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Home Research Research Library Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: Residency Program Characteristics and Individual Physician Practice Characteristics Associated With Family Physician Scope of Practice: 2019 Author(s) Coutinho, Anastasia J, Levin, Zachary, Petterson, Stephen M, Phillips, Robert L, and Peterson, Lars E Topic(s) Education & Training, Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Continuing Certification Questionnaire, Graduate Medical Education, Imprinting Of Training, and Quality Of Care Volume Academic Medicine Source Academic Medicine Purpose A family physician’s ability to provide continuous, comprehensive care begins in residency. Previous studies show that patterns developed during residency may be imprinted upon physicians, guiding future practice. The objective was to determine family medicine residency characteristics associated with graduates’ scope of practice (SCoP). Method The authors used (1) residency program data from the 2012 Accreditation Council for Graduate Medicine Education Accreditation Data System and (2) self-reported data supplied by family physicians when they registered for the first recertification examination with the American Board of Family Medicine (2013–2016)—7 to 10 years after completing residency. The authors used linear regression analyses to examine the relationship between individual physician SCoP (measured by the SCoP for primary care [SP4PC] score [scale of 0–30; low = small scope]) and individual, practice, and residency program characteristics. Results The authors sampled 8,261 physicians from 423 residencies. The average SP4PC score was 15.4 (standard deviation, 3.2). Models showed that SCoP broadened with increasing rurality. Physicians from unopposed (single) programs had higher SCoP (0.26 increase in SP4PC); those from major teaching hospitals had lower SCoP (0.18 decrease in SP4PC). Conclusions Residency program characteristics may influence family physicians’ SCoP, although less than individual characteristics do. Broad SCoP may imply more comprehensive care, which is the foundation of a strong primary care system to increase quality, decrease cost, and reduce physician burnout. Some residency program characteristics can be altered so that programs graduate physicians with broader SCoP, thereby meeting patient needs and improving the health system. Read More ABFM Research Read all 2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates 2021 Role of social deprivation on asthma care quality among a cohort of children in US community health centres Go to Role of social deprivation on asthma care quality among a cohort of children in US community health centres 2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
Author(s) Coutinho, Anastasia J, Levin, Zachary, Petterson, Stephen M, Phillips, Robert L, and Peterson, Lars E Topic(s) Education & Training, Role of Primary Care, Achieving Health System Goals, and What Family Physicians Do Keyword(s) Continuing Certification Questionnaire, Graduate Medical Education, Imprinting Of Training, and Quality Of Care Volume Academic Medicine Source Academic Medicine
ABFM Research Read all 2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates 2021 Role of social deprivation on asthma care quality among a cohort of children in US community health centres Go to Role of social deprivation on asthma care quality among a cohort of children in US community health centres 2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations 2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
2016 Access to Primary Care in US Counties Is Associated with Lower Obesity Rates Go to Access to Primary Care in US Counties Is Associated with Lower Obesity Rates
2021 Role of social deprivation on asthma care quality among a cohort of children in US community health centres Go to Role of social deprivation on asthma care quality among a cohort of children in US community health centres
2018 Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations Go to Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations
2013 Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives Go to Most family physicians work routinely with nurse practitioners, physician assistants, or certified nurse midwives
