Contents tagged with family medicine residency program
By Herbert Rosenbaum
By the end of my first year of medical school and destined for my “last summer ever,” I left my rigorous preclinical curriculum with an unsettling combination of exhaustion and frustration. I came to medical school to help the sick, not sit in some stuffy lecture hall, spend innumerable hours meticulously studying complicated biomolecular pathways, or learn about the zebras among zebra diagnoses. Despite my excitement at the beginning of medical school, the sobering realization of the academic and impersonal nature of preclinical years disturbed me immensely. I felt my zeal slowly seeping away. And, despite the strong push for students to pursue research activities during that precious summer, I knew neither pipetting for hours nor endless analysis of chart-reviewed data could ever recharge me.
In short, I needed a doctor – a mentor who could help me reinvigorate my passion for medicine.more
Working to build the Foundation of family medicine in Texas For decades the TAFP Foundation has focused on three strategic objectives: encouraging medical student … more
Dallas residency program wins AAFP vaccine grant The Methodist Family Medicine Residency Program of Dallas was awarded one of seven 2016 Senior Immunization Grants from … more
By Tom Banning
Yogi Berra famously said I hate making predictions, especially about the future. It’s particularly painful when those predictions come true as was the case for many of the predictions TAFP made at the outset of the 84th Texas Legislature on how health care issues would fare this session.
Playing to their primary voters, the House and Senate focused attention almost solely on tax cuts, border security, transportation, when and where you can carry a gun, and a host of other mostly inconsequential partisan ideas.more
The clock is winding down on the Texas Legislature
With less than a week left in the 84th Texas Legislature, many bills TAFP has been tracking have passed the House and the Senate … more
Explore family medicine
Are you interested in being a family doctor? There is no better time to become a family physician! The specialty of family medicine is well established in Texas and keeps … more
Farewell to a great family medicine educator
Mathis Blackstock, M.D., 1925-2012
TAFP life member and longtime residency program faculty Mathis Blackstock, M.D., passed away on Tuesday, July … more
By Jason Hill
RRNeT network coordinator
The Research Residency Network of Texas, or RRNeT, is a collaboration of 10 Texas family medicine residency programs across the state, representing 100 family physician faculty and 300 family medicine residents who see approximately 300,000 outpatient visits per year. The program is comprised of physicians and researchers who meet bi-monthly to discuss research projects. RRNET is united by a single goal: to generate medical research that meets the needs of our diverse patient population. RRNeT’s patients are comprised of Latinos (55 percent), African Americans (12 percent), Caucasians (27 percent), and Asians (4 percent).
To begin a study, physicians discuss reoccurring medical issues and concerns arising in their day-to-day clinical work. “What patient issues are most puzzling or worrisome?” A consensus answer to this question often determines the research agenda for the upcoming year. Each year, one or two large research studies are implemented. Research topics to date have included alternative medicine use, medication compliance, teen preventive care, cost-efficient care, low back pain, and obesity. After selecting a research topic, RRNeT members derive specific research aims to shed light on underlying causes, further describe the topic, and test linkages between the causes and associated health outcomes. Then study design, sampling, procedures, and data collection processes are determined. At this point, RRNeT members acquire permission to conduct the study with their respective institutional review boards.more
By David W. Bauer, M.D.
When is a patient-centered medical home not a patient-centered medical home? In my practice, the answer is “every day.” In 2009 we received NCQA’s designation as a Level 3 PCMH. To achieve this, our physicians had to document ways in which our patients had enhanced access to our practice, provide examples of how we use evidence-based guidelines to provide quality care, demonstrate the means by which we coordinated care across time and space, and a number of other measures. We do, in fact, do those things every day. What we don’t do, is do all of them for every single patient, every single day.
Consider the analogy of a patient with diabetes whose hemoglobin A1c is 6.9. We would say that the patient’s diabetes is well controlled and congratulate the patient. But there are many ways that a patient could achieve this value. One would be to have very little fluctuation of her glucose from hour to hour. Another would be for the patient to drop into the 40s overnight, and climb to 200 immediately after meals. The hemoglobin A1c is an average, and doesn’t factor in variation. For years, decreasing variation has been the mantra of those working to improve quality, increase efficiency, and decrease medical errors in the hospital setting. As we migrate toward a new model of health care in this country—the PCMH—it would be valuable to embrace this concept in our offices as well.more
Texas family medicine residency programs
Why choose a Texas family medicine residency program?
Texas is a great place to train to be a family physician. Texas supports its residents by: … more