Family medicine
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The study's objective was to describe faculty development skills needed for residency redesign in 14 family medicine residencies associated with the Preparing the Personal Physician for Practice (P4) project. ⋯ Faculty attempting to redesign residencies to train residents in patient-centered medical homes need new skills, and understanding these needs can inform faculty development programs nationally to achieve the crucial mission of training the workforce to accomplish this transformation.
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Primary care physician (PCP) shortages are a longstanding problem in the rural United States. This study describes the 2005 supply of two important components of the rural PCP workforce: rural osteopathic (DO) and international medical graduate (IMG) PCPs. ⋯ DO and IMG PCPs constitute a vital portion of the rural health care workforce. Their ongoing participation is necessary in addressing existing rural PCP shortages and handling the influx of newly insured residents as the Patient Protection and Affordable Care Act (ACA) comes into effect. The impact on rural DO and IMG PCP supply of ACA measures intended to increase their numbers remains to be seen.
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Gifts to physicians from the pharmaceutical industry are receiving increased scrutiny, but no previous research has evaluated the effect of such gifts on trust. The goal of this study is to determine patient awareness of interactions between physicians and the pharmaceutical industry and to learn whether those interactions impact trust and the doctor-patient relationship. ⋯ Accepting gifts from the pharmaceutical industry has implications for the doctor-patient relationship. Doing so can undermine trust and affect patients' intent to adhere to medical recommendations.
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The purpose of this paper is to report on the development and implementation of a learning competency assessment survey for first-year medical students. We began by defining learning competencies in a manner that is parallel to the clinical competencies resulting in a self-assessment survey of 1,998 first-year osteopathic medical students from 25 osteopathic medical schools. ⋯ A regression analysis indicated that the best predictors of curricular involvement were Student Learning and Improvement, Knowledge of Osteopathic Philosophy and Skills, Interpersonal Communication, and Systems Knowledge. However, Medical Knowledge and Professionalism did not provide any unique variance to the model, suggesting that students' confidence in their undergraduate science training or self perceptions of their professionalism had little to do with their confidence in navigating medical school.