Abstract:
BACKGROUND AND OBJECTIVES:Family physicians are expected to provide culturally sensitive care. However, teaching about cultural diversity and measuring educational outcomes can be challenging. We describe a diversity curriculum based on the concept of cultural humility, which includes participatory didactic and structured learning activities. METHODS:Two classes of second-year family medicine residents participated in a yearlong diversity curriculum. Self-assessment and observational data were collected before and after the curriculum. RESULTS:Observational data showed that residents increased patient involvement during office visits. Ratings by announced and unannounced simulated patients indicated that residents were attentive to the patient's perspective and social context. Resident ratings indicated high satisfaction with the learning activities. Self-assessment data did not show significant changes in residents' perception of their ability to work with particular patients. CONCLUSIONS:Participatory learning activities that focus on cultural humility are a promising approach for diversity education.
journal_name
Fam Medjournal_title
Family medicineauthors
Juarez JA,Marvel K,Brezinski KL,Glazner C,Towbin MM,Lawton Ssubject
Has Abstractpub_date
2006-02-01 00:00:00pages
97-102issue
2eissn
0742-3225issn
1938-3800journal_volume
38pub_type
杂志文章相关文献
FAMILY MEDICINE文献大全abstract::Given the high prevalence of unintended pregnancy and early pregnancy failure, family physicians frequently encounter these clinical problems. Early abortion care and miscarriage management are within the scope of family medicine, yet few family medicine residency programs' curricula routinely include training in thes...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:This study examined college students' perceptions of the over-the-counter (OTC) availability of vaginal antifungal preparations. METHODS:A cross-sectional survey of 258 college students participated in the study over a 3-month period. Students were surveyed about their use of OTC antifungal p...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-07-01 00:00:00
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:
更新日期:1998-07-01 00:00:00
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:
更新日期:1999-09-01 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::A new family practice residency curriculum in the format of the special requirements for residency training is proposed. This new curriculum consolidates the original principles of family practice with current developments in medical practice and changes in society. The emphasis is on increased flexibility, a competen...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Electronic Health Record (EHR) use in clinical practice has accelerated in recent years. While several aspects of EHR use have been extensively studied, there is little data on EHR impacts on medical student educators, especially those involved in outpatient family medicine. This study evaluat...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-10-01 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::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: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 pa...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2009-05-01 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::This study examines the use and results of a multichannel chemistry test (SMAC) in asymptomatic patients attending a family practice center. Of 288 patients, 71 (25%) presenting for complete physical examinations had apparently "routine" or baseline SMACs. Forty-three (61%) had at least one abnormal value in their che...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1986-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:As part of an initiative to promote the education of generalist physicians at the University of North Carolina, a series of meetings were held over a 12-month period between generalist senior faculty and faculty from a range of departments in the School of Medicine and other health professions...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1997-05-01 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:BACKGROUND AND OBJECTIVES:Clinicians in community health centers find it difficult to balance the demands of increased productivity and effective teaching. We hypothesized that precepting third-year students would decrease clinical productivity and that many elements related to the quality of the learning experience (e...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Surgeons General, the Institute of Medicine, and others have called for physicians to be role models for meeting the obesity epidemic. There are few published reports describing undergraduate medical education obesity curriculum elements. Physician experiences, knowledge, and attitudes have be...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2013-09-01 00:00:00
abstract::The Duke Social Support and Stress Scale (DUSOCS) was validated in 249 adult family practice patients using the Family Strengths, the Family Inventory of Life Events, and the Duke Health Profile (DUKE) as comparison instruments. Validity was supported in that the DUSOCS family support measure had the clinically expect...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1991-07-01 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 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:BACKGROUND:To judge the effectiveness of a new required third-year family practice (FP) clerkship, we designed a 20-item FP comfort assessment (FPCA) to measure students' self-reported comfort with a wide range of FP skills. This report examines the behavior and characteristics of the FPCA. METHODS:During the 1990-91 ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-01-01 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::A review of the records of patients attending a rural family practice clinic indicated that 13% had received "cold shots" (lincomycin with or without chlorpheniramine). The providers who assumed management of the clinic when the previous physician retired judged these injections inappropriate, but patients believed th...
journal_title:Family medicine
pub_type: 临床试验,杂志文章
doi:
更新日期:1991-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Labor cervical exam accuracy is an essential skill for family medicine and OB-GYN residents to master. To determine the effectiveness of simulation on labor cervical exam training, family medicine and OB-GYN residents were trained using a self-constructed PVC pipe-based cervical exam model dur...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:Electrocardiography (ECG) interpretation is an essential skill for a family physician. Teaching and learning electrocardiography is a difficult task, in part due to the erosion of knowledge when interpretation is not part of a daily activity. The objective of this study was to assess the current status of ele...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The study's aim was to determine migraine prevalence, severity, and educational impact in medical students. METHODS:A 23-item survey of all medical students of one US medical school addressed migraine frequency, triggers, pattern and severity of symptoms, medication use, impact on educational...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00
abstract::This article is intended to inform STFM and NAPCRG members of current developments regarding this organizational process and the future of each organization. These preliminary discussions have provided a basis for determining how family medicine can be more effective as an academic discipline. The board of directors a...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:This study evaluated different symptoms, signs, and blood tests in the diagnostic process of patients with a clinical diagnosis of acute sinusitis. METHODS:A total of 201 primary care patients in southern Norway aged 15 years or older with a clinical diagnosis of acute sinusitis were evaluated. Computed tom...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:We examined the use of inexpensive handheld computers in documenting resident procedures. With a handheld computer, data is entered at the time of the procedure, eliminating the problem of double entry. METHODS:Connectivity and ease of use were important factors considered when choosing a han...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:BACKGROUND:Videotapes have been variably successful in teaching physical examination skills, interviewing strategies, and clinically relevant didactic material to medical students, residents, and physicians. The literature does not include evaluations of their success in introducing procedural techniques into clinical ...
journal_title:Family medicine
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
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:
更新日期:2015-11-01 00:00:00