Follow-up on Family Practice Residents' Perspectives on Length and Content of Training

Duane, Marguerite; Dovey, Susan; Klein, L; Green, Larry A.

doi:10.3122/jabfm.17.5.377

Cited by 11 publications

(11 citation statements)

References 2 publications

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“…In a similar survey performed in the United States, 65.2% of the 442 participating 3rd-year residents stated that the optimal Family Medicine residency programme length was three years; however, 37.1% favored a change to a 4-year residency [14]. "The broad scope of family medicine" was the main justification for extending residency training.…”

Section: Discussionmentioning

confidence: 99%

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Residents' views about family medicine specialty education in Turkey

et al. 2010

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BackgroundResidents are one of the key stakeholders of specialty training. The Turkish Board of Family Medicine wanted to pursue a realistic and structured approach in the design of the specialty training programme. This approach required the development of a needs-based core curriculum built on evidence obtained from residents about their needs for specialty training and their needs in the current infrastructure. The aim of this study was to obtain evidence on residents' opinions and views about Family Medicine specialty training.MethodsThis is a descriptive, cross-sectional study. The board prepared a questionnaire to investigate residents' views about some aspects of the education programme such as duration and content, to assess the residents' learning needs as well as their need for a training infrastructure. The questionnaire was distributed to the Family Medicine Departments (n = 27) and to the coordinators of Family Medicine residency programmes in state hospitals (n = 11) by e-mail and by personal contact.ResultsA total of 191 questionnaires were returned. The female/male ratio was 58.6%/41.4%. Nine state hospitals and 10 university departments participated in the study. The response rate was 29%. Forty-five percent of the participants proposed over three years for the residency duration with either extensions of the standard rotation periods in pediatrics and internal medicine or reductions in general surgery. Residents expressed the need for extra rotations (dermatology 61.8%; otolaryngology 58.6%; radiology 52.4%). Fifty-nine percent of the residents deemed a rotation in a private primary care centre necessary, 62.8% in a state primary care centre with a proposed median duration of three months. Forty-seven percent of the participants advocated subspecialties for Family Medicine, especially geriatrics. The residents were open to new educational methods such as debates, training with models, workshops and e-learning. Participation in courses and congresses was considered necessary. The presence of a department office and the clinical competency of the educators were more favored by state residents.ConclusionsThis study gave the Board the chance to determine the needs of the residents that had not been taken into consideration sufficiently before. The length and the content of the programme will be revised according to the needs of the residents.

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Section: Discussionmentioning

confidence: 99%

“…Residents from MoH hospitals more often expressed the need for extra rotations compared to university residents. In the study of Duane et al, the areas for which the residents needed more support were office procedures, practice management, children's skin conditions, sports medicine and emergency medicine [14]. …”

Section: Discussionmentioning

confidence: 99%

Residents' views about family medicine specialty education in Turkey

et al. 2010

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“…There was also reconsideration in the US about whether 3 years of family medicine training is sufficient enough. According to a survey targeting specialists and medical students overseas, the interest in and support for family medicine in the US is gradually decreasing 3). Regardless, family medicine is still a popular major in Korea, but to maintain this popularity, the family medicine residents' claims should be heard to improve the quality of the training program.…”

Section: Introductionmentioning

confidence: 99%

Residents' Expectation of Family Medicine-Specific Training Program and Its Current State

et al. 2011

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Background:The family medicine residency program consists mainly of clinical rotations in other specialties and the family medicine-specifi c training. We conducted this study to investigate how family medicine residents evaluated their training program that include family-oriented medicine, clinical preventive medicine, behavioral science and research in primary care. Methods:In 2009, third-year residents of 129 training hospitals in Korea were surveyed to investigate the current state and their expectation of the residency program. The contents of questionnaires included training periods, conferences, procedures, interview techniques, outpatient and inpatient consultations, and written thesis.Results: Total 133 out of 142 residents (93.7%) responded that 3 years of training is ideal or pertinent. Residents responded that the types of conference that they need most are journal review (81%), staff lecture (73.2%), and clinical topic review (73.2%), in that order. Procedures and interview techniques that the residents want to learn most were gastroscopy (72.5%), abdominal ultrasonography (65.2%), and pain management (46.4%). Hospitals where family medicine residents do not see hospitalized patients or patients in the outpatient clinic were 7.9% and 6.5%, respectively, whereas hospitals that maintain continuous family medicine outpatient clinics were only 40.8%. Education in outpatient clinic and articlewriting seminars was done less frequently in the secondary hospitals than in the tertiary hospitals. Conclusion:Evaluation and quality improvement of family medicine training program as well as specialty rotations should be considered in order to foster better family physicians. The efforts have to be made to minimize the difference in quality of each family medicine residency program.

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“…Apart from this limitation, the follow-up study found remarkable consistency from first to third year in the residents' opinions concerning the length of their training. 2 As third-year residents, 37% of the respondents favored 4-year family medicine residency programs compared with 32% as first-year residents. The third-year residents supported a fourth year of training because of the broad scope of family medicine, the perceived need for more training in certain clinical areas, such as office procedures, and the longer duration of training for other medical specialists.…”

Section: 2mentioning

confidence: 99%

“…The financial implications of either shortening or lengthening residency training would make any change difficult. In addition, the articles by Duane et al 1,2 highlight the lack of consensus for changing residency education from its current 3 years. Furthermore, a true competency-based residency curriculum would not have a fixed duration but would vary depending on the time it took each resident to demonstrate competence.…”

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confidence: 99%

How Long Does It Take to Become a Competent Family Physician?

Winter¹

2004

The Journal of the American Board of Family Medicine

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No one knows for sure how long it takes to train a competent family physician. Family medicine, internal medicine, and pediatrics all require a 3-year residency before board certification in the United States. In Canada, only 2 years are required for family medicine board certification. Before 1969, general practice training in the United States was also only a 2-year curriculum before it was extended to 3 years as it evolved into family medicine. Health care has changed dramatically since 1969, with an explosion of medical knowledge and new technology that challenges us to once again question the proper length of a family medicine residency education. Marguerite Duane, Larry Green, Susan Dovey, and their coauthors try to answer this question in 2 articles on the length and content of family medicine residency training. 1,2The first, published in 2002, was based on a simultaneous survey of family medicine residency directors, first-year residents in the programs of the sampled residency directors, and family physicians due for their first board recertification examination. The survey solicited their opinions about the length and content of family medicine residencies. The majority of respondents in each group favored the current 3-year model. However, 27% of residency directors, 32% of first-year residents, and 28% of recertifying family physicians supported adding a fourth year to residency training. All 3 groups agreed that the breadth and depth of the residency experience would have to be expanded to justify adding another year, but the only topics that they agreed warranted more training were officebased procedures and sports medicine. The most significant barriers they identified to adding a fourth year to residency education included the lack of agreement that it is necessary, financing the expansion, and lost opportunity costs for residents during the fourth year. For the follow-up study, Duane et al chose to resurvey only the resident group from their 2002 article. As first-year residents, this group had the largest percentage of respondents interested in a 4-year residency (32%), and they wanted to determine whether their opinions had changed as thirdyear residents. One of the weaknesses of the follow-up study is that it includes responses from only 280 of the original 533 respondents from the 2002 study. The responders in the current study have similar demographics compared with those lost to follow-up and the nonresponders. However, the current study's findings represent only 52.3% of the 2002 study's first-year resident responders, and only 28% of the 997 first-year residents initially surveyed for the 2002 study. Apart from this limitation, the follow-up study found remarkable consistency from first to third year in the residents' opinions concerning the length of their training. 2As third-year residents, 37% of the respondents favored 4-year family medicine residency programs compared with 32% as first-year residents. The third-year residents supported a fourth year of training because of the broad...

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Follow-up on Family Practice Residents' Perspectives on Length and Content of Training

Cited by 11 publications

References 2 publications

Residents' views about family medicine specialty education in Turkey

Residents' views about family medicine specialty education in Turkey

Residents' Expectation of Family Medicine-Specific Training Program and Its Current State

How Long Does It Take to Become a Competent Family Physician?

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