Sam Cullison - Academia.edu (original) (raw)

Papers by Sam Cullison

Journal of General Internal Medicine, Apr 1, 1997

The American journal of …, 1989

1. Nine patients (aged 28–66 yrs) with diagnoses of psychoactive substance abuse, panic disorder,... more 1. Nine patients (aged 28–66 yrs) with diagnoses of psychoactive substance abuse, panic disorder, panic disorder and depression, or bipolar disorder were given carbamazepine (CBZ) before withdrawal from benzodiazepine (BZ) treatment. All Ss ...

Family medicine, 2017

Residency programs have been integral to the development, expansion and progression of family med... more Residency programs have been integral to the development, expansion and progression of family medicine as a discipline. Three reports formed the foundation for graduate medical education in family medicine: Meeting the Challenge of Family Practice, The Graduate Education of Physicians, and Health is a Community Affair. In addition, the original core concepts of comprehensiveness, coordination, continuity, and patient centeredness continue to serve as the foundation for residency training in family medicine. While the Residency Review Committee for Family Medicine of the Accreditation Council for Graduate Medical Education has provided the requirements for training throughout the years, key organizations including the Society of Teachers of Family Medicine, the American Academy of Family Physicians, the Association of Family Medicine Residency Directors, and the American Board of Family Medicine have provided resources for and supported innovation in programs. Residency Program Solut...

The Annals of Family Medicine, 2011

Family Medicine, Jun 1, 2003

The impetus to reshape graduate medical education (GME) has been fueled by changes and cited defi... more The impetus to reshape graduate medical education (GME) has been fueled by changes and cited deficiencies in the US health care system 1 and the charge that academic health centers are not responding to the health care needs of society. 2,3 The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project represents a new approach to improving GME. Until now, residency program accreditation focused only on the program's implementation of required curriculum, often defined by time spent in certain curricular areas. With the advent of the Outcome Project, however, the focus has expanded so that residency programs are now required to demonstrate resident competency in six areas. These areas are patient care, interpersonal and communication skills, professionalism, medical knowledge, practice-based learning and improvement, and systems-based practice ( ). The premise is that outcomes in these domains will provide evidence that physicians can meet the health care needs of the public. Agreement on the nature and number of competency areas occurred after an iterative process of literature reviews, advisory committee meetings, and vetting of key participants in medical education, such as residency program directors, residency review committee members, residents, corporate and educational leaders, and the public. Several years from now, and on into the future, it will be important to know the effect of the Outcome Project on residency program capability to prepare physicians for practice. The first step in this process is to obtain baseline information. Further, current information about residency programs' ability to address the six competency areas may help guide related curriculum development. One way to acquire baseline information is to gather feedback from recent graduates, since their transition to practice provides them opportunities to compare training with the needs of real-life practice. 5 Alumni surveys have been used across many specialties to determine the adequacy of GME, 6-8 to guide curricular improvements, 5,9 and to assess the impact of residency training. Because of the holistic nature of family medicine as a discipline that already addresses many of the competencies, family practice residency education comprised the focus of the present inquiry. This study was conducted to obtain information about family practice graduates' perceptions of (1) the importance of specific competencies and (2) the extent to which residency training prepared them to perform skills representative of the six competency areas.

Journal of psychoactive drugs

Family medicine, 2008

1. Fam Med. 2008 May;40(5):310. Responses to abortion training. Lyus R, Gianutsos P, Engel G, Cul... more 1. Fam Med. 2008 May;40(5):310. Responses to abortion training. Lyus R, Gianutsos P, Engel G, Cullison S, Shamseldin J, Cohen-McKeon L, Cawse-Lucas J, Opalenik A, Taraday J. Comment on Fam Med. 2008 Jan;40(1):6-7; author reply 7. ...

Conclusions Procedures are an important component of the practice of medicine. Students and resi... more Conclusions Procedures are an important component of the practice of medicine. Students and residents must be trained to perform procedures safely and well. Simultaneously, we must seek consensus on what procedures should be taught, and we must develop better, safer techniques to teach them. Finally, we must develop objective measures of initial and continuing competency for those who perform procedures. We

Family medicine, 2003

Since July 2002, family practice residency program accreditation requires evidence of teaching an... more Since July 2002, family practice residency program accreditation requires evidence of teaching and assessing residents in six competency areas. This study was conducted to obtain baseline information about family practice graduates' perceptions of the importance of specific competencies and the extent to which residency training prepared them to perform skills representative of the six competency areas. A national, cross-sectional survey was conducted of family physicians who had graduated from residency programs from 1998 to 2000. The response rate was 54% (n=1,228). Graduates reported the most preparation in patient care skills, followed by interpersonal and communication skills and then professionalism. The least preparation was reported for skills pertinent to practice-based learning and improvement, systems-based practice, and some areas of professionalism. Areas of residency education that appear to warrant improvement include education about system aspects of care, practi...

Journal of Psychoactive Drugs, 1991

Journal of General Internal Medicine, 1997

JAMA: The Journal of the American Medical Association, 1976

This review of the University of Missouri-Columbia medical graduates, with similar data from two ... more This review of the University of Missouri-Columbia medical graduates, with similar data from two other studies, supports the thesis that hometown size and speciality choice are interrelated predictors of the community in which physicians practice. Physicians with nonmetropolitan backgrounds were two to three times as likely to select nonmetropolitan practice as physicians with urban backgrounds. Physicians entering family medicine were almost three times as likely to select nonmetropolitan practice as physicians in other primary-care specialities. Presence of both predictors (nonmetropolitan background and selection of family medicine) resulted in two thirds selecting nonmetropolitan practice. However, selection of family medicine by graduates with urban backgrounds or selection of other specialties by graduates with nonmetropolitan backgrounds did not appreciably increase the likelihood of nonmetropolitan practice. These data have implications for medical school admissions policy and curriculum.

The Annals of Family Medicine, 2008