Process-oriented dynamic group psychotherapy for depression as a teaching modality in a family medicine residency program— A pilot study

2017 ◽  
Vol 52 (1) ◽  
pp. 62-71
Author(s):  
Eric P Simon ◽  
Richard McClaflin ◽  
Rachel Zonca ◽  
Karen Mikuni ◽  
Willard Chung ◽  
...  
Keyword(s):  
Pilot Study ◽  
Family Medicine ◽  
Group Psychotherapy ◽  
Clinical Skills ◽  
Dynamic Group ◽  
Medicine Physician ◽  
The Family ◽  
Process Oriented ◽  
Teaching Modality ◽  
Family Medicine Residents

Background and Objectives This pilot study provides a description and evaluation of process-oriented dynamic group psychotherapy for depression as a teaching modality for family medicine residents. The main purpose of using this modality was to teach family medicine residents a variety of psychological clinical skills. A secondary benefit of this modality was to provide in-house, primary care treatment to depressed patients, although the efficacy of this was not evaluated in the present study. Methods A 10-item, self-report, Likert-type questionnaire was administered to a convenience sample of family medicine residents who had participated in the program. Results Completed questionnaires were received from 100% of the family medicine resident participants. Responses to the questionnaires indicate that the residents felt they acquired a variety of clinical skills from the training modality, to include developing active listening and interviewing skills; methods to improve the doctor–patient relationship; increased skills in empathy, intuitive processes, and emotional support; a depth understanding of how intra-psychic conflicts and interpersonal problems contribute to depression; how to give effective feedback that promotes behavioral change; and how to place interventions at the appropriate level of change. Eighty-eight percent of residents indicated they would recommend this learning modality to a family medicine physician colleague. Conclusions The family medicine residents’ responses to the questionnaires indicate that they perceived process-oriented dynamic group psychotherapy for depression as a constructive and beneficial modality for both patient care and learning a variety of clinical skills.

De-escalation of antipsychotic medications in an elderly patient with Alzheimer's dementia residing in an assisted living facility

2012 ◽  
Vol 2 (5) ◽  
pp. 115-118
Author(s):  
C. Brock Woodis ◽  
David Fuentes ◽  
Lorraine Sease
Keyword(s):  
Family Medicine ◽  
Assisted Living ◽  
Alzheimer’S Dementia ◽  
Psychotic Symptoms ◽  
Care Providers ◽  
Assisted Living Facility ◽  
Alzheimer's Dementia ◽  
Antipsychotic Medications ◽  
Medicine Physician ◽  
The Family

Clinicians frequently encounter the use of antipsychotic medications in elderly patients with Alzheimer's dementia (AD). The use of these agents may be a concern since they are not approved by the Food and Drug Administration (FDA) for the treatment of AD and have been shown to increase mortality in the elderly population. This case report focuses on the gradual de-escalation of antipsychotic medications in an 80 year-old female with AD residing in an assisted living facility who was prescribed three antipsychotic medications to help manage behavioral and psychotic symptoms consistent with progressing AD. Following a request by the assisted living facility, a local family medicine practice assessed the resident's treatment regimen. A collaborative consultation between the family medicine practice's clinical pharmacist, the family medicine physician, and the health care providers at the assisted living facility resulted in the decision to gradually discontinue each antipsychotic agent at subsequent facility visits by the family medicine team.

scholarly journals Knowledge Level of the Family Medicine Residents and Specialists about Asymptomatic Bacteriuria during Pregnancy

2021 ◽  
Vol 21 (1) ◽  
pp. 1-11
Author(s):  
Murat Çevik ◽  
İzzet Göker Küçük ◽  
Utku Eser ◽  
Kurtulus Ongel
Keyword(s):  
Family Medicine ◽  
Asymptomatic Bacteriuria ◽  
Knowledge Level ◽  
The Family ◽  
Family Medicine Residents

scholarly journals Pilot Study: Evaluating the Impact of Pharmacist Patient-Specific Medication Recommendations for Diabetes Mellitus Therapy to Family Medicine Residents

Pharmacy ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 158
Author(s):  
Camlyn Masuda ◽  
Rachel Randall ◽  
Marina Ortiz
Keyword(s):  
Diabetes Mellitus ◽  
Pilot Study ◽  
Family Medicine ◽  
Statistical Significance ◽  
Diabetes Education ◽  
Office Visit ◽  
Patient Specific ◽  
Patients With Diabetes ◽  
The Impact ◽  
Family Medicine Residents

Pharmacists have demonstrated effectiveness in managing diabetes mellitus (DM) and lowering hemoglobin A1C (A1C) through direct patient management. Often patients with diabetes and elevated A1C may not be able to come into the clinic for separate appointments with a pharmacist or for diabetes education classes. A novel way that pharmacists can assist in improving the control of patients’ diabetes and improve prescriber understanding and the use of medications for diabetes is by providing medication recommendations to medical residents prior to the patient’s appointment with the medical resident. The results of this pilot study indicate that the recommendations provided to family medicine residents and implemented at the patient’s office visit helped to lower A1C levels, although the population size was too small to show statistical significance. This pilot study’s results support performing a larger study to determine if the pharmacist’s recommendation not only improves patient care by lowering A1C levels but if it also helps improve medical resident’s understanding and use of medications for diabetes.

scholarly journals A Web-Based Survey of Residents’ Views on Advocating with Patients for a Healthy Built Environment in Canada

2014 ◽  
Vol 2014 ◽  
pp. 1-7
Author(s):  
Matthew Cruickshank ◽  
Marcus Law
Keyword(s):  
Family Medicine ◽  
Built Environment ◽  
Disease Prevention ◽  
Activity Levels ◽  
Web Based ◽  
Physician’S Role ◽  
University Of Toronto ◽  
The Family ◽  
Physician's Role ◽  
Family Medicine Residents

Purpose. To determine family medicine residents’ perceived knowledge and attitudes towards the built environment and their responsibility for health advocacy and to identify their perceived educational needs and barriers to patient education and advocacy. Methods. A web-based survey was conducted in Canada with University of Toronto family medicine residents. Data were analyzed descriptively. Results. 93% agreed or strongly agreed that built environment significantly impacts health. 64% thought educating patients on built environment is effective disease prevention; 52% considered this a role of family physicians. 78% reported that advocacy for built environment is effective disease prevention; 56% perceived this to be the family physician’s role. 59% reported being knowledgeable to discuss how a patient’s environment may affect his/her health; 35% reported being knowledgeable to participate in community discussions on built environment. 78% thought education would help with integration into practice. Inadequate time (92%), knowledge (73%), and remuneration (54%) were barriers. Conclusions. While residents perceived value in education and advocacy as disease prevention strategies and acknowledged the importance of a healthy built environment, they did not consider advocacy towards this the family physician’s role. Barrier reduction and medical education may contribute to improved advocacy, ultimately improving physical activity levels and patient health outcomes.

scholarly journals Assessing Family Medicine Residents’ Communication Skills in Oman Using the Communication Assessment Tool: A Cross-sectional Study

2021 ◽  
Keyword(s):  
Family Medicine ◽  
Communication Skills ◽  
Primary Care Physicians ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Communication Assessment ◽  
The Family ◽  
Family Medicine Residents

Objective: Primary care physicians are the first means of access to further healthcare services and act as a doorkeeper for different specialties at the secondary and tertiary levels; thus, communication skills are one of the most vital skills to be taught to residents in the family medicine specialty. This study aimed to evaluate the communication skills of family medicine residents in Oman from the perspective of their patients. Methods: This cross-sectional study was performed at the Family and Community Medicine Clinic of Sultan Qaboos University Hospital as well as various Ministry of Health training health centers in Muscat, Oman. An Arabic version of the validated 14-item Communication Assessment Tool (CAT) was used to evaluate patients’ perceptions regarding the communication skills of family medicine residents at the end of their consultation. Data were collected between September 2020 and May 2021 from 602 patients who received care or interacted with 60 residents from the Oman Medical Specialty Board (OMSB) Family Medicine Residency Program at different residency levels. Results: The mean percentage of CAT items rated as excellent was 73.8%. The item “Treated me with respect” was most commonly rated as excellent (84.2%), whilst the item "Involved me in decisions as much as I wanted" was least frequently rated as excellent (62.0%). Various factors were found to significantly affect CAT rating, including residency level, type of clinic, number of times seeing the same resident, and the patient's education level. In contrast, other factors such as time of consultation, the gender of either the resident or the patient, and the nationality of the patient did not affect CAT rating. Conclusion: Some areas of weakness especially with the item "encouraged me to ask questions" and involved me in decisions as much as I wanted" identified in the communication skills of OMSB family medicine residents. These findings are comparable with those reported by similar studies worldwide.

A Description of a Pharmacotherapy Curriculum in a University-Based Family Medicine Program

1992 ◽  
Vol 26 (7-8) ◽  
pp. 991-994 ◽  
Author(s):  
Kathryn K. Bucci ◽  
Keith A. Frey
Keyword(s):  
Drug Therapy ◽  
Family Medicine ◽  
Teaching Strategies ◽  
Residency Program ◽  
Family Medicine Residency ◽  
Local Schools ◽  
Rational Drug ◽  
The Family ◽  
Comprehensive Curriculum ◽  
Family Medicine Residents

OBJECTIVE: To describe the methods by which a family medicine residency program implements a pharmacotherapy curriculum. The goal of the curriculum is to teach family medicine residents the principles of rational drug therapy. SETTING: A university-based family medicine residency program. TEACHING STRATEGIES: Specific learning objectives are discussed and the following teaching strategies are expanded upon: (1) monthly noon conferences; (2) a printed formulary and pharmacotherapy handbook; (3) a pharmacy and therapeutics committee; (4) policy statements for drug representatives and use of samples; (5) an on-site pharmacy; (6) quarterly newsletter, and (7) inpatient consultation coverage. PHARMACIST ROLE: The role and responsibilities of the pharmacy faculty and pharmacist(s) who implement this curriculum and the methods used to evaluate its effectiveness are also described. The availability and funding of the pharmacy faculty member can sometimes be arranged with local schools of pharmacy seeking clerkship sites. Interaction with pharmacy students also serves to enhance the educational experience of the family medicine residents. CONCLUSIONS: The family medicine program implements a comprehensive curriculum designed to teach family medicine residents the principles of rational drug therapy. The curriculum may be expanded upon as necessary, or, if the entire program is not feasible, certain elements may be extracted and applied in other institutions.

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