Integrating motivational interviewing and narrative therapy to teach behavior change to family medicine resident physicians

2016 ◽  
Vol 51 (4) ◽  
pp. 367-378
Author(s):  
Lauren D Oshman ◽  
Gene N Combs
Keyword(s):  
Family Medicine ◽  
Behavior Change ◽  
Motivational Interviewing ◽  
Narrative Therapy ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

scholarly journals Japanese and United States Family Medicine Resident Physicians' Attitudes about Training

2002 ◽  
Vol 3 (1) ◽  
pp. 9-16 ◽  
Author(s):  
Michael D. Fetters ◽  
Kazuya Kitamura ◽  
Junichi Mise ◽  
Warren P. Newton ◽  
Daniel W. Gorenflo ◽  
...  
Keyword(s):  
United States ◽  
Family Medicine ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

scholarly journals Impact of Family Medicine Resident Physicians on Emergency Department Wait Times and Patients Leaving Without Being Seen

CJEM ◽  
2015 ◽  
Vol 17 (5) ◽  
pp. 475-483
Author(s):  
Wang Xi ◽  
Vikram Dalal
Keyword(s):  
Emergency Department ◽  
Family Medicine ◽  
Retrospective Chart Review ◽  
Initial Assessment ◽  
Wait Times ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians ◽  
Number Of Patients ◽  
Resident Group

AbstractObjectiveTo quantify the effect of family medicine resident physicians on emergency department (ED) wait times and patients leaving without being seen or treated.MethodsIn a medium-volume community ED over twelve months, we used retrospective chart review to compare wait times between patients seen during shifts where staff were working alone versus with a resident. We measured the time from initial triage time to physician initial assessment (T1) and disposition time (LOS), and number of patients leaving without being seen or treated.ResultsIn our analysis, 21,141 patients (91% of total visits) were included; 48% were in the staff-with-resident group, and 52% were in the staff-only group. Mean T1 in the resident group was significantly shorter than the staff-only group (1 hour 23 minutes versus 1 hour 38 minutes, difference 15 minutes, 95% CI 13 to 17 minutes, p<0.001). Mean total LOS in the resident group was also reduced (2 hours 38 minutes versus 2 hours 50 minutes, difference 12 minutes, 95% CI 8 to 17 minutes, p<0.001). Fewer patients left without being seen in the resident group than the staff only group (2.8% versus 4.9%, p<0.001). There were no differences in patients leaving without being treated (0.5% versus 0.5%).ConclusionsThis is the first study to demonstrate that residents are associated with a reduction in ED wait times and patients leaving without being seen in a low-acuity, community hospital, compared to previous studies demonstrating no difference or increased wait times.

scholarly journals What are the knowledge, attitudes and beliefs regarding concussion of primary care physicians and family resident physicians in rural communities?

2020 ◽  
Vol 4 ◽  
pp. 205970022097454
Author(s):  
Heather Galbraith ◽  
Jairus Quesnele ◽  
Shannon Kenrick-Rochon ◽  
Sylvain Grenier ◽  
Tara Baldisera
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Primary Care Physicians ◽  
Assessment Tool ◽  
Local Health ◽  
Cross Sectional ◽  
Support Tool ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians

Background Primary care physicians and family medicine resident physicians report continued gaps in knowledge when diagnosing and managing pediatric patients with concussion. Methods A cross-sectional electronic survey of 130 primary care physicians and family medicine resident physicians in the Northeastern Ontario Local Health Integration Network (LHIN). Descriptive statistics, chi-squared Fisher exact tests, were used to compare physicians versus resident physicians with two-tailed p < 0.05 (with 95% confidence intervals). Results With a 48% response rate, when treating concussions 44% of providers either did not use any specific clinical practice guideline, standardized assessment tool, could not recall the source of a specific tool/guideline or omitted answering the question. However, 61% of all respondents would refer some or all concussion patients to a specialist for treatment. At least 41% of providers indicated they lacked access to a ‘Provider Decision Support Tool’ specific to concussion, and 88% of the 25 providers were without access to discharge instructions. Conclusion Similar to other jurisdictions, Northeastern Ontario primary care physicians and family medicine resident physicians report gaps in knowledge for both diagnosis and management of pediatric concussion. Consequently, they did not use current guidelines or best practices to guide management.

scholarly journals A Longitudinal Study of Burnout and Well-being in Family Medicine Resident Physicians

2020 ◽  
Vol 52 (10) ◽  
pp. 716-723
Author(s):  
Mari Ricker ◽  
Victoria Maizes ◽  
Audrey J. Brooks ◽  
Coya Lindberg ◽  
Paula Cook ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Family Medicine ◽  
Satisfaction With Life ◽  
Core Competencies ◽  
Well Being ◽  
Targeted Interventions ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Resident Physicians ◽  
Second Year

Background and Objectives: The Accreditation Council for Graduate Medical Education (ACGME) core competencies for residency learning and work environment standards acknowledge high levels of burnout and depression in resident physicians and the critical importance of physician well-being to patient care and effective education. The objective of this study was to follow family medicine resident physicians’ well-being throughout residency. Methods: Family medicine resident physicians from 12 programs completed validated assessments (burnout, depression, perceived stress, satisfaction with life, positive and negative affect, emotional intelligence, mindfulness, gratitude) at residency start, second year start, and graduation. Resident physicians were from the 2011, 2012, and 2013 graduating classes (N=158). Results: Two indicators of burnout (emotional exhaustion, depersonalization) increased between the start of residency and the start of the second year, remaining elevated at graduation. Emotional intelligence was lower at graduation than at the start of residency. In contrast, other measures of well-being (stress, life satisfaction, affect) improved during the second and third years. Depression, mindfulness, and gratitude remained stable. Increased levels of burnout risk at graduation were negatively associated with emotional intelligence, mindfulness, and gratitude. Conclusions: While the stressful impact of residency is transitory for some measures of well-being, that is not the case for burnout or emotional intelligence. Burnout levels peak after the first year of residency and remain high through graduation. Targeted interventions to identify and address burnout in residency need to be evaluated in future studies.

scholarly journals FAMILY MEDICINE RESIDENT AWARD FOR SCHOLARSHIP

2009 ◽  
Vol 7 (1) ◽  
pp. 91-92
Author(s):  
P. J. Carek ◽  
S. Abercrombie ◽  
S. Carr ◽  
G. Dickson ◽  
J. Gravel ◽  
...  
Keyword(s):  
Family Medicine ◽  
Family Medicine Resident ◽  
Medicine Resident

A snap shot of patients’ recall, attitudes, and perceptions of their pain contracts from a family medicine resident outpatient clinic

2018 ◽  
Vol 14 (1) ◽  
pp. 43 ◽  
Author(s):  
Robinder Bahniwal, MD ◽  
Jarrett Sell, MD ◽  
Abdul Waheed, MD, FAAFP
Keyword(s):  
Family Medicine ◽  
Outcome Measures ◽  
The United States ◽  
Recall Rate ◽  
Patient Attitudes ◽  
Cross Sectional ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Attitudes And Perceptions ◽  
Penn State

Objective: Determine patient recall, attitudes, and perceptions of their pain contract in a family medicine resident outpatient clinic.Design: A cross-sectional study design using a telephone survey to all eligible subjects who signed a hardcopy pain contract from August 29, 2014 to May 19, 2016 at a resident outpatient clinic.Setting: Penn State Hershey Family and Community Medicine Residency clinic.Participants: All patients who signed a hardcopy pain contract at the practice site who met specific inclusion criteria.Main outcome measures: What proportions of items are remembered from the standardized Penn State Hershey pain contract and does recall vary with time of contract signing.Secondary outcome measures: Patient attitudes and perceptions of their pain contract.Results: Ninety-five percent of patients recalled agreeing to random urine drug screens (UDS) and 60 percent recalled they were not to receive prescriptions from another provider unless approved by their practice site. The recall rate for the remaining 33 items in the contract ranged from 0 percent to 20 percent. The highest recall rate was for contracts signed between 0-3 months. Patient feedback regarding the pain contract was recorded and while five were positive or neutral, 15 patients recorded negative attitudes toward the process, the physician, and/or the UDS.Conclusions: This study highlights limited recall and negative patient attitudes toward the pain contract. Considering the public health concerns with regard to the current opioid epidemic in the United States, additional training of providers, redesign of pain contracts and new models for informing patients about safe chronic pain management may be warranted.

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