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Learner-directed intentional diversification: the experience of three P4 programs
Leigh LoPresti1, Richard Young, Alan Douglass
1QuadMed/Mutual Health Center, Franklin, WI 53132, USA. leigh.lopresti@quad-med.com
Background:
This paper presents early outcomes of three residency programs participating in Preparing the Personal Physician for Practice (P4), family medicine's innovative residency redesign initiative. The three programs allow learner-directed diversification and either allow or require extra time, up to 4 years of residency, to complete these experiences. Residents endorse the changes by two measures: they choose a wide variety of areas of concentration, and a significant minority (40%) of residents chose to extend their residency training to 4 years, a proportion that grew significantly from 2006 to 2008.
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