Family medicine
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In 2023, the Accreditation Council for Graduate Medical Education added participation within a "learning collaborative" or "learning network" (LN) as a requirement for family medicine residencies. The structure and scope of what makes an acceptable LN was only vaguely defined. The purpose of this study was to learn how many family medicine residencies associated with departments already belong to LNs, the purpose and funding of these existing LNs, and barriers to entering LNs. ⋯ About half of the residency programs associated with family medicine departments already belong to LNs. Wide variation among existing LNs may lead to significantly disparate outcomes for residents and residencies as they navigate this new requirement.
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Generative artificial intelligence and large language models are the continuation of a technological revolution in information processing that began with the invention of the transistor in 1947. These technologies, driven by transformer architectures for artificial neural networks, are poised to broadly influence society. ⋯ In this article, I discuss the principal limitations to the use of generative artificial intelligence in medical education-hallucination, bias, cost, and security-and suggest some approaches to confronting these problems. Additionally, I identify the potential applications of generative artificial intelligence to medical education, including personalized instruction, simulation, feedback, evaluation, augmentation of qualitative research, and performance of critical assessment of the existing scientific literature.
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Food insecurity is common in patients receiving care in primary care offices. Some health systems and primary care offices provide food directly to food insecure patients. Our family medicine residency clinic started a food pantry to directly address this social determinant of health. We aimed to understand the reasons patients in primary care visited our food pantry and their impressions of food available directly in a primary care office. ⋯ Food insecure patients face many barriers to obtaining healthy food. A colocated food pantry in a primary care office helps address barriers, is convenient, and is appreciated by patients using the service.