Abstract:
BACKGROUND AND OBJECTIVES:Physicians are sometimes poor at observing patient confidentiality. Medical students have access to patients and their medical records, but there is little known about how well students respect patients' confidentiality. Our objective was to study how medical students deal with confidential patient information. METHODS:Qualitative research methods (focus groups, semi-structured interviews, and direct peer observation of student activity) were used to explore the approach of medical students to patient confidentiality in a British medical school. RESULTS:We interviewed 32 students, held focus groups involving 24 students, and undertook direct observation of student activity. The main themes derived from the data included the context within which students practice, variation in students' attitude and behavior toward patient confidentiality, and the dissonance between confidentiality theory and practice. CONCLUSIONS:While many students practiced in a professional manner, several reported markedly suboptimal performance in themselves or others. These behaviors appear to be driven by students' own professionalism and behavior learned from senior colleagues. While new technologies pose some particular threats to confidentiality, paper records seem just as vulnerable.
journal_name
Fam Medjournal_title
Family medicineauthors
Jethwa S,Bryant P,Singh S,Jones M,Berlin A,Rosenthal Jsubject
Has Abstractpub_date
2009-05-01 00:00:00pages
327-31issue
5eissn
0742-3225issn
1938-3800journal_volume
41pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全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 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: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:BACKGROUND AND OBJECTIVES:Little is known about how the patient-centered medical home (PCMH) is being implemented in residency practices. We describe both the trends in implementation of PCMH features and the influence that working with PCMH features has on resident attitudes toward their importance in 14 family medici...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-03-01 00:00:00
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:
更新日期:1996-11-01 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: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:More effective diabetes care is desperately needed, especially for ethnic minority populations. Provider cultural competence promises to be an important means for reducing disparities in outcomes for patients with diabetes. The objectives of this study were to understand the role of cultural c...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-06-01 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
abstract:BACKGROUND AND OBJECTIVES:Clinical coaching programs can improve clinician performance through feedback following direct observation and the promotion of reflection. This study assessed the feasibility and acceptability of a primary care coaching program applied in community-based practices. METHODS:Using a 31-item be...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2019.791011
更新日期:2019-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:A home visit program was designed to teach family practice residents how to evaluate patients for elder abuse and capacity (the ability to make one's own decisions). METHODS:Residents assessed potential abuse victims reported to Arizona's Adult Protective Service (APS) in their homes. Written...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Residents in difficulty are costly to programs in both time and resources, and encountering difficulty can be emotionally harmful to residents. Approximately 10% of residents will encounter difficulty at some point in training. While there have been several studies looking at common factors am...
journal_title:Family medicine
pub_type: 杂志文章
doi:10.22454/FamMed.2018.912108
更新日期:2018-04-01 00:00:00
abstract::The Longitudinal Community-based Underserved Care Elective at the Virginia Commonwealth University-Hanover Family Practice Residency Program is, to our knowledge, the first report of a longitudinal 2-year elective in community-based clinics for underserved patients that supplements continuity patient care at a residen...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2002-09-01 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: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::Decisions regarding residency training require repeated reevaluation of organization and curriculum. Developing an autonomous inpatient teaching service may become necessary in many community hospitals because of a new competitive environment. To predict the impact of this possible change in one community program, we ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1985-07-01 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::We monitored physician performance of stool occult blood testing and breast exams during health maintenance visits of patients aged 50 or greater, to assess the impact of a physician education program and the use of a health screening flow sheet on performance of these health screening procedures. During the baseline ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This is the 33rd annual report prepared by the American Academy of Family Physicians (AAFP) that reports retrospectively the percentage of graduates from US MD and DO-granting medical schools who entered an Accreditation Council for Graduate Medical Education (ACGME)-accredited family medicine...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-10-01 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:Fewer medical students are choosing to work in primary care, and it is difficult to recruit and retain physicians to work in underserved communities. Positive exposures with underserved communities are known to increase a physician's likelihood of practicing in an underserved area. While a num...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2015-05-01 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::The investigators conducted a survey of Balint group activities among family practice residencies in the United States. The survey was designed to discover how many programs have Balint groups as well as the groups' characteristics, leadership, and structure. Of the 381 family practice residencies surveyed, 93% respon...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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::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::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:BACKGROUND AND OBJECTIVES:The past 20 years have seen a large immigration of Ethiopian Jews to Israel, primarily in 2 airlifts, one in 1984-1985 and one in 1991. Infectious and parasitic diseases were the dominant health problems in the early years. Recently, we noticed changing health patterns in this population, part...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Our primary objective was to determine the percentage of recreational hockey players who do not wear face protection while playing hockey. METHODS:We randomly surveyed recreational hockey players at two indoor hockey rinks in Evandale, Ohio. Data were collected on face protection, injuries, d...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study determined the perceived characteristics of family practice residency training programs that produce a high percentage of graduates who provide maternity care. METHODS:We surveyed a Delphi panel of 28 family practice maternity care experts. RESULTS:Consensus was reached after the ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract::The discipline of family medicine covers a broad area of interests which often leads to duplication of information and lack of awareness of useful information resources. In an era of limited financial and time resources, it is in the best interest of large departments to consolidate departmental and scholarly informat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00