Redesigning Residency Training: Summary Findings From the Preparing the Personal Physician for Practice (P4) Project

Abstract

The P4 project was a successful model for multisite graduate medical education research. Insights gained from the P4 project could help family medicine educators with future residency program redesign.

ASKING HARD QUESTIONS: THE ROLE OF ANNALS OF FAMILY MEDICINE IN ADVANCING OUR DISCIPLINE

“…Over the last 17 years, the ABFM, guided by its Board of Directors and Dr James Puffer, implemented a variety of innovations to improve the certification process, transformed the organization into a digital enterprise, and helped drive innovation in family medicine residency training. 2,3 Dr Puffer also launched a robust research enterprise 4 that has documented positive correlations between participation in continuous certification and knowledge base, quality of care provided, and lower incidence of adverse medical license actions. ABFM has also documented dramatic changes in our scope of care, developed a national graduate survey to provide feedback to residencies on their outcomes, and begun to develop quality measures that capture the core of what primary care does.…”

Colorado Residency PCMH Project: Results From a 6-Year Transformation Effort

“…1,2 Primary care professional organizations recognized the difficult-to-meet needs of both preparing the future primary care workforce while also developing current faculty in this new model of care that they had not been exposed to in their own training. [3][4][5][6][7][8] In 2009, the Colorado Health Foundation sought to address these needs by funding an initial effort to transform primary care residencies in Colorado into patient-centered medical homes while teaching both faculty and residents how to lead in the new model of care. The Colorado Residency PCMH Project assisted ORIGINAL ARTICLES primary care residency training practices in PCMH implementation and curriculum redesign.…”

Finding 8,000 Medical Students Every Year

“…Between 2007 and 2014, the Preparing the Personal Physician for Practice (P4) project was conducted to consider ways to reform the residency curriculum, including a case study of required 4-year training in one of the 14 programs. 3 To follow up on this work, a formal length of training pilot (LOTP) experiment began in 2012. The experiment was designed as a controlled comparison of six 4-year programs with seven matched 3-year programs.…”