scholarly journals Certified Nurse Midwives as Teachers of Family Medicine Residents

2020 ◽  
Vol 52 (2) ◽  
pp. 97-103
Author(s):  
Narges Farahi ◽  
Elizabeth Neylan ◽  
Johanna Silbersack ◽  
Julia Oat-Judge ◽  
Philip D. Sloane
Keyword(s):  
Family Medicine ◽  
Maternity Care ◽  
Obstetric Care ◽  
Program Directors ◽  
Curriculum Planning ◽  
Fully Integrated ◽  
Certified Nurse Midwives ◽  
Current State ◽  
Quality Of Obstetric Care ◽  
Nurse Midwives

Background and Objectives: The high quality of obstetric care provided by certified nurse midwives (CNMs) has led some to hypothesize that collaboration with CNMs may encourage more family medicine (FM) residents to subsequently practice maternity care. Our goal was to understand the current state of CNM involvement in FM resident education. Methods: We conducted two surveys: one to a random sample of 180 FM program directors, and one to 147 CNMs involved in medical education. The surveys examined the nature, prevalence, and attitudes regarding CNM involvement in FM residency training. Results: The surveys’ response rate was 59% from FM program directors and 58% from CNMs. Thirty-six percent of FM directors reported no CNM involvement in their residency programs, 26% reported minimal interaction, and only 6% reported a fully integrated model with CNMs on faculty. Eighty-eight percent of CNMs and 64% of program directors reported a prefence for increased interaction. Programs with highly involved CNMs reported 33% of graduates subsequently practicing prenatal care, with only 13% of graduates practicing in programs with low CNM involvement (P<.003). However, there was no difference in those providing inpatient maternity care. Thirty-one percent of FM program directors and 25% of CNMs felt that physicians and CNMs have different ideas about how to treat patients; 26% of FM program directors who worked with midwives felt that CNMs should not be involved in residency curriculum planning. Conclusions: CNM participation in FM residency education is very limited. Our study identified a gap between the current state and the preferences of CNMs and FM program directors for greater educational collaboration. Residency program director attitudes may contribute to the low rate of collaboration between the two fields.

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 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.

Comparisons of outcomes of maternity care by obstetricians and certified nurse-midwives

1996 ◽  
Vol 88 (5) ◽  
pp. 823-829 ◽  
Author(s):  
D OAKLEY ◽  
M MURRAY ◽  
T MURTLAND ◽  
R HAYASHI ◽  
H FRANKANDERSEN ◽  
...  
Keyword(s):  
Maternity Care ◽  
Certified Nurse Midwives ◽  
Nurse Midwives

scholarly journals The Outpatient Training Gap: A Pilot Study

2020 ◽  
Vol 52 (2) ◽  
pp. 131-134
Author(s):  
Raphaela Lipinski DeGette ◽  
Margae Knox ◽  
Thomas Bodenheimer
Keyword(s):  
Pilot Study ◽  
Family Medicine ◽  
Residency Program ◽  
Program Directors ◽  
Curriculum Planning ◽  
Direct Role ◽  
Educational Value ◽  
Family Medicine Residency ◽  
Primary Care Clinicians ◽  
Residency Program Directors

Background and Objectives: Most family medicine residency training takes place in hospitals, which is not reflective of the outpatient care practiced by most primary care clinicians. This pilot study is an initial exploration of family medicine residency directors’ opinions regarding this outpatient training gap. Methods: The authors surveyed 11 California family medicine residency program directors in 2017-2018 about factors that influence decisions regarding allocation of residents’ inpatient and outpatient time. Nine of the 11 program directors agreed to be interviewed. We analyzed the interviews for common themes. Results: The participating program directors were generally satisfied with inpatient and outpatient balance in their residents’ schedules. Factors identified as promoting inpatient training included the need for resident staffing of hospital services, the educational value of inpatient rotations, and a lack of capacity in continuity clinics. From the program directors’ perspective, residency funding played no direct role in curriculum planning. Program directors also felt that the ACGME requirements prescribing 1,650 continuity clinic visits throughout residency inhibited the development of creative outpatient training opportunities. Conclusions: Family medicine residency program directors participating in this exploratory study did not feel that their programs overly emphasized inpatient care and training.

scholarly journals How Are Residents Trained in Neuropathology? A Survey of Neurology Program Directors in the United States

2020 ◽  
Vol 79 (11) ◽  
pp. 1218-1222
Author(s):  
Appaji Rayi ◽  
Kiran Rajneesh ◽  
Vineet Punia ◽  
Amanda R Start
Keyword(s):  
Descriptive Analysis ◽  
Program Directors ◽  
The United States ◽  
Categorical Variables ◽  
Training Methods ◽  
Child Neurology ◽  
Alternative Evaluation ◽  
Current State ◽  
Service Training ◽  
Program Characteristics

Abstract To understand the current state of neurology residents training in neuropathology, we electronically distributed a 16-item survey to 150 adult and 70 child neurology program directors (PDs). The survey inquired about their program characteristics, neuropathology curriculum and assessment methods, trainee performance, and attitudes. Descriptive analysis was used to summarize categorical variables as frequencies and percentages and continuous as means and standard deviations. We conducted a series of Mann-Whitney U and Fisher’s exact tests to evaluate differences between various program characteristics. Sixty-four (29%) PDs responded to the survey, including 45 (30%) adult and 19 (27%) child neurology PDs. Thirty-one programs required a dedicated neuropathology rotation. The majority (92%) used the Residency In-Service Training Examination (RITE) to assess trainee’s knowledge. Approximately 86% of the PDs agreed that neuropathology is essential and a defined curriculum is necessary during residency training. There was no difference in the RITE scores between programs. We conclude that a neuropathology rotation was felt to be essential even though the RITE scores did not differ between programs with and without a dedicated rotation. Alternative evaluation and training methods may need consideration. A future survey of all the stakeholders may be required to thoroughly understand and disseminate the neuropathology education well.

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