Family Medicine Department Chairs’ Opinions Regarding Scope of Practice

Peterson, Lars E.; Blackburn, Brenna; Phillips, Robert L.; Mainous, Arch G.

doi:10.1097/acm.0000000000000774

Cited by 9 publications

(9 citation statements)

References 14 publications

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“…Chairpersons typically maintain heavy workloads as they are challenged with balancing a variety of faculty and administrative priorities, which could include patient care. 4,5 Based on the limited literature in medicine, [1][2][3] our results in pharmacy schools show similarities to chairs in medical programs as many have a clinical background as well as relatable shared experiences with their faculty. This is the first study to determine the proportion and determinants of clinical pharmacy chairpersons that maintain an active clinical practice.…”

Section: Discussionmentioning

confidence: 78%

“…1,2 Participation in practice by medical school department chairpersons is influential as it provides shared perspective, modeling, and a foundation for practice policy development for medical faculty. 3 having a practice prior to becoming chair (P = .001), having a higher clinical service expectation (P < .0001), and having a lower administrative percentage (P = .0003). The median number of students precepted by the practicing chairpersons was 6 students per year (range 0-32 students).…”

Section: Introductionmentioning

confidence: 99%

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Characteristics and predictors of patient care performed by clinical department chairpersons at U.S. schools of pharmacy

Slain

Goad

Moser

et al. 2021

J Am Coll Clin Pharm

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Background: Clinical pharmacy or pharmacy practice departments at schools of pharmacy are usually composed of practicing pharmacy specialists. There is little known about the requirements for and frequency of patient care provided by clinical department chairpersons. The primary objective of this study was to determine the likelihood that pharmacy practice chairs engage in patient care. A secondary objective was to identify those factors predicting chairperson participation in patient care activities.

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Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Characteristics and predictors of patient care performed by clinical department chairpersons at U.S. schools of pharmacy

Slain

Goad

Moser

et al. 2021

J Am Coll Clin Pharm

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“…The American Board of Family Medicine and department Chairs in Family Medicine encourage a broad scope of care for family physicians, and these results point to the viability of managing patients with rare diseases when assistance is provided. 15 …”

Section: Resultsmentioning

confidence: 99%

Effectiveness of Clinical Decision Support Based Intervention in the Improvement of Care for Adult Sickle Cell Disease Patients in Primary Care

et al. 2018

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Introduction: Although most patients with rare diseases like sickle cell disease (SCD) are treated in the primary care setting, primary care physicians may find it challenging to keep abreast of medication improvements and complications associated with treatment for rare and complex diseases. The purpose of this study was to evaluate the effectiveness of a clinical decision support (CDS)-based intervention system for transfusional iron overload in adults with SCD to improve management in primary care. Methods: An electronic medical record based clinical decision support system for potential transfusional iron overload in SCD patients in primary care was evaluated. The intervention was implemented in 3 family medicine clinics with a control group of 3 general internal medicine clinics. Data were collected in the 6 months before the intervention and 6 months after the intervention. There were 47 patients in the family medicine group and 24 in the general internal medicine group. Results: There was no management change in the control group while the intervention group improved primary care management from 0% to 44% (P < .001). Conclusion: A CDS tool can improve management of SCD patients in primary care. (J Am Board Fam Med 2018;31:812–816.)

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“…Nonetheless, our response rate is comparable to that published in the medical literature. [23][24][25][26] Third, the research focuses exclusively on academic departments in the United States and it is not clear whether these findings can be generalized internationally or would be applicable in other health care systems. Finally, we relied on selfreport to collect the information from responding Chairs, the only practical means to learn about attitudes.…”

Section: Discussionmentioning

confidence: 99%

Impact of Satellite Practices on Academic Ophthalmology Departments

Kuo

Wright

2017

J Acad Ophthalmol

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In the past 20 years, many academic ophthalmology departments have been expanding by opening satellite offices, located at variable distances from the departmental hub. Many satellite practices are situated in the suburbs, 1 in contrast to the more central or urban location of most academic medical centers. The published literature on community or satellite practices in academic medicine is scant and most commonly describes affiliations with community hospitals and private practices. 2-6 A recent small study of satellite practices affiliated with six large academic Keywords ► satellite practices ► satellite clinics ► academic medical centers ► academic medicine ► community practices ► ophthalmology ► academic ophthalmology ► multi-office locations AbstractBackground A recent small study described how "satellite" clinics (off-site and strategically situated) associated with six academic ophthalmology departments provided expansion opportunities, and also created unique challenges. Objectives The aim of this study was to gather a wider viewpoint by surveying chairpersons about their opinions of satellite practices, and how these relate to their departmental mission. Research Design Online survey. Subjects Chairperson members of the Association of University Professors of Ophthalmology. Results More than 60% of respondents had satellite practices affiliated with their departments. Most departments had two to five satellite practices; 33% had satellites that were located further than 50 miles away from the main hospital. On average, satellites accounted for 25 to 30% of total patient visits for the department. Departments whose satellites accounted for 50% or more of total patient visits to the department were those with the largest clinical volumes (>100,000 annual patient visits). Comprehensive ophthalmology was the most common service offered at satellites. All Chairs believed satellite practices had at least maintained, if not improved, their departments' reputation. Seventy percent were concerned about perceived competition with referring community doctors. Research endeavors and trainee education were not considered to be priorities of satellite practices. Conclusion Overall, chairpersons in the United States believed that satellite practices had strengthened their departments. The geographical expansion of departments, particularly with comprehensive ophthalmology (inclusive of optometric services), has implications for relations with the referral base in the surrounding communities. Thoughtful management of these practices, with attention paid to both meeting financial goals as well as fulfilling the academic mission, is necessary to ensure that the advantages outweigh the drawbacks.

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Family Medicine Department Chairs’ Opinions Regarding Scope of Practice

Abstract: Family medicine department chairs believe that role modeling a broad scope of practice increases students' interest in family medicine and encourages residency graduates to provide a wide range of services.

Cited by 9 publications

References 14 publications

Characteristics and predictors of patient care performed by clinical department chairpersons at U.S. schools of pharmacy

Characteristics and predictors of patient care performed by clinical department chairpersons at U.S. schools of pharmacy

Effectiveness of Clinical Decision Support Based Intervention in the Improvement of Care for Adult Sickle Cell Disease Patients in Primary Care

Impact of Satellite Practices on Academic Ophthalmology Departments

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