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family medicine residency training in Ghana after 20 years:resident attitudes about their education

family medicine and Community Health 2020年第4期8卷 31-39页

作者： Ghazwan Toma Akye Essuman Michael D Fetters Department of family medicine University of MichiganAnn ArborMichiganUSA family medicine Unit Department of Community HealthUniversity of GhanaAccraGhana Mixed Methods Program University of MichiganAnn ArborMichiganUSA

Objective In addition to assessing educational needs of family medicine trainees in Ghana,we sought to assess whether those entering the training programme aimed to pursue an academic *** A case study using an anonymous cross-sectional survey through collaboration between faculty members from the family medicine departments of Ghana and the University of *** The family medicine postgraduate trainees and the most recent graduates in the three training sites,Accra,Kumasi and Mampong,as well as modular residents in Ghana served as the targeted participants during data collection between October and November of *** Second and third year family medicine residents,fellows(known as senior residents in Ghana)and recent graduates were invited to participate in this ***-five of 77 eligible subjects provided responses(46%response rate),but five records were eliminated due to incomplete data to yield a survey completion rate of 39%(30/77).Result Participants were mostly men(n=19),and the average age of respondents was 37 years *** participants indicated the residency programmes needed more faculty 97%(n=29),supervision during outpatient care 87%(n=26)and lectures 83%(n=25).The main reason provided by respondents for entering residency programme in family medicine,which is currently not required for practising primary care in Ghana,was to obtain more education 93%(n=28).Participants who had completed the residency programme were much more likely to be interested in becoming faculty compared with those still in residency(pfamily medicine training programmes and supports investing in trainees and new graduates as future faculty candidates.

关键词： education faculty graduate

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Motivations and Barriers towards Volunteer Work among family medicine residents and Primary Health Care Physicians in Qassim Region, Saudi Arabia

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Journal of Biosciences and medicines 2022年第4期10卷 126-142页

作者： Tameem Alhomaid Amel A. Sulaiman family medicine R3 resident Family Medicine Academy Qassim Health Cluster Buraydah Kingdom of Saudi Arabia Trainer at family medicine Academy Qassim Health Cluster Buraydah Kingdom of Saudi Arabia

Introduction: Volunteering is an unpaid voluntary activity that provides some services to one or more other people or the community at large. Volunteer in the medical field is common. Physicians and medical students are participating in voluntary activities. This study assessed the motivations and barriers of family medicine (FM) residents and Primary Health Care (PHC) Physicians in Qassim Region, Saudi Arabia. Methods: This is a descriptive cross-sectional study was carried out between 12th March 2021 to 31st September 2021 in Qassim Region, Saudi Arabia. 63 FM residents and 89 PHC physicians were involved. A self-administered questionnaire using Volunteer Functions Inventory (VFI) questions was distributed. A 30-item questionnaire is divided into 6 scales of 5 items each, which are scored using a 5-point Likert-type scale (where 1 strongly disagrees and 5 strongly agree). Results: Of 152 FM residents and PHC physicians, 91 (59.9%) were males, and Saudi 90 (59.2%). The mean age was 35 (±SD8.6) years. The majority of respondents 126 (85.7%) participated in different kinds of volunteer work. The highest rank of the benefits selected 137 (90.1%) was gained Allah’s pleasure. About 66 (43.4%) of respondents reported different reasons as barriers;lack of time was the dominant reason for 59 (38.8%). A strong statistical association was found between gender and facing barriers (P-value Conclusions: This study highlighted that the values motivation factor was the highest among the six motivation determinants. The main reason preventing respondents from doing voluntary work was the lack of time. Male gender and Saudi nationality physicians participated more in previous voluntary work P-value < 0.001. Further future research into studying human behaviour towards voluntary work is highly needed.

关键词： Volunteers PHC Physicians VFI Functions Qassim Region

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Evaluation of obstetrics procedure competency of family medicine residents

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family medicine and Community Health 2015年第2期3卷 69-78页

作者： Haijun Wang Eric Warwick Maria CMejia de Grubb Nanfu Deng Jane Corboy Department of family and Community medicine Baylor College of MedicineHoustonTXUSA Medical School Baylor College of MedicineHoustonTXUSA Department of family medicine Oregon Health&Science University3181 SW Sam Jackson Park RdPortlandOR 97239-3098USA

Objective:To establish a procedure evaluation system to monitor residents’improvement in obstetrics(OB)procedures performance and skills during the training ***:A web-based procedure logging and evaluation system was developed using *** technology with a SQL server as a backend ***’logged OB proce-dures were captured by the *** OB procedures logged within 7 days were evaluated by supervising faculty using three observable outcomes(procedure competency,procedure-related medical knowledge level,and patient care).Results:Between 1 July 2005 and 30 June 2008,a total of 8543 procedures were reported,of which 1263 OB procedures were evaluated by supervising *** were significant varia-tions in the number of logged procedures by gender,residency track,and US versus non-US medi-cal *** 84%of the procedures were performed(independently or with assis-tance)by ***’procedure skills,procedure-related medical knowledge,and patient care skills improved over time,with significant variations by gender among the three ***:The benefits of specific evaluation of procedural competence in postgraduate medical education are well *** and reliable tools to assess and monitor resi-dents’procedural skills are warranted.

关键词： resident procedure family medicine evaluation

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What the Hell Am I Doing Here？ A Look at a Series of Geriatric Centers, Profile of the Institutionalized Persons and Reasons for Admission

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Journal of Life Sciences 2017年第1期11卷 47-52页

作者： Pascual Lopez, Jose A. Rodriguez Lavado, Paula Garcia Jimenez, Catalina Martinez Valero, Francisco J. Aracil Femeindez, Javier family Physician Primary Care Health Center Calasparra 30420 Murcia Spain family medicine resident Primary Care Health Center Calasparra 30420 Murcia Spain

The main objective of this study was always to know the profile of the institutionalized people in our environment, to know their reality： age, age of admission, level of dependency and evolution during their stay, years of stay, number of children, reason for admission. We use data from more than 600 patients from different residences of different backgrounds： public and private, lay and religious, rural and urban. We performed a descriptive study expressing the results in percentages with standard deviation and later evaluated the statistical significance of the differences using the student＇s t-test for the quantitative and Chi-square variables to compare qualitative variables. The results of the study are numerous and of diverse nature, because of their extension, from the general profile of the resident, to the important gender differences, attributed in principle to the different roles of each gender in the studied generations. There are also differences depending on the funding, the reason for admission or the environment. This is at the end only the beginning of a large comparative study with non-institutionalized population, in order to compare this population.

关键词： Geriatric assessment aged housing of the elderly patient admission healthcare financing environment sex.

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Classification of osteogenesis imperfecta:Importance for prophylaxis and genetic counseling

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World Journal of Clinical Cases 2023年第12期11卷 2604-2620页

作者： Monica-Cristina Panzaru Andreea Florea Lavinia Caba Eusebiu Vlad Gorduza Department of Medical Genetics Faculty of Medicine“Grigore T.Popa”University of Medicine and PharmacyIasi 700115Romania Department of Medical Genetics-Medical Genetics resident “Grigore T.Popa”University of Medicine and PharmacyIasi 700115Romania

Osteogenesis imperfecta(OI)is a genetically heterogeneous monogenic disease characterized by decreased bone mass,bone fragility,and recurrent *** phenotypic spectrum varies considerably ranging from prenatal fractures with lethal outcomes to mild forms with few fractures and normal *** basic mechanism is a collagen-related defect,not only in synthesis but also in folding,processing,bone mineralization,or osteoblast *** recent years,great progress has been made in identifying new genes and molecular mechanisms underlying *** this context,the classification of OI has been revised several times and different types are *** Sillence classification,based on clinical and radiological characteristics,is currently used as a grading of clinical *** on the metabolic pathway,the functional classification allows identifying regulatory elements and targeting specific therapeutic *** classification has the advantage of identifying the inheritance pattern,an essential element for genetic counseling and *** genotype-phenotype correlations may sometimes be challenging,genetic diagnosis allows a personalized management strategy,accurate family planning,and pregnancy management decisions including options for mode of delivery,or early antenatal OI *** research on molecular pathways and pathogenic variants involved could lead to the development of genotype-based therapeutic *** narrative review summarizes our current understanding of genes,molecular mechanisms involved in OI,classifications,and their utility in prophylaxis.

关键词： Osteogenesis imperfecta Heterogeneity Classification Molecular mechanism Genetic counseling Prophylaxis

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Alpha-1 Antitrypsin Deficiency family Study

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Journal of Life Sciences 2016年第7期10卷 321-323页

作者： Osorio, Raquel Femandes, Helena Cafofo Tomasia Clemente, Helena Fialho, Licinio familymedicine resident Primary Care Health Center Portugal family Physician Primary Care Health Center Portugal

According to the latest World Health Organization report 64 million people suffer from Chronic Obstructive Pulmonary Disease （COPD）, 3 million people died from COPD and it is predicted that COPD will become the third leading cause of death worldwide by 2030. The alpha-1 antitrypsin deficiency is a rarely diagnosed hereditary disease caused by a genetic mutation and it is one of the most prevalent genetic disorders primarily affecting the lungs, especially in the form of COPD or emphysema, but in some cases also the liver or skin. The Global Initiative for Chronic Obstructive Lung Disease recommends all patients with COPD at a young age or significant family history to be examined for alpha-1 antitrypsin deficiency. This article presents the case of a 42 year old, female patient, Portuguese, with history of Chronic Obstructive Pulmonary Disease, 40 pack units/year smoker, with unknown family history, coming to her family doctor with breath shortness, especially during physical activities, with unsatisfying response to pharmacological prescribed therapy. Physical examination was normal. Alpha- 1 antitrypsin deficiency was confirmed by blood testing. All patient＇s first degree relatives were investigated showing low alpha-1 antitrypsin blood concentrations thus genetic tests were later performed. This case reinforces the need for primary care physicians to be aware of alphal-antitrypsin deficit as an underdiagnosed clinical entity.

关键词： Alpha-1 antitrypsin deficiency Chronic Obstructive Pulmonary Disease family study.

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The process of transprofessional collaboration:how caregivers integrated the perspectives of rehabilitation through working with a physical therapist

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family medicine and Community Health 2020年第4期8卷 20-27页

作者： Ryohei Goto Junji Haruta Department of family medicine General Practice and Community HealthFaculty of MedicineUniversity of TsukubaTsukubaJapan Medical Education Center Keio UniversityTokyoJapan

Objectives To clarify the process of how caregivers in a nursing home integrate the perspectives of rehabilitation into their responsibilities through working with a physical *** This study was conducted under an action research *** The target facility was a nursing home located in *** researcher,a physical therapist,worked at the nursing home once a week from April 2016 to March *** the study period,he created field notes focused on the dialogue and action of caregivers regarding care,responses of caregivers to the physical therapist and reflections as a physical *** were also given a short informal interview about their relationship with the nursing home *** data analysis,two researchers discussed the content based on the field notes,consolidating the *** The participants were caregivers who worked at the target ***-eight caregivers agreed to *** age was 39.6±11.1 years,14(37%)were male and average caregiver experience was 9.8 *** Two cycles of action research were conducted during the study *** were four stages in the process of how caregivers in the nursing home integrated the perspectives of rehabilitation through their work with the physical ***,caregivers resisted having the rehabilitation programme carried out in the unit because they perceived that rehabilitation performed by a physical therapist was a special process and not under their ***,the caregivers were given a shared perspective on rehabilitation by the physical therapist,which helped them to understand the meaning of care to adapt the residents’abilities to their daily *** practised resident-centred care on a trial basis,although with a sense of conflict between their new and previous role,which emphasised the safety of residents’lives and *** caregivers increased their self-efficacy as their knowledge and skills were su

关键词： process rehabilitation approval

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INTEGRATION OF A LONGITUDINAL CURRICULUM IN MEDICAL ACUPUNCTURE WITH RESIDENCY TRAINING IN family medicine

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Journal of Integrative medicine 2014年第3期 314-315页

作者： Richard Hobbs Maine-Dartmouth family medicine Residency

Objective: To demonstrate that a residency-based model for training physicians in acupuncture is feasible and results in competence, as measured by the certification process of the American Board of Medical ***: The Maine-Dartmouth family medicine Residency, which is affiliated with the Geisel School of medicine at Dartmouth College, has for the past five years required all residents to participate in a 300-hour integrative medicine curriculum, as part of a pilot project developed at the University of Arizona Integrative medicine *** the beginning, an introduction to medical acupuncture has been offered as an approved elective in the integrative medicine *** 2010, a three-year, elective, longitudinal curriculum in medical acupuncture was developed and approved by the Curriculum Committee of the residency *** curriculum was also presented to the American Board of Medical Acupuncture and was accepted as an alternative route for satisfying board *** of the MaineDartmouth longitudinal curriculum include:(a) principles oftraditional Chinese medicine;(b) development of skills in point location, needling, cupping and moxibustion;(c) modern paradigms, including electroacupuncture, French energetics, neuroanatomical approaches, balance methods and microsystems;(d) classical diagnostic methods;(e) reiterative instruction in differentiation of syndromes and treatment planning;(f) Chinese dietary therapy, Tuina, Qigong and other treatment modalities;(g) clinical ***: In 2013, the first resident to complete the program passed the certification examination of the American Board of Medical ***: Benefits of acupuncture training during residency include:(a) a reiterative process as opposed to linear learning;(b) enhanced opportunities for supervised clinical practice as part of acupuncture training;(c) preparation for seamless integration of acupuncture into a primary care practice.

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Global health training in Canadian family medicine residency programmes

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family medicine and Community Health 2020年第1期8卷 31-36页

作者： Divyanshi Jalan Helene Morakis Neil Arya Yassen Tcholakov Jennifer Carpenter William Cherniak Department of family medicine McMaster UniversityHamiltonOntarioCanada Department of Emergency medicine University of British ColumbiaVancouverBritish ColumbiaCanada McMaster University HamiltonOntarioCanada Department of Epidemiology BiostatisticsOccupational Health and Public HealthMcGill UniversityMontrealQuébecCanada Department of Emergency medicine Queen's UniversityKingstonOntarioCanada Bridge to Health Medical and Dental TorontoOntarioCanada Division of Emergency medicine Department of Family and Community MedicineUniversity of Toronto Faculty of MedicineTorontoOntarioCanada

Objective Canadian family medicine(FM)residency programmes are responding to the growing demand to provide global health(GH)education to their trainees;herein,we describe the various GH activities(GHAs)offered within Canadian FM *** A bilingual online survey was sent out to all 17 Canadian FM program directors(PDs)and/or an appointed GH *** Online survey via Qualtrics Participants All 17 Canadian FM PDs and/or an appointed GH *** The response rate was 100%and represented 3250 first-year and second-year FM residents across English and French *** schools stated that they participate in some form of *** was variation in the level of organisation,participation and types of GHAs ***,most GHAs are optional,and there is a large amount of variation in terms of resident *** one third of programmes receive dedicated funding for their GHAs,and two thirds wish to increase the scope/variety of *** These results suggest nationwide interest in developing a workforce trained in GH,but show great discrepancies in training,implementation and education.

关键词： Canadian stated Canada

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Fundamentals of case study research in family medicine and community health

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family medicine and Community Health 2019年第2期7卷 45-52页

作者： Sergi Fàbregues Michael D Fetters Department of Psychology and Education Universitat Oberta de CatalunyaBarcelonaSpain Department of family medicine University of MichiganAnn ArborMichiganUSA

The aim of this article is to introduce family medicine researchers to case study research,a rigorous research methodology commonly used in the social and health sciences and only distantly related to clinical case *** article begins with an overview of case study in the social and health sciences,including its definition,potential applications,historical background and core *** is followed by a 10-step description of the process of conducting a case study project illustrated using a case study conducted about a teaching programme executed to teach international family medicine resident learners sensitive examination *** for conducting a case study include(1)conducting a literature review;(2)formulating the research questions;(3)ensuring that a case study is appropriate;(4)determining the type of case study design;(5)defining boundaries of the case(s)and selecting the case(s);(6)preparing for data collection;(7)collecting and organising the data;(8)analysing the data;(9)writing the case study report;and(10)appraising the *** study research is a highly flexible and powerful research tool available to family medicine researchers for a variety of applications.

关键词： conducting preparing writing

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