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
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Home Research Research Library The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas The Declining Scope of Practice of Family Physicians Is Limited to Urban Areas 2021 Author(s) Nasim, Urooj, Morgan, Zachary J, and Peterson, Lars E Topic(s) What Family Physicians Do Keyword(s) Visiting Scholar/Fellow Volume Journal of Rural Health Source Journal of Rural Health PURPOSE: Scope of practice of family physicians (FPs) has been decreasing overall. Our objective was to determine if the distribution of declining scope occurs across urban and rural settings. METHODS: We used secondary data from practicing FPs collected on the American Board of Family Medicine examination registration demographic questionnaire from 2014 to 2016 on scope of practice merged with county-level data from the Area Health Resources File. Rurality was assigned using 4 population-based groupings from the Rural Urban Continuum Codes. Outcome measures were scope of practice score (0-30, higher score reflecting broader scope) and provision of specific types of care/procedures. Bivariate statistics assessed changes in scope of practice over time. Adjusted regression models tested associations between time, physician, practice, and county characteristics with scope of practice score. FINDINGS: Our sample was 27,343 practicing FPs. Overall, the scope score decreased from 15.5 to 15.0 (P value < .05) but was significant only for urban settings. Regression analysis found that scope decreased each year (β = -0.15), broader scope for rural FPs, and no interaction between year and rural. CONCLUSIONS: The decrease in FP scope of practice is largely an urban phenomenon. FPs in rural areas have a broad scope of practice, which may ensure access to care in rural areas that rely on FPs to provide a large portion of health care services. However, county characteristics like persistent poverty and the presence of nurse practitioners, physician assistants, and other physicians were associated with changes in scope that may modify the gains associated with rurality. Read More ABFM Research Read all 2017 Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics Go to Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics 2015 A majority of family physicians use a hospitalist service when their patients require inpatient care Go to A majority of family physicians use a hospitalist service when their patients require inpatient care 2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. 2015 Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance Go to Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance
Author(s) Nasim, Urooj, Morgan, Zachary J, and Peterson, Lars E Topic(s) What Family Physicians Do Keyword(s) Visiting Scholar/Fellow Volume Journal of Rural Health Source Journal of Rural Health
ABFM Research Read all 2017 Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics Go to Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics 2015 A majority of family physicians use a hospitalist service when their patients require inpatient care Go to A majority of family physicians use a hospitalist service when their patients require inpatient care 2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. 2015 Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance Go to Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance
2017 Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics Go to Intention Versus Reality: Family Medicine Residency Graduates’ Intention to Practice Obstetrics
2015 A majority of family physicians use a hospitalist service when their patients require inpatient care Go to A majority of family physicians use a hospitalist service when their patients require inpatient care
2014 A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States. Go to A Retrospective Analysis of the Relationship between Medical Student Debt and Primary Care Practice in the United States.
2015 Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance Go to Family physicians’ scope of practice and American Board of Family Medicine recertification examination performance
