Stone Leslie, Brown G Austin, Jarrett Diane M, Snellgrove Bailey, Ventres William
University of Arkansas for Medical Sciences, Little Rock, AR.
Cascades East Family Medicine Residency, Klamath Falls, OR.
PRiMER. 2023 Feb 7;7:126034. doi: 10.22454/PRiMER.2023.126034. eCollection 2023.
In order to emphasize the role family medicine plays in providing robust primary care in functioning health care systems, we piloted a novel online curriculum for third-year medical students. Using a digital documentary and published articles as prompts, this flipped-classroom, discussion-based Philosophies of Family Medicine curriculum (POFM) highlighted concepts that have either emerged from or been embraced by family medicine (FM) over the past 5 decades. These concepts include the biopsychosocial model, the therapeutic importance of the doctor-patient relationship, and the unique nature of FM. The purpose of this mixed-methods pilot study was to assess the effectiveness of the curriculum and assist in its further development.
The intervention-POFM-consisted of five 1-hour, online discussion sessions with 12 small groups of students (N=64), distributed across seven clinical sites, during their month-long family medicine clerkship block rotations. Each session focused on one theme fundamental to the practice of FM. We collected qualitative data through verbal assessments elicited at the end of each session and written assessments at the end of the entire clerkship. We collected supplementary quantitative data via electronically distributed anonymous pre- and postintervention surveys.
The study qualitatively and quantitatively demonstrated that POFM helped students understand philosophies fundamental to the practice of FM, improved their attitudes toward FM, and aided in their appreciation of FM as an essential element of a functioning health care system.
The results of this pilot study show effective integration of POFM into our FM clerkship. As POFM matures, we plan to expand its curricular role, further evaluate its influence, and use it to increase the academic footing of FM at our institution.
为强调家庭医学在运作良好的医疗保健系统中提供强有力的初级保健方面所发挥的作用，我们为三年级医学生试点了一门新颖的在线课程。以一部数字纪录片和已发表的文章为引导，这一基于讨论的翻转课堂式家庭医学哲学课程（POFM）突出了过去50年中家庭医学所产生或接纳的概念。这些概念包括生物心理社会模型、医患关系的治疗重要性以及家庭医学的独特性质。这项混合方法试点研究的目的是评估该课程的有效性，并协助其进一步发展。
干预措施——POFM——包括五次1小时的在线讨论课，12个小组的学生（N = 64）参与，这些学生分布在七个临床地点，在为期一个月的家庭医学实习轮转期间上课。每节课聚焦于家庭医学实践的一个基本主题。我们通过每节课结束时的口头评估以及整个实习结束时的书面评估收集定性数据。我们通过电子方式分发的匿名干预前和干预后调查问卷收集补充定量数据。
该研究从定性和定量方面表明，POFM有助于学生理解家庭医学实践的基本理念，改善他们对家庭医学的态度，并帮助他们认识到家庭医学是运作良好的医疗保健系统的重要组成部分。
这项试点研究的结果表明POFM有效地融入了我们的家庭医学实习课程。随着POFM的成熟，我们计划扩大其课程作用，进一步评估其影响，并利用它来提升我们机构中家庭医学的学术地位。
