is Assistant Professor and Associate Program Director, Pediatric Residency Program, Department of Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
is Professor and Program Director, Pediatric Primary Care Residency, Pediatric Teaching Program, Cone Health, Greensboro, North Carolina, USA.
J Grad Med Educ. 2024 Feb;16(1):80-83. doi: 10.4300/JGME-D-23-00453.1. Epub 2024 Feb 17.
We started a primary care residency program intended to prepare graduates for primary care and increase entry into primary care, using time-limited funds from the Health Resources and Services Administration (HRSA). To compare the graduates of the primary care residency program to their categorical peers, and whether they remained in the state, began primary care careers, and whether they identified as underrepresented in medicine. This is a retrospective study of a cohort of 39 residents who graduated from the University of North Carolina primary care residency program from 2014-2023. In 2016, HRSA grant funding expired and the program continued with ongoing financial support from the 2 institutions. Graduate demographics and career choices were compared to categorical residents (159 total) for graduate years 2014 to 2023. The primary care pediatrics residency has graduated 39 residents to date. Job placement data was obtained for all 39 graduates. Graduates of the program have 5.5-fold greater odds (95% CI, 2.5-12.5) of working in primary care roles following graduation than peer categorical residents. Most graduates (33 of 39, 85%) have taken jobs in general pediatrics (including primary care, urgent care, adolescent medicine, or hospital medicine). The program has recruited a large proportion of its residents (12 of 39, 31%) from groups historically underrepresented in medicine. We developed an innovative primary care pediatric residency in collaboration with a community partner, spurred by HRSA funds, that has trained a diverse group of new primary care pediatricians.
我们启动了一项初级保健住院医师培训计划，旨在利用卫生资源和服务管理局（HRSA）的限时资金，为毕业生做好初级保健准备工作，并增加初级保健的入职人数。 为了将初级保健住院医师培训计划的毕业生与他们的分类同龄人进行比较，以及他们是否留在该州、开始初级保健职业，以及他们是否认为自己在医学领域代表性不足。 这是对北卡罗来纳大学初级保健住院医师培训计划 2014-2023 年期间毕业的 39 名住院医师的队列进行的回顾性研究。2016 年，HRSA 赠款资金到期，该计划继续得到这两个机构的持续财政支持。 将毕业生的人口统计数据和职业选择与 2014 年至 2023 年的分类住院医师（共 159 人）进行比较。 该初级保健儿科住院医师培训计划迄今已毕业 39 名住院医师。已为所有 39 名毕业生获得了工作安置数据。 该计划的毕业生在毕业后从事初级保健工作的可能性是其分类同龄人（39 名毕业生中有 23 名，占 59%）的 5.5 倍（95%CI，2.5-12.5）。大多数毕业生（39 名毕业生中有 33 名，占 85%）都在普通儿科领域找到了工作（包括初级保健、急症护理、青少年医学或医院医学）。该计划从医学领域历史上代表性不足的群体中招聘了很大一部分住院医师（39 名住院医师中有 12 名，占 31%）。 我们与社区合作伙伴合作，在 HRSA 资金的推动下，开发了一种创新的初级保健儿科住院医师培训计划，该计划培训了一群新的初级保健儿科医生。
