Abstract:
BACKGROUND AND OBJECTIVES:Medical school is stressful. Students commonly exhibit changes in dietary and physical activity patterns in response. We tracked measurements of physical fitness over 4 years in a cohort of students at the Uniformed Services University. METHODS:Validated measures for specific components of physical fitness were measured in 170 students (94% of the Class of 2011) over the course of 4 years. Measurements included: (1) height and weight (body composition), (2) timed push-ups and sit-ups (muscular endurance), and (3) timed run (aerobic endurance). These measurements are part of annual physical readiness testing required for active duty service in the US military. RESULTS:Muscular endurance and aerobic capacity declined significantly over the 4 years of medical school. Changes in physical fitness were most pronounced during the preclinical years. There were inconsistent changes in body composition among students in the Army, Navy, and Air Force. Composite fitness scores declined significantly in Army and Navy students but not in the Air Force. CONCLUSIONS:Individual levels of physical fitness decline during medical school. Declines are most notable during the preclinical years. To promote student wellness, medical schools should incorporate student wellness activities as a routine part of the curriculum.
journal_name
Fam Medjournal_title
Family medicineauthors
Stephens MB,Cochran C,Hall JM,Olsen Csubject
Has Abstractpub_date
2012-11-01 00:00:00pages
694-7issue
10eissn
0742-3225issn
1938-3800journal_volume
44pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract:BACKGROUND:Although American Sign Language (ASL) is the third most commonly used primary language in the United States, physicians are often not adequately prepared for the challenges of conducting an interview with a deafpatient who signs. METHODS:A search of MEDLINE and PsychINFO databases for research on physician-...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:This pilot study describes an Objective Structured Clinical Examination (OSCE) developed using Human Patient Simulation (HPS). METHODS:Eight residents completed two iterations of this HPS OSCE containing seven stations and utilizing checklists, global ratings, and scoring sheets. RESULTS:The first- and sec...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
abstract::A national survey of all family practice residency directors was undertaken to assess programs' current efforts in the area of violence education. The survey also investigated directors' views about particular types of violence and beliefs about how involved family practice residency programs should be in educating ph...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Teaching outpatient procedures is a major responsibility of family practice residencies. This requires equipment, faculty expertise, and curricula. This report documents one residency program's attempt to enhance the teaching of outpatient procedures. METHODS:We tabulated all office procedure...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-09-01 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: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
更新日期:2020-10-01 00:00:00
abstract:BACKGROUND:We conducted a pilot test of accreditation guidelines for family medicine faculty development fellowship programs from September 1997 to March 1999. The accreditation guidelines included 8 application categories with 27 requirements and 5 self-study criteria. The process included completion of the accreditat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Patient-centered clinical methods encourage physicians to explore the patient's reasons for the visit. Practitioners worry that this behavior may be inefficient. This study piloted a method to examine how the number of problems managed and time per problem vary with time spent exploring a patient's views. M...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-04-01 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:BACKGROUND AND OBJECTIVES:Family medicine residents are required to maintain a continuity practice in an approved family medicine center (FMC) and achieve minimum targets for patient encounters. In the past, minimum periods of time in the FMC were defined in the program requirements, but these have now been replaced wi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-11-01 00:00:00
abstract::Practice management curriculum must evolve to more thoroughly address the areas of personnel recruitment. A recent report by the Medical Group Management Association indicated that nearly half of a family practitioner's practice overhead goes for personnel. This paper presents a recruitment curriculum designed as a jo...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1988-09-01 00:00:00
abstract::The improvement of clinical teaching skills has consistently been an important focus of faculty development in family medicine. Successful faculty development programs depend on an understanding of the components of clinical teaching and a profile of the strengths and weaknesses of each faculty member with respect to ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-09-01 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 maturation process of family practice intensifies the need for our educators to unify their material into concepts specific to our specialty. A method of teaching clinical topics is described in which integrative goals are combined with knowledge, skill, and attitudinal goals. The attitudinal goals are designed to...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residents find it difficult to access medical care. Some seek care within their own program. Our objectives were to (1) determine whether family medicine program directors see their own resident physicians as patients, (2) describe whether they perceive the residency culture as actively encour...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:In Strömstad, with 10,000 inhabitants, a cardiovascular prevention program was launched during 1985-1987 because of high rates of cardiovascular disease. To study long-term effects in women, an 8-year follow-up was conducted. METHODS:Participants (n = 114) and nonparticipants (n = 269) in the lifestyle inte...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:There has been a growth in the demand for convenient, walk-in access in health care across the United States, resulting in primary care practices seeing a shift in services to urgent care centers (UCCs). In order to incorporate the flexibility of a UCC and improve primary care access and preve...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2020.933051
更新日期:2020-06-01 00:00:00
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:
更新日期:1990-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Many medical schools assess student clinical knowledge using the National Board of Medical Examiners (NBME) subject examinations. The Family Medicine Clinical Science Mastery Series (CSMS) self-assessments, which are made up of former Family Medicine NBME examination questions, became availabl...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.253577
更新日期:2019-09-01 00:00:00
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:
更新日期:2017-11-01 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::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:
更新日期:1992-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A model rural clinic was established by the Quincy Family Practice Residency Program with the financial support of sponsoring local hospitals. The purpose of the study was 1) to determine the financial viability of such a model practice and 2) to determine the practice's financial effect on th...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-03-01 00:00:00
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
更新日期:2019-07-01 00:00:00
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:
更新日期:2017-07-01 00:00:00
abstract::For decades Vitamin B12 injections have been administered to patients with no documented deficiency. A previous study identified a cohort of patients who described vitamin B12-responsive symptoms despite lack of cobalamin deficiency as measured by conventional laboratory tests. These patients have been studied further...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
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:
更新日期:2010-10-01 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:BACKGROUND AND OBJECTIVES:The Affordable Care Act has spurred significant change in the US health care system, including expansion of Medicaid and private insurance coverage to millions of Americans. As a result, the need for the medical education continuum to produce a family physician workforce that is sizable enough...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study was conducted to explore the hypothesis that negative comments from faculty and residents about family practice are related to the recent decline in student selection of this specialty. METHODS:A questionnaire was sent to all family physicians and an equal number of other primary c...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00