September/October Annals of Family Medicine...( abuse on patient rapport potentially h...),Health

abuse on patient rapport potentially helping the patient but potentially damaging the patient's trust in the physician and felt it both increased and decreased the likelihood of reporting. These paradoxes appear to be primarily hidden or unconscious, yet they influence the conscious decision process of whether or not to report. The authors suggest that these paradoxes and alternative modes of managing paradoxes are important issues to address in educational and training programs for physicians. Mandatory Reporting of Elder Abuse: Between a Rock and a Hard Place By Michael A. Rodriguez, M.D., M.Ph., et al

FAMILY MEDICINE RESEARCH HAS ROOM FOR GROWTH
National Institutes of Health (NIH) funding is a major source of funding for medical schools conducting medical research. This analysis of NIH awards to departments of family medicine in 2003 finds the 17 investigator-initiated (R01) awards to family physicians represented only 0.055 percent of the 30,886 R01 grants awarded that year. The majority of NIH awards to family medicine departments went to principal investigators in noncore organizational components, where most physicians PIs were not family physicians. The authors state that these findings reinforce the critical importance of increasing the research capacity in family medicine. NIH Funding in Family Medicine: An Analysis of 2003 Awards By Howard K. Rabinowitz, M.D., et al

PATIENT-PHYSICIAN RELATIONSHIP PLAYS ROLE IN DISCUSSING PROS AND CONS OF PSA TESTING
An examination of nationally representative data finds that 63 percent of men have discussion with their physician of the pros and cons of prostate-specific antigen (PSA) before testing. Analysis of data from 2,184 men over the age of 50 years finds that these discussions are more likely to occur among African American men, those with a usual source of care and when physicians initiate the testing. The authors suggest that characteristics of the
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Contact: Kristin Robinson
kristinr@aafp.org
American Academy of Family Physicians
26-Sep-2006

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