American Board of Family Medicine

Coordinated by ABFM Diplomate and United States Air Force Col. Brian Neese, the 12th Air Force (Air Forces Southern) Lesser Antilles Medical Assistance Team (LAMAT) spent two weeks treating underserved patients at St. Lucia’s Owen King European Hospital in early 2024. During their mission, the LAMAT successfully completed 48 vascular surgeries, improved supply management, and educated local medical personnel on new aspects of caring for nephrology patients. Read more about the work of Col. Brian Neese and his team at https://bit.ly/3YVqreP #MyABFM #DABFM #FamilyMedicine #USAirForce #AFSouthern #USAF

In patients with COPD, which one of the following inhaled medications has been shown to reduce exacerbations and exacerbation-related hospitalizations? A. Albuterol (Proventil, Ventolin) B. Fluticasone (Flovent) C. Ipratropium (Atrovent) D. Salmeterol (Serevent) E. Tiotropium (Spiriva)

We hope you have enjoyed learning more about the characteristics and contributions of family medicine as a discipline. We would love to hear how you have used the information from the Family Medicine Factbook to inform and support family medicine research, education, reform, and advocacy. Please comment below! Download the Family Medicine Factbook PDF here: https://lnkd.in/ezYyT4_5

A 64-year-old male with midsternal chest pain is brought to the emergency department by ambulance. He is on oxygen and an intravenous line is in place. Shortly after arrival he loses consciousness and becomes pulseless and apneic, and CPR is begun. Cardiac monitoring shows ventricular tachycardia with a rate of 160 beats/min. Which one of the following would be most appropriate at this point? A. Amiodarone, intravenous infusion, followed by synchronized cardioversion B. Adenosine (Adenocard), rapid intravenous push, repeated in 1–2 minutes if needed C. Epinephrine, intravenous push, followed by synchronized cardioversion D. Lidocaine (Xylocaine), intravenous push, repeated in 5 minutes if needed E. Defibrillation

Gender pay gaps in medicine can be detected at a very early career stage. A recent ABFM research study explores women’s experiences negotiating for their first job out of residency to understand their engagement with and approach to the negotiation process. Read the study: https://bit.ly/4e4QK6H

EHRs have been widely available for two decades now, but there are still major challenges in integrating them into clinical practice. A recent ABFM study on EHR satisfaction finds that of 10,000 responding family physicians, only one-in-four (26.2%) report being very satisfied, and one-in-three (33.8%) were not satisfied. Read the study: https://bit.ly/3NDCirs

Despite ongoing efforts, the U.S. continues to face a growing primary care workforce shortage, exacerbated by an aging population, increased healthcare demands, and heightened burnout. Recent study by ABFM and the Robert Graham Center shows that by 2040, we will need over 57,000 additional primary care providers to meet rising demands. Read the study: https://bit.ly/3BYNtbO

A 29-year-old gravida 2 para 1 comes to the hospital for scheduled induction of labor at 41 weeks. Her last delivery was a spontaneous vaginal delivery without complications. Her pregnancy has been uneventful. Oxytocin (Pitocin) is used during induction according to the hospital protocol and her labor progresses without difficulty. Which one of the following should be AVOIDED to minimize the risk of postpartum hemorrhage in this patient? A. Administration of oxytocin with delivery of the anterior shoulder B. Controlled cord traction C. Active management of the third stage of labor D. Routine episiotomy E. Manual removal of a retained placenta

Recent study using ABFM data found that male family physicians had higher hourly wages than female family physicians across all racial/ethnic groups except for Black/African American males – although this group reported more working hours than any other group. Read the Factbook: https://bit.ly/47N5Uw5 #FMFactbookFriday

Which one of the following is the most reliable measure to protect children from lead toxicity in the United States? A. Anticipatory guidance for parents and caregivers during well child visits B. Checking the serum lead level after a known exposure C. Eliminating the sources of lead in the community D. Iron and calcium supplementation to reduce lead absorption E. Providing appropriate cleaning equipment to families with known lead in the home