Tag Archives: medicine

The STFM Medical Editing Fellowship: A Gateway to Scholarly Growth For Community Physicians

Priyanka Tulshian, MD, MPH
STFM Medical Editing Fellow (2023-2024)

The path of a community physician is replete with personal patient interactions, localized health solutions, and the day-to-day fulfillment that comes from serving the immediate needs of a community.  Yet, the pursuit of scholarship can sometimes seem like a distant reality, reserved for those in academia or large research-focused institutions. The Society of Teachers Family Medicine (STFM) Medical Editing fellowship presented me with a bridge between these two worlds, offering a community physician and educator a pathway to enhance my scholarly pursuits. My experience as a fellow has augmented my career in ways I had scarcely imagined.

For community physicians, scholarship often takes a back seat to the pressing demands of patient care. The STFM fellowship has opened the doors to the world of medical literature, providing tools and opportunities to contribute to the broader academic conversation without sacrificing the essence of community practice. I have come to embrace and recognize the similar skill set required in managing a patient… and managing a manuscript.

For me, the fellowship has been instrumental in the cultivation of a critical eye. As a physician, critical appraisal of literature underpins out practice, but the editorial lens is discerning of not just the content but the clarity, coherence, and contribution of a piece to the existing body of knowledge. This deepened sense of discernment is a skill that has enhanced both my practice and my teaching.

Moreover, engaging in the editing process has expanded my network, connecting me with authors, researchers, and educators from diverse backgrounds. These interactions have not only enriched my understanding of various healthcare issues but have also positioned me as a liaison who brings community based concerns to a national platform. I have the opportunity to become increasingly involved in dialogues that shape family medicine education and policy, thereby influencing patient care on a much broader scale.

The art of editing also cultivates the skill of writing, an invaluable asset for any physician-scholar. With each manuscript I review and edit, I hope that my own writing has become more precise and impactful.  The enhanced visibility of my work fosters further scholarly opportunities, contributing to a virtuous cycle of academic growth and reputation- building in the medical community. 

Furthermore, the mentorship inherent in the fellowship has been a rich source of professional development. Learning from seasoned editors and educators has provided me with a unique perspective on leadership in medicine. The mentorship provided has paved the way for long term relationships that support my ongoing professional journey.

The STFM fellowship has catalyzed my evolution from a community physician to a physician-scholar.  It has afforded me the platform to contribute to important conversations in family medicine and to apply those insights directly to my learners, patients, and community.  It has also taught me the value of scholarly activity as a means of professional satisfaction and career advancement. Community physicians have much to contribute to the landscape of family medicine and we should amplify our voices, share our unique insights, and ultimately enhance the health of our communities through scholarship.

Learn more about the STFM Medical Editing Fellowship and how to apply at https://www.stfm.org/medicaleditingfellow

Family Medicine Educators Need to Lead on Eliminating Race-Based Medicine

Andrea K. Westby, MD

Andrea K. Westby, MD

The practice of medicine—the traditions, diagnoses, treatments, and guidelines—is ever-changing, with new research and information flowing into clinical care at a pace that rivals the turbulence and abundance of a mountain stream in the spring. We now acknowledge human papillomavirus infection as the primary driver of cervical and now oropharyngeal cancer. Hormone replacement therapy is no longer routinely recommended for postmenopausal women. Rate control is preferred over rhythm control in atrial fibrillation. Prostate cancer screening is no longer reflexively ordered for adult men.

However, as we look back at the past hundred years, our profession has been glacially slow to release the vice grip that the concept of biological race has had on our science and our medical practice.

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Just Ask

Amber Cadick, PhD, HSPP

Amber Cadick, PhD, HSPP

A 24-year-old male presents to your office with complaints of fatigue and pain. When you go to listen to his heart you notice some red marks on his chest. When inquiring about this he breaks down crying and unbuttons his shirt to reveal claw marks across his torso. He quietly confesses through sobs that his girlfriend has been physically abusing him for some time, and he doesn’t know how to exit the relationship.

During didactics you notice that one of your star residents is sleeping. She has moved her typical seat with her peers to alone on the side of the room. The next 3 weeks you notice her dozing often during the lectures. What should you attribute this to—laziness, fatigue, apathy? Other faculty have noticed, and some are thinking about talking to her concerning professionalism. Thinking back, you realize that she has been lingering by your office but not saying much. One day she comes into your office, closes the door, and begins to cry. She shares that she hasn’t been able to sleep at night due to a fear for her safety. She thought this change in her partner’s behavior would be temporary, but now she doesn’t know how to stop it. She feels trapped, isolated, and lonely. She notes it is hard to perform her job as a resident with this stress at home.

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