scholarly journals Engaging Family Medicine Residents in a Structured Patient Panel Reassignment Process

2021 ◽  
Vol 53 (4) ◽  
pp. 300-304
Author(s):  
Rebekah Compton ◽  
Amanda Sebring ◽  
Sarah Dalrymple ◽  
Lisa K. Rollins
Keyword(s):  
Family Medicine ◽  
Risk Stratification ◽  
Residency Program ◽  
Response Rate ◽  
Satisfaction Survey ◽  
Survey Response Rate ◽  
Number Of Patients ◽  
Patient Complexity ◽  
The Impact ◽  
Active Patients

Background and Objectives: The patient panels of graduating residents must be reassigned by the end of residency. This process affects over 1 million patients annually within the specialty of family medicine. The purpose of this project was to implement a structured, year-end reassignment system in a family medicine residency program. Methods: Our structured reassignment process took place from December 2017 through June 2020. Panel lists of current, active patients were generated and residents were responsible for reassigning their own panels during a panel reassignment night. We created a tip sheet that addressed patient complexity and continuity, a risk stratification algorithm based on patients’ medical and social complexity, and a tool that tracked the number of patients assigned to each future provider. Outcome measures included a resident satisfaction survey administered in 2018-2020 and patient-provider continuity measured with a run chart from December 2016 through August 2020. Results: The resident survey response rate was 75%. Seventy-three percent felt the panel reassignment night was very helpful; 87% thought the reassignment timeline was extremely reasonable, and 87% indicated that they had the necessary information to reassign their patients. Residents also felt confident that their patients were reassigned appropriately (33% extremely confident, 67% somewhat confident). Patient continuity improved with a 13-point run above the median, indicating nonrandom variation. Patient continuity remained above the median until the impact of COVID-19 in April 2020. Conclusion: Our structured reassignment process was received positively by residents and resulted in improved patient continuity.

scholarly journals Response Pressure And Uninformed Responses To Factual Survey Questions

2011 ◽  
Vol 3 (3) ◽  
pp. 146
Author(s):  
Kenneth C. Schneider ◽  
James C. Johnson
Keyword(s):  
Response Rate ◽  
Survey Response ◽  
Survey Response Rate ◽  
Survey Questions ◽  
Response Pressure ◽  
The Impact

This article examines the impact of follow-up techniques (designed to increase the survey response rate) on uninformed responses to factual survey questions. Such questions of fact can be used as filters to measures a respondents base of information, knowledge or experience on a topic prior to measuring his/her opinions on that topic, but only if uninformed responses are less likely to be given to the factual filter questions than to the opinion/attitude questions. Previous research suggests that response pressure (including follow-up contact) tends to exacerbate the uninformed response rate to opinion or attitude questions. However, the research reported here suggests that is not so with factual questions; follow-up contract does not result in increased levels of uninformed response to questions of fact.

scholarly journals Prescriber Attitudes Toward Implementation of Pharmacogenomic Testing in a Family Medicine Residency Program

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Alyssa Gallipani ◽  
Rebecca Cope ◽  
Briann Fischetti ◽  
Sherly Abraham ◽  
Arvind Ankireddypalli
Keyword(s):  
Family Medicine ◽  
Residency Program ◽  
Response Rate ◽  
Positive Attitudes ◽  
Semistructured Interviews ◽  
The Family ◽  
Interview Guide ◽  
Formal Statistical Analysis ◽  
And Training ◽  
Hospital Center

Introduction: Few qualitative studies have explored the attitude of prescribers towards the implementation of pharmacogenomic testing in the family medicine (FM) setting, and none among FM residents. The purpose of this study was to describe the level of engagement and interest in the implementation of pharmacogenomic education and testing in an FM clinic within a residency program. Methods: A qualitative study utilizing semistructured interviews was conducted among prescribers within the FM clinic at The Brooklyn Hospital Center (TBHC). Voluntary prescribers included FM residents and attendings. No prescribers were excluded. Prior to the interview, informational sheets about pharmacogenomics were provided to standardize participant knowledge base. The research team created an interview guide of specific open-ended questions. Interviews were audio recorded and transcribed until a point of saturation was achieved. Transcripts of interviews served as data for analysis. Coding and analysis were performed to develop a hypothesis. No formal statistical analysis was required. Results: Of the total 28 providers eligible for participation, 15 were recruited and interviewed (53% response rate). Based on analysis of interview data, four key conceptual concerns emerged regarding benefits and risks of testing, feasibility, accessibility, and modification of FM residency training curricula. Conclusion: Positive attitudes and perceptions provide support for pharmacogenomic education and testing to be incorporated into FM residency curricula. Addressing practical barriers, such as curricular education and training, will allow for expansion of such initiatives in the future.

scholarly journals Satisfaction With Healthcare: The Changes And Features Of Patients Making Aknowledgements For Doctors And Nurses Wiews

2016 ◽  
Vol 26 (5) ◽  
pp. 5-12
Author(s):  
Vinsas Janušonis
Keyword(s):  
Response Rate ◽  
Healthcare Services ◽  
University Hospital ◽  
Women Patients ◽  
Persons With Disabilities ◽  
Patients Satisfaction ◽  
Number Of Patients ◽  
The Right ◽  
The Impact ◽  
Doctors And Nurses

The aim of the study – to estimate patients, who gave thanks for medics – doctors and nurses opinion changes and singularity of right healthcare, satisfaction and fruition their expectations. Material and methods. From January 2004 to December 2015 a survey was performed in Klaipeda University Hospital (KUH). The study included 197755 patients who were undergoing treatment in KUH. Information was collected via questionnaires (response rate 81,4%). The patients who gave thanks for medics group was analyzed apart. The survey was analyzed and compared for the periods 2004-2006 and 2013-2015. Results and discussion. The most part of patients who gave thanks for medics was aged 50-69 (15, 8%), at work, women. The time of healthcare services, information for patients, good contact and communication between patients and medics, patients’ satisfaction influenced the number of thanks. The number of thanksgiving have not direct correlation with healthcare quality. Conclusions. Patients thanksgiving has confirmed the KUH provided healthcare for the majority of patients are appropriate to meet their expectations and they are satisfied with it. Comparison of both analyzed periods has shown that over 10 years fell acknowledgments for medics. Age, gender and social status had the impact on the number of acknowledgments - more thanksgiving was from women, patients 50-59 year age, retired and persons with disabilities. The right cooperation between medics and patients, provision of healthcare information to patients increased the number of thanksgiving. The number of patients who satisfied with healthcare results and meet their expectations directly correlated with number of patients who gave thanks for medics.

scholarly journals Preparing residents for family practice: role of an integrated “Triple C” curriculum

2013 ◽  
Vol 4 (1) ◽  
pp. e75-e80 ◽  
Author(s):  
Joseph Lee ◽  
Colleen McMillian ◽  
Loretta Hillier ◽  
Glenda O'Brien
Keyword(s):  
Family Medicine ◽  
Family Practice ◽  
Family Physician ◽  
Residency Program ◽  
Block Design ◽  
Preliminary Evidence ◽  
Preliminary Evaluation ◽  
Interprofessional Practice ◽  
Competency Based ◽  
The Impact

Background: There is limited understanding of the impact of Triple C competency-based curriculums on the preparation of residents for family practice. This paper describes a competency-based curriculum within an integrated longitudinal block design and presents preliminary evaluation data on the impact of this curriculum on preparedness for family practice. Methods: First and second year family medicine residents were surveyed as a component of a year-end program evaluation to assess the extent to which the residency program is preparing them to engage in a variety of practice domains, the likelihood that they would engage in these domains, and the extent to which this residency program is comprehensive, relevant to their development as a family physician, and promotes interprofessional practice. Results: Residents perceived themselves as prepared to engage in most practice areas and their intentions to engage in various practice domains were positively correlated to their ratings of preparedness. Ratings reflected that residents perceived this program as comprehensive and relevant to their development as a family physician and they perceived a high degree of encouragement for interprofessional practice. Conclusions: This study provides some preliminary evidence that an integrated competency-based curriculum, with an emphasis on interprofessional practice has the potential to effectively prepare residents for practice in family medicine. 

560 So Much More Than Just a Good Time: A Qualitative Look at a Burn Camp Experience

2020 ◽  
Vol 41 (Supplement_1) ◽  
pp. S120-S121
Author(s):  
Michele Barr ◽  
Kelley Marrale ◽  
Anita Fields ◽  
Lori Chrisco
Keyword(s):  
Response Rate ◽  
Program Planning ◽  
Survey Response ◽  
Good Time ◽  
Perceived Benefits ◽  
Categorical Analysis ◽  
Medical Trauma ◽  
Survey Response Rate ◽  
Burn Survivors ◽  
The Impact

Abstract Introduction Parents do not send their children to burn camp only to have fun. Since inception over three decades ago, burn specific camps have reported many benefits. A qualitative review of a well-established camp confirms that parents primarily send their kids to camp for the peer related social benefits that extend beyond the recreational aspects of a camp experience. Methods A nine-question survey was sent electronically to households of 58 burn survivors between the ages of 7–15 during the week after their child’s burn camp experience. Open-ended questions allowed for unrestricted disclosure of thoughts, feelings, praise or criticism. Responses were evaluated for similarities or differences to determine frequency and relative importance. The data was coded and analyzed for correlations into emergent categories with agreement between reviewers. Results The overall survey response rate was 63%. Categorical analysis of parent responses indicated their primary motivation for having a child attend camp was for the “Shared Experiences” with other burn survivors. Results indicated the enjoyment or fun aspect of camp was the least important motivational factor behind a parent’s decision. Analysis of the perceived benefits were social in nature, with “Connection” listed as the primary perceived benefit of the camp experience. Conclusions Fun is a byproduct of coming to camp, but not the primary reason parents send their kids to burn camp. The robust survey response rate suggests that parents are eager to share their thoughts about the impact of camp. The detailed responses demonstrate an understanding of and appreciation for the specific social and emotional benefits of this unique shared experience. Finding congruence between the rationale for camp attendance, and the perceived benefits is conducive to optimal program planning. Applicability of Research to Practice Although it is not possible to undo any traumatic events suffered by a child, research on burn camps has elucidated the benefits primarily through a qualitative lens. The burn community continues to be challenged in validating the benefits of camps quantitatively. Motivating people to engage in specific behaviors, like attending an event, is a crucial step for delivering aftercare programs designed to help their recovery. Burn camps can offer a safe environment, connection with others who understand, and the possibility for long term positive relationships with trusted adults to potentially mitigate the impact of a medical trauma. Further research about the impact of such programs on trauma healing is warranted.

Response Rates and Perceived Questionnaire Length in Mail Surveys

1979 ◽  
Vol 16 (3) ◽  
pp. 429-431 ◽  
Author(s):  
Terry L. Childers ◽  
O. C. Ferrell
Keyword(s):  
Interaction Effect ◽  
Response Rate ◽  
Mail Survey ◽  
Response Rates ◽  
Survey Response ◽  
Factorial Experiment ◽  
Mail Surveys ◽  
Survey Response Rate ◽  
Significant Difference ◽  
The Impact

A 2 × 2 factorial experiment was designed to test the impact on mail survey response rate resulting from variations in paper trim size and number of printed pages in the questionnaire. ANOVA findings suggest 8½ × 11″ paper trim size produces a better response rate than an 8½ × 14″ paper trim size. Use of a one-sheet (front and back) versus a two-sheet (front only) questionnaire did not cause a significant difference in response rate; a hypothesized interaction effect was not found to be statistically significant.

scholarly journals University of Ottawa Vertical Mentorship Program: Improving Engagement through Simple Innovation

2017 ◽  
Author(s):  
Christopher Russell ◽  
Iuliia Povieriena ◽  
Marianne Levesque
Keyword(s):  
Response Rate ◽  
Survey Response ◽  
Mentorship Program ◽  
Joint Activities ◽  
Survey Response Rate ◽  
Indirect Measures ◽  
Second Year ◽  
Survey Responses ◽  
The Impact ◽  
Overall Functioning

Objective: To assess the impact of simple innovations on three identified program gaps (attendance and engagement, understanding of the program, issue identification and resolution).Methods: Survey responses, event attendance, and subjective observations, were compared between the 2014 - 2015 and 2015 - 2016 academic years, providing direct and indirect measures of gap closure.Results: Attendance and engagement - Mid-year survey response rate was excellent (n=133), and increased responses from second year coordinators and mentors were seen in both 2015-2016 surveys’. Dessert night attendance increased from 2014 to 2015 (383 to 436). End of year event numbers decreased year-to-year (163 to 115). Only 5.9% of students did not attend events due to a lack of interest in the program.Issue identification and resolution - Mid-year surveys identified three groups with difficulties communicating. Knowledge of available resources in mentors rose by 5% between years, and by 55% in second year coordinators.Understanding of the program - 12 of the 52 mentorship groups actively used Facebook to engage and plan joint activities. The nominations received at the end of the year, and survey comments, focused beyond topics of career mentoring, and expanded to the impact of the field on life, life in medicine, and family.Conclusion: Identifying gaps in a program such as the VMP, through eliciting feedback from those participating may be challenging. Establishing simple innovations may be an effective way to improve participants’ experiences and overall functioning of the program.

scholarly journals Integrating an Urgent Care Clinic Into an Academic Family Medicine Practice

2020 ◽  
Vol 52 (6) ◽  
pp. 440-443
Author(s):  
Amir Barzin ◽  
Olivia C. Seybold ◽  
Cristy Page
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Medicine ◽  
The United States ◽  
Urgent Care ◽  
Care Practice ◽  
Care Clinic ◽  
Number Of Patients ◽  
Primary Care Practices ◽  
The Impact

Background and Objectives: There has been a growth in the demand for convenient, walk-in access in health care across the United States, resulting in primary care practices seeing a shift in services to urgent care centers (UCCs). In order to incorporate the flexibility of a UCC and improve primary care access and preventive care for our regular patients, the University of North Carolina (UNC) Family Medicine Center (FMC) established a UCC within the practice. This report describes that process and the impact of the new UCC on our academic practice. Methods: With the support of the UNC health care system, our primary objectives were to provide enhanced access for patients with acute problems, decrease emergency department (ED) utilization, and increase enrollment of new patients for ongoing primary care. As part of our intervention, we asked providers to respond to a series of questions at the end of each visit. These questions, along with data regarding number of visits and revenue, were tracked longitudinally. Results: By the end of our first year, we were treating about 900 patients per month, of which approximately one-third would have otherwise visited the ED. We averaged 115 new patients establishing care per quarter. In addition to the success of this new service line, our primary practice maintained provider continuity and grew at a higher rate than prior to opening the UCC. Conclusions: The opening of urgent care at the UNC FMC provided improved access for our patients, increased the number of patients empaneled in our primary care practice, and provided a new revenue stream.

scholarly journals Measuring the Impact of Human-Centered Design Research

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Victoria Smith ◽  
Gina Claxton
Keyword(s):  
Health Research ◽  
Design Research ◽  
Response Rate ◽  
Human Centered Design ◽  
Participant Engagement ◽  
Survey Response Rate ◽  
Potential Impact ◽  
The Impact

Background/Objective: Human-centered design (HCD) is an approach to research that aims to facilitate participant engagement in research studies. Research Jam is the Patient Engagement Core of the Indiana Clinical and Translational Sciences Institute (Indiana CTSI) that applies HCD to health research. The objective of this project is to assess the impact and efficacy of the HCD approach in health research. This project follows-up with previous investigators who have completed a project with Research Jam to measure impact on investigators’ attitudes towards HCD and participant engagement as well as the efficacy and implementation of the project-specific tools and deliverables that resulted from the work with Research Jam.  Project Methods: A survey was developed in Qualtrics and sent to investigators (N=34) from Research Jam’s portfolio of completed projects (2015-2020). Five follow-up interviews were conducted and analyzed in NVivo. Results: Survey response rate was 50%. Of the projects listed by the investigators, 89% had deliverables that were reported as feasible and relevant to the target audience. Long-term sustainability of the deliverables showed room for improvement. For all projects, 81% were reported to have helped the investigator learn how to better engage with participants to inform their subsequent research. Potential Impact: These findings demonstrate that HCD produces deliverables that are feasible and relevant to target audiences, and health researchers view HCD as a useful method to engage more directly with research participants. These results can serve as a guide for Research Jam to continue to refine processes, such as improving long-term sustainability of the deliverables, and to direct future projects.

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