Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance?
Journal
Journal of graduate medical education
ISSN: 1949-8357
Titre abrégé: J Grad Med Educ
Pays: United States
ID NLM: 101521733
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
03
12
2019
revised:
24
06
2020
revised:
10
07
2020
accepted:
16
07
2020
entrez:
5
11
2020
pubmed:
6
11
2020
medline:
8
5
2021
Statut:
ppublish
Résumé
Residency training occurs in varied settings. Whether there are differences in the training received by graduates of community- or medical school-based programs has been the subject of debate. This study examined the perceived preparation for practice, scope of practice, and American Board of Family Medicine (ABFM) board examination pass rates of family physicians in relation to the type of residency program (community, medical school, or partnership) in which they trained. Predetermined survey responses were abstracted from the 2016 and 2017 National Family Medicine Graduate Survey of ABFM and linked to data about residency programs obtained from the websites of national organizations. Descriptive statistics were used to summarize the data and logistic regression to examine differences between survey results based on type of residency training: community, medical school, or partnership. Differences in the perception of preparation as well as current scope of practice were noted for the 3 residency types. The differences in perception were mainly noted in hospital-based skills, such as intubation and ventilator management, and in women's health and family planning services, with different program types increasing preparedness perception in different domains. In general, graduates of family medicine community-based, non-affiliated, and partnership programs perceived they were prepared for and were providing more of the services queried in the survey than graduates of medical school-based programs.
Sections du résumé
BACKGROUND
BACKGROUND
Residency training occurs in varied settings. Whether there are differences in the training received by graduates of community- or medical school-based programs has been the subject of debate.
OBJECTIVE
OBJECTIVE
This study examined the perceived preparation for practice, scope of practice, and American Board of Family Medicine (ABFM) board examination pass rates of family physicians in relation to the type of residency program (community, medical school, or partnership) in which they trained.
METHODS
METHODS
Predetermined survey responses were abstracted from the 2016 and 2017 National Family Medicine Graduate Survey of ABFM and linked to data about residency programs obtained from the websites of national organizations. Descriptive statistics were used to summarize the data and logistic regression to examine differences between survey results based on type of residency training: community, medical school, or partnership.
RESULTS
RESULTS
Differences in the perception of preparation as well as current scope of practice were noted for the 3 residency types. The differences in perception were mainly noted in hospital-based skills, such as intubation and ventilator management, and in women's health and family planning services, with different program types increasing preparedness perception in different domains.
CONCLUSIONS
CONCLUSIONS
In general, graduates of family medicine community-based, non-affiliated, and partnership programs perceived they were prepared for and were providing more of the services queried in the survey than graduates of medical school-based programs.
Identifiants
pubmed: 33149828
doi: 10.4300/JGME-D-19-00907.1
pmc: PMC7594780
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
583-590Déclaration de conflit d'intérêts
Conflict of interest: The authors declare they have no competing interests.
Références
J Grad Med Educ. 2017 Aug;9(4):426-429
pubmed: 28824753
Fam Med. 2002 Sep;34(8):592-7
pubmed: 12269535
J Grad Med Educ. 2017 Oct;9(5):570-573
pubmed: 29075373
Fam Med. 2001 May;33(5):390-2
pubmed: 11355652
Fam Med. 2016 Apr;48(4):279-85
pubmed: 27057606
J Fam Pract. 1983 Oct;17(4):693-6
pubmed: 6619752
Fam Med. 1993 Oct;25(9):576-9
pubmed: 8243904
Fam Med. 2014 May;46(5):360-8
pubmed: 24915479
Fam Med. 2019 May;51(5):383-388
pubmed: 30869800
J Fam Pract. 1984 Apr;18(4):581-6
pubmed: 6707590
J Surg Educ. 2013 Sep-Oct;70(5):613-7
pubmed: 24016372