TY - JOUR
T1 - A National Survey of Internal Medicine Primary Care Residency Program Directors
AU - O’Rourke, Paul
AU - Tseng, Eva
AU - Chacko, Karen
AU - Shalaby, Marc
AU - Cioletti, Anne
AU - Wright, Scott
N1 - Publisher Copyright:
© 2019, Society of General Internal Medicine.
PY - 2019/7/15
Y1 - 2019/7/15
N2 - Background: The United States is facing a primary care physician shortage. Internal medicine (IM) primary care residency programs have expanded substantially in the past several decades, but there is a paucity of literature on their characteristics and graduate outcomes. Objective: We aimed to characterize the current US IM primary care residency landscape, assess graduate outcomes, and identify unique programmatic or curricular factors that may be associated with a high proportion of graduates pursuing primary care careers. Design: Cross-sectional study Participants: Seventy out of 100 (70%) IM primary care program directors completed the survey. Main Measures: Descriptive analyses of program characteristics, educational curricula, clinical training experiences, and graduate outcomes were performed. Bivariate and multivariate logistic regression analyses were used to determine the association between ≥ 50% of graduates in 2016 and 2017 entering a primary care career and program characteristics, educational curricula, and clinical training experiences. Key Results: Over half of IM primary care program graduates in 2016 and 2017 pursued a primary care career upon residency graduation. The majority of program, curricular, and clinical training factors assessed were not associated with programs that have a majority of their graduates pursuing a primary care career path. However, programs with a majority of program graduates entering a primary care career were less likely to have X + Y scheduling compared to the other programs. Conclusions: IM primary care residency programs are generally succeeding in their mission in that the majority of graduates are heading into primary care careers.
AB - Background: The United States is facing a primary care physician shortage. Internal medicine (IM) primary care residency programs have expanded substantially in the past several decades, but there is a paucity of literature on their characteristics and graduate outcomes. Objective: We aimed to characterize the current US IM primary care residency landscape, assess graduate outcomes, and identify unique programmatic or curricular factors that may be associated with a high proportion of graduates pursuing primary care careers. Design: Cross-sectional study Participants: Seventy out of 100 (70%) IM primary care program directors completed the survey. Main Measures: Descriptive analyses of program characteristics, educational curricula, clinical training experiences, and graduate outcomes were performed. Bivariate and multivariate logistic regression analyses were used to determine the association between ≥ 50% of graduates in 2016 and 2017 entering a primary care career and program characteristics, educational curricula, and clinical training experiences. Key Results: Over half of IM primary care program graduates in 2016 and 2017 pursued a primary care career upon residency graduation. The majority of program, curricular, and clinical training factors assessed were not associated with programs that have a majority of their graduates pursuing a primary care career path. However, programs with a majority of program graduates entering a primary care career were less likely to have X + Y scheduling compared to the other programs. Conclusions: IM primary care residency programs are generally succeeding in their mission in that the majority of graduates are heading into primary care careers.
KW - medical education-career choice
KW - medical education-graduate
KW - medical student and residency education
KW - primary care
KW - survey research
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U2 - 10.1007/s11606-019-04984-x
DO - 10.1007/s11606-019-04984-x
M3 - Article
C2 - 30963438
AN - SCOPUS:85064333805
SN - 0884-8734
VL - 34
SP - 1207
EP - 1212
JO - Journal of general internal medicine
JF - Journal of general internal medicine
IS - 7
ER -