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P4 : Preparing the Personal Physician for Practice

An "epidemic" of residency redesign is sweeping the nation...

Thinking about what you might do next year to redesign your residency to meet or exceed any one of the proposed changes announced recently by the RC-FM and ABFM? You're in luck, because Family Medicine just published a dedicated issue on the topic of residency redesign. Read the issue online at STFM.org »

The P4 residency programs are telling stories — from the recruitment effects of curriculum innovations to improving chronic care in teaching practices — that provide a knowledge-based approach about how you can implement ideas just like theirs. Residency redesign works best when ideas are tested at more than one residency... What idea do you want to try?

P4 - Preparing the Personal Physician for Practice

More good news for Primary Care:
For second year in a row, more U.S. medical school seniors will train as family medicine residents

According to new data released by the National Resident Matching Program (NRMP): The number of U.S. seniors matched to family medicine positions rose by 11 percent over 2010 ... Among primary care specialties, family medicine programs continued to experience the strongest growth in the number of positions filled by U.S. seniors. In this year’s Match, U.S. seniors filled nearly half of the 2,708 family medicine residency slots. Family medicine also offered 100 more positions this year."

• Read the Press Release at NRMP.org »
• Learn more at www.aafp.org/match »

IN THE NEWS
Resident Revolution: Family Medicine Bids to Reshape Health Care
University of Colorado Hospital Insider
By Tyler Smith

"The Anschutz Medical Campus is at the heart of a movement that is quietly altering the health care landscape. Amid loud debates and uncertainty about health care’s economic future, the Department of Family Medicine at the University of Colorado School of Medicine is steadily laying the foundation for what could be a new paradigm for delivering care. And the department’s faculty is working from the ground up, starting with new ways to educate its residents..."

IN THE NEWS
With PCMH, Loma Linda Program Helps Physicians Prepare for Practice
California Family Physician Magazine
By Lauren M. Simon, MD, MPH

"Our residency program's faculty coined this one-line moniker that describes our goal in training residents: 'Nurturing system-savvy servant leaders in whole-person care.' We use core family medicine values to provide continuous care within a family and community context, promote healing relationships and maintain a whole-person care focus. Whole-person care is patient centered and considers all domains of the individual: physical, physiological, social, emotional and spiritual.  Although we have been teaching whole-person care for many years, this description fits right in with the new model of care and the Patient Centered Medical Home (PCMH). Our clinic has achieved National Commission on Quality Assurance (NCQA) Level 1 PCMH designation..."


P4 Innovation Updates
To read the latest descriptions of the residency program innovations in this updated PDF document, click here.

P4 is on Facebook!
Become a fan of P4 on Facebook. Click here to see photos from site visits, get the latest info and stay in touch with others who are passionate about residency innovation.

About P4

The Preparing the Personal Physician for Practice (P4) Residency Demonstration Initiative is a 6–year, 14-site, national comparative case study of a spectrum of innovations associated with the Patient-Centered Medical Home in family medicine residency training.

The P4 initiative has the potential to inspire considerable changes in the content and structure of family medicine training. Findings from the project are expected to guide future revisions in accreditation and content and inform the following:

  • How the residency can experience better alignment with new models of practice
  • How to better assess and assure competency
  • How to incorporate evidence-based medicine into daily clinical practice
  • How residents can learn to work effectively in teams
  • How residents can learn to use technology fully to measure and improve quality and outcomes
  • More evidence to select training experiences that are effective in producing skilled personal physicians
  • More about what teaching methods are effective
  • More about what educational outcomes measures are meaningful
  • More about how to finance new residency experiences and innovations

"We are strangely optimistic"
— Hendersonville Family Medicine Residency Program

The P4 initiative is a collaborative effort led by the P4 Steering Committee in conjunction with the Association of Family Medicine Residency Program Directors; the American Board of Family Medicine; TransforMED, a practice redesign initiative of the American Academy of Family Physicians; Oregon Health & Science University and the 14 P4 Innovators.


 

 


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