title: Teaching family in family medicine residency programs: results of a national survey.
abstract: OBJECTIVE
  Integrating family into family medicine has been recognized as important for the discipline, yet there is little known about how family-oriented care is taught in training environments. This paper presents results of a national survey assessing the status of teaching family concepts/skills in family medicine residency programs.
  
  
  METHODS
  We sought to survey the program director (PD), a behavioral science faculty (BSF), and a chief resident (CR) from all 454 Accreditation Council for Graduate Medical Education (ACGME) family medicine residency programs.
  
  
  RESULTS
  Respondents (n=489) were PDs (29%), CRs (34%), and BSF (36%). Of all respondents, 47% to 66% believe that integrating family concepts/skills into family medicine training is very important (highest level of importance). However, only 19%--23% believe their own programs place this level of importance on this curricular area. Less weight is given to family topics when compared with other behavior science subjects. Behavioral scientists who reported inclusion of (1) family concepts/skills in the formulation of ACGME competencies, (2) evaluation of residents on these skills, or (3) the presence of a family champion or scholar in the program, all reported teaching significantly more family-oriented skills compared to those that did not, respectively, 1 (6.96 versus 4.48), 2 (6.55 versus 4.97), and 3 (6.62 versus 4.54).
  
  
  CONCLUSIONS
  Teaching about the family in family medicine continues to be highly valued among educators and their trainees; however, it is not perceived to be similarly valued in residency programs. Current changes in health care offer opportunities to promote and affirm family-oriented care. New curricular strategies are needed so that family-oriented care continues to define the uniqueness of family medicine.
authors.affiliation: Department of Family and Social Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
authors.forename: Eliana C
authors.initials: EC
authors.lastname: Korin
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Odom
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Newman
authors.forename: Jason
authors.initials: J
authors.lastname: Fletcher
authors.forename: Claudia
authors.initials: C
authors.lastname: Lechuga
authors.forename: M Diane
authors.initials: MD
authors.lastname: McKee
mesh_terms: D001525:Behavioral Sciences / Q000193:education*; D003479:Curriculum / Q000706:statistics & numerical data; D003625:Data Collection; D004503:Education, Medical, Graduate / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D005192:Family Health / Q000193:education* / Q000706:statistics & numerical data; D005194:Family Practice / Q000193:education* / Q000379:methods / Q000592:standards; D006801:Humans; D007396:Internship and Residency / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D014481:United States