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                <text>Depression in family medicine faculty</text>
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                <text>(B) under bar(a) under bar(c) under bar(k) under bar(g) under bar(r) under bar(o) under bar(u) under bar(n) under bar(d) under bar (a) under bar(n) under bar(d) under bar (O) under bar(b) under bar(j) under bar(e) under bar(c) under bar(t) under bar(i) under bar(v) under bar(e) under bar(s) under bar: Depression among family medicine faculty may contribute to decreased effectiveness in patient care, decreased effectiveness in teaching, and career changes. The present study determined the nationwide prevalence of depression and related risk factors among family medicine residency program faculty. (M) under bar(e) under bar(t) under bar(h) under bar(o) under bar(d) under bar(s) under bar: All full-time US family medicine faculty, program directors, and behavioral scientists listed as members of the Society of Teachers of Family Medicine in October 2000 were surveyed. The survey included demographics, clinical practice characteristics, the Beck Depression Inventory II, the Social Readjustment Rating Scale (SRRS), and a scale to measure stress within the residency program. (R) under bar(e) under bar(s) under bar(u) under bar(l) under bar(t) under bar(s) under bar: Surveys were completed by 1,418 faculty members. Seven percent of survey respondents scored mildly depressed, and 5% scored moderately to severely depressed. Seven percent Of respondents scored highly stressed on the SRRS. Significant predictors of depression scores included being single, being a member of an underrepresented minority group, having increased stress scores, and having a greater amount of time devoted to teaching. (C) under bar(o) under bar(n) under bar(c) under bar(l) under bar(u) under bar(s) under bar(i) under bar(o) under bar(n) under bar(s) under bar: Program directors and department chairs need to be aware of the prevalence of depression among faculty, since it may affect their performance of patient care and teaching responsibilities.</text>
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                <text>BACKGROUND. Consultation and referral are essential components of the practice of primary care. Despite this, little is known about the factors that contribute to the success of a referral. We examined the short-term outcomes of communication between family physicians and consultants during the referral process. METHODS. The study setting was six family practice centers in northeastern Ohio. All eligible physicians at each center participated in data collection by means of a card study. Data was recorded on any patient who received a referral to a physician or nonphysician provider during the month of July 1994. One year later, referrals were followed up by physician questionnaire. RESULTS. Three hundred nine of 5172 total patients were referred (5.97 referrals per 100 office visits). At follow-up, the family physicians reported that 63% of patients had visited the consultant, 14% had not, and the physician had no knowledge of the actions taken by the other 23%. The referring physician received feedback from the consultant regarding 55% of the patients referred. Receipt of feedback was strongly related to communication by the family physician to the consultant at the time of referral. Physicians who received feedback were the most satisfied with communication from the consultant and the care their patient had received. CONCLUSIONS. Primary care physicians can influence the likelihood of receiving feedback from a consultant by initiating communication with the consultant. A referral wherein the physicians involved do not communicate with one another results in physician dissatisfaction. Primary care physicians must practice strategies to improve the referral process.</text>
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