دورية أكاديمية
Postresidency Practice Setting and Clinical Care Features According to 3 Versus 4 Years of Training in Family Medicine: A Length of Training Pilot Study.
| العنوان: | Postresidency Practice Setting and Clinical Care Features According to 3 Versus 4 Years of Training in Family Medicine: A Length of Training Pilot Study. |
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| المؤلفون: | Eiff MP; Oregon Health & Science University, Portland, OR., Ericson A; Oregon Health & Science University, Portland, OR., Dinh DH; Oregon Health & Science University, Portland, OR., Valenzuela S; Oregon Health & Science University, Portland, OR., Conry C; University of Colorado, Denver, CO., Douglass AB; University of Colorado, Denver, CO., Dickinson WP; University of Colorado, Denver, CO., Rosener SE; Allina Health United Family Medicine Residency Program, St. Paul, MN., Carney PA; Oregon Health & Science University, Portland, OR. |
| المصدر: | Family medicine [Fam Med] 2024 May; Vol. 56 (5), pp. 302-307. Date of Electronic Publication: 2024 Apr 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Society of Teachers of Family Medicine Country of Publication: United States NLM ID: 8306464 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-3800 (Electronic) Linking ISSN: 07423225 NLM ISO Abbreviation: Fam Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Shawnee Mission, KS : Society of Teachers of Family Medicine Original Publication: Kansas City, Mo. : Society of Teachers of Family Medicine. |
| مواضيع طبية MeSH: | Family Practice*/education , Internship and Residency* , Career Choice*, Humans ; Pilot Projects ; Female ; Male ; Surveys and Questionnaires ; Time Factors ; Professional Practice Location ; Adult ; Education, Medical, Graduate |
| مستخلص: | Background and Objectives: Factors associated with physician practice choice include residency location, training experiences, and financial incentives. How length of training affects practice setting and clinical care features postgraduation is unknown. Methods: In this Length of Training Pilot (LoTP) study, we surveyed 366 graduates of 3-year (3YR) and 434 graduates of 4-year (4YR) programs 1 year after completion of training between 2013 and 2021. Variables assessed included reasons for practice setting choice, practice type, location, practice and community size, specialty mix, and clinical care delivery features (eg, integrated behavioral health, risk stratified care management). We compared different length of training models using χ2 or Fisher's exact tests for categorical variables and independent samples, and t test (unequal variances) for continuous variables. Results: Response rates ranged from 50% to 88% for 3YR graduates and 68% to 95% for 4YR graduates. Scope of practice was a predominant reason for graduates choosing their eventual practice, and salary was a less likely reason for those completing 4 years versus 3 years of training (scope, 72% vs 55%, P=.001; salary, 15% vs 22%, P=.028). Community size, practice size, practice type, specialty mix, and practice in a federally designated underserved site did not differ between the two groups. We found no differences in patient-centered medical home features when comparing the practices of 3YR to 4YR graduates. Conclusions: Training length did not affect practice setting or practice features for graduates of LoTP programs. Future LoTP analyses will examine how length of training affects scope of practice and clinical preparedness, which may elucidate other elements associated with practice choice. |
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| تواريخ الأحداث: | Date Created: 20240423 Date Completed: 20240514 Latest Revision: 20240703 |
| رمز التحديث: | 20240703 |
| مُعرف محوري في PubMed: | PMC11216774 |
| DOI: | 10.22454/FamMed.2024.699625 |
| PMID: | 38652847 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1938-3800 |
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| DOI: | 10.22454/FamMed.2024.699625 |