TY - JOUR
T1 - Increased Scholarly Activity
T2 - A Benefit of 4-Year Family Medicine Residencies
AU - Sullivan, John F.
AU - Keck, James W.
AU - Stephens, Mark B.
AU - O'Connell, Tara A.
AU - Smith, Dustin K.
AU - Sanchack, Kristian E.
AU - Lennon, Robert P.
N1 - Publisher Copyright:
© 2023 Oxford University Press. All rights reserved.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Introduction: The optimal length of Family Medicine Residency is unknown. As part of the American Board of Family Medicine 4-year Length of Training (LoT) pilot project, Naval Hospital Jacksonville (NHJ) maintained a dual-track 3- and 4-year Family Medicine Residency, graduating seven 4-year residents over consecutive 4 years of the LoT program. One measure of success regarding the impact of 4-year residents on program outcomes is scholarly output during residency. Materials and Methods: Cumulative scholarly activity points are tracked for all NHJ residents. Cumulative scholarly activity points, points per year per, and raw percentile USMLE/COMLEX scores from academic years 2016-17 to 2019-20 were compared between PGY3 and PGY4 graduates using one-way ANOVA to 95% confidence with post hoc Tukey honestly significant difference pairwise comparison to evaluate pairwise significance between groups where multi-group differences were found. Results: During the 2016-17 through 2019-20 academic years, NHJ had 28 residents complete 3 years of training without interruption (3 Years), 11 residents complete 3 years of training interrupted by general medical officer tours (Resiterns), and 7 residents complete 4 years of training without interruption (4 Years). There were no significant differences in average raw USMLE and COMLEX scores between 3 Year (71%), Resitern (68%), and 4 Year (76%) residents (P=.335). 4-Year residents had significantly more cumulative scholarly points (103) than 3-Year residents (32.6, P < .001) and Resiterns (18.7, P < .001) and also had more cumulative scholarly points per year of residency (27.8) than 3-Year residents (9.8, P < .001) and Resiterns (7.0, P < .001). Conclusions: An observed benefit of a 4-year Family Medicine Residency was a marked increase in scholarly output at this program.
AB - Introduction: The optimal length of Family Medicine Residency is unknown. As part of the American Board of Family Medicine 4-year Length of Training (LoT) pilot project, Naval Hospital Jacksonville (NHJ) maintained a dual-track 3- and 4-year Family Medicine Residency, graduating seven 4-year residents over consecutive 4 years of the LoT program. One measure of success regarding the impact of 4-year residents on program outcomes is scholarly output during residency. Materials and Methods: Cumulative scholarly activity points are tracked for all NHJ residents. Cumulative scholarly activity points, points per year per, and raw percentile USMLE/COMLEX scores from academic years 2016-17 to 2019-20 were compared between PGY3 and PGY4 graduates using one-way ANOVA to 95% confidence with post hoc Tukey honestly significant difference pairwise comparison to evaluate pairwise significance between groups where multi-group differences were found. Results: During the 2016-17 through 2019-20 academic years, NHJ had 28 residents complete 3 years of training without interruption (3 Years), 11 residents complete 3 years of training interrupted by general medical officer tours (Resiterns), and 7 residents complete 4 years of training without interruption (4 Years). There were no significant differences in average raw USMLE and COMLEX scores between 3 Year (71%), Resitern (68%), and 4 Year (76%) residents (P=.335). 4-Year residents had significantly more cumulative scholarly points (103) than 3-Year residents (32.6, P < .001) and Resiterns (18.7, P < .001) and also had more cumulative scholarly points per year of residency (27.8) than 3-Year residents (9.8, P < .001) and Resiterns (7.0, P < .001). Conclusions: An observed benefit of a 4-year Family Medicine Residency was a marked increase in scholarly output at this program.
UR - http://www.scopus.com/inward/record.url?scp=85150751792&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85150751792&partnerID=8YFLogxK
U2 - 10.1093/milmed/usab284
DO - 10.1093/milmed/usab284
M3 - Article
C2 - 34244756
AN - SCOPUS:85150751792
SN - 0026-4075
VL - 188
SP - E479-E483
JO - Military medicine
JF - Military medicine
IS - 3-4
ER -