Family medicine
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Physical examination (PE) skills among U.S. medical students have been shown to be deficient. This study examines the effect of a Web-based physical examination curriculum on first-year medical student PE skills. ⋯ A significant improvement in first-year medical student performance on the adult PE occurred after implementing Web-based instructional video.
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Exposure to non-constructive criticism of medical specialties is believed to be fairly common among medical students. Better understanding of this "bashing" phenomenon is needed to promote greater professionalism in medical education and student interest in primary care careers. This study examines exposure and reactions to bashing among third-year medical students in a public university. ⋯ Medical students perceived bashing of medical specialties, recognized it as unprofessional behavior, and would be receptive to interventions to reduce bashing. Findings suggest a need to address bashing as part of professionalism curricula in medical training.
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Family medicine obstetrics and maternal-child health fellowships offer family physicians additional training in pregnancy care. Our objectives were to assess the content of these fellowship programs, the clinical practices of fellowship graduates, and factors associated with inclusion of cesarean delivery in practice after fellowship training. ⋯ A majority of family physicians care for high-risk pregnancy patients and perform operative procedures related to pregnancy after completing an obstetrics fellowship.
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The goal of this study was to determine if clinical simulation improved resident confidence in performing critical care skills, neonatal resuscitation, and colonoscopy. ⋯ Simulation is a well-accepted teaching method for critical care and procedural skills and improves resident confidence.