scholarly journals THE COUNCIL OF ACADEMIC FAMILY MEDICINE PROCEDURAL AND MATERNITY CARE TRAINING GUIDELINES: A BETTER PATH TO CONSISTENCY IN COMPETENCY ASSESSMENT IN FAMILY MEDICINE

2015 ◽  
Vol 13 (3) ◽  
pp. 285-286
Author(s):  
W. F. Miser ◽  
M. Tuggy ◽  
N. Bhuyan ◽  
G. M. Dickson ◽  
J. W. Jarvis ◽  
...  
Keyword(s):  
Family Medicine ◽  
Maternity Care ◽  
Competency Assessment ◽  
Care Training

scholarly journals Maternity Care Tracks at US Family Medicine Residency Programs

2021 ◽  
Vol 53 (10) ◽  
pp. 857-863
Author(s):  
Steven E. Roskos ◽  
Tyler W. Barreto ◽  
Julie P. Phillips ◽  
Valerie J. King ◽  
W. Suzanne Eidson-Ton ◽  
...  
Keyword(s):  
Family Medicine ◽  
Maternity Care ◽  
Underserved Populations ◽  
Residency Programs ◽  
Family Medicine Residency ◽  
Survey Response Rate ◽  
Care Training ◽  
Practice Methods ◽  
Residency Program Directors ◽  
The Relationship

Background and Objectives: The number of family physicians providing maternity care continues to decline, jeopardizing access to needed care for underserved populations. Accreditation changes in 2014 provided an opportunity to create family medicine residency maternity care tracks, providing comprehensive maternity care training only for interested residents. We examined the relationship between maternity care tracks and residents’ educational experiences and postgraduate practice. Methods: We included questions on maternity care tracks in an omnibus survey of family medicine residency program directors (PDs). We divided respondent programs into three categories: “Track,” “No Track Needed,” and “No Track.” We compared these program types by their characteristics, number of resident deliveries, and number of graduates practicing maternity care. Results: The survey response rate was 40%. Of the responding PDs, 79 (32%) represented Track programs, 55 (22%) No Track Needed programs, and 94 (38%) No Track programs. Residents in a track attended more deliveries than those not in a track (at Track programs) and those at No Track Needed and No Track programs. No Track Needed programs reported the highest proportion of graduates accepting positions providing inpatient maternity care in 2019 (21%), followed by Track programs (17%) and No Track programs (5%; P<.001). Conclusions: Where universal robust maternity care education is not feasible, maternity care tracks are an excellent alternative to provide maternity care training and produce graduates who will practice maternity care. Programs that cannot offer adequate experience to achieve competence in inpatient maternity care may consider instituting a maternity care track.

scholarly journals Reply to “Comparison of Maternity Care Training in Family Medicine Residencies 2013 and 2019: A CERA Program Directors Study”

2022 ◽  
Vol 54 (1) ◽  
Author(s):  
Claire Thomson ◽  
Jessica Taylor Goldstein ◽  
Christine Chang Pecci ◽  
Fareedat Oluyadi ◽  
Sara G. Shields ◽  
...  
Keyword(s):  
Family Medicine ◽  
Maternity Care ◽  
Program Directors ◽  
Care Training

scholarly journals An innovative intervention to improve respectful maternity care in three Districts in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Birkety Mengistu ◽  
Haregeweyni Alemu ◽  
Munir Kassa ◽  
Meseret Zelalem ◽  
Mehiret Abate ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Maternity Care ◽  
Regression Coefficient ◽  
Interrupted Time Series ◽  
The Other ◽  
Respectful Maternity Care ◽  
Experience Of Care ◽  
National Initiative ◽  
Care Training

Abstract Background Mistreatment of women during facility-based childbirth is a major violation of human rights and often deters women from attending skilled birth. In Ethiopia, mistreatment occurs in up to 49.4% of mothers giving birth in health facilities. This study describes the development, implementation and results of interventions to improve respectful maternity care. As part of a national initiative to reduce maternal and perinatal mortality in Ethiopia, we developed respectful maternity care training module with three core components: testimonial videos developed from key themes identified by staff as experiences of mothers, skills-building sessions on communication and onsite coaching. Respectful maternity care training was conducted in February 2017 in three districts within three regions. Methods Facility level solutions applied to enhance the experience of care were documented. Safe Childbirth Checklist data measuring privacy and birth companion offered during labor and childbirth were collected over 27 months from 17 health centers and three hospitals. Interrupted time series and regression analysis were conducted to assess significance of improvement using secondary routinely collected programmatic data. Results Significant improvement in the percentage of births with two elements of respectful maternal care—privacy and birth companionship offered— was noted in one district (with short and long-term regression coefficient of 18 and 27% respectively), while in the other two districts, results were mixed. The short-term regression coefficient in one of the districts was 26% which was not sustained in the long-term while in the other district the long-term coefficient was 77%. Testimonial videos helped providers to see their care from their clients’ perspectives, while quality improvement training and coaching helped them reflect on potential root causes for this type of treatment and develop effective solutions. This includes organizing tour to the birthing ward and allowing cultural celebrations. Conclusion This study demonstrated effective way of improving respectful maternity care. Use of a multipronged approach, where the respectful maternity care intervention was embedded in quality improvement approach helped in enhancing respectful maternity care in a comprehensive manner.

scholarly journals Canadian residents’ perceptions of cross-cultural care training in graduate medical school

2017 ◽  
Vol 8 (4) ◽  
pp. e16-30 ◽  
Author(s):  
Barinder Singh ◽  
Emma Banwell ◽  
Dianne Leonie Groll
Keyword(s):  
Family Medicine ◽  
Practical Experience ◽  
Cross Cultural ◽  
Psychiatry Residents ◽  
Formal Evaluation ◽  
Cultural Care ◽  
Care Survey ◽  
Care Training ◽  
Diverse Groups ◽  
E Mail

Background: The Royal College of Physicians and Surgeons of Canada specifies both respect for diversity as a requirement of professionalism and culturally sensitive provision of medical care.  The purpose of the present study was to evaluate the perception of preparedness and attitudes of medical residents to deliver cross-cultural care.Methods: The Cross Cultural Care Survey was sent via e-mail to all Faculty of Medicine residents (approx. 450) in an academic health sciences centre. Comparisons were made between psychiatry residents, family medicine residents, and other residency groups with respect to training, preparedness, and skillfulness in delivering cross-cultural care.Results: Seventy-three (16%) residents responded to the survey. Residents in psychiatry and family medicine reported significantly more training and formal evaluation regarding cross-cultural care than residents in other programs. However, there were no significant differences in self-reported preparedness and skillfulness. Residents in family medicine were more likely to report needing more practical experience working with diverse groups. Psychiatry residents were less likely to report inadequate cross-cultural training.Conclusion: While most residents reported feeling skillful and prepared to work with culturally diverse groups, they report receiving little additional instruction or formal evaluation on this topic, particularly in programs other than psychiatry and family medicine.

scholarly journals Maternity Care Is Essential to Family Medicine

2020 ◽  
Vol 52 (2) ◽  
pp. 155-155
Author(s):  
Frederick M. Chen
Keyword(s):  
Family Medicine ◽  
Maternity Care

scholarly journals Competency Assessment in Family Medicine Residency: Observations, Knowledge-Based Examinations, and Advancement

2017 ◽  
Vol 9 (6) ◽  
pp. 730-734 ◽  
Author(s):  
Arch G. Mainous ◽  
Bo Fang ◽  
Lars E. Peterson
Keyword(s):  
Family Medicine ◽  
Medical Knowledge ◽  
National Sample ◽  
Competency Assessment ◽  
Residency Programs ◽  
Knowledge Based ◽  
Competency Based ◽  
Key Dimensions ◽  
Relationship Of ◽  
The Relationship

ABSTRACT Background  The Family Medicine (FM) Milestones are competency-based assessments of residents in key dimensions relevant to practice in the specialty. Residency programs use the milestones in semiannual reviews of resident performance from the time of entry into the program to graduation. Objective  Using a national sample, we investigated the relationship of FM competency-based assessments to resident progress and the complementarity of milestones with knowledge-based assessments in FM residencies. Methods  We used midyear and end-of-year milestone ratings for all FM residents in Accreditation Council for Graduate Medical Education–accredited programs during academic years 2014–2015 and 2015–2016. The milestones contain 22 items across 6 competencies. We created a summative index across the milestones. The American Board of Family Medicine database provided resident demographics and in-training examination (ITE) scores. We linked information to the milestone data. Results  The sample encompassed 6630 FM residents. The summative milestone index increased, on average, for each cohort (postgraduate year 1 [PGY-1] to PGY-2 and PGY-2 to PGY-3) at each assessment. The correlation between the milestone index that excluded the medical knowledge milestone and ITE scores was r = .195 (P < .001) for PGY-1 to PGY-2 cohort and r = .254 (P < .001) for PGY-2 to PGY-3 cohort. For both cohorts, ITE scores and composite milestone assessments were higher for residents who advanced than for those who did not. Conclusions  Competency-based assessment using the milestones for FM residents seems to be a viable multidimensional tool to assess the successful progression of residents.

scholarly journals Obstetrics and Gynecology Ultrasound Topics in Family Medicine Resident Training

2014 ◽  
Vol 8 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Jennifer Molokwu
Keyword(s):  
Family Medicine ◽  
Prenatal Care ◽  
Maternity Care ◽  
Family Physicians ◽  
Obstetric Care ◽  
The United States ◽  
Resident Training ◽  
Obstetrics And Gynecology ◽  
Family Medicine Resident ◽  
Medicine Resident

ABSTRACT Access to timely and appropriate prenatal and maternity care is widely known to be an important factor in improving birth outcomes. Family physicians make a significant contribution to the provision of prenatal care in the United States. The amount of exposure to maternity care and prenatal procedures in residency increase likelihood of incorporation of prenatal care in future practice. The use of prenatal ultrasounds has become standard in the management of pregnancy. Ultrasonography has wide application in obstetric care and is being used in screening and diagnosis during antenatal, intrapartum and postpartum periods. Family physicians that provide obstetric care should be trained to carry out basic obstetric ultrasound scans. In our paper, we have outlined an approach to the incorporation of ultrasound training into Family Medicine residency education. We have also explored the use of simulation as an adjunct to scanning live patients in a training curriculum. How to cite this article Molokwu J. Obstetrics and Gynecology Ultrasound Topics in Family Medicine Resident Training. Donald School J Ultrasound Obstet Gynecol 2014;8(1):31-34.

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