,Bradshaw D

    更新日期:2017-01-01 00:00:00

  • Using Telemedicine Technology to Assess Physician Outpatient Teaching.

    abstract:BACKGROUND AND OBJECTIVES:Video conferencing technology (telemedicine) can be applied to many settings within the medical community; we assessed the feasibility of its use in conducting observations of faculty at remote family medicine teaching sites. METHODS:We deployed seven telemedicine units to five family medicin...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Biery N,Bond W,Smith AB,LeClair M,Foster E

    更新日期:2015-11-01 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

  • Rapid estimate of adult literacy in medicine: a shortened screening instrument.

    abstract:BACKGROUND:This study was conducted to validate a shortened version of the Rapid Estimate of Adult Literacy in Medicine (REALM). This screening instrument is designed to be used in public health and primary care settings to identify patients with low reading levels. It provides reading grade estimates for patients who ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Davis TC,Long SW,Jackson RH,Mayeaux EJ,George RB,Murphy PW,Crouch MA

    更新日期:1993-06-01 00:00:00

  • Experiences of family medicine residents in primary care obstetrics training.

    abstract:BACKGROUND AND OBJECTIVES:Obstetrical practice by family physicians has been declining rapidly for many reasons over the past number of decades. One reason for this trend is family medicine residents not considering intrapartum care as part of their future careers. Decisions such as this may be related to experiences d...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Koppula S,Brown JB,Jordan JM

    更新日期:2012-03-01 00:00:00

  • Detecting potential intimate partner violence: which approach do women want?

    abstract:INTRODUCTION:Screening for or detection of intimate partner violence (IPV) in women is recommended, but no published studies compare respondent preferences for how screening should occur. This study sought to determine women's preferences for IPV detection. METHODS:Using a video stimulus method, 97 women viewed a shor...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: McCord-Duncan EC,Floyd M,Kemp EC,Bailey B,Lang F

    更新日期:2006-06-01 00:00:00

  • Interest in Family Medicine Among US Medical Students and Its Association With a Community College Academic Pathway.

    abstract:BACKGROUND AND OBJECTIVES:One-third of all medical students attend a community college (CC) on their path to medical school. The objective of this study was to examine the association between CC participation and initial specialty of interest among US allopathic medical students. METHODS:We performed a national cross-...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Talamantes E,Hernandez AM,Gonzalez R,Gonzalez K,Ulloa J,Dowling PT,Estrada A,Moreno G

    更新日期:2017-11-01 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

  • The accuracy of patient encounter logbooks used by family medicine clerkship students.

    abstract:BACKGROUND:Family medicine predoctoral programs frequently have medical students record patient diagnoses in logbooks. Little is known about the accuracy of such logbooks. No studies have compared patient records dictated by students with cases recorded in logbooks. METHODS:Over 2 years, all patient encounters dictate...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Patricoski CT,Shannon K,Doyle GA

    更新日期:1998-07-01 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

  • The effects of learners on waiting times and patient satisfaction in an ambulatory teaching practice.

    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:

    authors: Bestvater D,Dunn EV,Nelson W,Townsend C

    更新日期:1988-01-01 00:00:00