Family medicine (FAM MED)

Publications in this journal

• Article: Who Helps the Most With Diabetes Care is Associated With Diabetes Control

  Chad L. Ahia, Elizabeth W. Holt, Rachael Ruiz, Marie Krousel-Wood
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  ABSTRACT: Context: Many patients with type-2 diabetes seek help with care from someone. Whether the specific source of help with diabetes care is associated with better diabetes control is unclear. Objective: To determine if the “source of most help” in diabetes care is associated with glycosylated hemoglobin (A1C). Design: Cross-sectional analysis of survey data using questions from the Michigan Diabetes Research & Training Center (MDRTC) Diabetes Care Profile. Setting: specialty endocrinology outpatient clinic. Patients: Inclusion criteria: age>21 years, English literate, type-2 diabetes diagnosis. 225 patients eligible, 206 patients completed (n=206, 91% response). Primary Outcome: Glycosylated hemoglobin (A1C). Results: Age 60.8±12.63, 44.2% male, 36.9% African-American, 61.7% married, 29.6% 4-year college graduate, body mass index 33.2±7.5, 49.0% diabetes duration>10 years, 30.0% A1C<7; 26% identified a spouse as their source of most help, 21% non-spouse family member or friend, 35% health care worker, and 18% self. After adjustment for age, gender, race, marital status, education, diabetes duration, and medication adherence, mean A1C level by source of most help: 7.6±0.34 spouse, 9.0±0.34 non-spouse family or friend, 7.5±0.25 healthcare worker, and 7.3±0.35 self. Those receiving help from non-spouse family or friend had significantly higher A1C levels than all other groups (p<0.05 for each comparison). Conclusions: Patients with diabetes who depend on their spouse, healthcare worker, or self for care have similar A1C levels; however, those who depend on non-spouse family or friend have higher A1C. A better understanding of sources of help with diabetes care may facilitate disease management and improve clinical outcomes.
  Family medicine 02/2013; 45(Sup. 2).
• Article: The Measure of Family Medicine-Author's Reply.

  David Loxterkamp
  Family medicine 10/2009; 41(8):540-1.
• Source

  Available from: stfm.org

  Article: The commitment to acting in the public interest.

  Scott A Fields
  Family medicine 07/2009; 41(6):389-90.
• Source

  Available from: stfm.org

  Article: Will the real Abby please call?

  Condessa Curley, Anthony Zamudio
  Family medicine 07/2009; 41(6):393-4.
• Article: Validity in assessing evidence-based practice.

  Inis Jane Bardella
  Family medicine 07/2009; 41(6):448.
• Source

  Available from: stfm.org

  Article: Narrative writing and self-discovery in residency.

  Sue Graham
  Family medicine 07/2009; 41(6):395-7.
• Article: Drug promotion in a family medicine training center: 21 years later.

  Diane J Madlon-Kay
  Family medicine 07/2009; 41(6):386-7.
• Source

  Available from: stfm.org

  Article: Advanced procedural training in family medicine: a group consensus statement.

  Barbara F Kelly, Julia M Sicilia, Stuart Forman, William Ellert, Melissa Nothnagle
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  ABSTRACT: Family medicine does not have a defined scope of procedures or universal standards for procedural training. This contributes to wide variation in family physician training and difficulties obtaining hospital privileges for advanced procedures. The Society of Teachers of Family Medicine (STFM) Group on Hospital Medicine and Procedural Training previously developed a list of core procedures to be taught in all family medicine residencies. The group reconvened to develop a consensus list of advanced procedures within the scope of family medicine. Working from a master list of procedures, the group, which consisted of 21 family medicine educators, used a multi-voting process to identify advanced procedures within the scope of family medicine. The group generated a list of 36 advanced procedures and added nine procedures to the previously created list of core procedures. The STFM Group on Hospital Medicine and Procedural Training proposes a list of advanced procedures within the scope of family medicine and urges family medicine governing bodies to use this list to define and standardize the scope of procedural training and practice in family medicine.
  Family medicine 07/2009; 41(6):398-404.
• Source

  Available from: stfm.org

  Article: Factors associated with a physician's recommendation for colorectal cancer screening in a diverse population.

  Navkiran K Shokar, Tracy Nguyen-Oghalai, Helen Wu
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  ABSTRACT: Colorectal cancer (CRC) screening is widely recommended but underused. A physician's recommendation for CRC screening has been consistently associated with patients undergoing CRC screening, but a better understanding of factors influencing a physician's recommendation for CRC screening is needed. This study's purpose was to describe patient and physician factors associated with a physician's recommendation for CRC screening. A cross-sectional survey was conducted in a primary care clinic population during 2004-2005 to determine the association between self-reported physician recommendation for CRC testing and patients' sociodemographic factors, health characteristics, other health behaviors, and physician and patient-physician factors including patient-physician gender and racial/ethnic congruence. Bivariate and multivariate logistic regressions were performed. A total of 560 patients ages 50-80 were recruited. Their mean age was 63 years, 47.5% were male, 36% were non-Hispanic whites, 35% were African Americans, and 29% were Hispanics. Sixty-one percent reported receiving a physician's recommendation for CRC testing. In multivariate testing, a physician's recommendation for CRC testing was associated with having a female physician, being a male patient, having gastrointestinal disease, and having better health status. Female physicians are more likely to recommend CRC. Patients are more likely to receive a CRC recommendation if they are male, have gastrointestinal disease, and have better health status. Further studies should explore cultural influences on physician recommendation for screening.
  Family medicine 07/2009; 41(6):427-33.
• Article: Disparities in the residency match process.

  John E vanSchagen, Phillip J Baty
  Family medicine 07/2009; 41(6):387.
• Article: The secret garden.

  Florence Gelo, Rosemary Harris
  Family medicine 07/2009; 41(6):391-2.
• Source

  Available from: stfm.org

  Article: Translation of clinical research into practice: defining the clinician scientist.

  Niharika Khanna, Laquandra Nesbitt, Mary-Claire Roghmann, Carol Tacket
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  ABSTRACT: Family medicine has evolved into a specialty deeply rooted in clinical service. Because of high demands for clinical practice productivity, family physicians have drifted away from participation in scientific inquiry. There is even an effort in some institutions to reinvent family medicine as a community-based ambulatory specialty, resulting in a further "disconnect" between research and family physicians. A new movement for the efficient translation of laboratory science into clinical applications in the community supports the need for trained community-based clinician scientists. This translational science seeks to take the findings from bench research and clinical trials and study their introduction and dissemination into community-based clinical practice. There is an opportunity for family physicians to become involved in translational research. But, to develop a cadre of translational researchers within the family medicine community, education programs need to train and develop those researchers. Residency education may be an ideal time to begin that training and development.
  Family medicine 07/2009; 41(6):440-3.
• Article: User identified obstacles and benefits to an online postgraduate portfolio.

  Inis Jane Bardella
  Family medicine 07/2009; 41(6):447.
• Source

  Available from: stfm.org

  Article: Humanizing the clinical gaze: movies and the empathic understanding of psychosis.

  Andrea Raballo, Frank Larøi, Vaughan Bell
  Family medicine 07/2009; 41(6):387-8.
• Article: Urban underserved training praised.

  Victoria Gorski, Alvin H Strelnick
  Family medicine 06/2009; 41(5):310; author reply 310-1.