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Does Community- or University-Based Residency Sponsorship Affect Graduate Perceived Preparation or Performance?

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    Graduates from community-based family medicine residency programs report better preparation and broader practice scope than those from medical school-based programs. This impacts perceived readiness for diverse patient care scenarios.

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    Area of Science:

    • Family Medicine Education
    • Physician Training Outcomes
    • Graduate Medical Education

    Background:

    • Residency training settings vary, leading to debate on differences between community-based and medical school-based programs.
    • Understanding these differences is crucial for optimizing physician preparedness.

    Purpose of the Study:

    • To compare perceived practice readiness, scope of practice, and board exam pass rates among family physicians based on residency program type (community, medical school, partnership).

    Main Methods:

    • Utilized data from the 2016/2017 National Family Medicine Graduate Survey.
    • Linked survey responses to residency program data from national organizations.
    • Employed descriptive statistics and logistic regression to analyze differences by program type.

    Main Results:

    • Significant differences in perceived preparation and scope of practice were observed across the three residency types.
    • Hospital-based skills (e.g., intubation, ventilator management) and women's health services showed varied preparedness perceptions.
    • Different program types enhanced preparedness perception in distinct practice domains.

    Conclusions:

    • Graduates from community-based, non-affiliated, and partnership family medicine programs generally reported higher perceived preparedness.
    • These graduates also indicated providing a wider range of services compared to those from medical school-based programs.