Biomaterial Database

Understanding the scope and practice of behavioral medicine in family medicine. 2009

Oliver Oyama, and Shae Graham Kosch, and Mary Ann Burg, and Timothy E Spruill

University of South Florida/Morton Plant Mease, Family Medicine Residency Program, Clearwater, FL 33755, USA. oliver.oyama@baycare.org

OBJECTIVE Family medicine integrates psychosocial factors (behavioral, psychological, cognitive, social, and cultural) into the comprehensive medical care of patients. Behavioral medicine is the discipline representing the contribution of the behavioral sciences to medicine and encompasses a broad field of knowledge and practice. This research explores the understanding of the scope and practice of behavioral medicine among academic family physicians. METHODS Surveys were administered to physicians at nine family medicine residency programs in Florida. RESULTS Study participants reported being trained in and using behavioral medicine techniques and consultants with patients. Behavioral medicine was valued as a collection of techniques for the prevention and treatment of physical and psychiatric illness. Physicians emphasized the utility of behavioral specialists' skills in conditions with strong psychological components compared to other chronic medical conditions. Behavioral medicine techniques were associated with traditional psychotherapeutic interventions and often provided by nonpsychiatric physicians. Many physicians categorized behavioral medicine as a type of complementary and alternative medicine. CONCLUSIONS Behavioral medicine is valued but not strongly identified as a distinct discipline, which might affect its use. This may explain why behavioral medicine skills were differentially valued for the prevention and treatment of psychiatric illness compared to medical illness.

UI	MeSH Term	Description	Entries
D007396	Internship and Residency	Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities.	House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D007722	Health Knowledge, Attitudes, Practice	Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).	Knowledge, Attitudes, Practice
D010818	Practice Patterns, Physicians'	Patterns of practice related to diagnosis and treatment as especially influenced by cost of the service requested and provided.	Clinical Practice Patterns,Physician's Practice Patterns,Clinical Practice Pattern,Pattern, Clinical Practice,Patterns, Clinical Practice,Practice Pattern, Clinical,Practice Patterns, Clinical,Practice Patterns, Physician's,Prescribing Patterns, Physician,Physician Practice Patterns,Physician Prescribing Pattern,Physician Prescribing Patterns,Physician's Practice Pattern,Physicians' Practice Pattern,Physicians' Practice Patterns,Practice Pattern, Physician's,Practice Pattern, Physicians',Practice Patterns, Physician,Prescribing Pattern, Physician
D010821	Physicians, Family	Those physicians who have completed the education requirements specified by the American Academy of Family Physicians.	Family Physician,Family Physicians,Physician, Family
D011795	Surveys and Questionnaires	Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions.	Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D012017	Referral and Consultation	The practice of sending a patient to another program or practitioner for services or advice which the referring source is not prepared to provide.	Consultation,Gatekeepers, Health Service,Hospital Referral,Second Opinion,Consultation and Referral,Health Service Gatekeepers,Hospital Referrals,Referral,Referral, Hospital,Referrals, Hospital,Consultations,Gatekeeper, Health Service,Health Service Gatekeeper,Opinion, Second,Opinions, Second,Referrals,Second Opinions
D003430	Cross-Sectional Studies	Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.	Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005180	Faculty, Medical	Teaching and administrative staff having academic rank in a medical school.	Faculties, Medical,Medical Faculties,Medical Faculty
D005194	Family Practice	A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.	Family Practices,Practice, Family,Practices, Family
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man