Perceived Impact of Proposed Institute of Medicine Duty Hours on Family Medicine Residency Programs

Abstract

We would add that reviewing the applications of funded CTSAs, engaging funded CSA researchers as consultants, and approaching the CTSA process as team players are all potentially productive strategies. The CTSA Web site of the National Center for Research Resources of the NIH contains a plethora of information as well as links to all currently funded CTSA Web sites. 3A fi nal strategy that we will mention is that 8 of our respondents indicated that they would be applying as a collaborative institution rather than as a lead institution. As mentioned above, 1 family medicine department is currently participating through a collaborative arrangement. This may be a productive strategy for departments that have a distinctive contribution to make, but are located in institutions that would not otherwise be competitive for a CTSA. Collaboration across institutions and between CTSAs is strongly encouraged as part of the vision of accelerating research fi ndings into improved outcomes for patients.Bernard

Financial Considerations Associated With a Fourth Year of Residency Training in Family Medicine: Findings From the Length of Training Pilot Study

“…for more than a decade. [1][2][3][4][5][6][7][8] Proponents of longer training suggest an additional year should be added to address a broad scope of practice within the context of clinical and educational work hour requirements, [9][10][11] lack of adequate preparation in medical school, [12][13][14] and skills needed to perform in complex health care systems. 15,16 Some have advocated for a 2-year training model similar to Canada.…”

A Comparison of Residency Applications and Match Performance in 3-Year vs 4-Year Family Medicine Training Programs

“…he optimal length of residency training needed to best prepare a family physician to function in both current and future health care environments is under debate. 1 Reasons proposed to extend training to 4 years include inadequate clinical preparation during medical school, [2][3][4][5] reduction in available educational time due to duty hour restrictions, [6][7][8] and new skills needed to practice in complex health systems while providing patient-centered care. [9][10] Despite these arguments for adding a year, concerns remain that doing so will further erode student interest in choosing family medicine at a time when fewer students are entering primary care disciplines.…”