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A National Survey of Internal Medicine Primary Care Residency Program Directors

  • Paul O’RourkeEmail author
  • Eva Tseng
  • Karen Chacko
  • Marc Shalaby
  • Anne Cioletti
  • Scott Wright
Original Research

Abstract

Background

The United States is facing a primary care physician shortage. Internal medicine (IM) primary care residency programs have expanded substantially in the past several decades, but there is a paucity of literature on their characteristics and graduate outcomes.

Objective

We aimed to characterize the current US IM primary care residency landscape, assess graduate outcomes, and identify unique programmatic or curricular factors that may be associated with a high proportion of graduates pursuing primary care careers.

Design

Cross-sectional study

Participants

Seventy out of 100 (70%) IM primary care program directors completed the survey.

Main Measures

Descriptive analyses of program characteristics, educational curricula, clinical training experiences, and graduate outcomes were performed. Bivariate and multivariate logistic regression analyses were used to determine the association between ≥ 50% of graduates in 2016 and 2017 entering a primary care career and program characteristics, educational curricula, and clinical training experiences.

Key Results

Over half of IM primary care program graduates in 2016 and 2017 pursued a primary care career upon residency graduation. The majority of program, curricular, and clinical training factors assessed were not associated with programs that have a majority of their graduates pursuing a primary care career path. However, programs with a majority of program graduates entering a primary care career were less likely to have X + Y scheduling compared to the other programs.

Conclusions

IM primary care residency programs are generally succeeding in their mission in that the majority of graduates are heading into primary care careers.

KEY WORDS

medical education-graduate medical education-career choice primary care medical student and residency education survey research 

Notes

Funding

Dr. Wright is the Anne Gaines and G. Thomas Miller Professor of Medicine which is supported through the Johns Hopkins Center for Innovative Medicine.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

Prior Presentations

This work was presented at the Society of General Internal Medicine Annual Meeting in April 2018.

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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  • Paul O’Rourke
    • 1
    Email author
  • Eva Tseng
    • 2
  • Karen Chacko
    • 3
  • Marc Shalaby
    • 4
  • Anne Cioletti
    • 5
  • Scott Wright
    • 1
  1. 1.Division of General Internal MedicineJohns Hopkins Bayview Medical CenterBaltimoreUSA
  2. 2.Division of General Internal MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Division of General Internal MedicineUniversity of Colorado School of MedicineAuroraUSA
  4. 4.Division of General Internal MedicinePerelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  5. 5.Division of Primary Care and Value-Based Health, Dell Medical SchoolThe University of Texas at AustinAustinUSA

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