Family medicine (FAM MED)

Publisher: Society of Teachers of Family Medicine

Journal description

Family Medicine publishes original clinical and educational research of interest to family medicine faculty, practicing clinicians, residents, and others involved in family medicine education. The journal also publishes special articles and commentaries about the fundamental concepts of medical education, as well as book reviews and international reports. All original research reports and commentaries are anonymously refereed.

Current impact factor: 1.17

Impact Factor Rankings

2016 Impact Factor Available summer 2017
2014 / 2015 Impact Factor 1.172
2013 Impact Factor 0.851
2012 Impact Factor 1.204
2011 Impact Factor 1.331
2010 Impact Factor 1.368
2009 Impact Factor 1.331
2008 Impact Factor 1.626
2007 Impact Factor 1.878
2006 Impact Factor 1.289
2005 Impact Factor 1.043
2004 Impact Factor 1.16
2003 Impact Factor 1.025
2002 Impact Factor 1.231

Impact factor over time

Impact factor

Additional details

5-year impact 1.50
Cited half-life 9.60
Immediacy index 0.38
Eigenfactor 0.00
Article influence 0.56
Website Family Medicine website
Other titles Family medicine
ISSN 0742-3225
OCLC 9241221
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • No preview · Article · May 2015 · Family medicine

  • No preview · Article · Feb 2015 · Family medicine
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    ABSTRACT: The I3 POP Collaborative's goal is to improve care of populations served by primary care residencies in North Carolina, South Carolina, and Virginia by dramatically improving patients' experience, quality of care, and cost-effectiveness. We examine residency baseline triple aim measures, compare with national benchmarks, and identify practice characteristics associated with data reporting. We used a cross-sectional design, with 27 primary care residency programs caring for over 300,000 patients. Outcome measures were obtained via data pulls from electronic health records and practice management system submitted by residencies; they include quality measure sets for chronic illness and prevention, patient experience (usual provder continuity and time to third available), and utilization (emergency visits, hospitalizations, referrals, high-end radiology). Thirteen practices (48%) reported all required baseline measures. We found associations between data reporting ability with registry use (59% versus 0%) and having a faculty member involved in data management (69% versus 29%). Reported measures varied widely; examples include colorectal cancer screening (median: 61%, range: 28%--80%), provider continuity (median: 52%, range: 1%--68%), subspecialty referral rate (median: 24%, range: 10%--51%). Seventy percent of patient-centered medical homes (PCMH) recognized practices had usual provider continuity (UPC) ? collaborative median versus 0% of non-PCMH recognized practices. Median data were similar to national comparisons for chronic disease measures, lower for prevention and better for utilization. Baseline triple aim data are highly variable among residencies, but residency care is comparable to available national standards. Registry use and faculty leadership in data management are critical success factors for assessing practice performance.
    No preview · Article · Feb 2015 · Family medicine

  • No preview · Article · Feb 2015 · Family medicine
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    ABSTRACT: The primary study aim was to describe patient satisfaction regarding abortion experiences in urban academic family medicine centers (FMCs). We conducted a cross-sectional survey of 210 women obtaining a first trimester medication or aspiration abortion at four FMCs. The 32-item written survey consisted of multiple choice, open-ended questions and Likert scale measures (for satisfaction: 1=very dissatisfied, 2=somewhat dissatisfied, 3=somewhat satisfied, 4=very satisfied, for quality of care: 1=poor, 2=average, 3=good, 4=excellent). We used Fisher's exact test to examine bivariate relationships. Responses to open-ended questions were coded and categorized. The majority of women (93%) were very satisfied with their abortion experience in their FMC, regardless of clinical site or abortion method. Mean scores for the quality of the staff, doctor, abortion counseling, and contraceptive counseling were all at least 3.9 (out of 4). Women most commonly cited positive interactions with the staff and physicians as the best part of their experience. This study demonstrates that women who receive abortion services at academic FMCs are highly satisfied with their care.
    No preview · Article · Feb 2015 · Family medicine

  • No preview · Article · Jul 2013 · Family medicine
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    ABSTRACT: BACKGROUND AND OBJECTIVES: Family medicine residents increasingly work collaboratively with psychology trainees. One type of collaborative experience involves dual interviewing of clinic patients. The goal of this observational study was to provide an initial description of what occurs during dual interviews as it relates to behavioral health assessments and interventions. METHODS: Psychology trainees provided detailed descriptions of 550 collaborative patient encounters involving 348 patients from the Wayne State University/Crittenton Family Medicine Residency clinic. Psychology trainees coded the frequency of behavioral health assessments and interventions by the resident, psychology trainee, or both. RESULTS: Eighty percent of the encounters contained a behavioral health assessment, and 29% contained a behavioral health intervention. Most of these clinical activities were collaboratively done. Interestingly, residents and psychology trainees tended to provide different behavioral health interventions. Moreover, residents provided different behavioral health interventions in repeat dual interviews (n=202) as opposed to first-time visits (n=348), while psychology trainees did not. CONCLUSIONS: Little is known about the process of dual interviewing, and this study is an important first step in describing how residents and psychology trainees actually interact during these encounters. More research is needed about the impact of dual interviewing on residents’ behavior.
    No preview · Article · Jun 2013 · Family medicine
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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.
    No preview · Article · Feb 2013 · Family medicine
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    ABSTRACT: Background Research comparing cancer journeys between those living in rural and urban environments has found evidence that rural dwellers are diagnosed later and have poorer survival than urban counterparts. To date these findings have not been satisfactorily explained. One potential explanation is that rural doctors manage potential cancer symptoms differently to those in cities, perhaps because of access issues. To explore this further we studied the management of a retrospective cohort from Northeast Scotland diagnosed with melanoma between 1991 and 2007 with respect to place of residence. Method A database was constructed comprising pathology data from all melanomas diagnosed in Northeast Scotland between December 1991 and July 2007. Postcode was used to assign rurality and deprivation data prior to being anonymized. A single observer then scrutinized all reports and collected key clinical data. Univariate analysis explored the effect of rurality on location of excision, completeness of excision and Breslow thickness. Subsequent multivariate analysis adjusted for important potential confounders. Results Pathology reports from 1256 melanomas were scrutinized. On univariate analysis: The proportion of rural dwellers receiving their biopsy in primary care, contrary to current UK guidelines[2], was significantly higher than for urban dwellers (26.3% vs 17.7%, p<0.001). Rural dwellers, however, were no more likely to have an incomplete excision (70.9% vs 69.8%, p=0.771) and there was no significant difference between Rural and Urban dwellers in median Breslow thickness at diagnosis. The difference in location of excision remained significant after adjustment for age, sex, site of melanoma and deprivation (odds ration 1.42 (95% CI’s 1.01- 1.98) p=0.04). Conclusions People living in the country are more likely to have their melanoma excised by a GP than those living in the city. This does not appear to lead to an increased risk of an incomplete excision, but nor does it appear to result in earlier stage diagnosis.
    No preview · Article · Jan 2013 · Family medicine