COMET Research

2017

Creating a tool to measure the effectiveness of sexual orientation and gender identity sensitivity training
Tuan Nguyen, Dr. Benjamin Laniakea, Dr. Steven Lin, and Dr. Catherine Forest   More 

Stanford has rolled out a brief, targeted sexual orientation and gender identity (SOGI) sensitivity training for physicians with the aims of improving the quality of health care for patients in the gender and sexual minority (GSM) community. Before the training was implemented, a pre- and post-assessment tool was developed to measure the effectiveness of the intervention. The tool was formulated to assess provider knowledge in 3 areas: SOGI terminology, proper use of gender pronouns, and the importance of integrating SOGI data fields into the electronic health record (EHR). With our findings, we plan to analyze changes in baseline knowledge, provider use of SOGI data fields, and the overall impact of training on provider comfort in caring for GSM patients.

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Creating an Antidepressant Wheel to Help Family Physicians Choose Antidepressants
Jimmy Yao and Dr. Steven Lin   More 

There are currently few point-of-care decision support tools to help family physicians choose antidepressants in a rational, evidence-based manner. We aimed to design a handheld circular wheel as an educational point-of-care decision support tool to help family physicians choose antidepressants based on a symptom cluster approach, originally published in 2014. This antidepressant wheel is a novel point-of-care decision support tool that may help family physicians choose antidepressants based on an evidence-based model.

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Impact of Scribes on Medical Student Education: A Pilot Study
Xibin Wu and Dr. Steven Lin   More 

Academic family medicine practices are starting to incorporate scribes into their clinical workflow. There is a lack of data on the impact of scribes on medical students’ learning. We conducted a mixed methods study to determine the impact of scribes on medical student education in a university-based family medicine practice. This research will be presented at the Society of Teachers in Family Medicine’s national conference in May of 2017.

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On the Fence Between Family Medicine and OB/GYN? How to Mentor Undecided Students
Eugenia Jernick and Dr. Steven Lin   More 

Family medicine focuses on providing longitudinal and comprehensive health care; however, it is losing a key role in maternity care. We conducted a mixed methods study of family medicine faculty and residents at our institution to examine their perspectives on maternity care. Participants reported that maternity care was an important factor in their career choice. This research will be presented at a roundtable discussion at the Society of Teachers in Family Medicine's national conference. It will engage participants in a discussion of the importance of maternity care in family medicine, how to mentor medical students on making a choice between OB/GYN and family medicine, and what the future of maternity care in family medicine may look like.

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Transforming the role of medical scribes to increase clinician and staff capacity
Vincent N. Le, Michelle Tay, Xibin Wu, Dr. Steven Lin   More 

To meet the growing demands on primary care and achieve the Triple Aim, many healthcare settings are redistributing responsibilities among non-physician members of their care teams. Increasingly, the responsibility of documenting patient encounters is being delegated to medical scribes, and healthcare systems that have already done so are reporting increased productivity and greater physician satisfaction. This project will be presented as a roundtable discussion at the Society of Teachers in Family Medicine's national conference in May of 2017. We will describe the motivation for, and our experience of, transforming the role of medical scribes to include other administrative elements of patient care, such as rooming patients, taking vitals, reviewing health maintenance reminders, writing after-visit summaries, and prepping procedures.

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