scholarly journals A physician-physiotherapist collaborative model in a family medicine teaching clinic

2018 ◽  
Vol 9 (4) ◽  
pp. e120-122
Author(s):  
Simon Deslauriers ◽  
Marie-Eve Toutant ◽  
Caroline Laberge ◽  
Annie St-Pierre ◽  
François Desmeules ◽  
...  
Keyword(s):  
Family Medicine ◽  
Musculoskeletal Disorders ◽  
Interprofessional Collaboration ◽  
Medical Residents ◽  
Prise En Charge ◽  
Collaborative Model ◽  
Teaching Clinic ◽  
Musculoskeletal Education ◽  
Collaborative Activities ◽  
Teaching Clinics

Persons with musculoskeletal disorders frequently seek care in family medicine clinics. However, musculoskeletal education provided in medical schools is often considered insufficient. The implementation of a collaborative model that integrates physiotherapists into teaching clinics may benefit the musculoskeletal training of medical residents. This paper describes a model developed in a family medicine teaching clinic by examining the interprofessional educational and collaborative activities implemented in this model. The model allowed to provide physiotherapy services, involve the physiotherapist in the training of family medicine residents and enhance interprofessional collaboration, particularly for the management of persons with musculoskeletal disorders._____Les personnes ayant des troubles musculosquelettiques consultent fréquemment en cliniques de médecine de famille. Cependant, l’enseignement musculosquelettique dispensé dans les programmes de médecine est souvent considéré comme insuffisant. L’implantation d’un modèle de collaboration qui intègre les physiothérapeutes aux cliniques d’enseignement pourrait améliorer la formation des médecins résidents. Cet article décrit un modèle développé dans une clinique d’enseignement en médecine familiale en examinant les activités interprofessionnelles d’éducation et de collaboration implantées dans ce modèle. Le modèle a permis d’offrir des services de physiothérapie, d’impliquer le physiothérapeute dans la formation des médecins résidents et d’améliorer la collaboration interprofessionnelle, particulièrement pour la prise en charge des personnes ayant des troubles musculosquelettiques.

scholarly journals Level of patients’ knowledge, confidence, and acceptance regarding the role of residents in a family medicine teaching clinic

2021 ◽  
Author(s):  
Lise Babin ◽  
Isabelle Cormier ◽  
Sylvie Champagne ◽  
Jason MacIntosh ◽  
Dany Saucier ◽  
...  
Keyword(s):  
Family Medicine ◽  
Cross Sectional Study ◽  
Medical Residents ◽  
Chi Square ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Level Of Confidence ◽  
Teaching Clinic ◽  
Level Of Knowledge

Background: Although participation of patients is essential for completing the training of medical residents, little is known about the relationships among patients’ level of knowledge about the role and responsibilities of medical residents, their confidence in residents’ abilities, and their acceptance toward receiving care from residents. The study sought to clarify if and how these three patient-resident relationship components are interrelated. Methods: This is a cross-sectional study using a self-administered questionnaire distributed in 2016 to a convenience sample of adult patients (≥ 18 years old) visiting a family medicine teaching clinic. Proportions and chi-square statistics were used to describe and compare groups, respectively. Results: Of the 471 patients who answered the questionnaire, only 28% were found to be knowledgeable about the role of family medicine residents. Between 54% and 83% of patients reported being highly confident in the ability of residents to perform five routine tasks. Of the patients surveyed, 69% agreed to see a resident during their next appointments. Patients with a high level of confidence in residents’ abilities were more likely to agree to see a resident during future appointments (p <0.0001). There was no significant association between level of knowledge and either confidence or acceptance. Conclusions: Although the majority of patients had poor knowledge about the role of residents, this was not related to their acceptance of being cared for by residents. A higher level of confidence in residents’ ability to perform certain tasks was associated with greater acceptance toward seeing a resident during future appointments.

Family medicine physicians’ report strong support, barriers and preferences for Registered Dietitian Nutritionist care in the primary care setting

2020 ◽  
Author(s):  
Lauren R Sastre ◽  
Leslie T Van Horn
Keyword(s):  
Family Medicine ◽  
Online Survey ◽  
Interprofessional Collaboration ◽  
Health Care Systems ◽  
Descriptive Analysis ◽  
Strong Support ◽  
Full Time ◽  
Registered Dietitian ◽  
Cross Sectional ◽  
Care Systems

Abstract Background Previous studies have examined barriers (e.g. time) for Family Medicine Providers (FMPs) to provide nutrition and lifestyle counseling, however, to date no studies have examined access or interest to Registered Dietitian Nutritionist (RDN) care for patients. Objective The objective of this study was to explore FMP access, referral practices, barriers and preferences for RDN care. Methods A cross-sectional online survey, with content and face validation was conducted with Family Medicine Departments within large academic health care systems in the Southeastern United States. The main variables of interest included: FMP access, interest, current referrals and referral preferences for RDN care, barriers to referrals and overall perceptions regarding RDN care. Descriptive analysis of close-ended responses was performed with SPSS 26.0. Open-ended responses were analysed using inductive content analysis. Results Over half of the respondents (n = 151) did not have an RDN on-site (64%) yet were highly interested in integrating an RDN (94.9%), with reported preferences for full-time on-site, part-time on-site or off-site RDN care (49.1%, 39.5% and 11.4% respectively). The greatest reported barriers to RDN referrals were perceived cost for the patient (64.47%) and uncertainty how to find a local RDN (48.6%). The most consistent theme reported in the open-ended responses were concerns regarding reimbursement, e.g. ‘Insurance does not cover all of the ways I would like to use an RDN’. Conclusions FMPs report interest and value in RDN services despite multiple perceived barriers accessing RDNs care. Opportunities exist for interprofessional collaboration between dietetic and FMP professional groups to address barriers.

A Survey Study of Musculoskeletal Disorders Among Eye Care Physicians Compared with Family Medicine Physicians

Ophthalmology ◽  
2012 ◽  
Vol 119 (2) ◽  
pp. 213-220 ◽  
Author(s):  
Anna S. Kitzmann ◽  
Nathan B. Fethke ◽  
Keith H. Baratz ◽  
M. Bridget Zimmerman ◽  
David J. Hackbarth ◽  
...  
Keyword(s):  
Family Medicine ◽  
Musculoskeletal Disorders ◽  
Survey Study ◽  
Eye Care

scholarly journals Comprehensive Care through Family Medicine: Improving the Sustainability of Aging Societies

Geriatrics ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 59
Author(s):  
Ryuichi Ohta ◽  
Akinori Ueno ◽  
Jun Kitayuguchi ◽  
Yoshihiro Moriwaki ◽  
Jun Otani ◽  
...  
Keyword(s):  
Rural Communities ◽  
Family Medicine ◽  
Medical Care ◽  
Metabolic Diseases ◽  
Community Care ◽  
Interprofessional Collaboration ◽  
Subcutaneous Tissue ◽  
Comprehensive Care ◽  
Future Research ◽  
Icd 10

Comprehensive care through family medicine can enhance the approach to multimorbidity, interprofessional collaboration, and community care, and make medical care more sustainable for older people. This study investigated the effect of implementing family medicine and the comprehensiveness of medical care in one of the most rural communities. This implementation research used medical care data from April 2015 to March 2020. Patients’ diagnoses were categorized according to the 10th revision of the International Statistical Classification of Disease and Related Health Problems (ICD-10). In 2016, family medicine was implemented in only one general hospital in Unnan. The comprehensiveness rate improved in all ICD-10 disease categories during the study period, especially in the following categories—infections; neoplasms; endocrine, nutritional, and metabolic diseases; mental disorders; nervous system; circulatory system; respiratory system; digestive system; skin and subcutaneous tissue; musculoskeletal system and connective tissue; and the genitourinary system. Implementing family medicine in rural Japanese communities can improve the comprehensiveness of medical care and resolve the issue of fragmentation of care by improving interprofessional collaboration and community care. It can be a solution for the aging of both patient and healthcare professionals. Future research can investigate the relationship between family medicine and patient health outcomes for improved healthcare sustainability.

Assessing the Utility of an Electronic Research Database to Capture Whole Systems Practice at Two Naturopathic Outpatient Teaching Clinics

2012 ◽  
Vol 18 (3) ◽  
pp. 170-175 ◽  
Author(s):  
Brenda M. Y. Leung ◽  
Gillian Flower ◽  
Kieran Cooley ◽  
Chris Habib ◽  
Matt Gowan ◽  
...  
Keyword(s):  
Data Entry ◽  
Research Database ◽  
Observation Study ◽  
Treatment Protocols ◽  
Naturopathic Medicine ◽  
Teaching Clinic ◽  
Systems Practice ◽  
Patient Database ◽  
Teaching Clinics ◽  
Whole Systems

This observation study assessed the utility of an electronic Naturopathic Patient Database at 2 naturopathic teaching clinics as a research and educational tool. Focusing on the whole systems practice of naturopathic medicine using individualized treatment protocols, patients from the Canadian College of Naturopathic Medicine outpatient teaching clinic and the Boucher Institute of Naturopathic Medicine outpatient teaching clinic were assessed. Data were collected on patient demographics, laboratory values, physical measures, treatment protocols, and validated questionnaires. Results showed the Naturopathic Patient Database was able to capture both standardized and individualized measures of care for research purposes. A number of substudies were generated by student interns using the database. Limitations identified included limited resources for training faculty, interns, and administrators on program use and data entry; also, data quality and completeness were problematic. However, the Naturopathic Patient Database captured data on the individualized nature of naturopathic care and had the ability to collect and compare large amounts of data.

scholarly journals Demographic and Clinical Characteristics of New Patients Presenting to a Community Teaching Clinic

2012 ◽  
Vol 26 (2) ◽  
pp. 161-168 ◽  
Author(s):  
Natalia Lishchyna ◽  
Silvano Mior
Keyword(s):  
Spinal Pain ◽  
Cross Sectional Study ◽  
Learning Opportunities ◽  
Educational Institutions ◽  
Case Mix ◽  
Cross Sectional ◽  
Teaching Clinic ◽  
Local Residents ◽  
One Year ◽  
Teaching Clinics

Purpose: We compare patient populations attending chiropractors in the field to those in teaching clinics to allow educational institutions to determine if students are exposed to a similar case mix. The purpose of our study was to describe and compare descriptively the clinical case mix of a recently opened community-based teaching clinic to previously published practice data. Methods: A retrospective descriptive cross-sectional study was conducted using new patient records completed at a clinic. Data were extracted using a specifically designed abstraction form. Results: We manually abstracted 649 files. A total of 580 new patient files was included in the analysis, among which 57.7% included female patients with a mean age of 43 years (SD 18), and 42.1% presented with a chief complaint of more than one year in duration. The vast majority of patients complained of spinal pain (81.4%), most commonly low back pain. Almost 92% of the diagnoses were classified as simple (sprain/strain). The average number of visits per patient was 7.4 (SD 11.3); 54.7% received spinal manipulation on their first visit. The majority of patients were referred by the treating intern (64.8%) and about 24% of patients were local residents. Conclusions: Our study contributed to the few studies detailing patients attending chiropractic academic teaching clinics. It provided benchmark demographic and clinical data that may be used for operational planning. Our study suggested that the case mix of this teaching clinic provides interns with appropriate learning opportunities to achieve entry to practice competencies.

scholarly journals An Interprofessional Residency Clinic Curriculum for Geriatrics and Palliative Care

PRiMER ◽  
2018 ◽  
Vol 2 ◽  
Author(s):  
Janel Kam-Magruder ◽  
Lani Ackerman ◽  
Annie Derthick ◽  
Kirstin Lesage
Keyword(s):  
Palliative Care ◽  
Family Medicine ◽  
Interprofessional Education ◽  
Teaching Effectiveness ◽  
Interprofessional Collaboration ◽  
Care Providers ◽  
Study Objective ◽  
Educational Value ◽  
Depression Assessment ◽  
Family Medicine Residents

Background and Objectives: Caring for geriatrics and palliative care patients requires integrated interprofessional care. Studies regarding interprofessional education in family medicine reveal concerns by residents regarding applicability in future practice. Our study objective was to determine the effectiveness of teaching multispecialty geriatric and palliative care skills to family medicine residents using an interprofessional clinic curriculum. Methods: We evaluated an interprofessional geriatric and palliative care outpatient curriculum from March 2014 to June 2015. The interprofessional team included pharmacists, psychologists, and family medicine geriatricians and palliative care providers. Family medicine residents in a 3-year residency program completed pre- and postassessments evaluating their confidence and knowledge in specific areas of geriatric and palliative care. These assessments covered their abilities in starting advanced care planning and setting goals in care discussions, as well as fall and depression assessment and elderly medication review. The subsequent resident perception of teaching effectiveness was also assessed. Qualitative comments were evaluated for themes. Patient perceptions were also surveyed. Results: Family medicine residents completed 52 surveys (51%). Improvements in all areas were significant (P&lt;0.05). Postevaluation mean scores by year and by session demonstrated significant improvements in palliative care tools and teaching effectiveness. Qualitative comments revealed three themes: overall positive or negative educational value and understanding of assessments, reflection on interprofessional collaboration and team experience value, and improvements in logistics and collaboration. Patient satisfaction surveys reported improved satisfaction with their PCMH. Conclusions: The use of an interprofessional and multispecialty clinic curriculum to teach geriatric and palliative care improved resident self-assessed knowledge and confidence as well as teaching effectiveness. Further studies evaluating resident exposure to such visits could substantiate the long-term influence of this educational endeavor.

scholarly journals Does PBL deliver constructive collaboration for students in interprofessional tutorial groups?

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Endang Lestari ◽  
Renée E. Stalmeijer ◽  
Doni Widyandana ◽  
Albert Scherpbier
Keyword(s):  
Medical Students ◽  
Focus Groups ◽  
Rating Scale ◽  
Interprofessional Collaboration ◽  
Pilot Project ◽  
Video Data ◽  
Professional Students ◽  
Significant Difference ◽  
Activity Rating ◽  
Collaborative Activities

Abstract Background Training health professional students in teamwork is recognized as an important step to create interprofessional collaboration in the clinical workplace. Interprofessional problem-based learning (PBL) is one learning approach that has been proposed to provide students with the opportunity to develop the necessary skills to work collaboratively with various health professionals. This study aimed to explore the extent to which students in interprofessional tutorial groups demonstrate constructive collaboration during group discussions. Methods Students (N = 52) from the Medical, Midwifery and Nursing programmes took part in the study. Video-recordings were made of interprofessional PBL discussions (N = 40) in five groups, eight videos per group. Over a period of 4 weeks, participants discussed four scenarios concerned with the reproductive system. The resulting 67 h of video data were analysed qualitatively. To ensure inter-rater reliability, two tutors assessed the students’ constructive, collaborative activities using the Maastricht Peer-Activity Rating Scale (MPARS). Finally, to gain an understanding of students’ perceptions of their performance and participation in the interprofessional PBL tutorial, we organized three uni-professional focus groups (FGs) at the end of pilot project. Results The translated MPARS was reliable (Kappa coefficient 0.01–0.20 and p < 0.05). Students were actively involved in the discussion and contributed to a better understanding regardless of their professional background. Group members from different professions complemented one another in solving learning issues. They were open, feeling free to question and argue from the viewpoint of their own profession, and also understood their strengths and limitations. The statistical test of the scores for constructive and collaborative activities indicated a significant difference between students and the various healthcare professionals, p = 0.000, with medical students scoring highest on both activities. Focus groups further clarified some of the observed dynamics. Conclusion Implementing interprofessional PBL could motivate students to engage collaboratively in co-constructing knowledge to solve the patients’ problem. Medical students scored highest on constructive and collaborative activities.

Fostering interspeciality learning in cancer survivorship care: Learning suite results.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e23003-e23003
Author(s):  
Genevieve Chaput ◽  
Jonathan Sussman ◽  
Tristan Williams
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Cancer Survivorship ◽  
Radiation Oncology ◽  
Medical Oncology ◽  
Interprofessional Collaboration ◽  
Primary Care Providers ◽  
Educational Interventions ◽  
Independent Practice ◽  
Care Providers

e23003 Background: As survivorship provision declines within cancer centres, primary care providers are increasingly entrusted in the follow-up care of cancer survivors. Empowering specialists and primary care providers about survivorship through educational interventions is essential. Interspecialty education is poorly integrated into residency training, which may impede collaboration between different providers in practice. Interspecialty partnership can positively impact patient and resource-use outcomes. The aim of this study was to assess if a cancer survivorship learning suite (LS) impacts attitudes of family medicine, radiation oncology and medical oncology trainees towards interspecialty collaboration in Montreal, Canada. Methods: A survivorship (LS) developed by a Manitoba-based team under the sponsorship of a Canadian Partnership Against Cancer grant held by Cancer Care Ontario was delivered to 49 McGill University family medicine, radiation oncology, and medical oncology trainees. The LS comprised in-person delivery of a 3-hour case-based workshop, presented by a radiation oncologist and a family physician, both experienced in the field of survivorship. An adapted version of the Readiness for Interprofessional Learning Scale (RIPLS) was completed by participants before and after workshop delivery. Statistical analyses included non-parametric (Wilcoxon Signed rank tests) comparisons. Results: Response rate was 63.2%, and included family medicine (65%), radiation oncology (26%), and medical oncology (10%) trainees, respectively. Following the workshop, participants were significantly more likely to agree that interspecialty learning in residency “would help physicians become better team workers”, (Z = 2.7, p < 0.008, n = 31), and “improves relationships between physicians of different specialties in independent practice afterwards”, (Z = 2.6, p < 0.009, n = 31). Participants were also significantly more likely to agree that “shared interspecialty learning < would > increase < their > ability to understand clinical problems”, (Z = 2.8, p < 0.005, n = 31). Conclusions: While much literature has focused on interprofessional collaboration at different levels of education and practice, few studies have assessed interspecialty collaboration of physicians of different specialties. This survivorship LS demonstrated favorable changes in attitudes towards interspecialty learning.

Sign in / Sign up

Export Citation Format

Share Document