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post “Family Medicine Was All I Ever Wanted to Do” Dr. Phillip Wagner Read “Family Medicine Was All I Ever Wanted to Do”
Home Research Research Library Challenges Faced by Family Physicians Providing Advanced Maternity Care Challenges Faced by Family Physicians Providing Advanced Maternity Care 2018 Author(s) Eden, Aimee R, and Peterson, Lars E Topic(s) What Family Physicians Do Keyword(s) Maternity Care Volume Maternal and Child Health Journal Source Maternal and Child Health Journal Introduction Maldistribution of maternity care (MC) providers in the U.S. limits access to full spectrum MC services. Obstetricians are concentrated in urban areas with many rural areas reliant on family physicians (FP) to provide MC, yet fewer FPs are providing MC. The objective of this study was to understand the challenges FPs face in gaining skills in and providing advanced MC. Methods We conducted qualitative semi-structured interviews with 51 purposively sampled key stakeholders in family medicine MC (21 family medicine-OB fellowship directors, 19 past fellows, and 10 family medicine residency directors of programs with advanced MC training). Interviews were recorded, transcribed, and analyzed using an inductive approach to qualitative content analysis. Results Three primary challenges for FPs providing advanced MC emerged from the interviews. Training: most family medicine residency programs do not provide sufficient surgical OB training, so fellowship training is an important alternative for FPs to acquire such skills. Credentialing: obtaining hospital privileges to perform cesarean sections is unpredictable and highly variable by institution. Professional relationships: “turf battles” with other MC providers can limit FPs’ ability to provide care commensurate with their level of training. Discussion As the predominant provider of MC in rural and underserved areas, FPs need to be supported to provide advanced MC services. Possible strategies to accomplish this include: enhanced family medicine training in MC; policy changes to address credentialing inconsistencies; and improved team-based care for pregnant women to ensure that every woman has access to high quality MC. Read More ABFM Research Read all 2022 The Association of Practice Type and the Scope of Care of Family Physicians Go to The Association of Practice Type and the Scope of Care of Family Physicians 2023 Healthcare Workforce Implications of Physician Student Loan Repayment Funding Go to Healthcare Workforce Implications of Physician Student Loan Repayment Funding 2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic 1990 Residency training for rural primary care Go to Residency training for rural primary care
Author(s) Eden, Aimee R, and Peterson, Lars E Topic(s) What Family Physicians Do Keyword(s) Maternity Care Volume Maternal and Child Health Journal Source Maternal and Child Health Journal
ABFM Research Read all 2022 The Association of Practice Type and the Scope of Care of Family Physicians Go to The Association of Practice Type and the Scope of Care of Family Physicians 2023 Healthcare Workforce Implications of Physician Student Loan Repayment Funding Go to Healthcare Workforce Implications of Physician Student Loan Repayment Funding 2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic 1990 Residency training for rural primary care Go to Residency training for rural primary care
2022 The Association of Practice Type and the Scope of Care of Family Physicians Go to The Association of Practice Type and the Scope of Care of Family Physicians
2023 Healthcare Workforce Implications of Physician Student Loan Repayment Funding Go to Healthcare Workforce Implications of Physician Student Loan Repayment Funding
2021 Integrating primary care and public health to enhance response to a pandemic Go to Integrating primary care and public health to enhance response to a pandemic
