Evidence map›Paper›PMID 38241746›Full record

ArticleFamily medicine2024

Current Procedural Practices of Family Medicine Teaching Physicians.

Allison R Newman, Joel J Heidelbaugh, Kristen Klemenhagen, Aaron J Michelfelder, David V Power, James E Hougas

Abstract read
In one paragraph

Article in Family medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Courage to Shape Our Future.Family medicine · 2024
    Article
  5. POCUS: Is It Time? … And Is There Time?Journal of the American Board of Family Medicine : JABFM
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Allison R NewmanDepartment of Family Medicine and Community Health, University of Minnesota Medical School, St Paul, MN.
Joel J HeidelbaughDepartments of Family Medicine and Urology, University of Michigan, Ypsilanti, MI.
Kristen KlemenhagenDepartment of Family Medicine and Community Health, University of Minnesota Medical School, St Paul, MN.
Aaron J MichelfelderDepartment of Family Medicine, Loyola University Chicago, Maywood, IL.
David V PowerCommunity Health, University of Minnesota Medical School, St Paul, MN.
James E HougasDepartment of Family Medicine and Community Health, University of Minnesota Medical School, St Paul, MN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesProficiency in procedural care achieved during residency is a major driver of family physician scope of practice. To date, no inventory exists of the advanced procedures and clinical skills performed by teaching family physicians. This study comprises the first such survey and assesses the attitude of respondents toward the importance of family physicians performing procedures.

methodsWe sent a clinical skills inventory to a convenience sample of teaching family physicians employed at 18 medical school-affiliated, community, and military residency programs across the United States.

resultsThe overall response rate was 46% (N=337). Respondents performed a median of 12 advanced procedures and clinical skills (IQR: 8-18). Endorsed procedures ranged from skin biopsy (n=316, 93.8%) and joint injection (n=279, 82.8%) to colonoscopy (n=21, 6.2%) and cesarean delivery (n=23, 6.8%), and reported skills ranged from medication-assisted treatment (n=181, 53.7%) to highly active antiretrovial therapy (n=35, 10.4%). Gender and career stage were associated with statistically significant differences in endorsement of specific procedures. For example, fracture management was more likely to be performed by late- versus early-career faculty (54.1% vs 24.2%, P<.001) and by male versus female respondents (54.9% vs 24.2%, P<.001). Most respondents (84.3%) agreed that future family physicians should learn procedures and advanced clinical skills.

conclusionsFamily medicine teaching faculty perform a wide array of procedures and advanced skills. Apparent differences by career stage and gender identity in the performance of some of the procedural and skill areas may portend a shift in the procedural training of future family physicians.

Indexed as

General PractitionersInternship and ResidencyClinical CompetenceFamily PracticeFemaleGender IdentityHumansMalePhysicians, FamilyPregnancySurveys and QuestionnairesTeachingUnited States

Identifiers

PMID38241746
PMCPMC11136631

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.