http://www.rssboard.org/rss-specification 720 https://escholarship.org/uc/ucsdsom_fmrd/rss Recent eScholarship items from Family Medicine Research Symposium Fri, 19 Jun 2026 10:27:41 +0000 https://escholarship.org/uc/item/4hz409fm The University of California San Diego (UCSD) School of Medicine (SOM) is transitioning its third-year primary care curriculum from a year-long longitudinal primary care course to a three-week clerkship in Family Medicine (FM). Additionally, there is a lack of FM physicians in the US, and limited information on what factors affect students’ decisions to enter FM. The aim of this pilot study is to analyze the effects of introducing sub-specialty tracks within an FM clerkship on student attitudes towards FM. A limiting factor for students within FM clerkships is that often they are not exposed to the full spectrum of FM. The aim of the tracks is to demonstrate that there are many FM clinicians practicing what may be considered more specialized aspects of primary care, including sports, sexual and reproductive health, and lifestyle and integrative medicine. There is a pre-existing family medicine clerkship for fourth-year medical students (FPM 426), which will serve as the pilot... https://escholarship.org/uc/item/4hz409fm Thu, 11 Jul 2024 00:00:00 +0000 Kneese, Garret Xu, Jason Kneese, Garrett Celebi, Julie Wilkinson, Lesley Lynch, Allison Johnson, Michelle https://escholarship.org/uc/item/9056053s <p>Introduction: Urinary incontinence (UI) affects an estimated 51% of US adult women. This is a comparative effectiveness study of practice-based interventions to improve UI care quality and reduce health disparities.</p><p> Objectives: Compare the effectiveness of two nonsurgical UI interventions on care quality, shared decision making (SDM), patient-centered outcomes and knowledge. Determine if interventions reduce care disparities and knowledge gaps in underserved Spanish-speaking Latinas.</p><p> Methods: Sixty primary care physicians (PCPs) from 3 health systems will be randomized into two arms. In Arm 1,patients are co-managed by urology advanced practice provider (APP) and PCP. APP provides UI care, education, and self-management by telemedicine. In Arm 2, patients are co-managed by PCP and urologist. Urologist electronically reviews referral for appropriate primary UI care and provide recommendations if indicated. In both arms, PCPs receive academic detailing and electronic... https://escholarship.org/uc/item/9056053s Fri, 21 Jun 2024 00:00:00 +0000 Gin, Geneen Cheng, Terri Dolendo, Isabella Bell, Douglas Grisales, Tamara Huded, Jill Koola, Jejo Kowalik, Casey Lukacz, Emily Millen, Marleen Okamuro, Kyle Reuben, David Santiago-Lastro, Yahir Singer, Jennifer Tai-Seale, Ming Vaida, Florin Venger, Neil Zhu, Xi Bergman, Jonathon Anger, Jennifer Souders, Colby https://escholarship.org/uc/item/8gz2j2x1 The warm handoff (WHO) has long been considered an essential and necessary element of integrated behavioral health (IBH). It is seen as critical to improving patient access and engagement with behavioral health care. While some studies have demonstrated that WHOs improve engagement with behavioral health care, other studies have revealed contradictory results. These mixed findings suggest that more nuanced examination may help elucidate other factors that increase the effectiveness of WHOs in improving access and patient engagement with behavioral health care. Our study seeks to expand on the existing literature by examining 1) whether WHOs increase patient engagement with behavioral health services, 2) what factors increase the likelihood of a WHO, 3) whether the content of the WHO (e.g., inclusion of brief intervention) or non-WHO factors (e.g., time on waitlist) impact engagement with behavioral health services. To address these questions, we extracted Electronic Health Record... https://escholarship.org/uc/item/8gz2j2x1 Fri, 21 Jun 2024 00:00:00 +0000 Lebensohn-Chialvo, Florencia Sudano, Laura Sieber, William Merrill, Sarah https://escholarship.org/uc/item/8gk2766s Family Medicine physicians provide contraceptive, prenatal, and obstetric care; however, within our department physicians had not historically prescribed abortion medications to clinic patients. Early abortion care is within the scope of family medicine and is considered part of full reproductive health care for our patients. Research shows patients are open to and prefer to have abortion care from their primary care physician1 . It is estimated that one in four women will have an abortion by 45 years old2. This quality improvement project aims to improve health and healthcare access to persons seeking pregnancy termination or needing early pregnancy loss medication management. Following the PDSA cycle, planning included partnering with department leadership for approval, collaborating with MedStaff for physician privileging and malpractice coverage, building templates for the electronic medical record (EMR) with clinical informatics, training support staff at all three clinics,... https://escholarship.org/uc/item/8gk2766s Fri, 21 Jun 2024 00:00:00 +0000 McMillen, Caitlin Merrill, Sarah Morn, Cassandra https://escholarship.org/uc/item/7d53c8rs Background Artificial intelligence (AI) is a rapidly advancing field that is beginning to enter the practice of medicine. Primary care is a cornerstone of medicine and deals with challenges such as physician shortage and burnout which impact patient care. AI and its application via digital health is increasingly presented as a possible solution. However, there is a scarcity of research focusing on primary care physician (PCP) attitudes toward AI. This study examines PCP views on AI in primary care. We explore its potential impact on topics pertinent to primary care such as the doctor-patient relationship and clinical workflow. By doing so, we aim to inform primary care stakeholders to encourage successful, equitable uptake of future AI tools. Our study is the first to our knowledge to explore PCP attitudes using specific primary care AI use cases rather than discussing AI in medicine in general terms. Methods From June to August 2023, we conducted a survey among 47 primary care... https://escholarship.org/uc/item/7d53c8rs Fri, 21 Jun 2024 00:00:00 +0000 Allen, Matthew Webb, Sophie Mandvi, Ammar Frieden, Marshall Tai-Seale, Ming Kallenberg, Gene https://escholarship.org/uc/item/70n0533h Research Question / QI Topic: Multimodal lifestyle interventions are the first line for obesity treatment with the Shared Medical Appointment (SMA) model offering a framework for educating groups of patients sharing common diagnoses, combined with individualized medication management. Despite their effectiveness in promoting weight loss and improving metabolic outcomes, the influence of lifestyle medicine SMAs on psychosocial and lifestyle outcomes remains underexamined. This study investigates the extent to which participation in a virtual, lifestyle medicine-focused SMA program affects these important factors. Data and Methods: Data comes from a retrospective chart review of 172 patients enrolled in the Supervised Lifestyle and Integrative Medicine (SLIM) program, a virtual, lifestyle medicine-focused, SMA program for weight management. Eligible patients included individuals 18 years of age or older and with a body mass index (BMI) of at least 30 kg/m2 or 27 kg/m2 with at least... https://escholarship.org/uc/item/70n0533h Fri, 21 Jun 2024 00:00:00 +0000 Qazi, Andrew Kirbach, Kyleigh Andrade, Ana Tabassum, Mahzabin Sannidhi, Deepa https://escholarship.org/uc/item/506588vx Background: Clinical practice for detection, evaluation, management and support of patients and families dealing with Mild Cognitive Impairment/Dementia is not well standardized. Earlier detection affords patients and their family caregivers greater opportunity to come to terms with the challenge of MCI and to arrange coping plans for the present and future. Methods: We undertook an intervention to improve standardization of MCI care that included clinician education, experiential learning of mindful self-compassion skills and EPIC-based supportive tools for clinical decision support, documentation, orders and patient education. These interventions were carried out in a step-wedge approach with two of our FM clinics (SR first followed by GEN) in 6 month time periods. 6-9 clinicians in each clinic participated. Results: Educational and experiential mindful self-compassion experience interventions were well received and resulted in improvements in self-reported comfort and skill... https://escholarship.org/uc/item/506588vx Fri, 21 Jun 2024 00:00:00 +0000 Kallenberg, Gene https://escholarship.org/uc/item/41c56444 The COVID-19 pandemic has introduced and worsened many barriers to accessing healthcare, especially in the management of diabetes. To no surprise, this resulted in poorer glycemic control and delays in routine screening in patients with diabetes. While a prior study has shown the high-quality diabetes care that patients receive at the UC San Diego Student Run Free Clinic Project (SRFCP), this project examined the effects of the COVID-19 pandemic on diabetes management in this unique population. Diabetes outcome measures were analyzed within the two years prior to, and the two years immediately following the start of the pandemic and compared to previously published outcomes of the SRFCP. For many of the process measures and diabetes clinical outcome measures, there was no difference to or even an improvement during the pandemic. During the pandemic, patients with diabetes recorded higher systolic blood pressures and lower triglyceride values. Female patients with diabetes also... https://escholarship.org/uc/item/41c56444 Fri, 21 Jun 2024 00:00:00 +0000 Johnson, Michelle Yu, Jimmy Rodriguez, Natalie https://escholarship.org/uc/item/4085c30s Background: Over 100,000 people are currently waiting for organ transplants in the United States, and tragically 17 people die each day while waiting for an organ. Efforts to reduce these deaths have been made at many levels along the donation pathway, from increasing organ donation registration, to improving surgical techniques that optimize organ procurement. Objective: Our goal is to implement interventions in Primary Care to reduce deaths of those awaiting transplant. Methods: The first step will be a review of the existing literature on transplant-related interventions in the Primary Care setting. Multiple databases including PubMed, MedLine, and Google Scholar will be systematically searched. Results of these efforts will be synthesized and presented in a poster for the UC San Diego Family Medicine Department Research symposium. Results: Preliminary results show a wealth of data on a wide spectrum of efforts to reduce deaths on the transplant list. However, as searches are... https://escholarship.org/uc/item/4085c30s Fri, 21 Jun 2024 00:00:00 +0000 Lindeman, Kurt Rahman, Akbar https://escholarship.org/uc/item/28q9j8kv Research Question: The goal of this study is to assess the impact of a required, quarter-long preparatory course on medical students’ ability to effectively participate in a student-run free clinic and grapple with its ethical nuances. Methods: A one-time, cross-sectional survey was administered to all 55 students in the UCSD Student-Run Free Clinic Project’s (SRFCP) quarter-long introductory course. A Linkert 5-point scale was used to survey student’s impressions of how the course impacted 1) clinical skills, 2) understanding of ethics, 3) social and community issues, 4) sense of community, and 5) future motivation to work with the underserved. Mean scores (with standard deviations) were generated for each topic. Results: Students found the course useful for building a variety of clinical skills (3.97), including newly designed sessions such as working with interpreters (4.18) or effectively pre-charting (3.95). The course also deepened students’ awareness of social issues (4.08)... https://escholarship.org/uc/item/28q9j8kv Fri, 21 Jun 2024 00:00:00 +0000 Prakash, Varsha Kaur, Nanki Rodriguez, Natalie Johnson, Michelle https://escholarship.org/uc/item/1tk4j41b Care of the female athlete has come to the forefront of the Sports Medicine Field as of late for many reasons. One of the areas is related to the impact the menstrual cycle has on athletic performance in the biologically female athlete. The Sports Performance team at a Division I University organized a Female Athlete Summit aimed at educating their scholar athletes about the female specific physical and mental aspects of sport. Our goal was to establish a baseline of knowledge in the body of female athletes about the effects of the menstrual cycle has on athletic performance. 46 completed the pre-summit survey, and 37 completed the post-summit. De-identified data was reviewed and demonstrated an average pre-summit knowledge base of 5.065, and a post-summit knowledge base of 8.838 out of a scale of 0 to 10, 0 being having no knowledge, and 10 being having all the knowledge. Another survey demonstrated an average period length of 4.069 days, the most common symptoms experienced... https://escholarship.org/uc/item/1tk4j41b Fri, 21 Jun 2024 00:00:00 +0000 Leu, Amy Sharma, Priya Caragee, Catherine