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Ventres WB, Stone LA, Joslin TA, Saultz JW, Aldulaimi S, Gordon PR, Lane JC, Lee ER, Prunuske J, Gildenblatt L, Friedman MH, Fogarty CT, McDaniel SH, Rohrberg T, Odom A. Storylines of family medicine III: core principles-primary care, systems and family. Fam Med Community Health 2024; 12:e002790. [PMID: 38609081 PMCID: PMC11029207 DOI: 10.1136/fmch-2024-002790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Timothy A Joslin
- Family Medicine, Oregon Health & Science University, Portland, Oregon, USA
| | - John W Saultz
- Family Medicine, Oregon Health & Science University, Portland, Oregon, USA
| | - Sommer Aldulaimi
- Family and Community Medicine, University of Arizona Medical Center-South Campus, Tucson, Arizona, USA
| | - Paul R Gordon
- Family and Community Medicine, University of Arizona Medical Center-University Campus, Tucson, Arizona, USA
| | - John C Lane
- UAMS West Regional Campus Family Medicine Residency Program, Fort Smith, Arkansas, USA
| | - Eric R Lee
- Medical College of Wisconsin-Central Wisconsin Campus, Wausau, Wisconsin, USA
| | - Jacob Prunuske
- Family and Community Medicine, Medical College of Wisconsin-Central Wisconsin Campus, Wausau, Wisconsin, USA
| | - Limor Gildenblatt
- Family Medicine, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA
| | - Michael H Friedman
- Family Medicine, Presence Saints Mary and Elizabeth Medical Center, Chicago, Illinois, USA
| | - Colleen T Fogarty
- Family Medicine, University of Rochester Medical Center, Rochester, New York, USA
| | - Susan H McDaniel
- Psychiatry and Family Medicine, University of Rochester Medical Center, Rochester, New York, USA
| | - Tessa Rohrberg
- Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA
| | - Amy Odom
- Sparrow/Michigan State University Family Medicine Residency Program, Lansing, Michigan, USA
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Ventres WB, Stone LA, Akhtar R, Ring JM, Candib LM, Messias E, Epstein RM, Tunzi M, Lee AL, Morley CP, Brown CM, Slawson D, Konkin J, Campbell DG, Couper I, Williams S, Brooks R, Walters L. Storylines of family medicine IV: perspectives on practice-lenses of appreciation. Fam Med Community Health 2024; 12:e002791. [PMID: 38609092 PMCID: PMC11029283 DOI: 10.1136/fmch-2024-002791] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Radeeb Akhtar
- Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Jeffrey M Ring
- Independent Health Psychologist, Los Angeles, California, USA
| | - Lucy M Candib
- Family Medicine and Community Health, UMass Chan Medical School, Worcester, Massachusetts, USA
| | - Erick Messias
- Psychiatry and Behavioral Neurosciences, Saint Louis University School of Medicine, Saint Louis, Missouri, USA
| | - Ronald M Epstein
- Family Medicine, University of Rochester Medical Center, Rochester, New York, USA
| | - Marc Tunzi
- Family Medicine Residency Program, Natividad Medical Center, Salinas, California, USA
| | - Amy L Lee
- Family Medicine, Tufts University School of Medicine, Boston, Massachusetts, USA
| | - Christopher P Morley
- Public Health and Preventive Medicine, SUNY Upstate Medical University, Syracuse, New York, USA
| | - Carina M Brown
- Cone Health Family Medicine Residency, The University of North Carolina School of Medicine, Greensboro, North Carolina, USA
| | - David Slawson
- Family Medicine, Atrium Health, Charlotte, North Carolina, USA
| | - Jill Konkin
- Family Medicine, University of Alberta Faculty of Medicine & Dentistry, Edmonton, Alberta, Canada
| | - David G Campbell
- Cunninghame Arm Medical Centre, Australian College of Rural and Remote Medicine, Lakes Entrance, Queensland, Australia
| | - Ian Couper
- Ukwanda Centre for Rural Health, Stellenbosch University Faculty of Medicine and Health Sciences, Cape Town, Western Cape, South Africa
| | - Susan Williams
- Adelaide Rural Clinical School, The University of Adelaide, Adelaide, South Australia, Australia
| | - Robert Brooks
- Department of Rural Health, Broken Hill University, Broken Hill, New South Wales, Australia
| | - Lucie Walters
- Adelaide Rural Clinical School, The University of Adelaide Faculty of Health and Medical Sciences, Mount Gambier, South Australia, Australia
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3
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Ventres WB, Stone LA, Gibson-Oliver LE, Meehan EK, Ricker MA, Loxterkamp D, Ogbeide SA, deGruy FV, Mahoney MR, Lin S, MacRae C, Mercer SW. Storylines of family medicine VIII: clinical approaches. Fam Med Community Health 2024; 12:e002795. [PMID: 38609085 PMCID: PMC11029325 DOI: 10.1136/fmch-2024-002795] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Lauren E Gibson-Oliver
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Elizabeth Kyle Meehan
- Family and Community Medicine, The University of Arizona College of Medicine - Tucson, Tucson, Arizona, USA
| | - Mari A Ricker
- Family and Community Medicine, The University of Arizona College of Medicine - Tucson, Tucson, Arizona, USA
| | | | - Stacy A Ogbeide
- Family and Community Medicine, UT Health San Antonio Long School of Medicine, San Antonio, Texas, USA
| | - Frank V deGruy
- Eugene S. Farley, Jr. Health Policy Center, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA
| | - Megan R Mahoney
- Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Steven Lin
- Division of Primary Care and Population Health, Stanford Medicine, Palo Alto, California, USA
| | - Clare MacRae
- Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK
| | - Stewart W Mercer
- Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK
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4
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Ventres WB, Stone LA, Barnard KC, Shields SG, Nelson MJ, Svetaz MV, Keegan CM, Heidelbaugh JJ, Beck PB, Marchand L. Storylines of family medicine VII: family medicine across the lifespan. Fam Med Community Health 2024; 12:e002794. [PMID: 38609090 PMCID: PMC11029373 DOI: 10.1136/fmch-2024-002794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Katharine C Barnard
- Family Medicine and Community Health, UMass Chan Medical School, Worcester, Massachusetts, USA
| | - Sara G Shields
- Family Medicine and Community Health, UMass Chan Medical School, Worcester, Massachusetts, USA
| | - Mark J Nelson
- John Peter Smith Hospital Family Medicine Residency, Fort Worth, Texas, USA
| | | | - Clara M Keegan
- Family Medicine, University of Vermont Larner College of Medicine, Burlington, Vermont, USA
| | - Joel J Heidelbaugh
- Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - Paige B Beck
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Lucille Marchand
- Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA
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Ventres WB, Stone LA, Shapiro JF, Haq C, Leão JRB, Nease DE, Grant L, Mercer SW, Gillies JCM, Blasco PG, De Benedetto MAC, Moreto G, Levites MR, DeVoe JE, Phillips WR, Uygur JM, Egnew TR, Stanley CS. Storylines of family medicine V: ways of thinking-honing the therapeutic self. Fam Med Community Health 2024; 12:e002792. [PMID: 38609087 PMCID: PMC11029209 DOI: 10.1136/fmch-2024-002792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Johanna F Shapiro
- Family Medicine, University of California Irvine School of Medicine, Irvine, California, USA
| | - Cynthia Haq
- Family Medicine, University of California Irvine School of Medicine, Irvine, California, USA
| | | | - Donald E Nease
- Family Medicine, University of Colorado Anschutz Medical Campus School of Medicine, Aurora, Colorado, USA
| | - Liz Grant
- Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK
| | - Stewart W Mercer
- Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK
| | - John C M Gillies
- Usher Institute, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK
| | | | | | | | | | - Jennifer E DeVoe
- Family Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon, USA
| | - William R Phillips
- Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA
| | - Jane M Uygur
- General Practice, Royal College of Surgeons in Ireland, Dublin, Ireland
| | - Thomas R Egnew
- Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA
| | - Colette S Stanley
- General Internal Medicine, Geriatrics & Palliative Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA
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6
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Ventres WB, Stone LA, Shah R, Carter T, Gusoff GM, Liaw W, Nguyen BM, Rachelson JV, Scott MA, Schiff-Elfalan TL, Yamada S, Like RC, Zoppi K, Catinella AP, Frankel RM, Prasad S. Storylines of family medicine II: foundational building blocks-context, community and health. Fam Med Community Health 2024; 12:e002789. [PMID: 38609084 PMCID: PMC11029393 DOI: 10.1136/fmch-2024-002789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | | | - Tamala Carter
- Penn Center for Community Health Workers, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Geoffrey M Gusoff
- National Clinician Scholars Program, UCLA David Geffen School of Medicine, Los Angeles, California, USA
| | - Winston Liaw
- Health Systems and Population Health Sciences, University of Houston Tilman J Fertitta Family College of Medicine, Houston, Texas, USA
| | - Bich-May Nguyen
- Health Systems and Population Health Sciences, University of Houston Tilman J Fertitta Family College of Medicine, Houston, Texas, USA
| | - Joanna V Rachelson
- Southern New Mexico Family Medicine Residency Program, Las Cruces, New Mexico, USA
| | - Mary Alice Scott
- New Mexico Primary Care Training Program, Silver City, New Mexico, USA
- Anthropology, New Mexico State University, Las Cruces, New Mexico, USA
| | - Teresa L Schiff-Elfalan
- Family Medicine and Community Health, University of Hawai'i at Manoa John A Burns School of Medicine, Honolulu, Hawaii, USA
| | - Seiji Yamada
- Family Medicine and Community Health, University of Hawai'i at Manoa John A Burns School of Medicine, Honolulu, Hawaii, USA
| | - Robert C Like
- Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
| | - Kathleen Zoppi
- Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - A Peter Catinella
- Family Medicine - Transmountain, Texas Tech University Health Sciences Center, El Paso, Texas, USA
| | - Richard M Frankel
- Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA
| | - Shailendra Prasad
- Family Medicine and Community Health, University of Minnesota Medical School - Twin Cities Campus, Minneapolis, Minnesota, USA
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7
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Ventres WB, Stone LA, Wilson HJ, Sexton SM, Doukas DJ, Cerdeña JP, Kelley DM, Fetters MD, Haney JJ, Frey JJ. Storylines of family medicine XI: professional identity formation-nurturing one's own story. Fam Med Community Health 2024; 12:e002827. [PMID: 38609080 PMCID: PMC11029241 DOI: 10.1136/fmch-2024-002827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 02/22/2024] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Hamish J Wilson
- General Practice and Rural Health, University of Otago Dunedin School of Medicine, Dunedin, New Zealand
| | - Sumi M Sexton
- Family Medicine, Georgetown University School of Medicine, Washington, District of Columbia, USA
| | - David J Doukas
- Family and Community Medicine, Tulane University School of Medicine, New Orleans, Louisiana, USA
| | - Jessica P Cerdeña
- Family Medicine Residency Program, Middlesex Health, Middletown, Connecticut, USA
| | - David M Kelley
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Michael D Fetters
- Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - Jeffrey J Haney
- Medical Education and Clinical Sciences, Washington State University, Spokane, Washington, USA
| | - John J Frey
- Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA
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Ventres WB, Stone LA, Abou-Arab ER, Meza J, Buck DS, Crowder JW, Edgoose JYC, Brown A, Plumb EJ, Norris AK, Allen JJ, Giammar LE, Wood JE, Dickson SM, Brown GA. Storylines of family medicine IX: people and places-diverse populations and locations of care. Fam Med Community Health 2024; 12:e002826. [PMID: 38609086 PMCID: PMC11029404 DOI: 10.1136/fmch-2024-002826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Emad R Abou-Arab
- Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
| | - Julio Meza
- Family Medicine, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, California, USA
| | - David S Buck
- Community Medicine, University of Houston, Tilman J Fertitta Family College of Medicine, Houston, Texas, USA
| | - Jerome W Crowder
- Social and Behavioral Sciences, University of Houston, Tilman J Fertitta Family College of Medicine, Houston, Texas, USA
| | - Jennifer Y C Edgoose
- Family Medicine and Community Health, University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Alexander Brown
- NH Dartmouth Family Medicine Residency, Concord, New Hampshire, USA
| | - Ellen J Plumb
- San Francisco VA Medical Center, San Francisco, California, USA
| | - Amber K Norris
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Jay J Allen
- Duluth Family Medicine Residency Program, University of Minnesota Medical School Duluth Campus, Duluth, Minnesota, USA
| | - Lauren E Giammar
- Duluth Family Medicine Residency Program, University of Minnesota Medical School Duluth Campus, Duluth, Minnesota, USA
| | - John E Wood
- Duluth Family Medicine Residency Program, University of Minnesota Medical School Duluth Campus, Duluth, Minnesota, USA
| | - Scott M Dickson
- UAMS Northeast Regional Campus Family Medicine Residency Program, Jonesboro, Arkansas, USA
| | - G Austin Brown
- Cascades East Family Medicine Residency Program, Oregon Health & Science University School of Medicine, Klamath Falls, Oregon, USA
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9
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Ventres WB, Stone LA, LaVallee LA, Loxterkamp D, Brown JR, Waxman DM, Dorward PS, Cawse-Lucas J, Mauksch LB, Kieber-Emmons AM, Crabtree BF, Miller WL, Brohm VM, Daaleman TP, Bossenbroek Fedoriw K. Storylines of family medicine VI: ways of being-in the office with patients. Fam Med Community Health 2024; 12:e002793. [PMID: 38609089 PMCID: PMC11029328 DOI: 10.1136/fmch-2024-002793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Lisa A LaVallee
- MAHEC Family Medicine Residency, Mountain Area Health Education Center, Asheville, North Carolina, USA
| | | | - Jonisha R Brown
- Family Medicine, Atrium Health, Charlotte, North Carolina, USA
| | - Dael M Waxman
- Family Medicine, Atrium Health, Charlotte, North Carolina, USA
| | | | - Jeanne Cawse-Lucas
- Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA
| | - Larry B Mauksch
- Family Medicine, University of Washington School of Medicine, Seattle, Washington, USA
| | - Autumn M Kieber-Emmons
- Family Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
- Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Benjamin F Crabtree
- Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey, USA
- Cancer Institute of New Jersey, New Brunswick, New Jersey, USA
| | - William L Miller
- Family Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
- Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Veronica M Brohm
- Family Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
- Morsani College of Medicine, University of South Florida, Tampa, Florida, USA
| | - Timothy P Daaleman
- Family Medicine, UNC School of Medicine, Chapel Hill, North Carolina, USA
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10
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Ventres WB, Stone LA, South-Paul JE, Campbell KM, Petty AR, Ekanadham H, Stange KC, Etz RS, Miller WL, Ferrer RL, Kong M, Bodenheimer T, Strasser R, Reece SCM, Freeman J, Westfall JM. Storylines of family medicine XII: family medicine and the healthcare system. Fam Med Community Health 2024; 12:e002829. [PMID: 38609091 PMCID: PMC11029432 DOI: 10.1136/fmch-2024-002829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2024] [Accepted: 02/23/2024] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | | | - Kendall M Campbell
- Family Medicine, University of Texas Medical Branch at Galveston School of Medicine, Galveston, Texas, USA
| | - Aerial R Petty
- Family Medicine Residency Program, New York-Presbyterian Columbia University Medical Center, New York, New York, USA
| | - Hima Ekanadham
- Center for Family and Community Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, New York, USA
| | - Kurt C Stange
- Center for Community Health Integration, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
| | - Rebecca S Etz
- Family Medicine and Population Health, Virginia Commonwealth University School of Medicine, Richmond, Virginia, USA
| | - William L Miller
- Family Medicine, Lehigh Valley Health Network, Allentown, Pennsylvania, USA
- University of South Florida Morsani College of Medicine, Tampa, Florida, USA
| | - Robert L Ferrer
- Family and Community Medicine, UT Health San Antonio Long School of Medicine, San Antonio, Texas, USA
| | - Marianna Kong
- Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Thomas Bodenheimer
- Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, California, USA
| | - Roger Strasser
- Northern Ontario School of Medicine University, Sudbury, Ontario, Canada
| | - Sharon C M Reece
- Family Medicine, Baylor Scott and White Health, Temple, Texas, USA
| | - Joshua Freeman
- Family Medicine, University of Kansas School of Medicine, Kansas City, Kansas, USA
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Ventres WB, Stone LA, Bryant WW, Pacheco MF, Figueroa E, Chu FN, Prasad S, Blane DN, Razon N, Mishori R, Ferrer RL, Kneese GS. Storylines of family medicine X: standing up for diversity, equity and inclusion. Fam Med Community Health 2024; 12:e002828. [PMID: 38609082 PMCID: PMC11029210 DOI: 10.1136/fmch-2024-002828] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Wayne W Bryant
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Mario F Pacheco
- Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico, USA
| | - Edgar Figueroa
- Medicine, Weill Cornell Medical College, New York, New York, USA
| | - Francis N Chu
- San Jose Family Medicine Residency, Kaiser Permanente, San Jose, California, USA
| | - Shailendra Prasad
- Family Medicine and Community Health, University of Minnesota Medical School-Twin Cities Campus, Minneapolis, Minnesota, USA
| | - David N Blane
- School of Health and Wellbeing, University of Glasgow, Glasgow, Glasgow, UK
| | - Na'amah Razon
- Family and Community Medicine, University of California, Davis, Sacramento, California, USA
| | - Ranit Mishori
- Family Medicine, Georgetown University School of Medicine, Washington, District of Columbia, USA
| | - Robert L Ferrer
- Family and Community Medicine, UT Health San Antonio Long School of Medicine, San Antonio, Texas, USA
| | - Garrett S Kneese
- UC San Diego Family Medicine Residency Program, San Diego, California, USA
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Ventres WB, Stone LA, Rowland KT, Streiffer RH, Macechko MD, Roulier JA, Borkan JM, Green LA. Storylines of family medicine I: framing family medicine - history, values and perspectives. Fam Med Community Health 2024; 12:e002788. [PMID: 38609088 PMCID: PMC11029363 DOI: 10.1136/fmch-2024-002788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 02/20/2024] [Indexed: 04/14/2024] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Leslie A Stone
- Family and Preventive Medicine, University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, USA
| | - Kathleen T Rowland
- Family and Preventive Medicine, Rush Medical College of Rush University, Chicago, Illinois, USA
| | - Richard H Streiffer
- College of Community Health Sciences, University of Alabama, Tuscaloosa, Alabama, USA
| | - Michael D Macechko
- UAMS Northwest Regional Campus Family Medicine Residency Program, Fayetteville, Arkansas, USA
| | - Julia A Roulier
- UAMS North Central Regional Campus Family Medicine Residency Program, Batesville, Arkansas, USA
| | - Jeffrey M Borkan
- Family Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA
| | - Larry A Green
- University of Colorado School of Medicine, Aurora, Colorado, USA
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Ventres WB. The Importance of Inclusivity During the Spiritual Assessment. Am Fam Physician 2023; 107:116. [PMID: 36791460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Ventres WB. Deeper Teaching: from Theory and Practice to Learner-Centered Medical Education. J Gen Intern Med 2023; 38:213-215. [PMID: 36163532 PMCID: PMC9849626 DOI: 10.1007/s11606-022-07815-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 09/14/2022] [Indexed: 01/22/2023]
Affiliation(s)
- William B Ventres
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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Ventres WB, Frankel RM. Personalizing the BioPsychoSocial Approach: "Add-Ons" and "Add-Ins" in Generalist Practice. Front Psychiatry 2021; 12:716486. [PMID: 34899410 PMCID: PMC8652412 DOI: 10.3389/fpsyt.2021.716486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Accepted: 10/26/2021] [Indexed: 11/13/2022] Open
Abstract
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.
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Affiliation(s)
- William B Ventres
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, United States
| | - Richard M Frankel
- Regenstrief Institute, Indiana University School of Medicine, Indianapolis, IN, United States
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Ventres WB. Letter to the Editor in Response to: Clayville K, Miller P. Sulmasy, et al.: Physician-Assisted Suicide: Against Medical Neutrality. J Gen Intern Med 2020; 35:2476. [PMID: 31950402 PMCID: PMC7403279 DOI: 10.1007/s11606-019-05591-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2019] [Revised: 08/06/2019] [Accepted: 11/28/2019] [Indexed: 11/25/2022]
Affiliation(s)
- William B Ventres
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, 4301 West Markham Street, Slot 530, Little Rock, AR, 72205, USA.
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Abstract
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.
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Affiliation(s)
- William B Ventres
- W.B. Ventres is Ben Saltzman, MD, Distinguished Chair in Rural Family Medicine, Department of Family and Preventive Medicine, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas; ORCID: https://orcid.org/0000-0003-3573-2845. B.K. Wilson is a PhD graduate, Institute for the Medical Humanities, University of Texas Medical Branch, Galveston, Texas; ORCID: https://orcid.org/0000-0002-6271-2885
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Abstract
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.
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Affiliation(s)
- William B Ventres
- Holds the Ben Saltzman, MD, Distinguished Chair in Rural Family Medicine at the University of Arkansas for Medical Sciences in Little Rock, Arkansas
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Ventres WB. On Teaching Health Centers and Underserved Care. Acad Med 2018; 93:818. [PMID: 29846227 DOI: 10.1097/acm.0000000000002197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- William B Ventres
- Assistant professor, Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas; ; ORCID: https://orcid.org/0000-0003-3573-2845
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Ventres WB. Intentional Exploration on International Service Learning Trips: Three
Questions for Global Health. Ann Glob Health 2017; 83:584-587. [DOI: 10.1016/j.aogh.2017.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Accepted: 09/19/2017] [Indexed: 01/10/2023] Open
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Abstract
In order to integrate the biological, psychological, social, and existential dimensions of care into my day-to-day clinical encounters with patients, I have worked to cultivate several intentions of practice. These intentions of practice-habits of mind that nurture my resolve to attend to patients as complex human beings- help me navigate my interactions with patients and families in ways that are simultaneously efficacious and therapeutic. When routinely recalled and adeptly implemented, they are what distinguish me as a competent and capable practitioner of person-centered care, when I am at my best, from when I am not. I present them here in hopes that others may find them useful as they progress down their ongoing paths as healing physicians.
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Affiliation(s)
- William B Ventres
- Institute for Studies in History, Anthropology and Archeology, University of El Salvador, San Salvador .,Department of Family Medicine, Oregon Health & Science University, Portland, Oregon
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Ventres WB. Voices From Family Medicine: On Becoming a Family Physician. Fam Med 2017; 49:127-131. [PMID: 28218938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
In this essay-part memoir, part reflection, and part oral history-I review my early professional development, a several years' long progression after residency training, during which I grew from functioning as a technically competent primary care doctor to being a capable and compassionate family physician. As part of that development, and with my colleague John Frey, MD, I interviewed several of the founders of the modern family medicine movement. Here I review some of their answers to the fundamental question of my early practice years: What does it mean to be a family physician? I cite some of their words of wisdom, those of particular import for me, and discuss how these words both helped me become a family physician and ring true even today as we approach the 50th anniversary of the founding of family medicine. I conclude by inviting other clinicians and educators in family medicine, those starting out in the field as well as those well on their way, to consider how their personal histories can help inform their involvement in the future of the discipline, especially in light of the ongoing Family Medicine for America's Health initiative. An educational mini-documentary accompanies this article and can be viewed at https://vimeo.com/198742471.
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Affiliation(s)
- William B Ventres
- University of El Salvador, Institute for Studies in History, Anthropology, and Archeology
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Affiliation(s)
- William B Ventres
- Institute for Studies in History, Anthropology and Archeology, University of El Salvador, San Salvador; Department of Family Medicine, Oregon Health and Science University, Portland.
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Abstract
Comments on the article by Kotay, Huang, Jordan, and Korin (see record 2016-22430-001). They tackle how to document patients' social histories in a way that is useful in real-time clinical practice-and explore the implementation of a new electronic health record (EHR) template specifically built to support their residency practice's commitment to addressing the social dimensions of patients' lives. For all of us convinced that the simultaneous integration of the biological, social, psychological, and existential dimensions of care is key to the practice of primary care, there are many questions to explore in relation to using EHRs. How are we going to do this in an environment that preferentially supports particularized data over an engaged awareness of context? How are we going to convince those with the technological expertise and administrative power that the transmission of information alone is not a substitute for insight, meaning, and relationships (Ventres & Frankel, 2010)? And ultimately, how are we going to make sure the EHR works for us instead of against us? Kotay and her colleagues have not answered all these questions in their study-such a task is beyond the abilities of one person or group of researchers- but along with others they have begun to illuminate a way forward (Cifuentes et al., 2015; Glowa-Kollisch et al., 2014). May we all now strive to continue the work that these authors have started. (PsycINFO Database Record
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Affiliation(s)
- William B Ventres
- Institute for Studies in History, Anthropology and Archeology, University of El Salvador
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Abstract
In this article, I introduce the concept of the space-in-between. This space-in-between is born of the realization that, between the expression of any two polarities (across dimensions such as emotion, thought, geography, and ideology), there exists a philosophical construct useful for framing thinking about practice, research, and managerial relationships in the health professions. Out of this construct emerge practical considerations useful for structuring the conduct of meaningful interpersonal and intercultural interactions. I describe how the idea of a space-in-between developed out of my medical practice, grew as a result of my experiences in international environments. and has found fulfillment in my ongoing work. I explore the application of a space-in-between in public health, medical anthropology, medical ethics, and global health. I review how, as a result of incorporating this space in their daily work, clinicians, educators, researchers, and managers can grow as leaders by sharing the presence that arises from the space-in-between them and the people in the communities they serve.
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Affiliation(s)
- William B Ventres
- University of El Salvador, San Salvador, El Salvador Oregon Health & Science University, Portland, Oregon, USA
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Abstract
My personal ethos of healing is an expression of the belief that I can and do act to heal patients while I attend to the traditional goals of medicine. The 7 supporting principles that inform my ethos are dignity, authenticity, integrity, transparency, solidarity, generosity, and resiliency. I invite others, including medical students, residents, and practicing physicians, to reflect and discover their own ethos of healing and the principles that guide their professional growth. A short digital documentary accompanies this essay for use as a reflective prompt to encourage personal and professional development.
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Affiliation(s)
- William B Ventres
- Department of Family Medicine, Oregon Health & Science University, Portland, Oregon, USA Institute for Studies in History, Anthropology and Archeology, University of El Salvador, San Salvador, El Salvador
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Ventres WB, Wilson CL. Beyond ethical and curricular guidelines in global health: attitudinal development on international service-learning trips. BMC Med Educ 2015; 15:68. [PMID: 25884962 PMCID: PMC4393612 DOI: 10.1186/s12909-015-0357-7] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Accepted: 03/27/2015] [Indexed: 05/14/2023]
Abstract
BACKGROUND Health professionals from high-income countries are increasingly becoming involved in international service-learning trips in low and low/middle-income countries. While much has been written about the ethics and curricular guidelines related to such endeavors, scant attention has been paid to the attitudes with which trainees and clinicians enter into or return from them. In this essay the authors explore how attitudes contribute to the success or failure of international service-learning trips. DISCUSSION The authors submit that the attitudes with which visiting health professionals approach international service-learning trips are much more critical to the success of these experiences than their demonstrated knowledge base or specialized skill sets. They list five attitudes that can aid those participating in international service-learning trips. They list five troubling attitudes that, while common, those participating in international service-learning trips can learn to recognize and avoid. They suggest five strategies key to learning respectful attitudes that can foster success in such cross-cultural activities. Lastly, the authors review several concepts related to attitude development in short or long-term global health work. SUMMARY The attitudes with which visiting health professionals approach international service-learning activities can be important components of the success or failure of the experiences. Through thoughtful consideration of attitudes and approaches, participants on such trips can build a framework for rich and rewarding experiences in global medicine and global health.
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Affiliation(s)
- William B Ventres
- Institute for Studies in History, Anthropology and Archeology, University of El Salvador, San Salvador, El Salvador.
- Department of Family Medicine, Oregon Health and Science University, Portland, OR, USA.
- , Urbanización Buenos Aires III, Block H, Calle Los Maquilishuat, N° 3-A, San Salvador, El Salvador.
| | - Calvin L Wilson
- Department of Family Medicine, University of Colorado Anschutz School of Medicine, Denver, CO, USA.
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Abstract
Checklists have become popular in medical practice since the publication of surgeon Atul Gawande's book, The Checklist Manifesto: How to Get Things Right. Based on his 26 years of practice as a family physician and informed by scholarly works from other professional disciplines, the author suggests that although checklists are helpful for promoting habitual reflection, they are limited in scope and meaning, and more suited for procedural undertakings than the bio-psycho-social-existential orientation of generalist practice. The author reviews the characteristics of generalist practice and suggests that clinicians develop a list of questions to help them recall and examine concepts key to the exploration and management of routine and challenging situations with patients. He proposes his own Question-List, or Q-List, and recommends its adaptation for use as a manifesto to the rich and engaging work of generalist medicine.
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Ventres WB, Frankel RM. Patient-centered care and electronic health records: it's still about the relationship. Fam Med 2010; 42:364-366. [PMID: 20455111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Two of the most important developments in ambulatory practice over the past 20 years are the advent of patient and relationship-centered care (PRCC) and electronic health records (EHRs). However, there is a large gap in knowledge and practice between PRCC and EHR use. We believe the integration of PRCC with EHRs has the potential to personalize care, improve population-based care, and increase patient involvement. To accomplish this, advanced practitioners from both computer- and communication-centric disciplines must work together to establish systems that work synergistically. Research examining how outstanding clinicians use EHRs is essential to establish best practice models of use. As well, clinicians must examine how they use EHRs in their communication with patients, become aware of when the EHR hinders the human connection and when it enhances it, and develop a repertoire for using it simultaneously with PRCC.
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Ventres WB. A comment on a comment. Fam Med 2005; 37:158. [PMID: 15739126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/01/2023]
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Breeze MJ, Ventres WB. Beyond biochemistry: readings for early professional development. Fam Med 1999; 31:611-3. [PMID: 10554716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Affiliation(s)
- M J Breeze
- Oregon Health Sciences University, Portland, USA
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Ventres WB. Cultural encounters and family medicine: six lessons from South America. J Am Board Fam Pract 1997; 10:232-6. [PMID: 9159664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- W B Ventres
- Providence-Southeast Family Medicine, Portland, Ore 97206, USA
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Ventres WB, Frankel RM. Ethnography: a stepwise approach for primary care researchers. Fam Med 1996; 28:52-6. [PMID: 8720228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Ethnography is a research method borrowed from cultural anthropology and a disciplined method for understanding human conduct. It is a valid alternative to quantitative methods for primary care researchers. This article reviews the defining principles of ethnographic research, which uses principally observational methods to study actions and events that exist in natural situations. It is the job of ethnographic researchers to establish and frame their observations from the point of view of the people under observation. We present five steps fundamental to the development of an ethnographic research plan and a research case study that demonstrates the use of ethnography by a family physician.
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Affiliation(s)
- W B Ventres
- Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson, USA
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Abstract
Around the world, family medicine is emerging as an important model for the delivery of primary health care services. Clinician-educators from countries with successful family medicine programmes will be looked to for leadership in the international development of the specialty. Family medicine educators who are asked to teach internationally will face numerous challenges as they work to adapt their knowledge and expertise to fit local needs. These challenges can become either insurmountable obstacles or enriching experiences. The purpose of this article is to help guide educators as they explore, enter into and return from teaching family medicine abroad. It offers practical suggestions in response to three questions important in the course of work abroad: What are one's expectations for working abroad? What will one's attitude be toward daily work overseas? What will one have learned upon returning home? The suggestions can be used to enhance personal and professional development, promote common pathways in the development of family medicine as a specialty, and encourage bilateral exchange of knowledge and experiences among family physicians worldwide.
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Affiliation(s)
- W B Ventres
- Family Practice Residency Program, Universidad Nacional Experimental del Táchira, San Cristóbal, Venezuela
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Ventres WB. Useful outline for developing PBL lesson plans. Acad Med 1994; 69:975-976. [PMID: 7999190 DOI: 10.1097/00001888-199412000-00012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
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Ventres WB, Senf JH. Introducing a procedure using videotape instruction: the case of the lateral birth position. Fam Med 1994; 26:434-6. [PMID: 7523210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
BACKGROUND Videotapes have been variably successful in teaching physical examination skills, interviewing strategies, and clinically relevant didactic material to medical students, residents, and physicians. The literature does not include evaluations of their success in introducing procedural techniques into clinical practice. OBJECTIVES This study assessed whether the presentation of an instructional videotape influenced the adoption of a specific technique, assisting birth in the lateral position. METHODS Family practice residents, faculty, and physicians participated in educational presentations that reviewed how to assist childbirth in the lateral position. Three different formats were used for the presentations; an instructional videotape formed the core element of each presentation. Immediately following the presentations, and on one other occasion 4-6 months later, the participating physicians received questionnaires surveying their use of the lateral birth position. RESULTS Approximately 30% of the respondents who had not previously used the position used the lateral birth technique. Of the remaining respondents who had not used the technique, 64% considered using the technique with their laboring patients. Physicians who viewed the videotape in concert with other educational interventions were more likely to have adopted the new birth technique (P = .03). CONCLUSIONS An instructional videotape, as part of a structured, interactive presentation, can be used successfully to introduce a procedure into the clinical practices of family physicians.
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Affiliation(s)
- W B Ventres
- Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson
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Ventres WB. Hearing the patient's story: exploring physician-patient communication using narrative case reports. Fam Pract Res J 1994; 14:139-47. [PMID: 8053379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
OBJECTIVE This study employs narrative case reports to explore clinicians' interpretations of patients' words and behaviors. The purpose of this study is to investigate hospitalized patients' perspectives on medical issues and how these differ from their physicians' perspectives. METHODS Residents identified 19 hospitalized patients over a two-year period with whom they had problems communicating. These residents described the reasons they believed the problems existed and then they questioned the patients about their illness experiences, using an open-ended interview style. Interviewers shared interpretations about the interview and patient behavior. Data were recorded in journal form. RESULTS Common to each of the cases were misunderstandings between physicians and patients. The primary concerns of the residents (why they thought patients' behaviors were problematic) differed from the corresponding interpreted understandings of the patients' behaviors. Two case reports illustrate these observations. CONCLUSION This study illustrates how narrative case reports can facilitate the recognition of themes in physician-patient communication that refer to the psychological and social realms of sickness. Such an approach can help identify misperceptions between physicians and patients. Clinicians, educators, and researchers can use this approach, respectively, to improve relationships with patients, to enrich student and resident understandings of communication issues, and to develop new forums for sharing qualitative aspects of physician-patient communication.
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Affiliation(s)
- W B Ventres
- Department of Family and Community Medicine, University of Arizona College of Medicine
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Ventres WB. Family practice: on the cutting edge of medicine. Fam Med 1994; 26:208-9. [PMID: 8034136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Ventres WB. Communicating about resuscitation: problems and prospects. J Am Board Fam Pract 1993; 6:137-41. [PMID: 8452065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
BACKGROUND The Patient Self-Determination Act of 1991 implicitly encourages physicians to discuss advance directives and no-code orders with their patients. The medical literature to date, however, has done little to place resuscitative decision making in the context of how physicians, patients, and families communicate with one another. This paper investigates how interactions between involved parties affect the process and outcome of this decision making. METHODS Participant observation and open-ended interviews were conducted with patients, their families, resident physicians, and family medicine faculty members. RESULTS This report describes three social and cultural issues that commonly influence and shape the process of do-not-resuscitate decision making: judging competency and capacity, dealing with uncertainty, and recognizing attitudes toward death. CONCLUSIONS Improved understanding of the communicative process can facilitate the establishment of meaningful, therapeutic alliances between physicians, patients, and families at an influential juncture in the family life cycle.
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Affiliation(s)
- W B Ventres
- Department of Family and Community Medicine, University of Arizona College of Medicine, Tucson 85724
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Ventres WB. Success strategies. J Am Board Fam Pract 1992; 5:361. [PMID: 1580189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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