Family medicine
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Limited research has been done to understand outcomes of continuing medical education offered in three-dimensional, immersive virtual worlds. We studied a case of a virtual world workshop on motivational interviewing (MI) applied to smoking cessation counseling and its educational impact. ⋯ The evaluated workshop had positive impact on participants' competencies and practice as related to MI applied to smoking cessation counseling. Our findings support further exploration of three-dimensional virtual worlds as learning environments for continuing medical education.
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Scholarly activity is an important component of residency programs. Amidst many other professional obligations, finding time and support for resident research can be challenging. Thus, it is important to equip residents with the tools needed to perform scholarly activity both during and after residency. ⋯ Our analysis reveals an association between these new curricular initiatives and increased research among residents, similar to growth demonstrated by the innovations of Seehusen et al. Limitations of this study include reliance on the accuracy of past records and a small sample size. We believe this is a model that could be implemented in other residency programs to support scholarly activity requirements.
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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.