Abstract:
BACKGROUND AND OBJECTIVES:In July 2010, the Accreditation Council for Graduate Medical Education (ACGME) published its proposed duty-hour regulations. We conducted a national online survey to assess current family medicine residents' perceptions of the proposed changes. METHODS:A 27-question survey was used to assess four ACGME proposal domains: resident supervision, 80-duty-hour week, maximum duty-period length, and maximum frequency of in-hospital duty. Additionally, we surveyed opinions on reasonable weekly work hours, under-reporting practice, and residents' activities during hours off, residents' perceptions of their program's ability to comply with future duty-hour regulations, and their overall satisfactions. Members of the Association of Family Medicine Residency Directors (AFMRD) were invited to send the survey Web link to their residents. RESULTS:Out of 720 respondents, 30% supported revision of current duty-hour work rules; 58% disagreed with limiting interns' working hours to 16 hours per day; 48% perceived revision of resident supervision favorably; 26% expressed concern about continuing the current 80-duty-hour week rule; 75% supported limiting night duty to six consecutive nights; 83% agreed that reasonable resident weekly work hours should be 60-80 hours; and 18% admitted under-reporting of duty hours. Residents' hours off activities varied. Only 57% believed that their program will be able to implement the new changes effectively. Overall satisfaction with the future duty-hour rules were mixed: very satisfied (7%), satisfied (24%), somewhat satisfied (27%), unsatisfied (23%), and very unsatisfied (18%). CONCLUSIONS:Support for the proposed ACGME duty-hour regulations was mixed among current family medicine residents. Respondents and residency program directors shared similar concerns about some of the recommended changes.
journal_name
Fam Medjournal_title
Family medicineauthors
Lo V,Ward Csubject
Has Abstractpub_date
2011-05-01 00:00:00pages
318-24issue
5eissn
0742-3225issn
1938-3800journal_volume
43pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全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:
更新日期:2007-05-01 00:00:00
abstract::This study examined whether the sex of physicians and patients affected the preventive care of middle-aged and older patients of family physicians. The charts of 61 male and 75 female patients older than 50 years, whose primary physicians were third-year family practice residents, were reviewed to determine whether te...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1992-01-01 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: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::Public health policies often have disproportionate effects on the poor and other vulnerable groups. Standard survey techniques are often difficult to apply to these vulnerable populations, and many data bases systematically omit such individuals. The purpose of this paper is to review our experience in collecting prim...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
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:
更新日期:2006-10-01 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::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:
更新日期:1989-09-01 00:00:00
abstract:BACKGROUND:Nurse practitioners and physician assistants (physician extenders) are playing an increased role in medical care. The purpose of this research was to determine the proportion of adults who have received health care from physician extenders. METHODS:This study used the subject population of the 1990 Kentucky...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A personal physician and enhanced access to care are principles of the patient-centered medical home. Despite the importance of these concepts, measuring and improving interpersonal continuity of care and access to care in academic family medicine centers has received little attention. The aut...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Family physicians have been involved in the care of rural and urban underserved populations since the founding of the specialty. In the early 1970s family medicine training programs specifically focused on training residents to work with the underserved were established in both urban and rural settings. Key ...
journal_title:Family medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:2017-04-01 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: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:BACKGROUND AND OBJECTIVES:The number of family physicians providing obstetric deliveries is decreasing, but high numbers of new graduates report they intend to include obstetric deliveries in their practices. The objective of this study was to understand barriers to providing obstetrical care faced by recent family med...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.845581
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:This study demonstrates the use of a community household survey and how it can provide information beyond that obtained with secondary epidemiologic data alone. METHODS:Adults in 215 randomly selected households in an inner-city neighborhood in Bronx, NY, were assessed by in-person interviews in homes of nei...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Interprofessional education (IPE) was investigated in the context of an evaluation of the Advanced Life Support in Obstetrics (ALSO) course in Australia. Our objectives were to examine doctors' and midwives' perceptions regarding interprofessional learning and measure changes in self-reported ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::This pilot study was undertaken to better understand the families of patients with somatization disorder. Two complementary methods were used to study six patients with somatization disorder and six control patients. The first method was a semistructured clinical family interview which was videotaped and independently...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:In Japan, family medicine training is driven by community-based medical education (CBME) and is often provided in rural community hospitals and clinics. Although CBME's positive relationship to family medicine in rural community hospitals is proven, the learning processes of medical students a...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2021.308872
更新日期:2021-01-01 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:INTRODUCTION:Although the framework of the episode of care offers much promise in examining the process of primary health care, the development of episode-oriented, automated data sources has proceeded slowly. Experience with the International Classification of Primary Care (ICPC) in the European Community has confirme...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::This is the 26th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. Approximately 8.5% of the 16,110 graduates of US medical schools between July 2005 and June 2006 were first-year family medicine resi...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-09-01 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:General competencies developed in undergraduate and graduate medical education are sometimes promoted as applicable in any practice context. However, rural practice presents challenges and opportunities that may require unique training. The objectives of this national survey of both undergradu...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.712527
更新日期:2018-01-01 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::Routine neonatal circumcision has long been controversial. Presented here is a cost-effectiveness analysis of the consequences of the treatment choices (circumcision versus no circumcision) using a decision tree model. For a simulated 85-year life expectancy, routine neonatal circumcision had an expected lifetime cost...
journal_title:Family medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-11-01 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:Methadone maintenance is the standard of care for pregnant opiate addicts. However, withdrawal of an infant from methadone after birth often results in a lengthy hospital stay. This study identified potentially modifiable factors that are associated with the length of hospital stay of infants ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
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:
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Intimate partner violence (IPV) is a silent epidemic affecting one in three women. The US Preventive Services Task Force recommends routine IPV screening for women of childbearing age, but actual rates of screening in primary care settings are low. Our objectives were to determine how often IP...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.311843
更新日期:2018-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Time spent in the electronic health record (EHR), away from direct patient care, is associated with physician burnout. Yet there is a lack of evidence quantifying EHR use among family physicians. The purpose of the study was to describe a method for quantifying habits and duration of use withi...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2020.942762
更新日期:2020-02-01 00:00:00