The Journal of family practice
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Comparative Study
Graded exercise stress test training in family practice and internal medicine residencies.
A mail survey of upper Midwest family practice and internal medicine residency program directors was performed to determine the prevalence and characteristics of exercise stress test training. Two mailings provided a 68% response rate for the 184 programs surveyed. Internal medicine programs were significantly more likely to offer exercise stress test training than family practice programs (57% vs 34%). ⋯ Otherwise there were few differences between family practice and internal medicine program instruction in exercise stress test training. Family practice program directors were more likely to believe that their residents should be taught this procedure and to include family physicians in their panel of instructors. Specific guidelines should be created to assure adequate stress test training for interested residents.
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The process of grieving for the death of a neonate is different from other grief processes. The family physician is in the unique position of playing a significant role in assisting families who are living through this tragedy. Even if the family physician has not been part of the prenatal care and delivery, he or she will continue to see the parents for weeks, months, and even years, long after most other support is gone. This paper outlines seven possible specified times when a family physician can intervene in aiding the couple through the evolving grief process.