www.postersession.com Lawrence Family Medicine Residency Transition to a Four Year Program (an ACGME Length of Training Pilot Program) Wendy Brooks Barr MD, MPH, MSCE; Whitney LeFevre, MD; Clark Van Den Berghe, MD; Joseph Gravel MD Lawrence Family Medicine Residency, Greater Lawrence Family Health Center, Lawrence, MA Overview 1.Development of competencies in all aspects of PCMH in our NCQA Level 3 Family Medicine Center through immersion in and graduated responsibility for management of the medical home. Including: a.team-based care b.population medicine c.community health d.information mastery e.chronic disease management f.practice-based improvement g.leadership 2.Increased depth of experience in core clinical aspects of Family Medicine, particularly essential in low resource clinical environments, with development of added competencies key to the care of underserved populations. 3.Increased opportunity for residents to develop additional competencies in areas of personal interest through the expansion of areas of concentration (AOCs). 4.More meaningful and longitudinal community experiences which will serve as a foundation for substantive community involvement for residents throughout their careers. • Family Medicine Length of Training Pilot (FM-LTP). • Developed by the ACGME Review Committee in Family Medicine (RC-FM), in conjunction with the American Board of Family Medicine (ABFM) • Goals: • To find innovative methods to prepare Family Physicians to “serve as highly effective personal physicians in a high performance health care system.” • Inform whether four years should become the standard length of training in Family Medicine • Evaluation method: Match and compare selected programs with a group of existing three-year programs • Evaluation Team: Oregon Health and Science University • Timeline:: Selected 2013, evaluation through 2019 • Selected 4 Year Residency Program: • Mid Michigan Medical Center-Midland (Michigan) • Middlesex Hospital FMR (Connecticut) • John Peter Smith Hospital (Texas) • Oregon Health and Science University Program (Oregon) • Lawrence Family Medicine Residency (Massachusetts) • University of Nevada, Reno (Nevada) • National Capital Consortium (Virginia) Objectives Evaluation Why 4 Years? Recruitment Outcomes 2009 (Class of '13) 2010 (Class of '14) 2011 (Class of '15) 2012 (Class of '17) 2013 (Class of '18) 2014 (Class of '19) 0 200 400 600 800 1000 Total Applicants US Grads Avg Matched Step2 R1 ITE Score Applicant Metrics By Recruitment Year • Changing to required 4 year curriculum has not hurt recruitment • Trend towards more total applicants and US medical school seniors • Trend toward higher R1 ITE scores and no change on Step 2 Scores of matched applicants 1.Successful recruitment of high quality residents into the program as measured by: • 100% Match Rate • Increased number of US medical seniors applying to the program • Matched residents with higher achievements USMLE Step 2 scores R1 In-training Exam Scores National Medical Student Recognitions (AOA, Gold Humanism, Pisacano) 2.A high level of resident achievement in residency as measured by: • Initial ABFM Certification Exam scores • Community involvement during residency • Completion of QI and scholarly activity projects 3.A high percentage of graduates reporting: • Leadership roles in CHCs • Leading QI projects in their practices • Working in HPSA or international sites • Practicing full-spectrum family medicine