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Biomedical subjects

E Felmar

Publications and source records attributed to E Felmar.

12 recordsLinked to original sources
PubMed1997

Which procedures should be taught in family practice residency programs?

BACKGROUND: Family practice residencies lack clear guidelines defining which procedures should be included in their curricula. The American Academy of Family Physicians (AAFP) Task Force on Procedures developed a recommendation (approved by the AAFP Board of Directors) that can be used to create a set of procedures that should be taught in residencies. The task force recommendation is based on procedures taught in most family practice residencies and performed by most practicing family physicians. METHODS: The AAFP Task Force on Procedures surveyed all family practice residency programs and departments to determine which procedures they were teaching. The task force also surveyed a representative sample of practicing family physicians to find out which procedures they were performing. RESULTS: Residency programs and departments returned 397 surveys (74.1% response), and the sample of 4,400 practicing physicians returned 2,028 surveys (46.1% response). The survey data identified 69 procedures as being taught in most family practice residencies, and 30 of these procedures as being performed by most practicing family physicians. CONCLUSIONS: Many procedures can be identified as being taught in most family practice residencies or performed by most practicing family physicians. Fewer procedures are performed by practicing family physicians than are taught in residencies.

Clinical Competence↗
PubMed1986

AAFP--ASGE conjoint course on flexible sigmoidoscopy.

The first multidisciplinary course developed jointly by the American Academy of Family Physicians and the American Society for Gastrointestinal Endoscopy is described. This prototype program was designed to teach the skills of 35 cm flexible sigmoidoscopy (FS) to twenty family physicians. Gastroenterologist preceptors determined that all 20 family physicians could perform this procedural skill within ten supervised cases. A control group of family physicians was studied to determine flexible sigmoidoscope acquisition frequencies in separate cohorts (Continuing Medical Education (CME) versus no CME on flexible sigmoidoscopy). The study group acquired instruments more frequently (18/19 = 95%) (p less than or equal to .05) than those with previous CME on FS (8/14 = 57%) or without previous CME on FS (2/19 = 11%). Two-thirds of these physicians purchased 60-65 cm flexible instruments rather than the 35 cm instrument. Longitudinal studies will be required to determine whether or not this intervention will have a meaningful impact upon colorectal cancer screening behaviors by primary care physicians.

Education, Medical, Continuing↗
PubMed1984

Why flexible sigmoidoscopy instead of rigid sigmoidoscopy?

Representative outcome studies describing the procedures of rigid sigmoidoscopy and use of the 60-cm flexible sigmoidoscope are summarized. Subspecialist outcomes are compared with those obtained by family physicians. Family physicians consistently obtain similar insertion depths and diagnostic yields, although comparison is difficult because of referral bias and inconsistency regarding the reporting of hyperplastic polyps. No complications have been reported to date. Low physician and patient compliance with suggested guidelines for sigmoidoscopic examination may be partially responsible for unchanged five-year survival rates for colorectal cancer over the last 30 years. Preliminary studies indicate that the 60-cm flexible sigmoidoscope has improved compliance in at least one setting. Longitudinal cost-benefit studies should be performed in primary care settings.

Clinical Competence↗
PubMed1980

Termination of pregnancy by menstrual extraction.

Termination of pregnancy by means of "menstrual extraction" is a useful procedure for family physicians opting to offer this service to their patients. It is an easily performed procedure which, when compared to the presently available avenues for abortion, offers significant advantages in cost, diminished morbidity, and the opportunity for continuity of care by the primary physician. The procedure is successful in properly selected patients 99 percent of the time.

Abortion, Induced↗