scholarly journals Integrating Buprenorphine Treatment Into Family Medicine Resident Clinic

2020 ◽  
Vol 52 (9) ◽  
pp. 653-655
Author(s):  
Jeffrey D. Tiemstra ◽  
Lauren H. Walsh
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Clinical Experience ◽  
Demographic Data ◽  
Opioid Use ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
The Mean ◽  
Active Patients ◽  
Chronic Comorbidities

Background and Objectives: Medication-assisted treatment (MAT) for opioid use disorder with buprenorphine in primary care is effective and patient-accessible yet remains underutilized, including among residency training programs. One concern in residency programs is that MAT patients must be seen at least monthly and will overwhelm residents’ clinic schedules and dilute their clinical experience. Our family medicine residency initiated an MAT program integrated into residents’ continuity clinic schedules. After 2 years we assessed the chronic medical comorbidities we were managing in our MAT population.Methods: We performed a retrospective review of all active patients receiving MAT. We collected basic demographic data and whether we were the patient’s primary care provider (PCP) or were only providing MAT. For the patients for whom we were the PCP we recorded the chronic comorbidities that required medical management.Results: One hundred fifty-seven active patients were 52% male and 48% female. The mean age was 38 years (SD=10) with a range of 22 to 77 years, with nine patients over age 60 years (6%). One hundred three patients used us as their PCP (66%). For these patients the mean number of chronic comorbidities was 2.3; only 10 patients reported no comorbidities. Psychiatric comorbidities were the most common with 69% of patients with a mood disorder, although nonpsychiatric comorbidities still averaged 1.5 per patient.Conclusions: MAT integrated into family medicine resident continuity clinics provides a broad and substantial primary care clinical experience for residents.

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 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.

scholarly journals Is There a Need for Men's Health Training for Family Physicians in Canada?

2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Andries Muller ◽  
Vivian R. Ramsden ◽  
Gill White
Keyword(s):  
Family Medicine ◽  
Training Programs ◽  
Family Physicians ◽  
Program Directors ◽  
Men’S Health ◽  
Resident Training ◽  
Men's Health ◽  
Health Curriculum ◽  
Family Medicine Resident ◽  
Medicine Resident

Objective. The goal of this study was to explore which topics were rendered important to incorporate into a men's health curriculum for family medicine resident training. Design. A mixed-methodology was used. A case study method with a sequential transformative strategy was utilized. A quantitative survey was sent to the 17 program directors of Canadian family medicine training programs. This was followed by a qualitative phase with interviews of selected program directors and two focus groups with practicing family physicians from a rural and an urban clinic. Main Findings. Certain issues were identified for incorporation into a men's health curriculum for family medicine resident training. These issues were grouped in three groups: male sexual and reproductive health, general topics, and procedures specific to men's health. Conclusion. It appears that there is no formal curriculum to address any of these issues in any of the current family medicine training programs in Canada. Based on the information gathered from participants in this study, there is a great need for such a curriculum to exist.

scholarly journals Keeping the Family in Family Medicine

2020 ◽  
pp. 104990912093327
Author(s):  
Amelita Woodruff
Keyword(s):  
Chronic Illness ◽  
Family Medicine ◽  
Personal Reflection ◽  
Family Medicine Resident ◽  
Medicine Resident ◽  
Academic Center ◽  
The Family ◽  
Practice Of Medicine ◽  
The Future ◽  
The Impact

In this personal reflection, as a Family Medicine resident at an Academic Center in Northeast Florida, as well as being a chronic illness patient myself, I explore the notion of dying alone and away from family. Although COVID-19 has changed the practice of medicine in many ways, prior to that, and before the instillation of hospital no-visitor policies and stay at home orders, I experienced a case of a patient dying alone in the hospital. These chronicles that case and the impact it had on me afterward in regard to my own family and how I hope the future of medicine can address this.

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