Residency Training in Family Medicine: A History of Innovation and Program Support (original) (raw)

Four-year residency training for the next generation of family physicians

The virtual mentor : VM, 2005

Family medicine training is still largely based on a model developed more than 35 years ago, with 3 years of required rotations in multiple areas of medicine, combined with a longitudinal clinic experience in model family practice centers . The physician trained in this model has been prepared to practice in a range of settings and with diverse scopes of practice. The outcome is a physician workforce that is distributed across urban and rural America with important positive effects for the health of communities . The durability and beneficial outcomes of this training model suggest that it should continue, but there are several reasons to consider innovative changes in its character if not its duration:

Trends in the growth of family practice residency training programs

Health Affairs, 1986

Over the past few decades there has been a keen interest among some health manpower experts in increasing the number of primary care physicians in this country. In the 1960s and 1970s, for example, federal and state policymakers created substantial incentives to encourage the growth of family practice and other primary care physicians in an attempt to establish them as vital participants in the field of medicine. However, the authors of this article assert that "the interest in and commitment to family practice as a medical specialty has reached and passed its peak." They say the trends in the data indicate that family medicine has achieved all it is likely to achieve. In this article the authors only speak to the data, but they believe the reasons for the plateau are reduced funding for family practice medicine and the difficulties these physicians have had in establishing themselves a place in academic medicine.

Whither Family Medicine? Our Past, Future, and Enduring Scope of Practice

Family Medicine

After 3 decades in private practice, I joined the faculty of a nearby residency program. Like most family medicine residencies, it follows a curriculum that my physician father would have recognized: heavy emphasis on inpatient medicine; short shrift to continuity care. Despite a changing marketplace, there is still a disconnect between how we train graduates (for full spectrum care) and where they end up (in ambulatory practices). Is our identity disappearing? I contend that the primary and indispensable duty of a residency program is to model professional values and prepare residents to live and work in sustainable communities. Though the scope of practice will vary, family physicians still pride themselves in putting the needs of their patients at its center.

Entry of US medical school graduates into family medicine residencies: 2009--2010 and 3-year summary

Family Medicine, 2010

This is the 29th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. Approximately 7.5% of the 16,617 graduates of US medical schools between July 2008 and June 2009 were first-year family medicine residents in 2009, compared with 8.2% in 2008 and 8.3% in 2007. Medical school graduates from publicly funded medical schools were more likely to be first-year family medicine residents in October 2009 than were residents from privately funded schools, 8.8% compared with 5.3%. The Mountain and West North Central regions reported the highest percentage of medical school graduates who were first-year residents in family medicine programs in October 2009 at 13.4% and 11.0%, respectively; the New England and Middle Atlantic regions reported the lowest percentages at 7.0% and 4.4%, respectively. Nearly half of the medical school graduates (48.3%) entering a family medicine residency program as first-year residents in October 2009 entered a program in the same state where they graduated from medical school. The percentages for each medical school have varied substantially from year to year since the AAFP began reporting this information. This article reports the average percentage for each medical school for the last 3 years. Also reported are the number and percentage of graduates from colleges of osteopathic medicine who entered Accreditation Council for Graduate Medical Education-accredited family medicine residency programs, based on estimates provided by the American Association of Colleges of Osteopathic Medicine. These numbers are retrospective analyses based on numbers reported to the AAFP from medical schools and family medicine residency programs.

Entry of US medical school graduates into family medicine residencies: 2010-2011 and 3-year summary

Family Medicine, 2011

This is the 30th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. This retrospective analysis based on data reported to the AAFP from medical schools and family medicine residency programs shows approximately 8.0% of the 17,081 graduates of US medical schools between July 2009 and June 2010 were first-year family medicine residents in 2010, compared to 7.5% in 2009 and 8.2% in 2008. Medical school graduates from publicly funded medical schools were more likely to be first-year family medicine residents in October 2010 than were residents from privately funded schools (9.6% versus 5.4%). The Mountain and West North Central regions reported the highest percentage of medical school graduates who were first-year residents in family medicine programs in October 2010 (14.3% and 11.3%, respectively); the New England and Middle Atlantic regions reported the lowest percentages (5.6% and 5.3%, respectively). Approximately four in 10 of the medical school graduates (40.3%) entering a family medicine residency program as first-year residents entered a program in the same state where they graduated from medical school. The percentages for each medical school have varied substantially from year to year since the AAFP began reporting this information. This article reports the 3-year average percentage from each medical school of graduates entering family medicine residencies and the number and percentage of graduates from colleges of osteopathic medicine who entered Accreditation Council for Graduate Medical Education-accredited family medicine residency programs in 2010.

Entry of US medical school graduates into family medicine residencies: 2003-2004 and 3-year summary

Family Medicine, 2004

This is the 19th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family practice residency programs. Approximately 13.4% of the 16,143 graduates of US medical schools between July 1998 and June 1999 were first-year family practice residents in 1999, compared with 15.4% in 1998 and 16.6% in 1997. Medical school graduates from publicly funded medical schools were almost twice as likely to be first-year family practice residents in October 1999 than were residents from privately funded schools, 16.2% compared with 9.3%. The West North Central region reported the highest percentage of medical school graduates who were first-year residents in family practice programs in October 1999 at 20.6%; the Middle Atlantic and New England regions reported the lowest percentages at 7.7% and 8.0%, respectively. Nearly half of the medical school graduates (48.4%) entering a family practice residency program as first-year residents in October 1999 entered a program in the same state where they graduated from medical school. The percentages for each medical school have varied substantially from year to year since the AAFP began reporting this information. This article reports the average percentage for each medical school for the last 3 years. Also reported are the number and percentage

Entry of US medical school graduates into family medicine residencies: 2008-2009 and 3-year summary

Family Medicine, 2009

This is the 28th report prepared by the American Academy of Family Physicians (AAFP) on the percentage of each US medical school's graduates entering family medicine residency programs. Approximately 8.2% of the 16,336 graduates of US medical schools between July 2007 and June 2008 were first-year family medicine residents in 2008, compared with 8.3% in 2007 and 8.5% in 2006. Medical school graduates from publicly funded medical schools were more likely to be first-year family medicine residents in October 2008 than were residents from privately funded schools, 9.8% compared with 5.6%. The West North Central and the Mountain regions reported the highest percentage of medical school graduates who were first-year residents in family medicine programs in October 2008 at 12.4% and 11.4%, respectively; the New England and Middle Atlantic regions reported the lowest percentages at 6.3% and 5.5%, respectively. Nearly half of the medical school graduates (45.1%) entering a family medicine residency program as first-year residents in October 2008 entered a program in the same state where they graduated from medical school. The percentages for each medical school have varied substantially from year to year since the AAFP began reporting this information. This article reports the average percentage for each medical school for the last 3 years. Also reported are the number and percentage of graduates from colleges of osteopathic medicine who entered Accreditation Council for Graduate Medical Education-accredited family medicine residency programs, based on estimates provided by the American Association of Colleges of Osteopathic Medicine. These numbers are retrospective analyses based on numbers reported to the AAFP from medical schools and family medicine residency programs.

Entry of US medical school graduates into family medicine residencies: 2005-2006 and 3-year summary

Family Medicine, 2006

Residency Training in Family Medicine: A History of Innovation and Program Support (original) (raw)

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