Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Family Practice”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 361 records · Page 20Linked to original sources
PubMed1994

Five-year experience with exercise stress testing in a family practice program.

OBJECTIVE: This study describes the implementation of exercise stress testing at a family practice residency program, looking at safety and the feasibility of having family practice faculty serve as instructors. METHODS: Results from the first 5 years of testing were collected, and residency graduates were polled about their experience with treadmill testing during and after residency. RESULTS: A total of 202 treadmill tests were performed, all without serious complications. Family practice faculty provided the instruction. One quarter of graduates were performing treadmill tests in their practices, and most of the others felt the training was beneficial. CONCLUSIONS: It is both feasible and safe for family practice faculty to provide training in exercise treadmill testing to residents.

Adult↗
PubMed2004

Patient compliance among family practice patients.

OBJECTIVE: To document patient compliance and perceptions among family practice patients. DESIGN: A questionnaire-based survey of a convenience sample. PLACE AND DURATION OF STUDY: Family Practice Center of Aga Khan University Hospital, Karachi, Pakistan, between October 2003 and January 2004. SUBJECTS AND METHODS: Family practice patients were interviewed without systematic randomization. A questionnaire including data on demographic profile of the patient and compliance, was administered by the study investigators. Ethical requirement including the administration of written informed consent and confidentiality were ensured. SPSS computer software was used for data management. RESULTS: A total of 119 patients were interviewed, of which 86 (72%) were females. The mean age was 34.6 years. Thirty two (27%) of the respondents had graduate education. Forty three (36.1%) respondents had the last physician's visit within the previous two weeks. Recommendations made at the previous physician's visit were followed in 170 (79.8%) cases. Desire to get better was reported by 172 (79.6%) respondents, as a reason for compliance. In patient's view, being polite, friendly and kind to the patient and explaining treatment to the patient, could improve patient compliance. CONCLUSION: There is a need to have a broad based approach to improve patient compliance including patient education, following principles of good clinical practice and giving due consideration to financial costs. We recommend further research and debate on the important issue of patient compliance.

Adult↗
PubMed1994

Results of the 1994 National Resident Matching Program: family practice.

The 1994 National Resident Matching Program results reveal a 14% increase in positions filled in family practice residencies, compared with 1993 (2,293 vs 2,002) and a 13% increase in positions filled by US seniors (1,850 vs 1,636). Similarly, 9% more positions were filled on July 1, 1994, than 1993 (3,040 vs 2,798). For the first time, in 1994 more than 3,000 first-year residency positions were filled in family practice. One hundred more US seniors matched in internal medicine, and 74 more US seniors matched in pediatrics. Given the anticipated career choices of students entering residency training in the generalist disciplines, it is expected that 31% of the class of 1994 (Liaison Committee on Medical Education (LCME)-accredited medical schools) will practice as generalists. An 8% increase in first-year positions offered, and the development of 10% new Accreditation Council for Graduate Medical Education-accredited family practice residency programs could accommodate 20% of the nation's graduates of LCME- and American Osteopathic Association-accredited medical schools. With increasing interest in family practice careers, increased support for the nation's family practice residency programs is critical.

Accreditation↗
PubMed1999

The Psychiatric Family Nurse Practitioner: A Collaborator in Family Practice.

The potential of the psychiatric family nurse practitioner (Psych.F.N.P.) to contribute to family practice through physical care and mental health care exists in the here and now. This role is a synthesis of 2 advanced practice roles, the psychiatric clinical nurse specialist (Psych.C.N.S.) and family nurse practitioner (F.N.P.), both of which continue to have great utility independently. This synthesis is a practical application of concepts that have evolved to meet the changing patterns of health care delivery. At this time, dual certification as a Psych.C.N.S. and F.N.P. best reflects the broad practice expertise of the psychiatric family nurse practitioner. The experienced psychiatric family nurse practitioner provides direct care for both physical and psychological needs of patients in a family practice setting.

Journal Article↗
PubMed1993

Entry of US medical school graduates into family practice residencies: 1992-1993 and three-year summary.

This is the 12th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each medical school's graduates entering family practice residency programs. Approximately 10.8% of the 15,466 graduates of LCME-accredited US medical schools between July 1991 and June 1992 were first-year residents in family practice in October 1992. This compares to 10.3% the previous year. This is the first increase since 1989. Medical school graduates from publicly funded medical schools were more than twice as likely to be first-year residents in family practice in October 1992 than were residents from privately funded schools, 13.8% compared to 6.4%. The Mountain region reported the highest percentage of medical school graduates who were first-year residents in family practice programs in October 1992 at 18.3%; the Middle Atlantic and New England regions continued with the lowest percentages, 5.6% and 7.8%, respectively. Approximately one in two medical school graduates entering a family practice residency program as a first-year resident in October 1992 entered a program in the same state as that of his or her medical school of graduation. The percentages for each medical school have varied substantially from year to year since the AAFP has reported this information. The average percentage for each medical school for the last three years is reported. In addition, the number and percentage of graduates from colleges of osteopathic medicine who entered ACGME-accredited family practice residency programs are reported.

Accreditation↗
PubMed1987

Promotion of family enrollment in an urban family practice residency program.

Although a basic goal of family practice is to provide care for all members of the family, few studies have been done to test the ease of accomplishing this goal. At the Downstate Medical Center Department of Family Practice in Brooklyn, New York, an attempt was made to increase family enrollment by introducing several educational interventions directed at patients and resident physicians. Family enrollment levels were documented during a study period from June 1981 to September 1982, and again in June 1984. Both before and after the intervention efforts, family enrollment levels remained the same. It was concluded that the educational interventions used were unsuccessful in both short-term and long-term follow-up. Only one subgroup that participated in a specific educational intervention (patient orientation groups) showed an increase in family enrollment.

Family↗
PubMed1993

Managing chronic pain in family practice.

Pain is common in family practice. In dealing with chronic pain, both the family physician and the patient often have problems in defining and in understanding the origin of chronic pain and in providing effective pain relief. This article explores a practical, holistic approach to understanding and managing chronic pain.

Adult↗
PubMed1977

Satisfaction of patients in two Air Force family practice programs.

This study was carried out to determine of patients enrolled in family practice clinics were satisfied with their care and to ascertain if there was a difference in the level of satisfaction between two groups of family practice patients: one group at a teaching medical center and the other at a general acute care community hospital. The overwhelming majority of family practice patients surveyed were extremely satisfied with the care they were receiving. The prime reasons for this satisfaction were physician continuity (having one physician for the whole family), personal attention, and having levels of satisfaction between the groups at a teaching and a non-teaching facility. Overall, families that had received preventive health instructions from their physician had a stronger desire to remain with family practice and had fewer dislikes about the program than did the group of patients who had not received any preventive health instructions from their physician.

Aerospace Medicine↗
PubMedDate not supplied

Entry of U.S. medical school graduates into family practice residencies: 1983-84.

This study is the third of a series from the American Academy of Family Physicians to report on the percentage of each medical school's graduates who enter family practice residency programs. Approximately 12.5% of the 15,739 graduates of United States medical schools between July 1982 and June 1983 were residents in family practice in December 1983. The Mountain and Pacific regions report the highest percentage of medical school graduates who were residents in family practice programs in December 1983; the New England and Middle Atlantic regions had the lowest percentages. Medical school graduates from publicly funded medical schools were twice as likely to be residents in family practice in December 1983 as were graduates from privately funded schools. The independent variable indicated by the presence of a family practice department in the medical school is the only variable which entered into a step-wise linear regression on a transformation of the dependent variable, percentage of graduates entering an FP residency program.

Family Practice↗
PubMed1993

The effect of a rural family practice preceptorship on medical students' residency selection.

OBJECTIVE: We suspected our senior medical student rural family practice preceptorship was a positive influence on students' selection of family practice as a specialty. METHODS: A five-year study of 598 students' specialty choices before and after their preceptorship was done and compared to eventual residency choice. RESULTS: Of these students, 565 (94.5%) appeared to be uninfluenced by the preceptorship. Of the 33 students who reported a change in residency choice after completing the rural preceptorship, 15 (2.5%) chose a family practice residency. CONCLUSIONS: The rural preceptorship was found to have a positive influence on students' choice of family practice residency positions.

Career Choice↗
PubMedDate not supplied

Where, how, and from whom do family practice residents learn? A multisite analysis.

This paper presents the results of a multisite study of 2,481 teacher-learner events reported by family practice residents in four separate training programs. Teacher-learner events were characterized by the location, activity, and teacher involved. Distinct patterns of teacher-learner interaction emerged across each of the three years of training. Hospital based direct patient care under the supervision of a non-family practice specialist was the most frequent type of educational experience in each of the three years. In contrast, family practice faculty influence throughout each of the three years is minimal. Learning in the outpatient setting with another specialist matched, or in some cases, exceeded that with a family physician. This study raises several important issues regarding the type and appropriate nature of educational influences on family practice physicians. Of greatest concern is the adequacy of role modeling and direct teaching by family practice specialists of family practice residents.

Family Practice↗
PubMedDate not supplied

The first year of an urban family practice.

The first year of an urban based family practice partnership, composed of one male and one female physician, was followed to determine disease diagnosis distribution and frequency, patient residence, and types and numbers of office procedures and laboratory tests. The diagnosis distribution and frequency were compared to studies conducted in other regions of the nation. Each partner's practice was analyzed separately to assess whether there were differences in their practices dependent on the sex of the provider. During the year, the physicians had 3,059 patient visits and recorded 4,711 problems. In all, 773 office procedures were performed; the most common were related to health maintenance. The 1,554 laboratory tests performed also showed a concentration for the purpose of health screening. This practice was less active in the areas of acute trauma and obstetrics than other reported studies. Few differences in the individual practices of the male and female physicians were noted. Categorizing the problems according to the revised diagnostic clusters demonstrates the usefulness of that system. In spite of the urban nature of the practice, a high percentage of patients using the family practice office lived in the surrounding neighborhood.

Connecticut↗
PubMed1983

Pharmaceutical services in family practice medical residency training programs.

The extent and nature of pharmacists' involvement in family practice medical residency training programs was assessed using a national survey. Department chairmen of all 386 approved family practice residency training programs in the United States were contacted and asked to provide the names and addresses of pharmacists in charge of pharmaceutical services in the centers. A 46-item, six-page questionnaire was mailed to each pharmacist with a follow-up mailing, then a telephone call, to nonresponders. Department chairmen of 68 (18%) of the programs reported having at least one pharmacist in the center. Responses to the questionnaire were obtained from 53 (78%) of the pharmacists, four of whom were no longer involved with family practice centers. Most of the remaining 49 pharmacists were men (76%) between 30 and 40 years old (59%) with an academic appointment (67%) and a doctor of pharmacy degree or some type of postgraduate training. Drug-distribution services were provided in 37% of the centers. All pharmacies offered clinical services. Almost all pharmacies (92%) offered educational services to both medical and nursing staffs, and pharmacists in 74% of the centers were involved in research. Few family practice medical residency training centers have pharmaceutical services conducted by a pharmacist; centers with pharmacists have a wide variety of distributive and clinical services.

Family Practice↗
PubMed1994

The effects of video advertising on physician recruitment to a family practice residency program.

BACKGROUND: The number of medical students entering family practice residencies has been decreasing in recent years. In an effort to increase this number, many family practice residencies send videos describing their programs to prospective applicants. This study was designed to evaluate the effects of video advertising on resident recruitment. METHODS: In the fall of 1992, a short promotional video was produced to highlight many aspects of the University of Maryland Family Practice Residency Program. The video was sent to half of all persons who applied to the program. RESULTS: Of the 248 inquiries, 120 (48%) received the video. Of these, 35 (29%) completed the application compared with 69 (54%) who received routine materials only. Applicants who did not receive the video were 2.86 times more likely (95% confidence interval 1.6-5.0) to apply to our program (P < 0.0001). None of the applicants who received the video matched with the program (P < 0.005). CONCLUSION: Residency recruitment videos may have a negative impact on residency recruitment.

Advertising↗
PubMedDate not supplied

A developmental model of ethnosensitivity in family practice training.

Cross-cultural medicine is a natural and important part of family practice. Unfortunately, its acceptance and implementation into family practice training programs has been limited. This paper presents a developmental model of ethnosensitivity in family practice training which assesses a trainee's ability to grasp cross-cultural issues and suggests strategies for improving cross-cultural communication and practice skills.

Cross-Cultural Comparison↗
PubMed1975

The first-year family practice resident. An identity crisis.

A definite identity crisis was recognized among first-year family practice residents prior to this year. A specific solution was found through a carefully planned one month family practice rotation that enabled the residents to become fully acquainted with the Family Practice Clinic operation while firmly establishing their identity as unique family practice residents. There is good evidence that this approach has been highly successful in dealing with the problem, and the alleviation of identity crises in first-year residents has, in addition, strengthened other areas of the residency program.

California↗
PubMed1999

Teaching family practice residents breast cyst aspiration.

OBJECTIVE: To conduct the first study of teaching family practice residents the technique of breast cyst aspiration (BCA) using the Toronto Breast Cyst Aspiration Model (TBCAM) in a workshop. To determine whether this training increases their likelihood of performing the procedure in the future. To discover how residents evaluate the workshop as a teaching method. DESIGN: Prospective parallel-group trial from August to November 1997. Baseline questionnaires were given to both experimental and control groups in August. The experimental group was given a 1.5-hour workshop and a postworkshop questionnaire. Both groups were then given 3-month follow-up questionnaires. SETTING: Family practice residency program at the University of Toronto. PARTICIPANTS: The experimental group consisted of 15 family practice residents from one university-affiliated hospital site. The control group consisted of 54 family practice residents selected from the remaining sites. MAIN OUTCOME MEASURES: Confidence score, likelihood of performing BCA, and effectiveness of the workshop rated on a Likert scale ranging from 1-low to 5-high; and knowledge of BCA rated from 0 to 7. RESULTS: Three months after the workshop, 62% of study subjects and 31% of controls were above the median confidence score of 3.2 (chi 2 3.4, P > .05); 76% of subjects but only 11% of controls were above the median knowledge score of 4 (chi 2 16.67, P < .001); and 75% of subjects and 34% of controls were above the median likelihood to perform score of 3 (chi 2 5.37, P < .05). Most (95%) workshop effectiveness scores were 4s or 5s. CONCLUSIONS: Workshop training resulted in higher confidence, greater knowledge, and more likelihood of performing BCA. The workshop using the TBCAM was evaluated as a highly effective way to teach BCA.

Attitude of Health Personnel↗
PubMed1994

Developing an ethics curriculum for a family practice residency.

PURPOSE: To develop a curriculum in ethics in family practice by studying which ethical issues physicians believe to be important based on frequency of encounter, difficulty in managing the problem, and helpfulness of discussion; to examine whether there are any important differences between faculty and residents and between genders; and to determine the preferred format(s) for teaching these issues. METHOD: Between November 1991 and June 1992 a total of 475 questionnaires were mailed to all the family practice residents (first- and second-year), graduates in their first two years of practice, and the physician faculty of the Department of Family Medicine at the McGill University Faculty of Medicine. Overall, 319 usable questionnaires were returned, for a final response rate of 67%. The questionnaire asked respondents to evaluate 14 ethical dilemmas in order to determine the importance of teaching specific ethical issues as well as to determine the preferred format for teaching. Chi-square tests, analyses of variance, and Student's t-tests were used to test the significance of differences in responses. RESULTS: No consistent pattern of interrelationship was found among frequency of encounter and difficulty and helpfulness of discussion for most items. Overall, there was little difference in how faculty and residents, men and women, perceived the importance of these ethical issues. Women reported encountering ethical issues less frequently than men [F (14,285) = 1.82, p < .04], while at the same time finding them somewhat more difficult and more deserving of discussion. Small-group, case-oriented discussion appears to have been the favored teaching format regardless of the ethical dilemma. CONCLUSION: It is difficult to narrow down the content to be included in a curriculum in ethics in family practice. Frequency of encounter, difficulty in management, and helpfulness of discussion can all be argued to be important factors for consideration; they should all be considered separately or in combination for each teaching situation if time restrictions force a choice between topics.

Adult↗