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P4 - Preparing the Personal Physician for PracticeP4 is Preparing the Personal Physician for Practice

P4 (Preparing the Personal Physician for Practice) is an initiative designed to inspire and examine innovation in family medicine residency training and represents the first serious reconsideration of the structure, length and content of family medicine residencies since primary care residencies were defined in the late 1960s and early 1970s. Sponsored by the American Board of Family Medicine, the Association of Family Medicine Residency Directors, and TransforMED, P4 has used a rigorous scientific approach to study and measure innovations in search of the most effective ways to educate the country's future family physicians. The aim of P4 is to spur innovation in all family medicine residencies so they can better prepare family physicians to be the excellent personal physicians every American deserves

In February 2007, fourteen residency programs from across the country were selected to participate in a 6-year comparative case study. They proposed using a variety of innovative approaches ranging from moving the continuity clinic into the community, to expanding to a four-year program, to providing opportunities for individualized training, and more. The programs are testing their best ideas about what is needed to change the content, structure, and length of family medicine residency education. Core measures pertaining to the residency programs, their continuity clinics, their residents and graduates are collected annually to help inform what works, what doesn't, and why, in residency redesign.

P4 expects to use the results of these practical experiments to inform the primary care disciplines of what is needed and possible, and particularly identify needed adjustments to accreditation requirements. Findings are expected to inform the following:

  1. How the residency can experience better alignment with the Patient Centered Medical Home
  2. How to better assess and assure competency
  3. How to incorporate evidence-based medicine into daily clinical practice
  4. How residents can learn to work effectively in teams
  5. More evidence to select training experiences that are effective in producing skilled personal physicians
  6. More about what teaching methods are effective
  7. More about what educational outcomes measures are meaningful
  8. More about how to finance new residency experiences and innovations

P4 Project Updates

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 »

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?



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