scholarly journals Validation and Comparison of a Brief Instrument vs a Single-Item Screen to Predict Entry to Family Medicine at Matriculation to Medical School

2018 ◽  
Vol 50 (9) ◽  
pp. 672-678
Author(s):  
Amanda Kost ◽  
Rebecca E. Cantone ◽  
Ben Schneider ◽  
Tomoko Sairenji ◽  
Ryan Palmer
Keyword(s):  
Family Medicine ◽  
Medical School ◽  
Test Performance ◽  
Specialty Choice ◽  
Care Needs ◽  
Single Item ◽  
School Of Medicine ◽  
Primary Care Workforce ◽  
Predicted Probability ◽  
The University

Background and Objectives: A strong US primary care workforce is necessary to meet health care needs, yet fewer than 9% of allopathic medical students choose family medicine each year. No validated instrument exists to identify students likely to enter family medicine upon medical school matriculation. Methods: A subset of a larger survey at the University of Washington School of Medicine (UWSOM) was used to create the Family Medicine Interest Survey (FMIS), a 15-item instrument to predict eventual practice in family medicine for a 2003-2007 matriculating cohort. A single-item screen asking about top specialty choice was administered at UWSOM for the same cohort and for a 2006-2012 matriculating cohort of students at Oregon Health & Science University (OHSU). Test performance measures including D (discrimination) and Cronbach α were calculated. Logistic regression determined whether FMIS score or reporting family medicine as the top specialty choice predicted family medicine practice for 601 UWSOM graduates or family medicine residency match for 744 OHSU graduates. Results: The FMIS is reliable (Cronbach α=0.76). Both tests significantly predicted the probability of entering family medicine. Listing family medicine as the preferred specialty choice yielded a 47% predicted probability for UWSOM graduates entering family medicine. OHSU graduates listing family medicine first had an eightfold odds of matching to family medicine residencies. Combining the two instruments for UWSOM graduates showed a dose-response curve for predicted probability of entering family medicine with increasing levels of interest. Conclusion: Each screening tool can predict students more likely to enter family medicine upon matriculation.

scholarly journals Association of Family Medicine Interest at Matriculation to Medical School and FMIG Participation With Eventual Practice as a Family Physician

2019 ◽  
Vol 51 (8) ◽  
pp. 682-686 ◽  
Author(s):  
Amanda Kost ◽  
Kimberly Kardonsky ◽  
Jeanne Cawse-Lucas ◽  
Tomoko Sairenji
Keyword(s):  
Family Medicine ◽  
Medical School ◽  
Family Physician ◽  
Family Physicians ◽  
The United States ◽  
Specialty Choice ◽  
Odds Ratios ◽  
Binary Logistic Regression Model ◽  
University Of Washington ◽  
Predicted Probability

Background and Objectives: An adequate family medicine workforce is needed to improve health and health care outcomes in the United States, yet few medical students in the US become family physicians. Indicators of family medicine interest upon medical school matriculation exist. Family medicine interest groups (FMIGs) may influence student choice. This study examines the association of FMIG participation with various matriculation interest indicators to predict which students go on to become family physicians. Methods: The American Medical Association Masterfile was used to identify the practice specialty of 601 graduates of the University of Washington School of Medicine who matriculated between 2003 and 2007. Graduates’ scores on the Family Medicine Interest Survey (FMIS) and whether a student listed family medicine as their top choice upon matriculation along with FMIG participation and demographic characteristics were used in a binary logistic regression model to predict eventual practice. The model output was used to calculate odds ratios and predicted probabilities of family medicine practice given initial family medicine interest and FMIG participation. Results: FMIG participation was associated with higher odds ratios and increased predicted probability of becoming a family physician regardless of initial interest although the magnitude of the difference varied. FMIG participants who listed family medicine as their top specialty had a 68% predicted probability of entering family medicine compared to 8% probability if they did not list family medicine first and did not participate in FMIG. FMIG participation was associated with odds ratios between 3.27-4.19 for entering family medicine regardless of FMIS score. Conclusions: Among University of Washington students with family medicine as their top specialty choice upon matriculation, FMIG participation was associated with higher odds of entering the specialty. The same was true, although to a lesser degree, for students who had a high score on the FMIS.

EDUCATION

PEDIATRICS ◽  
1954 ◽  
Vol 14 (4) ◽  
pp. 387-395
Author(s):  
A. H. PARMELEE ◽  
ETHEL SWENGEL ◽  
JHON M. ADAMS
Keyword(s):  
Family Medicine ◽  
Medical School ◽  
Growth And Development ◽  
School Curriculum ◽  
Basic Sciences ◽  
School Of Medicine ◽  
The Family ◽  
The University ◽  
Relationship Of ◽  
The Relationship

A course in the medical school curriculum has been described. We have pointed out the integration with the basic sciences, growth and development and preventive medicine, and we have emphasized the relationship of the psychologic, economic and sociologic aspects of the patient's environment to disease. The principle of self-education is emphasized throughout the four-year experience of the student. The close guidance of the student is provided by the active participation of the faculty of the School of Medicine and many additional people in the University and community. The experiences of the student in the first two years of the course have been reviewed in an attempt to evaluate their achievements. The total curriculum time of the Family Medicine Course for the four years is 116 hours. This represents approximately 23½% of the total curriculum time of the Medical School.

scholarly journals Our disputes, divisions and conflicts about foundation of the School of medicine in Belgrade

2006 ◽  
Vol 134 (Suppl. 2) ◽  
pp. 162-166
Author(s):  
Vukasin Antic ◽  
Zarko Vukovic
Keyword(s):  
Medical School ◽  
First World War ◽  
Medical Society ◽  
World War ◽  
School Of Medicine ◽  
The First World War ◽  
The Future ◽  
The University ◽  
First World

Disputes, divisions and even conflicts, so frequent in Serbia, have not bypassed physicians-members of the Serbian Medical Society; ones of the most important occurred at the crossroad of the 19th and 20th centuries related to foundation of the School of Medicine in Belgrade. The most prominent and persistent advocate of foundation of the School of Medicine was Dr. Milan Jovanovic Batut. In 1899, he presented the paper ?The Medical School of the Serbian University?. Batut`s effort was worth serious attention but did not produce fruit. On the contrary, Dr. Mihailo Petrovic criticized Batut by opening the discussion ?Is the Medical School in Serbia the most acute sanitary necessity or not?? in the Serbian Archives, in 1900. However, such an attitude led to intervention of Dr. Djoka Nikolic, who defended Batut`s views. He published his article in Janko Veselinovic`s magazine ?The Star?. Since then up to 1904, all discussions about Medical School had stopped. It was not even mentioned during the First Congress of Serbian Physicians and Scientists. Nevertheless, at the very end of the gathering, a professor from Prague, Dr. Jaromil Hvala claimed that ?the First Serbian Congress had prepared the material for the future Medical School?, thus sending a message to the attendants of what importance for Serbia its foundation would have been. But the President of both the Congress and the Serbian Medical Society, as well as the editor of the Serbian Archives, Dr. Jovan Danic announced that ?the First Congress of Serbian Physicians and Scientists had finished its work?. It was evident that Danic belonged to those medical circles which jealously guarded special privileges of doctors and other eminent persons who had very serious doctrinal disagreements on the foundation of the Medical School. All that seemed to have grown into clash, which finally resulted in the fact that Serbia got Higher Medical School within the University of Belgrade with a great delay, only after the First World War.

A Comparison of Two Regional Campus Systems and their Impact on Addressing Health Care Needs of the Underserved.

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Sandeep Rahangdale
Keyword(s):  
Florida State University ◽  
State University ◽  
Care Needs ◽  
School Of Medicine ◽  
Medical Education System ◽  
North Carolina School ◽  
Regional Campus ◽  
The University ◽  
Manpower Needs ◽  
Area Health

A major impact of the late 1970s Carnegie Commission on Higher Education’s report titled Higher Education and the Nation’s Health was the funding and development of Area Health Education Centers (AHECs).1 AHECs were located in rural and medically underserved areas in the states, with a goal of developing medical education programs to improve the manpower needs of these underserved communities.1 The University of North Carolina School of Medicine (UNC SOM), developed such a network in the 1970s to accomplish this task,2 and this paper reflects upon the success of the UNC AHEC system as well as the Florida State University College of Medicine (FSU COM), regional campus distributive education model in achieving this goal. The legislature of the State of Florida specially created FSU COM with a mission focused on producing primary care doctors and physicians who serve the needs of rural, geriatric, underserved, and minority populations.3 FSU COM’s distributive medical education system has successfully accomplished this mission.3,4 I completed medical school and residency in the UNC AHEC system, and I am currently a regional campus Dean at FSU COM.

scholarly journals A time-trend analysis of intended career choice for family medicine among croatian medical students

2014 ◽  
Vol 53 (2) ◽  
pp. 156-167
Author(s):  
Jelena Evic ◽  
Gordana Pavlekovic ◽  
Lucija Murgic ◽  
Hana Brborovic
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Family Medicine ◽  
Career Choice ◽  
Work Motivation ◽  
Binary Logistic Regression ◽  
School Of Medicine ◽  
Family Practitioners ◽  
Comprehensive Primary Health Care ◽  
The University

Abstract Aim: To gain insight into the trend of career choice for family medicine in Croatia in recent years. Methods: Six surveys were performed in the academic years 2006/07-2011/12 at the University of Zagreb, School of Medicine. Altogether, 1140 6th year students participated. They anonymously completed a questionnaire containing questions on desired future specialisation as well as other selected characteristics (e.g. gender, desired area and place of work, motivation to study medicine, etc.). Binary logistic regression was used to determine unadjusted and adjusted trends. Results: After adjustment for selected factors, the relationship between observed outcome and the year of observation showed an evident decreasing trend. The odds for intention to specialise in family medicine were in the academic year 2006/2007 1.43-times higher than in the year 2007/2008 (p=0.412), 1.85-times higher than in the year 2008/2009 (p=0.168), 2.38-times higher than in the year 2009/2010 (p=0.051), 2.63-times higher than in the year 2010/2011 (p=0.027) and 3.85-times higher than in the year 2011/2012 (p=0.003). Conclusions: The results of the present study offer evidence that Croatia is experiencing a constantly decreasing trend of career choice for family medicine in recent years. It is obvious that final year medical students are not very much interested in working as family practitioners. At the same time, demand for family practitioners in Croatia is increasing. Both academic and professional societies have a social responsibility to reorient the health care system and medical curricula towards comprehensive primary health care in which family medicine has a key role.

Medical schools, primary care and family medicine: clerkship directors’ perceptions of the current environment

2019 ◽  
Vol 36 (6) ◽  
pp. 680-684
Author(s):  
Maribeth Porter ◽  
Denny Fe Agana ◽  
Robert Hatch ◽  
Susmita Datta ◽  
Peter J Carek
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Medical School ◽  
School Environment ◽  
Student Attitudes ◽  
Primary Care Physicians ◽  
Specialty Choice ◽  
Medicine Clerkship ◽  
Negative Comments ◽  
The Usa

Abstract Background The culture at a medical school and the positive experiences in primary care clerkships influence student specialty choice. This choice is significant if the demand for primary care physicians is to be met. The aim of this study was to examine family medicine clerkship directors’ perceptions of the medical school environment. Methods Data were collected as part of the 2015 Council of Academic Family Medicine Educational Research Alliance Family Medicine Clerkship Director survey. Questions asked included how clerkship directors perceived the environment of their medical school towards family medicine, has the environment towards family medicine changed between 2010 and 2015, do they take action to influence student attitudes towards family medicine and whether faculty members in other departments make negative comments about family medicine. Results The response rate was 79.4%. While most respondents indicated the environment of their medical school has become more positive towards family medicine, a majority of clerkship directors perceived the environment to be either very much against, slightly against or indifferent towards family medicine. Nearly one-half (41.4%) of the clerkship directors were notified more than once a year that a faculty member of another department made a negative comment about family medicine. Results varied among regions of the USA and between schools located in the USA and Canada. Conclusion Family medicine clerkship directors often perceived negativity towards family medicine, a finding that may limit the effectiveness of academic health centres in their mission to better serve their community and profession.

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