Garvin Roger D, Eiff M Patrice, Pugno Perry, Douglass Alan, Duane Marguerite, Young Richard, Saultz John W, Waller Elaine, Carney Patricia A
Department of Family Medicine, Oregon Health & Science University, Portland, OR 97239, USA.
Fam Med. 2011 Jul-Aug;43(7):472-9.
Family medicine is actively engaged in residency redesign, but it is unclear how curricular innovation and restructuring of residency programs will affect their performance in the National Resident Matching Program (NRMP).
The Preparing the Personal Physician for Practice (P⁴) Project is a residency redesign initiative of 14 family medicine residency programs. Applicant and Match data provided by P⁴ programs were analyzed to determine if Match performance improved between the pre- (2006--2007) and post- (2008--2010) P⁴ program years and were compared to national applicant and Match data obtained from Electronic Residency Application System (ERAS) data and the NRMP.
The mean number of US MD senior applicants per program increased from 53 before P⁴ to 81 after P⁴ implementation. The mean number of applicants interviewed per program increased nearly 40% in the post-P⁴ period. The mean percent of positions filled in the Match increased from 72.6% before P⁴ to 86.8% post-P⁴. Programs that implemented individualized training significantly improved the percent of positions filled in the Match compared to those that did not, 90% versus 83.
In the family medicine P⁴ programs, innovations in residency curriculum, especially those with individualized training, appear to have a positive influence on student interest and program performance in the Match.
家庭医学正积极参与住院医师培训项目的重新设计，但尚不清楚课程创新和住院医师培训项目的重组将如何影响其在美国国家住院医师匹配计划（NRMP）中的表现。
“为实践培养个人医师（P⁴）项目”是一项由14个家庭医学住院医师培训项目参与的住院医师培训重新设计计划。对P⁴项目提供的申请人和匹配数据进行分析，以确定在P⁴项目实施前（2006 - 2007年）和实施后（2008 - 2010年）的匹配表现是否有所改善，并与从电子住院医师申请系统（ERAS）数据和NRMP获得的全国申请人和匹配数据进行比较。
每个项目美国医学博士高年级申请人的平均数量从P⁴实施前的53人增加到实施后的81人。每个项目面试的申请人平均数量在P⁴实施后增加了近40%。匹配中填补职位的平均百分比从P⁴实施前的72.6%增加到实施后的86.8%。与未实施个性化培训的项目相比，实施个性化培训的项目在匹配中填补职位的百分比显著提高，分别为90%和83%。
在家庭医学P⁴项目中，住院医师培训课程的创新，尤其是那些采用个性化培训的创新，似乎对学生的兴趣和项目在匹配中的表现有积极影响。
