Family medicine
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The United States has a growing shortage of maternity care providers. Family medicine maternity care fellowships can address this growing problem by training family physicians to manage high-risk pregnancies and perform cesarean deliveries. This paper describes the impact of one such program-the Maternal Child Health (MCH) Fellowship through the Department of Family Medicine at Brown University and the careers of its graduates over 20 years (1991--2011). ⋯ Our maternal child health fellowship provides family physicians with the opportunity to develop advanced skills needed to provide maternity care for underserved communities and teaching skills to train the next generation of maternal child health care providers.
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Randomized Controlled Trial
Text messaging to improve resident knowledge: a randomized controlled trial.
Advances in technology present opportunities to develop and test innovative teaching methods. We sought to evaluate whether text messaging could improve medical resident knowledge in musculoskeletal medicine. ⋯ The use of eGEMs as initially developed did not increase resident knowledge based on exam scores. Further study is needed to determine if a more tailored intervention is effective.
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In May 2010, the Centers for Disease Control and Prevention (CDC) released the US Medical Eligibility Criteria for Contraceptive Use (MEC) to provide evidence-based guidance on contraceptive safety in US women with medical conditions. The CDC MEC was adapted from similar World Health Organization (WHO) guidelines. ⋯ Although the CDC MEC is designed to be used regularly by primary care and specialty physicians, relatively few used it in the first year after its release. Even when the CDC MEC is provided to assist in answering case questions, physicians appear to have difficulty answering correctly. More work is needed to disseminate and clarify the CDC MEC.