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The University of Kentucky's Accelerated Family Practice Residency Program

R L Bratton1, A K David

  • 1Kasson-Mayo Family Practice Clinic, MN.

Family Medicine
|February 1, 1993
PubMed
Summary
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The Accelerated Residency Program (ARP) allowed medical students to finish medical school and family medicine residency in six years. This pilot program offered benefits like earlier career entry but raised concerns about training depth.

Area of Science:

  • Medical Education
  • Family Medicine Training

Background:

  • The traditional medical education pathway involves distinct medical school and residency phases.
  • The fourth year of medical school often includes electives, which may not directly contribute to core residency competencies.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of an accelerated family practice residency program.
  • To assess the advantages and disadvantages of integrating the final year of medical school with the first year of residency.

Main Methods:

  • A pilot program was conducted from 1989-1990 at the University of Kentucky.
  • Three fourth-year medical students simultaneously served as first-year family practice residents.

Main Results:

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  • The program enabled completion of medical school and residency in six years, one year shorter than the traditional seven.
  • Potential benefits included skill maintenance, enhanced learning, and earlier professional entry.
  • Potential drawbacks involved earlier career decisions and concerns about perceived training adequacy.

    • Conclusions:

    • The Accelerated Residency Program demonstrated a potential to shorten physician training.
    • Careful consideration of curriculum integration and potential trade-offs is necessary for such programs.