research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Diplomate Spotlight “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 Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations Small Independent Primary Care Practices Serving Socially Vulnerable Urban Populations 2024 Author(s) Rittenhouse, Diane R, Peebles, Victoria, Mack, Caroline, Alvarez, Cindy, and Bazemore, Andrew W Topic(s) Role of Primary Care Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE This mixed methods study sought to describe the extent to which family physicians in urban communities serve socially vulnerable patients and to better understand their practices, their challenges, and the structural supports that could facilitate their patient care. METHODS We conducted a quantitative analysis of questionnaire data from 100% of US physicians recertifying for family medicine from 2017 to 2020. We conducted qualitative analysis of in-depth interviews with 22 physician owners of urban, small, independent practices who reported that the majority of their patients were socially vulnerable. RESULTS In 2020, in urban areas across the United States, 19.3% of family physicians served in independent practices with 1 to 5 clinicians, down from 22.6% in 2017. Nearly one-half of these physicians reported that >10% of their patients were socially vulnerable. Interviews with 22 physicians who reported that the majority of their patients were socially vulnerable revealed 5 themes: (1) substantial time spent addressing access issues and social determinants of health, (2) minimal support from health care entities, such as independent practice associations and health plans, and insufficient connection to community-based organizations, (3) myriad financial challenges, (4) serious concerns about the future, and (5) deep personal commitment to serving socially vulnerable patients in independent practice. CONCLUSIONS Small independent practices serving vulnerable patients in urban communities are surviving because deeply committed physicians are making personal sacrifices. Health equity–focused policies could decrease the burden on these physicians and bolster independent practices so that socially vulnerable patients continue to have options when seeking primary care. Read More ABFM Research Read all 2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training
Author(s) Rittenhouse, Diane R, Peebles, Victoria, Mack, Caroline, Alvarez, Cindy, and Bazemore, Andrew W Topic(s) Role of Primary Care Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training
2022 Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Go to Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries
2013 Unequal Distribution of the U.S. Primary Care Workforce Go to Unequal Distribution of the U.S. Primary Care Workforce
2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups
2013 The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training Go to The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training
