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Changes in Preparation and Practice Patterns Among New Family Physicians.
Amanda K H Weidner1, Frederick M Chen2
1Family Medicine Residency Network, Department of Family Medicine, University of Washington, Seattle, Washington aweidner@uw.edu.
Annals of Family Medicine
|January 24, 2019
Summary
Recent family medicine graduates feel better prepared but practice fewer procedures than those from over a decade ago. This indicates improved residency training but a concerning decline in the scope of family physician practice.
Area of Science:
- Primary Care Medicine
- Medical Education Research
Background:
- Family physicians are trained to offer a broad range of clinical services.
- There are concerns about a potential decline in the scope of practice for family physicians.
Purpose of the Study:
- To investigate if the narrowing scope of practice for family physicians is a recent phenomenon.
- To compare the practice patterns and preparedness of family medicine residents from two distinct time periods.
Main Methods:
- A comparative study analyzing survey data from two cohorts of regional family medicine residency graduates.
- The first cohort graduated between 1996-1999 (surveyed in 2000, n=293).
- The second cohort graduated between 2010-2013 (surveyed in 2012/2014, n=408).
Main Results:
- Recent graduates reported feeling better prepared for clinical services compared to earlier graduates.
- However, recent graduates reported a significantly narrower scope of practice than those who graduated over a decade prior.
- Despite improved training, the breadth of clinical services performed by new family physicians has decreased.
Conclusions:
- Family medicine residency training has demonstrably improved over time, enhancing graduate preparedness.
- A concerning trend of declining scope of practice exists among recent family medicine graduates.
- Further investigation is needed to understand and address the factors contributing to this narrowing scope.
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