Psychiatric emergencies are acute disturbances in thought, behavior, mood, or social relationship that require immediate intervention as defined by the patient, family, or social unit to save the patient and/or others from imminent danger. Ensuring the safety of the patient, surrounding persons, and the medical team is the first step of evaluation. Treatment focuses on stabilization of the patient, then on specific symptoms and ultimately the cause of symptoms. There are important legal considerations, particularly regarding involuntary admissions. It is important to debrief with the patient, surrounding family, and the health care team to ensure a continued therapeutic alliance and the emotional health of all involved.
This bibliometric analysis seeks to explore how the COVID-19 pandemic impacted submission rates to Annals of Family Medicine by gender. Women represented 46.3% of all manuscript submissions included in our study (n = 1,964/4,238), spanning from January 1, 2015 to July 15, 2020. The overall volume of submissions increased during COVID-19 in comparison to pre-pandemic months; however, this increase was not evenly distributed among men and women (122% increase vs 101% increase, respectively). In the early months of the pandemic, 244 submissions were authored by men (58.5%), and 173 submissions were authored by women (41.5%). The gap in women's submission rates is troubling, as it suggests they may be at greater risk of falling behind male colleagues during and beyond the COVID-19 pandemic.
This cross-sectional study examines the prevalence of women authors in 5 prominent family medicine journals.
Background As the Accreditation Council for Graduate Medical Education (ACGME) began to ask programs to report their efforts surrounding diversity, equity, and inclusion (DEI), program directors felt ill prepared to evaluate their programs and measure change. Objective To develop a tool that would allow graduate medical education (GME) programs to evaluate the current state of DEI within their residencies, identify areas of need, and track progress; to evaluate feasibility of using this assessment method within family medicine training programs; and to analyze and report pilot data from implementation of these milestones within family medicine residency programs. Methods The Association of Family Medicine Residency Directors (AFMRD) Diversity and Health Equity (DHE) Task Force developed a tool for program DEI evaluation modeled after the ACGME Milestones. These milestones focus on DEI assessment in 5 key domains: Institution, Curriculum, Evaluation, Resident Personnel, and Faculty Personnel. After finalizing a draft, a pilot implementation of the milestones was conducted by a convenience sample of 10 AFMRD DHE Task Force members for their own programs. Results Scores varied widely across surveyed programs for all milestones. Highest average scores were seen for the Curriculum milestone (2.65) and the lowest for the Faculty Personnel milestone (2.0). Milestone assessments were completed within 10 to 40 minutes using various methods. Conclusions The AFMRD DEI Milestones were developed for program assessment, goal setting, and tracking of progress related to DEI within residency programs. The pilot implementation showed these milestones were easily used by family medicine faculty members in diverse settings.
Family physicians have the privilege of caring for patients throughout their lifespan and witness the impact all facets of life have on the health of individuals and the health of communities. The importance of engaging the community in the success of population-based initiatives to drive social change has been proven repeatedly and family medicine residencies should include community as the fifth “C.” At a minimum, this includes incorporating the following three recommendations: (1) define community on initial accreditation, at self-study, and whenever major community changes occur; (2) utilize a community needs assessment as part of goal setting of activities with Annual Action Plan; and (3) evaluate residents and faculty on understanding of and cooperation with community needs. We must highlight engagement with the community as a central aspect of family medicine so that all programs focus on this important aspect of our work.
Objectives To determine the contraceptive needs (including emergency contraception (EC)) of women seeking care from a publicly-funded sexually transmitted infection (STI) clinic and to better understand women’s knowledge of and attitudes towards EC. Methods An anonymous survey was administered to 197 women seeking services at one Chicago Department of Public Health STI clinic. Results After excluding women unlikely to become pregnant within the next year because of age, sexual orientation, hysterectomy, and those that desired pregnancy (n=47), data from 150 women were available for analysis. Thirteen percent were using “very effective” contraception (intrauterine contraception, implant, or sterilization) and 26% were using “effective” contraception (contraceptive pill, patch, ring or injectable). Approximately 23% (95% CI 16.5–30.0%) may have benefited from immediate use of EC as they reported at least one act of unprotected intercourse within the past 5 days. Conclusion Many women seeking care from public STI clinics are at high risk of unintended pregnancy. A substantial number of women have an immediate need of EC at the time of their clinical visit. Efforts are needed to improve provision of EC as well as effective ongoing contraception for this population.
Context: Excellent clinical care includes serious consideration of each patient's life experience and the impact of the patient's psychological state and social surroundings. Social factors account for a majority of all health outcomes, underscoring the need to address social determinants of health (SDH) to eliminate health disparities. Objective: 1) to describe the scope of formal social determinants of health curricula in family medicine residency and 2) to identify residency program characteristics associated with integrated core curriculum components to teach SDH Study Design: Cross-sectional survey Setting or Dataset: Survey items were included as one component of a larger, national survey of family medicine residency program directors conducted by the 2020 Council of Academic Family Medicine Educational Research Alliance (CAFM). Population Studied: The sampling frame for the survey was all ACGME accredited US family medicine residency program directors as identified by the Association of Family Medicine Residency Directors (AFMRD). Results: Of 624 eligible program directors, 312 completed the survey for a response rate of 50%. Overall, 41.2% of program directors reported significant formal SDH training in their residency program, though a majority (93.9%) agree screening for social needs should be a standard part of care. Most (58.9%) do not currently utilize standardized screening tools such as the AAFP Social Needs Screening Tool, PREPARE, or Health Leads. The most commonly cited barriers to addressing SDH were lack of clinical resources (e.g social work, legal advocates, etc.), lack of community resources (e.g. food banks, SUD treatment, etc.), and inadequate SDH screening instruments or integration into the EMR. Availability of referral resources was associated with increased learner competency in addressing SDH. Conclusions: Additional research is needed to better train the next generation of physicians to identify and meaningfully address social needs. By surveying family medicine residency program directors, we present empirical explorations of factors associated with increased learner competency addressing SDH.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.