THE FOUR-YEAR RESIDENCY: An Emerging Model for Excellence in Family Medicine Education Stephanie E. Rosener, M.D. - PowerPoint PPT Presentation

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THE FOUR-YEAR RESIDENCY: An Emerging Model for Excellence in Family Medicine Education Stephanie E. Rosener, M.D.

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Title: THE FOUR-YEAR RESIDENCY: An Emerging Model for Excellence in Family Medicine Education Stephanie E. Rosener, M.D.


1
THE FOUR-YEAR RESIDENCY An Emerging Model for
Excellence in Family Medicine EducationStephanie
E. Rosener, M.D. Alan B. Douglass, M.D.
Rationale
Future Directions
  • Colorado
  • Missouri-Columbia
  • WVU
  • Medical students considering Family Medicine are
    seeking innovative new approaches to residency
    training. The four-year residency is emerging as
    a model providing superior preparation for
    practice
  • Four year residencies offer
  • Specialized training required to flourish in the
    PCMH
  • Added content that preserves the breadth of
    Family Medicine
  • Solutions for the gridlock in a 3-yr model,
    allowing more flexibility and elective time
  • Additions to curriculum without sacrificing core
    content
  • Restoration of training time lost (20) to work
    hour restrictions
  • An attractive option to outstanding medical
    students

Loma Linda
  • There are many questions yet to be answered
  • Future evaluation through the P4 Project will
  • Measure improvement in mastery of ACGME
    competencies
  • Evaluate depth and breadth of training
  • Observe graduate practice patterns and career
    satisfaction
  • Examine long-term resident satisfaction with
    training
  • Evaluate 4th year residents as leaders and
    educational catalysts
  • Measure chronic disease management outcomes and
    quality of care indicators
  • Evaluate long-term financial feasibility of the
    4-yr residency
  • MPH
  • CHOICE OF TRACKS
  • Global Health
  • Preventive Med
  • EARLY COMMITMENT to Family Medicine
  • Integrated FELLOWSHIP
  • MAJOR vs. MASTER
  • Optional ADDED DEGREE
  • Added CORE CONTENT
  • TRACKS OF EXCELLENCE
  • Optional ADDED DEGREE

Conclusion
Early Findings
Baylor John Peter Smith Waukesha
  • 4-year Family Medicine residency models allows
  • Expanded depth and breadth of training
  • Added preparation for practice in the PCMH
  • Individualized training
  • Initial data indicates that the 4-year residency
  • Is not a barrier to student recruitment
  • May attract more highly qualified applicants
  • May increase residents satisfaction with
    training
  • We expect 4-year residency graduates to
  • Confidently enter practice in the PCMH
  • Achieve mastery of chronic disease management
  • Be innovative in their approach to patient care
  • Maintain a broad scope of practice
  • Be prepared for a variety of practice settings
  • Be more satisfied with both training and future
    practice
  • Good News
  • Initial evaluation of the seven P4 4-yr
    residencies reveals
  • Increased numbers of applicants
  • Improved match results filling with higher
    ranking applicants
  • Higher average USMLE scores for 2008 applicant
    class
  • - USMLE Step 2 (Middlesex)
  • - USMLE Step 3 (WVU)
  • Higher In-training exam scores
    (Missouri-Columbia)
  • Higher patient satisfaction scores vs. 3-yr
    residents (WVU)
  • Higher resident satisfaction with training
    (Missouri-Columbia)

Middlesex
Common Themes
  • Emphasis on the Patient-Centered Medical Home
  • Broad-spectrum training including procedures
  • Areas of concentration
  • Flexibility and customizable training experience
  • Expanded use of technology
  • Enhanced Family Medicine identity

2
  • Measure improvement in mastery of ACGME
    competencies
  • Evaluate long-term resident satisfaction with
    training
  • Observe graduate practice patterns and career
    satisfaction
  • Measure chronic disease management
    outcomes/Quality of
  • Care Indicators
  • Evaluate PGY-4 residents as leaders and
    educational Catalysts
  • Evaluate depth and breadth of training
  • Evaluate long-term financial feasibility of 4-yr
    residency
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