research Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination Read Performance Evaluation of the Generative Pre-trained Transformer (GPT-4) on the Family Medicine In-Training Examination
Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice 2017 Author(s) Phillips, Robert L, Petterson, Stephen M, Bazemore, Andrew W, Wingrove, Peter M, and Puffer, James C Topic(s) Education & Training Keyword(s) Imprinting Of Training Volume Annals of Family Medicine Source Annals of Family Medicine PURPOSE: Medicare beneficiary spending patterns reflect those of the 306 Hospital Referral Regions where physicians train, but whether this holds true for smaller areas or for quality is uncertain. This study assesses whether cost and quality imprinting can be detected within the 3,436 Hospital Service Areas (HSAs), 82.4 percent of which have only 1 teaching hospital, and whether sponsoring institution characteristics are associated. METHODS: We conducted a secondary, multi-level, multivariable analysis of 2011 Medicare claims and American Medical Association Masterfile data for a random, nationally representative sample of family physicians and general internists who completed residency between 1992 and 2010 and had more than 40 Medicare patients (3,075 physicians providing care to 503,109 beneficiaries). Practice and training locations were matched with Dartmouth Atlas HSAs and categorized into low-, average-, and high-cost spending groups. Practice and training HSAs were assessed for differences in 4 diabetes quality measures. Institutional characteristics included training volume and percentage of graduates in rural practice and primary care. RESULTS: The unadjusted, annual, per-beneficiary spending difference between physicians trained in high- and low-cost HSAs was $1,644 (95% CI, $1,253-$2,034), and the difference remained significant after controlling for patient and physician characteristics. No significant relationship was found for diabetes quality measures. General internists were significantly more likely than family physicians to train in high-cost HSAs. Institutions with more graduates in rural practice and primary care produced lower-spending physicians. CONCLUSIONS: The “imprint” of training spending patterns on physicians is strong and enduring, without discernible quality effects, and, along with identified institutional features, supports measures and policy options for improved graduate medical education outcomes. Read More ABFM Research Read all 1970 Generally speaking Go to Generally speaking 2019 New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones. Go to New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones. 2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis
Author(s) Phillips, Robert L, Petterson, Stephen M, Bazemore, Andrew W, Wingrove, Peter M, and Puffer, James C Topic(s) Education & Training Keyword(s) Imprinting Of Training Volume Annals of Family Medicine Source Annals of Family Medicine
ABFM Research Read all 1970 Generally speaking Go to Generally speaking 2019 New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones. Go to New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones. 2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance 2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis
2019 New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones. Go to New Allopathic Medical Schools Train Fewer Family Physicians Than Older Ones.
2024 COVID-19 Impact on Family Medicine Residents Exam Performance Go to COVID-19 Impact on Family Medicine Residents Exam Performance
2019 Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis Go to Comparison of AR, ITS, CBT, and Didactic Training and Evaluation of Retinopathy-Based Diagnosis
