Home Research Research Library Scope of Practice Among Recent Family Medicine Residency Graduates Scope of Practice Among Recent Family Medicine Residency Graduates 2017 Author(s) Eiff, M Patrice, Hollander-Rodriguez, J, Skariah, J, Young, Richard A, Waller, E, Dexter, E, O’Neill, Thomas R, Peabody, Michael R, Green, Larry A, and Carney, Patricia A Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Graduate Medical Education Volume Family Medicine Source Family Medicine BACKGROUND AND OBJECTIVES: The scope of practice among primary care providers varies, and studies have shown that family physicians’ scope may be shrinking. We studied the scope of practice among graduates of residencies associated with Preparing the Personal Physician for Practice (P4) and how length of training and individualized education innovations may influence scope. METHODS: We surveyed graduates 18 months after residency between 2008 and 2014. The survey measured self-reported practice characteristics, scope of practice and career satisfaction. We assessed scope using individual practice components (25 clinical activities, 30 procedures) and a scaled score (P4-SOP) that measured breadth of practice scope. We conducted subgroup analyses according to exposure to innovations over the project period and exposure to specific innovations. RESULTS: No significant differences were found in mean P4-SOP scores between the Pre and Full P4 groups. Compared to national data, P4 graduates reported higher rates for vaginal deliveries (19.3% vs 9.2%), adult inpatient care (48.5% vs 33.7%) and nursing home care (25.4 vs 11.7%) in practice. Graduates exposed to innovations that lengthened training, compared to standard training length, were more likely to include adult hospital care (58.2% vs 38.5%, P=0.002), adult ICU care (30.6% vs 19.2%, P=0.047) and newborn resuscitation (25.6% vs 14%, P=0.028) in their practice and performed 19/30 procedures at higher rates. Graduates of programs with individualized training innovations reported no significant differences in scope compared to graduates without this innovation. CONCLUSIONS: Graduates of residencies engaged in significant educational redesign report a broad scope of practice. Innovations around the length of training may broaden scope and individualized education appears not to constrict scope. ABFM Research Read all 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 2024 How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. Go to How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. 2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net 2022 Residency Learning Networks: Why and How. Go to Residency Learning Networks: Why and How.
Author(s) Eiff, M Patrice, Hollander-Rodriguez, J, Skariah, J, Young, Richard A, Waller, E, Dexter, E, O’Neill, Thomas R, Peabody, Michael R, Green, Larry A, and Carney, Patricia A Topic(s) Education & Training, and What Family Physicians Do Keyword(s) Graduate Medical Education Volume Family Medicine Source Family Medicine
ABFM Research Read all 2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 2024 How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. Go to How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. 2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net 2022 Residency Learning Networks: Why and How. Go to Residency Learning Networks: Why and How.
2024 Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022 Go to Underlying reasons for primary care visits where chlamydia testing was performed in the United States, 2019-2022
2024 How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency. Go to How Early Career Family Medicine Women Physicians Negotiate Their First Job After Residency.
2015 Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net Go to Graduates of Teaching Health Centers Are More Likely to Enter Practice in the Primary Care Safety Net
