Family medicine
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Randomized Controlled Trial
Use of Tablet Video for Delivery of Neonatal Discharge Instructions to First-Time Parents.
While video discharge instructions have been shown to improve retention of information and patient satisfaction, data are limited regarding patient perceptions of video tools. ⋯ Broader use of technology may allow for a more standardized approach to patient education and improve efficiency for clinicians, without compromising patient satisfaction and confidence in caring for themselves and their dependents.
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There is a shortage of physicians in rural communities in the United States. More than other types of primary care physicians, family physicians are the foundation for care in rural areas.1 There are also critical shortages of other specialties such as general surgery, pediatrics, internal medicine, and psychiatry in rural America.2-7 This study assessed student participation in the University of Washington School of Medicine's (UWSOM) Targeted Rural Underserved Track (TRUST) program as a predictor for family medicine (FM) and needed workforce specialty residency match. ⋯ Although match rates in FM and needed workforce specialties were not different in accepted versus not accepted groups, all TRUST applicants had an FM match rate that approaches 30%, which is higher than the general UWSOM class and the United States. In order to help reach the goal of 25% of medical students matching into FM by 2030, medical schools should consider having a rural program and using rural-focused admissions widely.
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Women have increased in presence within academic family medicine over time yet remain underrepresented among senior faculty. Mentorship is a mechanism by which senior faculty support scholarly achievements, accelerating advancement of junior faculty. ⋯ Despite disproportionate rates of last authorship and senior faculty positions in family medicine departments, senior female authors have equal if not greater rates of mentorship of female first authors in family medicine literature. The increase in first authorship, last authorship, and faculty position indicates that improvements have occurred in gender advancement over the study period, but gains are still needed to improve gender equity within the field.
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The capacity for research within family medicine has historically been low despite its importance. The aim of this study was to learn more about the perceptions of family medicine department chairs regarding research and its role in their departments and institutions. ⋯ Research is important to chairs of DFMs. DFMs that do not currently have major research enterprises may have the will and training required of their leader to grow. With the right support and resources, these DFMs may increase their research capacity, and subsequently their research productivity to support the needs of the discipline for more family medicine research.
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Medical student distress and mental health needs are critical issues in undergraduate medical education. The imposter phenomenon (IP), defined as inappropriate feelings of inadequacy among high achievers is linked to psychological distress. We investigated the prevalence of IP among first-year medical school students and its association with personality measures that affect interpersonal relationships and well-being. ⋯ IP was common in matriculating first-year medical students and significantly increased at year's end. Higher IP scores were significantly associated with lower scores for self-compassion, sociability, self-esteem, and higher scores on neuroticism/anxiety.