scholarly journals Medical students' assessments of skill development in rural primary care clinics

2006 ◽  
Author(s):  
Matthew Hunsaker ◽  
Michael Glasser ◽  
Kim Nielsen ◽  
martin lipsky
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Skill Development ◽  
Primary Care Clinics ◽  
Rural Primary Care

scholarly journals ADVANCE CARE PLANNING COMMUNICATION: AN INTERACTIVE WORKSHOP WITH ROLE-PLAY FOR STUDENTS AND PRIMARY CLINICIANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S846-S846
Author(s):  
Ben A Blomberg ◽  
Catherine Quintana ◽  
Jingwen Hua ◽  
Leslie Hargis-Fuller ◽  
Jeff Laux ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Advance Care Planning ◽  
Role Play ◽  
Primary Care Providers ◽  
Care Planning ◽  
Care Providers ◽  
Clinician Training ◽  
Primary Care Clinics ◽  
Advance Care

Abstract There is a need for increased clinician training on advance care planning (ACP). Common barriers to ACP include perceived lack of confidence, skills, and knowledge necessary to engage in these discussions. Furthermore, many clinicians feel inadequately trained in prognostication. There is evidence that multimodality curricula are effective in teaching ACP, and may be simultaneously targeted to trainees and practicing clinicians with success. We developed a 3-hour workshop incorporating lecture, patient-oriented decision aids, prognostication tools, small group discussion, and case-based role-play to communicate a values-based approach to ACP. Cases included discussion of care goals a patient with severe COPD and one with mild cognitive impairment. The workshop was delivered to 4th year medical students, then adapted in two primary care clinics. In the clinics, we added an interprofessional case applying ACP to management of dental pain in advanced dementia. We evaluated the workshops using pre-post surveys. 34 medical students and 14 primary care providers participated. Self-reported knowledge and comfort with ACP significantly improved; attitudes toward ACP were strongly positive both before and after. The workshop was well received. On a seven-point Likert scale, (1=Unacceptable, 7=Outstanding), the median overall rating was 6 (“Excellent”). In conclusion, we developed an ACP workshop applicable to both students and primary clinicians. We saw improvements in self-reported knowledge and comfort with ACP, though long-term effects were not studied. Participants found the role-play especially valuable. Most modifications for primary care clinics focused on duration rather than content. Future directions include expanding the interprofessional workshop content.

Influence of a Rural Primary Care Clerkship on Medical Students' Intentions to Practice in a Rural Community

2000 ◽  
Vol 16 (2) ◽  
pp. 155-161 ◽  
Author(s):  
Alma R. Jones ◽  
Robert A. Oster ◽  
Linda I. Pederson ◽  
Mary Kidd Davis ◽  
Daniel S. Blumenthal
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Rural Community ◽  
Rural Primary Care

scholarly journals An HIV Primary Care Rotation Improved HIV and STI Knowledge, Enhanced Sexual History-Taking Skills, and Increased Interest in a Career in Infectious Diseases among Medical Students and Residents

2021 ◽  
Author(s):  
Austin A Marshall ◽  
Darcy A Wooten
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Infectious Diseases ◽  
Core Competencies ◽  
Sexual History ◽  
History Taking ◽  
Primary Care Clinics ◽  
Career Pathway ◽  
Hiv Primary Care ◽  
Sexual History Taking

Abstract Rotations in HIV primary care clinics have the potential to teach trainees core competencies and influence their career pathway. We found that fund of knowledge, confidence in obtaining a sexual history, and interest in an ID career all increased following an HIV clinic rotation.

scholarly journals Recruitment of Men Into a Pragmatic Rural Primary Care Weight Loss Trial

2020 ◽  
Vol 14 (6) ◽  
pp. 155798832097191
Author(s):  
Stephanie E. Punt ◽  
Daniel L. Kurz ◽  
Christie A. Befort
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Response Rate ◽  
Behavioral Weight Loss ◽  
Men And Women ◽  
Primary Care Clinics ◽  
Rural Primary Care ◽  
Lower Response Rate ◽  
Enrollment Rates ◽  
Mixed Gender

Men remain underrepresented in behavioral weight loss trials and are more difficult to recruit compared to women. We describe recruitment response of men and women into a mixed-gender behavioral weight loss trial conducted within 36 rural primary care clinics. Participants were recruited through primary care clinics via direct mailings ( n = 15,076) and in-clinic referrals by their primary care provider (PCP). Gender differences were examined in response rate to direct mailings, study referral source, and rates of proceeding to study screening, being eligible, and enrolling. Men had a lower response rate to direct mailings than women (7.8% vs. 17.7%, p < .001). Men (vs. women) responding to the mailing were more likely to respond by opt-in postcard (64.6% vs. 56.8%) and less likely to respond by phone (33.9% vs. 39.6%), p = .002. Among potential participants contacting the study ( n = 2413), men were less likely to report being referred by PCPs (15.2% vs. 21.6%; p < .001), but were just as likely to proceed to screening, be eligible, and enroll. Men and women were more likely to proceed to screening when referred by PCPs (93.3% vs. 95.4%) compared to direct mailings (74.2% vs. 73.9%). Enrolled men were older ( p < .001), more likely to be married ( p = .04), and had higher levels of education ( p = .01). Men were less likely than women to respond to direct mailings and to be referred by their PCP, but after contacting the study, had similar screening, eligibility, and enrollment rates. Encouraging and training providers to refer men during clinic visits may help recruit more men into primary care-based weight loss trials.

scholarly journals A GWEP COLLABORATION: IMPLEMENTING THE AWV IN A RURAL PRIMARY CARE CLINIC

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S393-S393
Author(s):  
Christine McKibbin
Keyword(s):  
Primary Care ◽  
Patient Outcomes ◽  
Primary Care Clinic ◽  
Lessons Learned ◽  
Care Clinic ◽  
Primary Care Clinics ◽  
Rural Primary Care

Abstract This presentation will focus on the collaboration with the Dartmouth GWEP to implement the AWV in a rural primary care clinic. The challenges of practice transformation in busy primary care clinics will be discussed along with lessons learned on a successful GWEP partnership to achieve improved patient outcomes in primary care.

scholarly journals SPREAD AND SUSTAINMENT OF QUALITY IMPROVEMENTS IN VA RURAL PRIMARY CARE CLINICS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S756-S756
Author(s):  
Josea Kramer ◽  
Claire O’Hanlon ◽  
Joe Douglas ◽  
Michael N Mitchell ◽  
Michael McClean ◽  
...  
Keyword(s):  
Primary Care ◽  
Rural Areas ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Potentially Inappropriate Medications ◽  
Quality Improvements ◽  
Primary Care Clinics ◽  
Rural Primary Care ◽  
Rural And Urban ◽  
Primary Care Workforce

Abstract The VA has invested in developing the skills of its primary care workforce through the longitudinal Geriatric Scholars Program. Now in its 11th year, the program has increased career satisfaction and job retention, standardized provider behaviors, improved clinical decision-making and reduced dispensing of potentially inappropriate medications. The program consists of: intensive coursework in geriatrics; workshop in quality improvement (QI); and initiation of a micro QI projects in the Scholar’s clinic. Electives enable learners to tailor the program to self-identified gaps in knowledge, skills and competencies. This presentation focuses on the sustainment and spread of these QI projects based on a recent survey of Scholars. Differences between rural and urban QI projects are compared. Commonality among rural QI projects is explored based on topic, team composition, and the types of efficiencies gained in clinical and/or organizational processes to improve care for older Veterans living in rural areas.

Providing Diabetes Self-Management Support in Rural Primary Care Clinics With Nurse Partners

2012 ◽  
Vol 34 (8) ◽  
pp. 1023-1042 ◽  
Author(s):  
Molly Vetter-Smith ◽  
Joseph LeMaster ◽  
Joshua Olsberg ◽  
Robin Kruse ◽  
Tamara Day ◽  
...  
Keyword(s):  
Primary Care ◽  
Self Management ◽  
Management Support ◽  
Primary Care Clinics ◽  
Rural Primary Care

scholarly journals Barriers and Facilitators of the Teaching-Learning Process of Medical Students in Primary Care in the City of São Paulo

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Moniquelly Barbosa da Silva ◽  
Izabel Rios ◽  
Pedro Félix Vital Júnior ◽  
Andréa Tenório Correia da Silva
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Learning Process ◽  
Sao Paulo ◽  
Educational Institutions ◽  
São Paulo ◽  
Primary Care Clinics ◽  
Care Workers ◽  
Teaching Learning ◽  
The City

Abstract: Introduction: Although Primary Health Care (PHC) is essential for medical students’ training, the perceptions of primary care workers about the teaching-learning process have been overlooked, particularly in municipalities where PHC management is performed by a private organization instead of the government, such as in the city of São Paulo. Objective: to analyze the perceptions of primary care workers about barriers and facilitators of medical students’ teaching-learning process in PHC in the city of São Paulo. Method: we conducted a qualitative research. We performed in-depth interviews with 12 primary care workers from the family health teams (four physicians, four nurses and four community health workers), who worked in primary care clinics in the east region of the city and received medical students, from 1st-year to internship students. The interviews were recorded, transcribed and afterwards, they were repeatedly read. We identified thematic units following the content analysis principles. Results: the barriers to medical students’ teaching-learning process in PHC were the following: (1) excessive number of scheduled patients and scarcity of time for discussion; (2) inadequate infrastructure of primary care clinics; (3) lack of training; and (4) ineffective integration among faculty, healthcare workers, managers and the assisted population. The facilitating factors of the teaching-learning process were: (1) high quality of healthcare services; (2) integration among primary care teams, interdisciplinary teams, and students; and (3) well-trained medical preceptors. Conclusions: our results have implications for PHC professionals, educational institutions, and managers. The improvement of the integration among educational institutions, health services managers, primary care workers, and the population is a condition to reach the effectiveness in the teaching-learning process, and to ensure the development of essential competencies for PHC assistance quality. Thus, the training of health professionals, improving the primary care clinic infrastructure, and creating strategies to ensure enough time for discussion and feedback could contribute to mitigate barriers to medical students’ teaching-learning process in PHC.

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