Family medicine
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Our objective was to determine if the quality of care of diabetic patients at a Student-Run Free Clinic Project (SRFCP) meets the standard of care, is comparable with other published outcomes, and whether pertinent diabetic clinical indicators improve over time. ⋯ Diabetic patients at UCSD SRFCP reached goals for both process measures and intermediate outcomes at rates that meet or exceed published outcomes of insured and uninsured diabetics on nearly all measures, with the exception of ophthalmology screening. Glycemic control, cholesterol levels, and blood pressure improved significantly during care at the UCSD SRFCP.
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Our objective was to determine family medicine residents' perception of changes in education, patient care, and quality of life following implementation of the 2011 Accreditation Council of Graduate Medical Education (ACGME) Common Program Requirements. ⋯ It appears that family medicine residents generally disapprove of the 2011 ACGME duty hour regulations. They report negative consequences including a shift of intern responsibility to senior residents, as well as decreased preparedness for more senior roles. Further, patient safety, availability of supervision, and quality of education seem to be unimproved or worse.
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Our objective was to review and summarize extant literature on US-based graduate medical education programs to guide the development of a health disparities curriculum. ⋯ There are few published reports of graduate medical education programs in the United States that focus on preparing residents to address health disparities. Reported programs are mostly from primary care disciplines. Programs vary in curricular elements, using a wide variety of training aims, learner competencies, learning activities, and evaluation methods. This review highlights the need for published reports of educational programs aimed at training residents in health disparities and underserved medicine to include the evidence for effectiveness of various training models.
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Finding information about new physicians can sometimes be challenging. The purpose of the current study was to determine if the information and qualities prospective patients want to know about family physicians, before selecting one to visit, are present within videos placed in their online biographies. ⋯ The full potential of video is not being utilized by health systems in constructing videos of their physicians to place alongside online biographies. Previous research indicates patients want to know not only what a doctor's office looks like but also how that doctor will treat them in a consultation. The inclusion of footage of the doctor's office, as well as of the doctor interacting with a patient, could help to reduce the uncertainty and apprehension sometimes present when choosing a new physician.