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The fourth-year chief resident position in family practice training, 1987-1992
1Shasta-Cascade Family Practice Residency, Redding, Calif.
Family Medicine
|May 1, 1994
Summary
The role of fourth-year chief residents (FYCRs) in family practice education evolved between 1987 and 1992. FYCRs increasingly took on administrative and clinical teaching duties, aiding their transition to faculty roles.
Area of Science:
- Medical Education
- Family Medicine
- Postgraduate Training
Background:
- Assessed the status of fourth-year chief resident (FYCR) positions in US family practice postgraduate training from 1987 to 1992.
- Aimed to clarify the FYCR's role in family practice education.
Purpose of the Study:
- To evaluate changes in the number and responsibilities of FYCR positions.
- To understand the evolving role of FYCRs in family practice residency programs.
Main Methods:
- Surveys distributed to US family practice residency program directors in 1987 and 1991.
- Analysis of response rates and data on FYCR positions and their functions.
Main Results:
- Nineteen programs had FYCR positions in 1987, decreasing to 15 in 1992, with no significant change in overall numbers.
- Major justifications included administrative assistance, clinical instruction, and faculty development.
- FYCRs increasingly engaged in faculty development training and held attending responsibilities.
Conclusions:
- Between 1987 and 1992, FYCRs assumed greater administrative and clinical instructor roles.
- Programs increasingly involved FYCRs in faculty development, highlighting the position's transitional value.
- The FYCR role facilitates the transition from trainee to faculty status.