abstract：BACKGROUND AND OBJECTIVES:Confounding is one of the most common and important biases in primary care research. This article explains the genesis and effects of two common misconceptions of confounding: 1) Confounding can be assessed with a statistical test. 2) All covariates should be included in a multivariate model t...

journal_title：Family medicine

authors： Sonis J

更新日期：1998-09-01 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

authors： Patricoski CT,Shannon K,Doyle GA

更新日期：1998-07-01 00:00:00

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

authors： Sierpina VS,Volk RJ

更新日期：1998-06-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Medical educators are working to articulate the objectives and measure the outcomes of medical education. In clinical training, faculty need methods to identify both the principal educational contributions of individual clerkships and how prior experiences influence student learning. METHODS:...

journal_title：Family medicine

authors： Maple SA,Jones TA,Bahn TJ,Kiovsky RD,O'Hara BS,Bogdewic SP

更新日期：1998-05-01 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

authors： Bowman RC,Penrod JD

更新日期：1998-04-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:During the 1990s, African refugees from the southern Sudan were resettled in Minnesota. This research characterizes the health care utilization of a small sample of these recently arrived refugees and describes their health histories. METHODS:Data were abstracted from the medical charts of al...

journal_title：Family medicine

authors： Power DV,Shandy DJ

更新日期：1998-03-01 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

authors： McKee MD,Steiner-Grossman P,Burton W,Mulvihill M

更新日期：1998-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Using activities of daily living (ADLs) and instrumental activities of daily living (IADLs) as a focus, faculty at Eastern Virginia Medical School provide an aging simulation exercise for a mandatory fourth-year clerkship in geriatrics. The specific aims of the simulation are to 1) experience ...

journal_title：Family medicine

authors： Lorraine V,Allen S,Lockett A,Rutledge CM

更新日期：1998-01-01 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

authors： Taylor HA,Hansen GH

更新日期：1997-11-01 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

authors： Jogerst GJ,Ely JW

更新日期：1997-10-01 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

authors： Ackermann RJ,Ford VH

更新日期：1997-09-01 00:00:00

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...

journal_title：Family medicine

authors： Johnson KH,Dayrit M,Bazargan M

更新日期：1997-07-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Impaired cognition is a determinant of poor recovery following a hip fracture. Because of the risk of poorer outcomes, individuals with impaired cognitive function may be refused admission into a rehabilitation program. This study considered the impact of cognitive status on functional ability...

journal_title：Family medicine

authors： Resnick B,Daly MP

更新日期：1997-06-01 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

authors： Curtis P,Smith AC 3rd

更新日期：1997-05-01 00:00:00

abstract：BACKGROUND:Many military physicians interrupt their training to serve in the position of general medical officer (GMO) after completing their first year of postgraduate medical education. This study compares American Board of Family Practice In-training Examination (ITE) scores of military family practice residents who...

journal_title：Family medicine

authors： Ellis DD,Kiser WR,Blount W

更新日期：1997-03-01 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

authors： Elder N,Taylor A,Anderson CE,Virgin R

更新日期：1997-02-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Determining authorship for publications is often a difficult process, even more so when individuals from several disciplines collaborate with community organizations to conduct projects. Although multidisciplinary and community-academic partnerships provide fertile ground for publication effor...

journal_title：Family medicine

authors： Ahmed SM,Maurana CA,Engle JA,Uddin DE,Glaus KD

更新日期：1997-01-01 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

authors： Spielman B,Verhulst S

更新日期：1996-11-01 00:00:00

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

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

更新日期：1996-09-01 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

authors： Lipsky MS,Taylor C

更新日期：1996-07-01 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

authors： Taylor BR,Haley D

更新日期：1996-06-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:This study compared the knowledge of and attitudes toward primary care in relation to anticipated career choices of first-year medical students at two medical schools that differ significantly in production of primary care physicians. METHODS:A cross-sectional survey was conducted at a privat...

journal_title：Family medicine

authors： Grayson MS,Newton DA,Whitley TW

更新日期：1996-05-01 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

authors： Bergh KD

更新日期：1996-04-01 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

authors： Lindbaek M,Hjortdahl P,Johnsen UL

更新日期：1996-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Repair of perineal birth trauma is one of the most common surgical techniques in pregnancy care. Because of the three-dimensional nature of the required repair, students and residents often have difficulty learning this procedure. METHODS:We developed a new method to teach learners the repair...

journal_title：Family medicine

authors： Cain JJ,Shirar E

更新日期：1996-02-01 00:00:00

abstract：BACKGROUND:Many patients are reluctant to talk to family physicians about certain health issues that affect quality of life. This research examines factors that influence a patient's willingness to discuss three aspects of health-related quality of life: overall well-being, physical health, and psychosocial health. ME...

journal_title：Family medicine

authors： Street RL Jr,Cauthen D,Buchwald E,Wiprud R

更新日期：1995-11-01 00:00:00

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...

journal_title：Family medicine

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

更新日期：1995-10-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:As the use of esophagogastroduodenoscopy (EGD) by family physicians increases, a need exists to further demonstrate the procedure's clinical effectiveness and safety and the general experience of family physicians performing the procedure. This study examines the general experience of a group ...

journal_title：Family medicine

authors： Pope JB,Mayeaux EJ Jr,Harper MB

更新日期：1995-09-01 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

authors： Klinkman MS,Green LA

更新日期：1995-07-01 00:00:00

abstract：BACKGROUND:Today's family medicine educator occupies a position of increasing stature in medical education. The recognition of education as scholarship creates a framework for the evaluation of clinician-educators for promotion. A system is needed to document educational excellence, peer review, and public disseminatio...

journal_title：Family medicine

authors： Lindemann JC,Beecher AC,Morzinski JA,Simpson DE

更新日期：1995-05-01 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

authors： Phillips DM,Kruse J

更新日期：1995-03-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Community-oriented primary care (COPC) is considered an attractive concept by many but has had limited implementation due to a lack of practical methodology. An important step in COPC is assessment of a community's health status, using health indicators as one means of assessment. Currently, t...

journal_title：Family medicine

authors： Williams RL,Flocke SA,Zyzanski SJ,Mettee TM,Martin KB

更新日期：1995-01-01 00:00:00

abstract：BACKGROUND:The risk of mortality from cardiovascular disease (CVD) is much higher in those with preexisting CVD than in those without it. Risk factor modification can reduce these risks. This study was designed to determine whether physicians manage risk factors differently in patients with and without overt CVD. METH...

journal_title：Family medicine

authors： Eaton CB,McQuade W,Glupczynski D

更新日期：1994-10-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:Little is known in primary care practices about the relationship between parenting and adolescent mental health. In addition, current parenting measures have a narrow focus or do not lend themselves to clinical intervention. This study examined the clinical utility of a new instrument measurin...

journal_title：Family medicine

authors： Godkin MA,Baker S,Paradise JE,Domal L,Grant L

更新日期：1994-09-01 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

authors： Ventres WB,Senf JH

更新日期：1994-07-01 00:00:00

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

authors： Brunton SA,Radecki SE

更新日期：1994-07-01 00:00:00

abstract：BACKGROUND:The Department of Family Medicine at the University of California-Irvine needed a way to teach resident physicians care of ethnic elders and to provide specific training experiences in the use of geriatric assessment tools. The development of the ethnogeriatric assessment clinic presented the opportunity to ...

journal_title：Family medicine

authors： Douglas KC,Lenahan P

更新日期：1994-06-01 00:00:00

abstract：BACKGROUND AND OBJECTIVES:While debate surrounds the determinants of medical students' specialty choices, the presence of favorable role models is generally agreed upon as beneficial to students' selection of a specialty. This study assessed the influence of family medicine predoctoral education directors on students' ...

journal_title：Family medicine

authors： Johnson VK,Michener JL

更新日期：1994-05-01 00:00:00

abstract：BACKGROUND:Rotations by American medical students in foreign countries have been common in US medical schools for nearly half a century. Although anecdotal literature makes claims for the significant educational value of these foreign rotations, neither the nature and educational consequences of these experiences, nor ...

journal_title：Family medicine

authors： Bissonette R,Routé C

更新日期：1994-04-01 00:00:00

abstract：INTRODUCTION:Since abortion has become a focus of increased public attention, it is important to assess family physicians' attitudes and scope of training regarding this outpatient procedure. METHODS:Residents and faculty at eight southern California family practice residency programs were surveyed about their views o...

journal_title：Family medicine

authors： Lerner D,Taylor F

更新日期：1994-03-01 00:00:00