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1.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609081

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'III: core principles-primary care, systems, and family', authors address the following themes: 'Continuity of care-building therapeutic relationships over time', 'Comprehensiveness-combining breadth and depth of scope', 'Coordination of care-managing multiple realities', 'Access to care-intersectional, systemic, and personal', 'Systems theory-a core value in patient-centered care', 'Family-oriented practice-supporting patients' health and well-being', 'Family physician as family member' and 'Family in the exam room'. May readers develop new understandings from these essays.


Assuntos
Medicina de Família e Comunidade , Médicos de Família , Humanos , Família , Saúde da Família , Assistência Centrada no Paciente
2.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609084

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'II: foundational building blocks-context, community and health', authors address the following themes: 'Context-grounding family medicine in time, place and being', 'Recentring community', 'Community-oriented primary care', 'Embeddedness in practice', 'The meaning of health', 'Disease, illness and sickness-core concepts', 'The biopsychosocial model', 'The biopsychosocial approach' and 'Family medicine as social medicine.' May readers grasp new implications for medical education and practice in these essays.


Assuntos
Educação Médica , Medicina Social , Humanos , Medicina de Família e Comunidade , Médicos de Família , Modelos Biopsicossociais
3.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609085

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'VIII: clinical approaches', authors address the following themes: 'Evaluation, diagnosis and management I-toward a working diagnosis', 'Evaluation, diagnosis and management II-process steps', 'Interweaving integrative medicine and family medicine', 'Halfway-the art of clinical judgment', 'Seamless integration in family medicine-team-based care', 'Technology-uncovering stories from noise' and 'Caring for patients with multiple long-term conditions'. May readers recognise in these essays the uniqueness of a family medicine approach to care.


Assuntos
Medicina de Família e Comunidade , Medicina Integrativa , Humanos , Médicos de Família , Raciocínio Clínico , Tecnologia
4.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609080

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'XI: professional identity formation-nurturing one's own story', authors address the following themes: 'The social construction of professional identity', 'On becoming a family physician', 'What's on the test?-professionalism for family physicians', 'The ugly doc-ling', 'Teachers-the essence of who we are', 'Family medicine research-it starts in the clinic', 'Socially accountability in medical education', 'Personal philosophy and how to find it' and 'Teaching and learning with Storylines of Family Medicine'. May these essays encourage readers to find their own creative spark in medicine.


Assuntos
Educação Médica , Medicina de Família e Comunidade , Humanos , Identificação Social , Médicos de Família , Instituições de Assistência Ambulatorial
5.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609086

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'IX: people and places-diverse populations and locations of care', authors address the following themes: 'LGBTQIA+health in family medicine', 'A family medicine approach to substance use disorders', 'Shameless medicine for people experiencing homelessness', '''Difficult" encounters-finding the person behind the patient', 'Attending to patients with medically unexplained symptoms', 'Making house calls and home visits', 'Family physicians in the procedure room', 'Robust rural family medicine' and 'Full-spectrum family medicine'. May readers appreciate the breadth of family medicine in these essays.


Assuntos
Sintomas Inexplicáveis , Minorias Sexuais e de Gênero , Humanos , Medicina de Família e Comunidade , Médicos de Família , Visita Domiciliar
6.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609088

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'I: framing family medicine-history, values, and perspectives', the authors address the following themes: 'Notes on Storylines of Family Medicine', 'Family medicine-the generalist specialty', 'Family medicine's achievements-a glass half full assessment', 'Family medicine's next 50 years-toward filling our glasses', 'Four enduring truths of family medicine', 'Names matter', 'Family medicine at its core' and 'The ecology of medical care.' May readers find much food for thought in these essays.


Assuntos
Medicina de Família e Comunidade , Médicos de Família , Humanos , Ecologia , Alimentos , Fases de Leitura
7.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609082

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'X: standing up for diversity, equity and inclusion', authors address the following themes: 'The power of diversity-why inclusivity is essential to equity in healthcare', 'Medical education for whom?', 'Growing a diverse and inclusive workforce', 'Therapeutic judo-an inclusive approach to patient care', 'Global family medicine-seeing the world "upside down"', 'The inverse care law', 'Social determinants of health as a lens for care', 'Why family physicians should care about human rights' and 'Toward health equity-the opportunome'. May the essays that follow inspire readers to promote change.


Assuntos
Educação Médica , Equidade em Saúde , Humanos , Medicina de Família e Comunidade , Diversidade, Equidade, Inclusão , Médicos de Família
8.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609089

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'VI: ways of being-in the office with patients', authors address the following themes: 'Patient-centred care-cultivating deep listening skills', 'Doctor as witness', 'Words matter', 'Understanding others-metaphor and its use in medicine', 'Communicating with patients-making good use of time', 'The patient-centred medical home-aspirations for the future', 'Routine, ceremony or drama?' and 'The life course'. May readers better appreciate the nuances of patient care through these essays.


Assuntos
Drama , Medicina de Família e Comunidade , Humanos , Médicos de Família , Metáfora , Assistência Centrada no Paciente
9.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609092

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'IV: perspectives on practice-lenses of appreciation', authors address the following themes: 'Relational connections in the doctor-patient partnership', 'Feminism and family medicine', 'Positive family medicine', 'Mindful practice', 'The new, old ethics of family medicine', 'Public health, prevention and populations', 'Information mastery in family medicine' and 'Clinical courage.' May readers nurture their curiosity through these essays.


Assuntos
Coragem , Fabaceae , Cristalino , Lentes , Unionidae , Humanos , Animais , Medicina de Família e Comunidade , Médicos de Família
10.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609087

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'V: ways of thinking-honing the therapeutic self', authors present the following sections: 'Reflective practice in action', 'The doctor as drug-Balint groups', 'Cultivating compassion', 'Towards a humanistic approach to doctoring', 'Intimacy in family medicine', 'The many faces of suffering', 'Transcending suffering' and 'The power of listening to stories.' May readers feel a deeper sense of their own therapeutic agency by reflecting on these essays.


Assuntos
Medicina de Família e Comunidade , Médicos de Família , Humanos , 60417 , Emoções , Humanismo
11.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609090

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'VII: family medicine across the lifespan', authors address the following themes: 'Family medicine maternity care', 'Seeing children as patients brings joy to work', 'Family medicine and the care of adolescents', 'Reproductive healthcare across the lifespan', 'Men's health', 'Care of older adults', and 'Being with dying'. May readers appreciate the range of family medicine in these essays.


Assuntos
Medicina de Família e Comunidade , Serviços de Saúde Materna , Gravidez , Adolescente , Criança , Humanos , Feminino , Idoso , Longevidade , Médicos de Família , Instalações de Saúde
12.
Fam Med Community Health ; 12(Suppl 3)2024 Apr 12.
Artigo em Inglês | MEDLINE | ID: mdl-38609091

RESUMO

Storylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'XII: Family medicine and the future of the healthcare system', authors address the following themes: 'Leadership in family medicine', 'Becoming an academic family physician', 'Advocare-our call to act', 'The paradox of primary care and three simple rules', 'The quadruple aim-melding the patient and the health system', 'Fit-for-purpose medical workforce', 'Universal healthcare-coverage for all', 'The futures of family medicine' and 'The 100th essay.' May readers of these essays feel empowered to be part of family medicine's exciting future.


Assuntos
Medicina de Família e Comunidade , Médicos de Família , Humanos , Emoções , Instalações de Saúde , Assistência de Saúde Universal
13.
Am Fam Physician ; 107(2): 116, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36791460
15.
Front Psychiatry ; 12: 716486, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34899410

RESUMO

Generalist practitioners often find interacting with patients deeply satisfying and joyful; they also experience encounters that are challenging and complex. In both cases, they must be aware of the many issues that affect the processes and outcomes of patient care. Although using the BioPsychoSocial approach is an important, time-tested framework for cultivating one's awareness of patients' presenting concerns, recent developments suggest that additional frames of reference may enhance communication and relationships with patients. In this article, we describe several additions to the BioPsychoSocial approach, considerations we call "add-ons" and "add-ins". We invite generalist practitioners and, indeed, all health care practitioners, to consider how they can improve their ongoing care of patients by personalizing these and other additions in their day-to-day work with patients.

17.
Acad Med ; 95(1): 32-36, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31219810

RESUMO

The authors challenge the conventional wisdom guiding what participants in short-term experiences in global health (STEGHs) should be learning. Medical students and residents from the United States have been told to focus on standardized competencies and ethical principles, in addition to the biomedical knowledge, skills, and attitudes highlighted by working internationally. The authors suggest that although these training goals are important, they may divert learners from developing their professional identities in ways that contribute to the health of all persons, especially those who are economically poor and socially marginalized. The authors postulate that such a professional transformation will occur only if STEGH participants attend to 5 key learning goals: develop contextual inquisitiveness, grow in insightful understanding, nurture global humility, cultivate structural awareness, and critically engage in the pursuit of creating equitable and just societies. Further, the authors argue that only by attending to these goals will any genuine change in the root causes of inequities in health outcomes occur. The authors review these goals and encourage their use for professional and pedagogical purposes over the duration of any STEGH-before departure, while in host communities, and upon return home.


Assuntos
Educação de Graduação em Medicina/ética , Saúde Global/normas , Aprendizagem/ética , Estudantes de Medicina/psicologia , Atitude do Pessoal de Saúde , Conscientização/fisiologia , Competência Clínica/normas , Competência Cultural , Educação de Graduação em Medicina/métodos , Objetivos , Disparidades em Assistência à Saúde/etnologia , Humanos , Conhecimento , Avaliação de Programas e Projetos de Saúde , Estudantes de Medicina/estatística & dados numéricos , Estados Unidos/epidemiologia
18.
AMA J Ethics ; 21(9): E749-758, 2019 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-31550222

RESUMO

Much has been written about the need for participants on global health service-learning experiences to contemplate ethical features of their involvement. This literature tends to neglect the role of self-interest in global engagement, however. This article explores how awareness of one's own interests is critical to successfully engaging in global health experiences and proposes how US-based health professions students and trainees can practice critical self-exploration. Six themes beginning with the letter I (identity, ideology, ignorance, imagination, intention, and investment) are introduced as guides to nourish conscientious, collaborative global health learning and practice.


Assuntos
Saúde Global/educação , Estudantes de Ciências da Saúde , Saúde Global/ética , Humanos , Intercâmbio Educacional Internacional , Estudantes de Ciências da Saúde/psicologia , Estados Unidos
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