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Redesigning Residency Training: Summary Findings From the Preparing the Personal Physician for Practice (P4) Project
Patricia A Carney1, M Patrice Eiff1, Elaine Waller1
1Oregon Health and Science University, Portland, OR.
Family Medicine
|July 14, 2018
Summary
The Preparing the Personal Physician for Practice (P4) project successfully evaluated new family medicine residency models aligned with the patient-centered medical home (PCMH). This multisite research offers valuable insights for future residency program redesign.
Area of Science:
- Graduate Medical Education Research
- Family Medicine Education
Background:
- The Preparing the Personal Physician for Practice (P4) project (2007-2014) examined innovations in family medicine residency programs.
- The project focused on aligning residency training with the patient-centered medical home (PCMH) model.
Purpose of the Study:
- To evaluate new models of family medicine residency education.
- To assess changes in the length, structure, content, and location of residency training.
- To provide insights for future residency program redesign.
Main Methods:
- A comparative case study of 14 family medicine programs.
- Critical review of published papers and qualitative narrative analysis of project reports.
- Mapping P4 findings to a survey of program directors' key educational areas.
Main Results:
- 830 residents participated, exploring 80 hypotheses across 44 innovations.
- 39 papers and numerous national presentations resulted from the project.
- Findings covered PCMH alignment, educational redesign, financing, training length, scope of practice, and research standards.
Conclusions:
- The P4 project served as a successful model for multisite graduate medical education research.
- The project generated valuable insights for family medicine educators undertaking residency program redesign.
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