A National Survey of Internal Medicine Primary Care Residency Program Directors

O’Rourke, Paul; Tseng, Eva; Chacko, Karen M.; Shalaby, Marc; Cioletti, Anne; Wright, Scott M.

doi:10.1007/s11606-019-04984-x

Cited by 11 publications

(8 citation statements)

References 25 publications

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“…12,14,15 A survey of PC IM programs and tracks found no significant association between PC IM graduate career choice and continuity clinic factors. 9 In fact, XþY block scheduling was inversely related to graduate PC employment. 9 We identified novel clinical and curricular components that correlated with career choice, including ambulatory rotation in women's health and mental health and curricula in teaching and leadership.…”

Section: Discussionmentioning

confidence: 99%

“…9 In fact, XþY block scheduling was inversely related to graduate PC employment. 9 We identified novel clinical and curricular components that correlated with career choice, including ambulatory rotation in women's health and mental health and curricula in teaching and leadership. Training in these areas may be of importance given its direct applicability to PC.…”

Section: Discussionmentioning

confidence: 99%

“…12,13 A survey of PC IM programs and tracks in 2017 reported 57% of PC IM were employed in PC or GIM, 14.4% employed as hospitalists, and 15.6% pursued traditional fellowship training immediately following training. 9 While there are no specific requirements for PC IM programs or tracks beyond the standard requirements for IM training programs, more training in the ambulatory setting is expected. We found that ambulatory time training had a weak negative but significant correlation with the proportion of graduates pursuing subspecialty fellowship training.…”

Section: Discussionmentioning

confidence: 99%

“…[3][4][5][6][7] Collective study is limited due to the difficulty in identifying these programs. 8,9 A survey of PC programs and tracks conducted in 2017 focused on continuity clinic factors and how ambulatory training is structured. 9 Assessment of curricula and clinical experiences provided by PC IM programs is needed.…”

Section: Introductionmentioning

confidence: 99%

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Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks

Klein

Alonso

Anderson

et al. 2019

Journal of Graduate Medical Education

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Background Specialized primary care internal medicine (PC IM) residency programs and tracks aim to provide dedicated PC training. How programs deliver this is unclear. Objective We explored how PC IM programs and tracks provide ambulatory training. Methods We conducted a cross-sectional survey from 2012 to 2013 of PC IM program and track leaders via a search of national databases and program websites. We reported PC IM curricular content, clinical experiences, and graduate career pursuits, and assessed correlation between career pursuits and curricular content and clinical experiences. Results Forty-five of 70 (64%) identified PC IM programs and tracks completed the survey. PC IM programs provide a breadth of curricular content and clinical experiences, including a mean 22.8 weeks ambulatory training and a mean 69.4 continuity clinics per year. Of PC IM graduates within 5 years, 55.8% pursue PC or general internal medicine (GIM) careers and 23.1% pursue traditional subspecialty fellowship training. Curricular content and clinical experiences correlate weakly with career choices. PC IM graduates pursuing PC or GIM careers correlated with ambulatory rotation in women's health (correlation coefficient [rho] ¼ 0.36, P ¼ .034) and mental health (rho ¼ 0.38, P ¼ .023) and curricular content in teaching and medical education (rho ¼ 0.35, P ¼ .035). PC IM graduates pursuing subspecialty fellowship negatively correlated with curricular content in leadership and teams (rho ¼-0.48, P ¼ .003) and ambulatory training time (rho ¼-0.38, P ¼ .024). Conclusions PC IM programs and tracks largely deliver on the promise to provide PC training and education and produce graduates engaged in PC and GIM.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks

Klein

Alonso

Anderson

et al. 2019

Journal of Graduate Medical Education

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“…Although the majority of patient medical encounters occur in the ambulatory setting, education in the outpatient training environment for medicine residents is undervalued and underemphasized [35]. The sub-optimal ambulatory learning environment has been associated with resident dissatisfaction with outpatient medicine and declining numbers of residents pursuing outpatient general medicine careers [36]. By evaluating the factors associated with professional fulfillment and clinical skills, we aspire to design outpatient educational interventions to more effectively prepare future residents for ambulatory medical practice.…”

Section: Outpatientmentioning

confidence: 99%

The genealogy of teaching clinical reasoning and diagnostic skill: the GEL Study

et al. 2020

Self Cite

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The genealogy of graduate medical education in America begins at the bedside. However, today’s graduate medical trainees work in a training environment that is vastly different from medical training a century ago. The goal of the Graduate Medical Education Laboratory (GEL) Study, supported by the American Medical Association’s (AMA) “Reimagining Residency” initiative, is to determine the factors in the training environment that most contribute to resident well-being and developing diagnostic skills. We believe that increasing time at the bedside will improve clinical skill, increase professional fulfillment, and reduce workplace burnout. Our graduate medical education laboratory will test these ideas to understand which interventions can be shared among all training programs. Through the GEL Study, we aim to ensure resident readiness for practice as we understand, then optimize, the learning environment for trainees and staff.

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Clinic Director Roles and Expectations

Sobel,

Pasanen

2023

Leading an Academic Medical Practice

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A National Survey of Internal Medicine Primary Care Residency Program Directors

Cited by 11 publications

References 25 publications

Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks

Delivering on the Promise: Exploring Training Characteristics and Graduate Career Pursuits of Primary Care Internal Medicine Residency Programs and Tracks

The genealogy of teaching clinical reasoning and diagnostic skill: the GEL Study

Clinic Director Roles and Expectations

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