文章基本信息

标题：Financing the Fourth Year: Experiences of Required 4-Year Family Medicine Residency Programs
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作者：Alan B. Douglass ; Wendy B. Barr ; Joe M. Skariah, DO, MPH, MBA 等
期刊名称：Family Medicine
印刷版ISSN：0742-3225
电子版ISSN：1938-3800
出版年度：2021
卷号：53
期号：3
页码：195-199
DOI：10.22454/FamMed.2021.249809
出版社：Society of Teachers of Family Medicine
摘要：Abstract: The optimal length of family medicine training has been debated since the specialty’s inception. Currently there are four residency programs in the United States that require 4 years of training for all residents through participation in the Accreditation Council for Graduate Medical Education Length of Training Pilot. Financing the additional year of training has been perceived as a barrier to broader dissemination of this educational innovation. Utilizing varied approaches, the family medicine residency programs at Middlesex Health, Greater Lawrence Health Center, Oregon Health and Science University, and MidMichigan Medical Center all demonstrated successful implementation of a required 4-year curricular model. Total resident complement increased in all programs, and the number of residents per class increased in half of the programs. All programs maintained or improved their contribution margins to their sponsoring institutions through additional revenue generation from sources including endowment funding, family medicine center professional fees, institutional collaborations, and Health Resources and Services Administration Teaching Health Center funding. Operating expense per resident remained stable or decreased. These findings demonstrate that extension of training in family medicine to 4 years is financially feasible, and can be funded through a variety of models.