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Family Medicine Length of Training Pilot

The Family Medicine Length of Training Pilot (FM-LTP) is a project that emanates from the concepts developed in the Future of Family Medicine Report and the preliminary findings of the first ever residency redesign experiment in Family Medicine, Preparing the Personal Physician for Practice (P4).  The purpose of the pilot is to examine whether extending the length of Family Medicine training to 4 years through the development of innovative training models further prepares family physicians to serve as highly effective personal physicians in a high performance health care system.  In addition, the innovations tested in residencies participating in the pilot are expected to inspire and guide substantial changes in the content, structure, and location of training of family physicians and guide revisions in accreditation and certification requirements. 

One of the recommendations from the report of Task Force II of the Future of Family Medicine Project stated: “That, in the interest of promoting active experimentation in Family Medicine education, the relative merits of 3-year versus 4-year training programs be evaluated through a national experiment based in pilot programs approved by the American Board of Family Medicine (ABFM) and RC-FM that will measure and report on learning, outcomes, costs, benefits, and disadvantages.”  Building on what has been learned thus far from the testing of length of training innovations in the P4 Project, now is the time to proceed with the next set of experiments.

The pilot is intended to be designed as a cross-sectional study of 20-25 residency programs with an equal number of programs to serve as controls. The control programs will be selected after the pilot programs are selected. The pilot is expected to begin in July 2013 and conclude by June 2019.  For this study, each participating residency program will be matched with a demographically similar program (control group).

The desired Length of Training Pilot evaluation program will represent a quasi-experimental study of selected residency programs that are training residents in a 4-year model matched 1:1 with programs in a traditional 3-year model.  Matching variables for the comparison programs will include size, geographic location, institutional setting and accreditation length status.  Each residency program will systematically enroll cohorts of learners who will be exposed to curricular content and learning approaches consistent with their respective lengths of training. The proposed evaluation model should use a mixed methods approach and include specific assessments designed to address project-specific hypotheses, which will be overseen by the evaluation team.  Core to the evaluation process will be the assessment of core competencies (i.e. patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and system-based practice) as well as the ability of residents and graduates to manage the health of populations through both quantitative and qualitative research methods.

For more information, please contact Eileen Anthony at 312-755-5047.

Click here for a timeline of important dates.

Description of Four-Year Program Requirements and Selection Criteria

This document includes:

  • A description of the Length of Training Pilot (LOTP)
  • An outline of the project of the requirements and the responsibilities of the participating 4-year program if accepted
  • A description of the application process to participate as a 4-year program

Application for Four-Year Program

This document includes:

  • A “pre-populated” application form for those programs wishing to be 4-year participating programs in the Length of Training Pilot (LOTP)

Description of “Control” Three-Year Program Requirements and Selection Criteria

This document includes:

  • A description of the Length of Training Pilot (LOTP)
  • An outline of the project of the requirements and the responsibilities of the participating 3-year control program if accepted
  • A description of the application process to participate as a 3-year control program

Application for “Control” Three-Year Program

This document includes:

  • A “pre-populated” application form for those programs wishing to be 3-year participating “control” programs in the Length of Training Pilot (LOTP)

Request for Proposal (RFP) for the Core Evaluation Team

This document includes:

  • A description of the Length of Training Pilot (LOTP)
  • An outline of the project evaluation plan and the responsibilities of the evaluation team
  • A description of the application process for research teams wishing to submit proposals for consideration