Family medicine
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What leads to individual success or failure in family medicine scholarly activity? We prospectively studied predictors of short-term (2 years) and long-term (5 years) scholarly productivity in the faculty of one university family medicine department. ⋯ As previously noted, research training through advanced degrees or fellowships enhances scholarly activity. The effect on scholarly productivity of time spent in clinical work or on administrative tasks requires further study across different departments.
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Family practice residents and students receive substantial teaching from senior residents. Yet, we lack data about residents' needs for teaching skills development, particularly in generalist training. This multicenter, interdisciplinary study describes the learning needs of generalist residents for becoming more effective teachers. ⋯ Generalist residents fulfill important roles as practical clinical teachers and role models for junior learners. Future research should address how resident teachers affect learners' clinical skills, academic performance, and professionalism.
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Comparative Study
The increase in international medical graduates in family practice residency programs.
The number of filled positions in family practice residency programs decreased by 18.6% from 1997-2001. This study sought to determine the degree of reliance on international medical graduates (IMGs) to fill family practice residency positions and the relative proportion of US citizen IMGs. ⋯ Family practice is becoming increasingly reliant on IMGs to fill residency positions.
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Title VII predoctoral and departmental grants for departments of family medicine are intended to increase the number of family and primary care physicians in the United States and increase the number of practices in rural and underserved communities. This study assessed the relationships of Title VII funding with physicians' choices of practice specialty and location. ⋯ Title VII has been successful in achieving its stated goals and legislative intent and has had an important role in addressing US physician workforce policy issues.