Home Research Research Library Academic Achievement and Competency in Rural and Urban Family Medicine Residents Academic Achievement and Competency in Rural and Urban Family Medicine Residents 2023 Author(s) Peterson, Lars E, Morgan, Zachary J, Andrilla, C Holly A, Pollack, Samantha W, Longenecker, Randall, Schmitz, David F, and Patterson, Davis G Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, In-Training Examination, and Rural Volume Family Medicine Source Family Medicine “Background and objectives: The quality of training in rural family medicine (FM) residencies has been questioned. Our objective was to assess differences in academic performance between rural and urban FM residencies. Methods: We used American Board of Family Medicine (ABFM) data from 2016-2018 residency graduates. Medical knowledge was measured by the ABFM in-training examination (ITE) and Family Medicine Certification Examination (FMCE). The milestones included 22 items across six core competencies. We measured whether residents met expectations on each milestone at each assessment. Multilevel regression models determined associations between resident and residency characteristics milestones met at graduation, FMCE score, and failure. Results: Our final sample was 11,790 graduates. First-year ITE scores were similar between rural and urban residents. Rural residents passed their initial FMCE at a lower rate than urban residents (96.2% vs 98.9%) with the gap closing upon later attempts (98.8% vs 99.8%). Being in a rural program was not associated with a difference in FMCE score but was associated with higher odds of failure. Interactions between program type and year were not significant, indicating equal growth in knowledge. The proportions of rural vs urban residents who met all milestones and each of six core competencies were similar early in residency but diverged over time with fewer rural residents meeting all expectations. Conclusions: We found small, but persistent differences in measures of academic performance between rural- and urban-trained FM residents. The implications of these findings in judging the quality of rural programs are much less clear and warrant further study, including their impact on rural patient outcomes and community health.” ABFM Research Read all 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module 1996 A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture Go to A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture 2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots 2023 Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification. Go to Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification.
Author(s) Peterson, Lars E, Morgan, Zachary J, Andrilla, C Holly A, Pollack, Samantha W, Longenecker, Randall, Schmitz, David F, and Patterson, Davis G Topic(s) Education & Training, and Family Medicine Certification Keyword(s) Cognitive Expertise, In-Training Examination, and Rural Volume Family Medicine Source Family Medicine
ABFM Research Read all 2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module 1996 A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture Go to A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture 2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots 2023 Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification. Go to Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification.
2014 Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module Go to Family Physicians’ Quality Interventions and Performance Improvement Through the ABFM Diabetes Performance in Practice Module
1996 A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture Go to A brief history of the American Board of Family Practice: the Second Annual Nicholas J. Pisacano, MD, Memorial Lecture
2019 Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots Go to Factors Associated With Successful Research Departments A Qualitative Analysis of Family Medicine Research Bright Spots
2023 Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification. Go to Differences in Physician Performance and Self-rated Confidence on High- and Low-Stakes Knowledge Assessments in Board Certification.
