TY - JOUR
T1 - Early career outcomes of family medicine residency graduates exposed to innovative flexible longitudinal tracks
AU - Young, Richard A.
AU - Casey, Dan
AU - Singer, Diana
AU - Waller, Elaine
AU - Carney, Patricia A.
N1 - Funding Information:
This work was supported by the Preparing the Personal Physician for Practice (P4) Project, which was jointly sponsored by the American Board of Family Medicine Foundation and the Association of Family Medicine Residency Directors and the Family Medicine Research Program at Oregon Health & Science University. Data analysis for this publication received assistance from the Biostatistics Shared Resource of Oregon Health & Science University and from the Oregon Clinical and Translational Research Institute (OCTRI; grant number UL1 RR024140 01 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. Prior presentation: Some of these results were presented at the 2015 Society of Teachers of Family Medicine Annual Spring Conference, Orlando, FL. The authors thank Joane Baumer, MD, for her leadership of the Family Medicine Department during the P4 years and Leslie Bolton for her administrative help.
Publisher Copyright:
© 2017, Society of Teachers of Family Medicine. All rights reserved.
PY - 2017/5
Y1 - 2017/5
N2 - BACKGROUND AND OBJECTIVES: The Preparing the Personal Physician for Practice (P4) project used a case series design to study innovations in the content, length, structure, and location of residency training in 14 geographically diverse family medicine programs between 2007 and 2012. We aimed to explore how offering flexible longitudinal tracks (FLT) affected graduates’ scope of practice, particularly in maternal child health (MCH), which included at least 17 months of focused training that increased each year over 4 years. METHODS: We administered a cross-sectional survey to graduates of P4 residencies approximately 18 months after they completed training (2011–2014) and compared graduates of the John Peter Smith (JPS) Family Medicine Residency MCH FLT to all other P4 graduates. RESULTS: The overall response rate was 81.8% (365/446). JPS graduates who completed the flexible MCH track (n=15) compared to all other P4 graduates (n=332) were more likely to deliver babies (13/15, 86.7% versus 48/324, 14.6%) and perform C-sections as the primary surgeon (12/15, 80.0% versus 15/322, 4.7%). Additional areas of expanded scope associated with the MCH track included endoscopy (4/15, 26.7% versus 10/323, 3.1%), the care of hospitalized adults and associated procedures (central lines, eg: 8/15, 53.3% versus 47/322, 14.6%), and the care of hospitalized children (13/15, 86.7% versus 111/323, 34.4%). CONCLUSIONS: Graduating from the JPS MCH FLT was associated with a higher provision of maternal, child, and ill adult patient care services, including associated procedures.
AB - BACKGROUND AND OBJECTIVES: The Preparing the Personal Physician for Practice (P4) project used a case series design to study innovations in the content, length, structure, and location of residency training in 14 geographically diverse family medicine programs between 2007 and 2012. We aimed to explore how offering flexible longitudinal tracks (FLT) affected graduates’ scope of practice, particularly in maternal child health (MCH), which included at least 17 months of focused training that increased each year over 4 years. METHODS: We administered a cross-sectional survey to graduates of P4 residencies approximately 18 months after they completed training (2011–2014) and compared graduates of the John Peter Smith (JPS) Family Medicine Residency MCH FLT to all other P4 graduates. RESULTS: The overall response rate was 81.8% (365/446). JPS graduates who completed the flexible MCH track (n=15) compared to all other P4 graduates (n=332) were more likely to deliver babies (13/15, 86.7% versus 48/324, 14.6%) and perform C-sections as the primary surgeon (12/15, 80.0% versus 15/322, 4.7%). Additional areas of expanded scope associated with the MCH track included endoscopy (4/15, 26.7% versus 10/323, 3.1%), the care of hospitalized adults and associated procedures (central lines, eg: 8/15, 53.3% versus 47/322, 14.6%), and the care of hospitalized children (13/15, 86.7% versus 111/323, 34.4%). CONCLUSIONS: Graduating from the JPS MCH FLT was associated with a higher provision of maternal, child, and ill adult patient care services, including associated procedures.
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M3 - Article
C2 - 28535315
AN - SCOPUS:85019469915
SN - 0742-3225
VL - 49
SP - 353
EP - 360
JO - Family medicine
JF - Family medicine
IS - 5
ER -