Department of Family Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Fam Med. 2023 Nov;55(10):646-652. doi: 10.22454/FamMed.2023.297644. Epub 2023 Jul 24.
Primary care supports the global health care system. With an increased need for primary care physicians, medical schools must provide resources, role models, and opportunities to increase the number of medical students matching into primary care residencies. Some medical schools have developed primary care pipeline programs for students. The outcomes of one such program-the Primary Care Program (PCP)-at the Keck School of Medicine (KSOM) of the University of Southern California (USC), an urban and private academic medical training center, are evaluated here.
We reviewed PCP student outcome data for students who graduated between 2015 and 2022. Data were gathered through surveys, residency match lists, and graduation records.
Among PCP matriculates (n=134), 70% were female and 39% were underrepresented in medicine. Thirteen percent (n=16) of PCP graduates (n=122) completed a master of public health (MPH) degree. Among PCP graduates, 70% matched into primary care residencies compared to 36% of non-PCP graduates (P<.001). The most common residencies that PCP graduates matched into were family medicine (n=45, 37%), internal medicine (n=20, 16%), pediatrics (n=12, 10%), surgery (n=10, 8%), and psychiatry (n=9, 7%). A higher percentage of KSOM students matched into primary care residencies in the 8 graduation years after PCP was instituted (39%) than in the 8 graduation years before PCP was instituted (33%, P=.003).
The PCP data demonstrate the program's success at increasing the number of KSOM graduates matching into primary care residencies. The program provides a replicable training model.
初级保健支持全球医疗保健系统。由于对初级保健医生的需求增加，医学院必须提供资源、榜样和机会，以增加匹配到初级保健住院医师的医学生人数。一些医学院为学生开设了初级保健管道项目。南加州大学（USC）凯克医学院（KSOM）的一个城市和私立学术医疗培训中心的初级保健计划（PCP）就是这样一个项目，其成果在此进行评估。
我们回顾了 2015 年至 2022 年期间毕业的 PCP 学生的学生成果数据。数据通过调查、住院医师匹配名单和毕业记录收集。
在 PCP 入学人数中（n=134），70%为女性，39%为医学专业代表性不足的群体。13%（n=16）的 PCP 毕业生（n=122）完成了公共卫生硕士（MPH）学位。与非 PCP 毕业生（n=122）相比，70%的 PCP 毕业生匹配到初级保健住院医师（n=45, 37%），而非 PCP 毕业生匹配到初级保健住院医师的比例为 36%（P<.001）。PCP 毕业生匹配到的最常见的住院医师是家庭医学（n=45, 37%）、内科（n=20, 16%）、儿科（n=12, 10%）、外科（n=10, 8%）和精神病学（n=9, 7%）。在 PCP 实施后的 8 年毕业期间，KSOM 学生匹配到初级保健住院医师的比例（39%）高于 PCP 实施前的 8 年毕业期间（33%，P=.003）。
PCP 数据表明该计划成功增加了匹配到初级保健住院医师的 KSOM 毕业生人数。该计划提供了可复制的培训模式。
