Extended Duration of Training, Resident Physician Well-being, and the Primary Care Physician Shortage: Questions Remaining Following the Length of Training Pilot
Year: 2025
Type: article
Abstract: This issue of Family Medicine features two reports 1,2 from the Length of Training Pilot (LoTP) study, a multicenter pilot evaluation, started in 2013, of 4-year family medicine residency programs, compared against the current 3-year standard.3 In evaluating clinical preparedness, 1 the LoTP collaboration found similar performance among 3-and 4-year residents in attainment of 18 of 21 entrustable professional activities, with higher performance among 4-year graduates in comprehensive, longitudinal medical care for people of all ages; managing prenatal care; and managing labor, delivery, and postpartum care.Their scope of practice investigation 2 found evidence that 4-year graduates were more likely than 3-year graduates to provide pediatric and adult inpatient care, and were more likely to provide 13 of 24 evaluated procedures.These reports extend voluminous work on lengthening family medicine residency duration.Prior reports examined postresidency practice setting 4,5 ; scope of practice 5 ; clinical knowledge 6 ; scholarly, quality improvement, and curricular development activities 7,8 ; application pool and match outcomes 9 ; trainee well-being and burnout 10 ; and financial feasibility.11,12
Source: Family Medicine
Author: Daniel J. Parente
Institution: University of Kansas Medical Center
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413966725