Teaching family-oriented care to family medicine residents: Evaluation of a family skills curriculum.

2021 ◽  
Author(s):  
Erin C. Peck ◽  
Florencia Lebensohn-Chialvo ◽  
Colleen T. Fogarty
Keyword(s):  
Family Medicine ◽  
Family Medicine Residents

scholarly journals Perceived knowledge of psychiatry and family medicine residents regarding medical management of schizophrenia, hypertension, diabetes mellitus, and dyslipidemia: opportunities to refine the residency training

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiangbo Ying ◽  
Jinhui Wan ◽  
Kang Sim ◽  
Ee-Jin Darren Seah ◽  
Mythily Subramaniam
Keyword(s):  
Diabetes Mellitus ◽  
Family Medicine ◽  
Residency Training ◽  
Medical Management ◽  
Demographic Data ◽  
Significant Proportion ◽  
Psychiatry Residents ◽  
Training Curriculum ◽  
Cross Sectional Survey ◽  
Family Medicine Residents

Abstract Background Psychiatry and Family Medicine residents frequently see patients with comorbid mental and physical disorders. Little is known about the difference in knowledge of Psychiatry residents and Family Medicine residents regarding management of common conditions they encounter. This study aimed to assess the knowledge of Psychiatry and Family Medicine residents regarding medical management of schizophrenia, hypertension, diabetes mellitus, and dyslipidemia, as the findings could help to refine the training curriculum for residency training. Methods A cross-sectional survey design was used. Psychiatry and Family Medicine residents pursuing their residency in Singapore were recruited from November 2019 to June 2020. The survey questionnaire consisted of questions which assessed the knowledge regarding medical management of schizophrenia, hypertension, diabetes mellitus, and dyslipidemia. Descriptive statistics were used to describe the demographic data; T-tests or Mann-Whitney U tests to compare the differences between groups; and multiple regression analyses to assess the factors associated with Psychiatry residents’ knowledge of hypertension, diabetes mellitus, and dyslipidemia. Results Fifty-seven out of 70 (81.4%) Psychiatry residents and 58 out of 61 (95.1%) Family Medicine residents participated in the study. The majority of Psychiatry residents encountered patients with hypertension (93.0%), diabetes mellitus (87.7%) and dyslipidemia (91.2%) on a daily to weekly basis. Psychiatry residents had higher scores on questions about schizophrenia versus Family Medicine residents (mean 50.70 versus 43.28, p < 0.001). However, Psychiatry residents scored lower on questions about hypertension (mean 33.86 versus 40.98, p < 0.001), diabetes mellitus (mean 45.68 versus 49.79, p = 0.005) and dyslipidemia (mean 37.04 versus 44.31, p < 0.001). Receiving undergraduate medical education locally, compared to receiving it overseas, was associated with better knowledge of hypertension (beta = 0.515, p = 0.009) and dyslipidemia (beta = 0.559, p = 0.005); while younger age (26–30 versus > 35 and 31–35 versus > 35) was associated with better knowledge of hypertension (beta = 1.361, p = 0.002 and beta = 1.225, p = 0.003). A significant proportion of Psychiatry residents (61.4%) did not agree that the training provided to manage hypertension, diabetes mellitus, and dyslipidemia was adequate. Similarly, majority of Family Medicine residents (62.1%) did not agree that they had adequate training to manage schizophrenia. Conclusions This study raises the awareness of Psychiatry residents’ sense of discomfort in managing hypertension, diabetes mellitus, or dyslipidemia and conversely Family Medicine residents in management of schizophrenia, which can be further addressed during the training postings within the residency programs. Future studies are needed to look at local (such as training curriculum) and systemic factors (such as practice trends and culture) in order to better align residency selection criteria and training foci with real world practice factors over time.

scholarly journals Improving Research Training Using Assignments for Family Medicine Residents in Saudi Arabia

2022 ◽  
pp. 82-87
Author(s):  
Mostafa Kofi ◽  
Saad Albattal ◽  
Ghada Alarfaj ◽  
Abood Al Abood ◽  
Abdelaziz Mansour Bin Alrasheed ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Family Medicine ◽  
Research Training ◽  
Family Medicine Residents

scholarly journals Use of SPICES Model to Improve Family Medicine Residents Engagement in Clinical and Academic Teaching

2022 ◽  
pp. 02-07
Author(s):  
Ayman Afifi ◽  
Tarek Elsaid ◽  
Saad AlBattal ◽  
Yaser Ebeid ◽  
Abdel Majeed Elsheikh ◽  
...  
Keyword(s):  
Family Medicine ◽  
Academic Teaching ◽  
Family Medicine Residents

An intensive modular dermatology curriculum for family medicine residents in a resource-limited setting

2017 ◽  
Vol 57 (1) ◽  
pp. 119-120
Author(s):  
Josette R. McMichael ◽  
Kara B. Thompson ◽  
Sarah C. Kent ◽  
Benjamin K. Stoff
Keyword(s):  
Family Medicine ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
Limited Setting ◽  
Family Medicine Residents

Teaching Tools to Teach Geriatric Medicine to Family Medicine Residents

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Jaqua EE ◽  
◽  
Nguyen V ◽  
Jubran A ◽  
Park S ◽  
...  
Keyword(s):  
Family Medicine ◽  
Geriatric Medicine ◽  
Relevant Information ◽  
Beers Criteria ◽  
San Bernardino County ◽  
Teaching Tools ◽  
Family Medicine Residency ◽  
San Bernardino ◽  
Loma Linda University ◽  
Family Medicine Residents

Objective: To determine if pocket-sized, reference guides are helpful tools for teaching geriatric medicine to family medicine residents. Setting: Loma Linda University Healthcare Education Consortium, a family medicine residency in San Bernardino County, California. Participants: Family medicine residents that successfully completed the required geriatrics rotation between July 2019 and June 2020. Results: From the twelve family medicine residents, 100% believed their geriatric medicine rotation helped them to be successful in residency. The preferred study tool was the pocket guides, mainly the “Geriatric Medicine Pocket Guide” and “2019 AGS Beers Criteria”. For a more comprehensive reading, the study tool most used was search engines such as Up-to-date and Dynamed. Geriatrics at Your Fingertips (Reuben et al., 2016) and the “Guiding Principles for the Care of Older Adults with Multimorbidity Pocket Card” were not as helpful due to the perceived increased efforts to rapidly find clinically relevant information. Conclusion: Pocket guides, especially “Geriatric Medicine Pocket Guide” and “2019 AGS Beers Criteria”, are helpful teaching tools that can be used to augment geriatric medicine education in a family medicine residency.

Moral Injury during the COVID-19 pandemic: A delphi model survey of family medicine residents

2021 ◽  
pp. 009121742110543
Author(s):  
Sean B Ngo ◽  
Payson J Clark ◽  
Sarah E Parr ◽  
Abel R Thomas ◽  
Akshat Dayal ◽  
...  
Keyword(s):  
Family Medicine ◽  
Family Relationships ◽  
The United States ◽  
Moral Injury ◽  
Professional Relationships ◽  
Major Barrier ◽  
Model Study ◽  
Seeking Help ◽  
Patient Relationships ◽  
Family Medicine Residents

Objectives The objective is to investigate the primary factors that created experiences leading to moral injury in family medicine residents during the COVID-19 pandemic and also to identify any barriers keeping these residents from seeking or receiving help when they experienced moral injury. Method A DELPHI model study utilizing three rounds of surveys was conducted at four family medicine residency programs in the United States. Resident responses to Survey 1 generated factors perceived to be causing them moral injury or constituting barriers to their seeking help. Thematic analysis identified common themes which were presented to residents in Survey 2 for rating and justification. Results and feedback from Survey 2 were shared with residents in Survey 3, where residents were prompted to reevaluate their ratings for factors and barriers for the purpose of generating consensus among themselves. A ranked list of factors and barriers was thereby created for the participating sites. Results Residents shared several stories about the factors that most pressured them to violate their moral values. The most severe and frequent factors contributing to moral injury involved disruptions to doctor–patient relationships, patient–family relationships, and relationships with other healthcare professionals. Time was the major barrier to residents seeking help. Conclusion During times of crisis, moral injury among residents may be minimized by protecting and promoting important clinical and professional relationships with patients, colleagues, and other medical professionals. While residents report that lack of time was the most significant barrier to seeking help, it is unclear how this complicated and ubiquitous problem would be resolved or mitigated.

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