The role of race in the clinical presentation.

Abstract:

:What role, if any, should race play in clinical presentations? While race is widely used as a way of identifying patients, this practice has been challenged as conceptually flawed, potentially misleading, and possibly prejudicial to the patient. There are, however; important reasons for not excluding information about race. This article includes a set of guidelines for the inclusion of racial data in presentations: (1) Race is a social construct and, if used, should be recorded in the social history, not the opening sentence of the presentation. (2) Patients should self-identity their race or races. (3) Race should not be used as a proxy for genetic variation, social class, or other elements of the social history. (4) Clinicians should be mindful of the potential influence of racism in the clinical encounter.

journal_name

Fam Med

journal_title

Family medicine

authors

Anderson MR,Moscou S,Fulchon C,Neuspiel DR

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

430-4

issue

6

eissn

0742-3225

issn

1938-3800

journal_volume

33

pub_type

杂志文章
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    abstract:BACKGROUND AND OBJECTIVES:In 1993, the University of California, Los Angeles introduced an interdisciplinary course called ¿Doctoring¿ for all first-year medical students in which students visited family physicians' offices once a month for a total of four visits. The study's objectives were to ascertain preceptors' at...

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    authors: Usatine RP,Hodgson CS,Marshall ET,Whitman DW,Slavin SJ,Wilkes MS

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  • Enhancing the hospice curriculum within the family medicine clerkship.

    abstract:BACKGROUND:Medical schools are improving end-of-life (EOL) care curricula; however, students rarely practice EOL communication skills in a safe learning environment. OBJECTIVE:Our objective was to study which curriculum improves students' ability to discuss hospice care. METHODS:We conducted a study of six family med...

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    authors: Silk H,Weber CM,Dubreuil M

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  • 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

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    doi:

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

    更新日期:1996-09-01 00:00:00

  • The reading habits of family practice residents.

    abstract:BACKGROUND AND OBJECTIVES:Little is known about the reading habits of family practice residents. This study describes the reading practices of family practice residents, including how much time they spend reading and what information sources they use, identifies factors that may be used by educators to stimulate reside...

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    pub_type: 杂志文章

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    authors: Johnson KH,Dayrit M,Bazargan M

    更新日期:1997-07-01 00:00:00

  • Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography.

    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...

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    doi:

    authors: Lindbaek M,Hjortdahl P,Johnsen UL

    更新日期:1996-03-01 00:00:00

  • Psychosocial problem assessment: to counsel or not to counsel.

    abstract::A pragmatic method for assisting family practice residents in deciding whether or not to counsel patients with psychosocial problems is described. Called "the problem assessment framework," this seven-step method uses a process of sequential analysis to guide the resident through problem identification, goal setting, ...

    journal_title:Family medicine

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    authors: Chard PS

    更新日期:1985-01-01 00:00:00

  • Physician extenders: who is using them?

    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...

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    doi:

    authors: Mainous AG 3rd,Bertolino JG,Harrell PL

    更新日期:1992-03-01 00:00:00

  • Effectiveness of a Labor Cervical Exam Model in Family Medicine and OB-GYN Residents.

    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...

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    authors: Nitsche JF,Fino NF,Palomo JM,Perdomo AP,Brost BC

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  • Area of Concentration programs in university-based family practice residency training.

    abstract::To encourage pursuit of focused academic and clinical interest by family practice residents, we developed an Area of Concentration (AOC) program at a university-based residency program. The program uses resources available throughout the university and permits residents to focus on a variety of interest areas, includi...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Frank SH,Smith CK

    更新日期:1993-04-01 00:00:00

  • Type A behavior in married couples in a family practice population.

    abstract::Type A behavior is characterized by status insecurity, hyperaggressiveness, free-floating hostility, time urgency, and self-destructive tendencies. In this cross-sectional study, a sample of 72 married couples from a family practice residency patient population completed self-administered questionnaires assessing the ...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Flynn SP,Zyzanski SJ

    更新日期:1987-11-01 00:00:00

  • Entry of US medical school graduates into family practice residencies: 1990-1991 and ten-year summary.

    abstract::This is the tenth report prepared by the American Academy of Family Physicians on the percentage of each medical school's graduates who entered family practice residency programs. Approximately 10.7% of the 15,433 graduates of United States medical schools between July 1989 and June 1990 were first-year residents in f...

    journal_title:Family medicine

    pub_type: 杂志文章

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    authors: Schmittling G,Graham R,Hejduk G

    更新日期:1991-05-01 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

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    authors: Snyder S

    更新日期:2001-05-01 00:00:00

  • Formal Advocacy Curricula in Family Medicine Residencies: A CERA Survey of Program Directors.

    abstract:BACKGROUND AND OBJECTIVES:Health advocacy has been declared an essential physician skill in numerous professional physician charters. However, there is limited literature on whether, and how, family medicine residencies teach this skill. Our aim was to determine the prevalence of a formal mandatory advocacy curriculum ...

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    authors: Coutinho AJ,Nguyen BM,Kelly C,Lin KW,Gits A,Crichlow R,Moreno G

    更新日期:2020-04-01 00:00:00

  • A gain in cultural competence through an international acupuncture elective.

    abstract:OBJECTIVE:This study describes an international acupuncture elective and its impact on medical students' development of cultural competence. METHODS:Collaborating with Chinese colleagues, we created a 4-week elective that teaches medical students about acupuncture in its native cultural environment. Three focus groups...

    journal_title:Family medicine

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    doi:

    authors: Mao JJ,Wax J,Barg FK,Margo K,Walrath D

    更新日期:2007-01-01 00:00:00

  • Choosing to do obstetrics in practice: factors affecting the decisions of third-year family practice residents.

    abstract::To investigate factors influencing a resident's decision to participate in obstetrical care, a survey was undertaken of program directors and third-year residents from the 16 Michigan family practice residency programs. Responses indicated that the majority of third-year residents (55%) intended to practice obstetrics...

    journal_title:Family medicine

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    authors: Smith MA,Howard KP

    更新日期:1987-05-01 00:00:00

  • Teaching outpatient procedures: most common settings, evaluation methods, and training barriers in family practice residencies.

    abstract:BACKGROUND AND OBJECTIVES:The processes of teaching outpatient procedures in the training of primary care physicians have not been widely studied or standardized. This study identified the most widely used teaching settings, methods of evaluation, and barriers to teaching several key procedures in US family practice re...

    journal_title:Family medicine

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    authors: Sierpina VS,Volk RJ

    更新日期:1998-06-01 00:00:00

  • Comments heard by US medical students about family practice.

    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

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    doi:

    authors: Campos-Outcalt D,Senf J,Kutob R

    更新日期:2003-09-01 00:00:00

  • Pilot test of family medicine faculty development fellowship accreditation guidelines.

    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

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    authors: Reznich CB,Mavis BE

    更新日期:2000-11-01 00:00:00

  • Dialogues in the exam room: medical interviewing by resident family physicians.

    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

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    authors: Marvel K,Major G,Jones K,Pfaffly C

    更新日期:2000-10-01 00:00:00

  • Results of the 2010 national resident matching program: family medicine.

    abstract::The results of the 2010 National Resident Matching Program (NRMP) reflect a small but promising increased level of student interest in family medicine residency training in the United States. Compared with the 2009 Match, 75 more positions (with 101 more US seniors) were filled in family medicine residency programs th...

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  • Forward Feeding in Graduate Medical Education: Results of a National Survey.

    abstract:BACKGROUND AND OBJECTIVES:"Forward feeding" is defined as the sharing of information regarding learner behaviors and performance outside of formal institutional committee structures. The purpose of this study was to establish baseline opinions and policies of forward feeding in family medicine residency programs. METH...

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  • The association of Title VII funding to departments of family medicine with choice of physician specialty and practice location.

    abstract:BACKGROUND:Title VII predoctoral and departmental grants for departments of family medicine are intended to increase the number of family and primary care physicians in the United States and increase the number of practices in rural and underserved communities. This study assessed the relationships of Title VII funding...

    journal_title:Family medicine

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    authors: Fryer GE Jr,Meyers DS,Krol DM,Phillips RL,Green LA,Dovey SM,Miyoshi TJ

    更新日期:2002-06-01 00:00:00

  • Shorter dosing interval of opiate solution shortens hospital stay for methadone babies.

    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:

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  • Educational hospitalization of family practice residents: how we do it, what it costs.

    abstract::Admission of first-year residents to a hospital enables them to experience the process from the patient's point of view and fosters physician empathy for the frustrations, loneliness, and uncertainty that patients go through when hospitalized. However, experiential learning programs of this type are complex and resour...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Brunton SA,Radecki SE

    更新日期:1994-07-01 00:00:00

  • Perceived characteristics of successful family practice residency maternity care training programs.

    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:

    authors: Taylor HA,Hansen GH

    更新日期:1997-11-01 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

  • Pharmacist-Delivered Comprehensive Medication Management Within Family Medicine Practices An Evaluation of the SCRIPT Project.

    abstract:BACKGROUND AND OBJECTIVES:Pharmacist inclusion in patient-centered medical home (PCMH) teams has been shown to benefit both patients and practices. However, pharmacists' inclusion on these teams is not widespread, partly because the work they do is not well known. The Successful Collaborative Relationships to Improve P...

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  • Multiple-level goals in clinical teaching.

    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:

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  • Effect of perceived malpractice insurance costs on the family practice career goals of medical students.

    abstract::A questionnaire regarding perceived training and practice goals was distributed to 185 consecutive medical students interviewing for a 1986-87 internship at a community hospital in Southern California. Students were asked to estimate the dollar cost of professional liability insurance for a hypothetical family physici...

    journal_title:Family medicine

    pub_type: 杂志文章

    doi:

    authors: Rodney WM,Sanderson L

    更新日期:1988-11-01 00:00:00

  • Circumcision: a decision analysis of its medical value.

    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:

    authors: Lawler FH,Bisonni RS,Holtgrave DR

    更新日期:1991-11-01 00:00:00