Family medicine
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The Accreditation Council for Graduate Medical Education requires that family medicine residents receive structured skills training on pediatric advanced life support (PALS) and should learn procedures for medical emergencies in patients of all ages. Traditional methods of training family medicine residents in PALS is challenging given their limited clinical exposure to critically ill patients. The primary objective of this study was to assess the effect of a 2-hour PALS training session utilizing high-fidelity mannequins on residents' psychomotor skills performances. ⋯ Simulation training is beneficial for teaching PALS procedures to family medicine residents.
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Apologizing is an important component in addressing medical errors; yet, offering apologies continues to challenge physicians. To address limitations of prior educational interventions, a multi-faceted, apologies intervention was developed to provide medical students with increasingly applied learning opportunities. ⋯ This intervention was perceived useful by students and demonstrated medium to large effect size changes in importance, confidence, and comfort around apology errors. The higher evaluations of apologies written by female authors as well as the lower evaluations by evaluators adopting patient perspective warrant further consideration. Additional research is also warranted on streamlining and implementing the intervention for other institutions and ultimately how actual student apology behaviors are later affected.
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American Osteopathic Association (AOA) accreditation of Accreditation Council for Graduate Medical Education (ACGME) family medicine residency programs began in the early 1990s to increase the number of Osteopathic Graduate Medical Education (OGME) training positions in family medicine. Despite the rapid expansion of family medicine residencies accredited by both the AOA and the ACGME, little has been published about issues facing these programs. ⋯ A substantial number of osteopathic residents graduating from dual-accredited programs are not seeking board certification by the ABFM, but our study participants felt confident that their programs would maintain dual AOA-ACGME accreditation even if there was a significant increase in US MD applicants.
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In light of calls for a new model of care, family physicians are endeavoring to create a Patient-centered Medical Home. Yet, structures of care in themselves do not make a home; for the medical house to be a home requires physicians to demonstrate a personal touch that communicates caring to the patient. This essay describes one easily accomplished method by which to integrate personal care in a Patient-centered Medical Home.