Historic source document from the Coastal Research Group local archive.
COASTAL RESEARCH GROUP FAMILY PRACTICE COASTAL RESEARCH GROUP FAMILY PRACTICE GRADUATE FOLLOW-UP DIRECTORY PUBLICATION INFORMATION Brennan, Michael; and Steward, Moira.
Attitudes and patterns of practice: A comparison of graduates of a residency program in family medicine and controls.
J FAM PRACT 4:741-748, Jul 78 TYPE OF STUDY University Program LOCATION Department of Family Medicine, University of Western Ontario, London, Ontario, Canada GRADUATE YEARS COVERED Study group graduated between 1970 and 1975; control group graduates between 1969 and 1974.
NUMBER OF GRADUATES SURVEYED Study group was 23 with a return of 21 for 91.3 percent return rate and control group was 40 with a return of 35 for an 87.5 percent return rate.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING No COMMUNITY SIZE Yes, but limited to those practicing in Ontario, Canada.
SIZES OF PROGRAMS No, but total graduates was 60 who trained in family practice at University.
STATE AND REGIONAL RETENTION – 5.
ABSTRACT The study was designed to assess attitudes and practice patterns of UWO students who entered family practice residency at UWO and remained in the province of Ontario as compared to UWO interns who did not enter residency programs but entered general practice in Ontario after the internship year.
Two data sources were used.
A 33 item questionnaire on attitudes, background information, staff, medical records, and workloads was developed and pre-tested.
The second data source were billings made by participants to the Ontario Ministry of Health for a three-month period.
Study group physicians made significantly higher use of problem-oriented medical records, family folders, and more had a patient data retrieval system than did controls.
Residency trained graduates practiced more in rural sites, indicated higher professional satisfaction, made more use of allied health care professionals, were more likely to be associated with the College of Family Physicians, were more active in part-time teaching, more likely to choose some form of group practice, saw fewer patients and spent more time with them at visits than did controls.
Although findings were not statistically significant, study physicians tended to see fewer hospitalized patients and were more likely to bill for psychosocial problems than control physicians.
This is a definitive, well-designed and executed study that relates training strategies to later practice in a quasi-experimental design format. [TCB89] PUBLICATION INFORMATION Watson, Collin J.; and Croft, D.
James.
A multiple discriminate analysis of physician specialty choice.
COMPUTERS AND BIOMEDICAL RESEARCH 11:405-421, 1978 1.
TYPE OF STUDY State of Utah 2.
LOCATION University of Utah (first author at University of Oklahoma, Norman, Oklahoma, 73069) GRADUATE YEARS COVERED University of Utah School of Medicine graduates between 1964 and 1969.
NUMBER OF GRADUATES SURVEYED Ex post facto research of all 291 graduates.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES No, except specialty choice.
PATIENT ENCOUNTER TYPES No C.
OFFICE RECORD SYSTEM TYPES No PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING No F.
COMMUNITY SIZE Yes, by specialty.
G.
SIZES OF PROGRAMS No H.
STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT The purpose of the study was to study maldistribution of physicians among specialties using the multiple discriminate analysis statistical methodology.
Variables used were from existing medical school student records and locations of graduates and specialty type as reported in the 1975 U.
S.
Physician Reference Listing.
The authors searched for a criterion variable (multiple specialty groups) and multiple predicators from existing medical school data bases to determine if admission variables do differentiate significantly among specialty groups.
The null hypothesis was rejected (therefore differences do exist).
However, the practical magnitude was only slightly higher than chance for all specialty groups, except for family practice, where it was high enough to be useful in the selection process.
Important predictive variables for applicant tendencies to select eventual family practice career were as follows: older, being married, and having children at admissions.
This study represents the difficulty of identifying factors at admission that accurately predict eventual practice selections, by specialty.
It does raise the issue, however, that the medical school experiences may be larger factors in career choice than entry level characteristics of medical school applicants. [TCB89] PUBLICATION INFORMATION Spain, Francis; and Woiwode, Daniel, Graduate follow-up survey in a university based family practice residency.
J FAM PRACT 9 1108-1110, Sep 1979 TYPE OF STUDY Program LOCATION Department of Family Practice, University of Oklahoma, Oklahoma City, Oklahoma GRADUATE YEARS COVERED 1968 to 1978 NUMBER OF GRADUATES SURVEYED 31 graduated and all returned the survey TYPES OF DATA ANALYZED A.
PRACTICE SETTING TYPES – Yes B.
PATIENT ENCOUNTER TYPES Yes C.
OFFICE RECORD SYSTEM TYPES No D.
PRACTICE SELECTION CHARACTERISTICS No E.
ADEQUACY OF TRAINING Limited F.
COMMUNITY SIZE – Yes G.
SIZES OF PROGRAMS Yes H.
STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT The purpose of the study was to survey the 31 graduates of the program to assess the training program and to identify the experiences and attitudes of the graduates once they entered practice.
All but two were currently in family practice, 35 percent were full-time teachers of family medicine, 61 percent were located in communities of 50,000 or less, and nearly 65 percent were in solo, group, or partnership types of practice.
Graduates averaged 24.9 office visits per day, 6.1 hospital visits per day, 3.4 nursing home visits per week, and .4 house calls per week.
30 of the 31 practiced obstetrics with 18 caring for complicated obstetrics, 7 doing mid-forcepts deliveries and 6 doing Cesarean sections.
12 did minor surgery only and 19 did major surger, principally dilation and curettage.
Graduates self-reported that they differed from general practitioners in that they had whole person and family orientations, made more use of psychiatric and psychotherapeutic counseling, performed less surgery, used more preventive medicine, and emphasized patient education more.
Unspecified criticisms of program by graduates were used to improve the teaching program.
This was a total descriptive study, but was informative. [TCB89] PUBLICATION INFORMATION Rosenblatt, Roger A.; and Alpert, Joel J.
The effect of a course in family medicine on future career choice: A long-range follow-up of a controlled experiment in medical education.
J FAM PRACT 8:87-91, Jan 1979.
TYPE OF STUDY University Medical School LOCATION Harvard Medical School, Boston, Mass (first author at Department of Family Practice, University of Washington School of Medicine).
GRADUATE YEARS COVERED Medical school graduates from 1857-60, the study group, and medical school graduates from 1961-65 and from 1966-70, the control groups.
NUMBER OF GRADUATES SURVEYED 894 total, 447 in Cohort I (study group), 137 in Cohort II and 128 in Cohort III (controls).
A return rate of 83 percent was achieved for the 894 persons surveyed.
Group assignments for each Cohort group are as follows: I, 86 study and 361 non-study; II, 70 study and 67 non-study; III, 66 study and 62 non-study.
TYPES OF DATA ANALYZED A.
PRACTICE SETTING TYPES No, except specialty.
B.
PATIENT ENCOUNTER TYPES No C.
OFFICE RECORD SYSTEM TYPES No D.
PRACTICE SELECTION CHARACTERISTICS No E.
ADEQUACY OF TRAINING No F.
COMMUNITY SIZE – No G.
SIZES OF PROGRAMS No H.
STATE AND REGIONAL RETENTION – No 5.
ABSTRACT The purpose of this study was to assess the impact of a "family medicine" course at Harvard University Medical School offered to third and fourth year students during their "free" time.
Students were randomly assigned to a Family Health Program as shown in the Cohort groupings above.
Multiple studies showed no difference in student attitudes or knowledge base as a result of the assignment.
This study attempted to relate specialty selection to the course and no differences were found.
Although carefully designed, the experiment failed because, as discussed by the authors, the innovation, taught by non-family physician faculty, was not as innovative as perceived originally by the researchers.
Also, students could not select family practice residency programs as they did not routinely exist at the time of the study.
They further hypothesized that no having family practice resident role models further hindered students from considering family practice as a career choice.
These above explanations appear relevant to why the study failed.
Given the existence of strong departments of family medicine and residency programs, the experiment should be repeated in more "fertile" ground.
To assume a lack of correlation between medical school curriculum and eventual specialty selection would be a grave mistake. [TCB89] PUBLICATION INFORMATION Ciriacy, Edward W.; Bland, Carole J.; Stoller, Jane E.; and Prestwood, J.
Stephen.
Graduate follow-up in the University of Minnesota affiliated hospitals residency training program in family practice and community health.
J FAM PRACT 11: 719-730, May 1980 TYPE OF STUDY Network LOCATION Department of Family Practice and Community Health, University of Minnesota, Minneapolis, Minnesota.
GRADUATE YEARS COVERED 1973-1979 NUMBER OF GRADUATES SURVEYED 203 graduates surveyed from affiliated program at Bethesda Lutheran Hospital (44), St.
Johns Hospital (28), Fairview/St.
Marys Hospital (52), Methodist Hospital (28), North Memorial Hospital (26) and the University Hospitals (25).
161 returned surveys for a return rate of 79.3 percent.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS Yes ADEQUACY OF TRAINING Yes COMMUNITY SIZE Yes SIZES OF PROGRAMS Yes STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT (Note: This network program and the next two abstracted followed similar methodologies and were published with other articles as a monograph by the Journal of Family Practice.
Readers are encouraged to obtain the issue because it represents the most comprehensive work done on graduate follow up studies.
Some of the authors conclusions are quoted.) ". . . the typical resident graduate is a male practicing in an urban Minnesota community, in a single specialty group practice . . . spending approximately 56 hours a week in professional activities of which 83 percent is in direct patient care. . . . average of 132 patient encounters per week, of which 76 percent are in the office and 15 percent are in the hospital. . . .
The most important factors affecting location of his practice have been the opportunity to participate in group practice and acceptance of family practice in the community." [TCB89] PUBLICATION INFORMATION Mayo, Fitzhugh; Wood, Maurice; Marsland, David W.; Jacoby, Keith E. and White, Stuart B.
Graduate follow-up in Medical College of Virginia/Virginia Commonwealth University family practice residency system.
J FAM PRACT 11:731-742, May, 1980.
TYPE OF STUDY Network in South and Southeastern Virginia LOCATION Department of Family Practice, Medical College of Virginia, Richmond, Virginia.
GRADUATE YEARS COVERED 1973-1979 NUMBER OF GRADUATES SURVEYED All 174 graduates surveyed, 117 returned for 76 percent return rate; by program 32 from Fairfax FPC, Vienna, 32 from MCV FPC, Blackstone, 12 from Chesterfield FPC, Richmond, 74 from Riverside FPC, Newport News and 24 from First Colonial FPC, Virginia Beach.
No data on individual program returns.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING Yes COMMUNITY SIZE Yes but limited information.
SIZES OF PROGRAMS Yes STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT Part of JFP monograph on graduate follow-up.
Below are authors abstracted conclusions. ". . . graduates are settling in partnerships or group practices or building partnerships in previously underserved areas where they may have to function in solo practice for the first year or so.
They provide a broad range of services that reflect the pattern usual in the mid-Atlantic corridor where even small rural towns are reasonably close to metropolitan areas, and the specialist and subspecialist resources they provide. . . [O]nly a small proportion . . .provide obstetrical and surgical services, but the majority maintain an active hospital practice and are satisfied with their personal and professional existence. . . .[G]raduates feel adequately prepared for their career role. [TCB89] PUBLICATION INFORMATION Geyman, John P.; Cherkin, Daniel C.; Deisher, Joseph B.; and Gordon, Michael J.
Graduate follow-up in the University of Washington family practice residency network.
J FAM PRACT 11:743-752, May, 1980.
TYPE OF STUDY Multi-state Network LOCATION Department of Family Medicine, University of Washington, Seattle, Washington.
GRADUATE YEARS COVERED 1975-1978 NUMBER OF GRADUATES SURVEYED 128 graduates surveyed with a return rate of 93 percent.
Program participating (some programs had not graduated residents or residents did not have one year of practice so were excluded from survey) were: University Hospital, Seattle; Doctors Hospital, Seattle; Group Health Cooperative, Seattle; Providence Medical Center, Seattle; Family Medicine, Spokane; Family Medicine, Yakima Valley, all in the State of Washington and Southwest Idaho, Boise, Idaho.
Returns by program not reported.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes OFFICE RECORD SYSTEM TYPES Yes, but limited.
PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING Yes COMMUNITY SIZE Yes, but limited.
SIZES OF PROGRAMS Yes STATE AND REGIONAL RETENTION Yes, but limited 5.
ABSTRACT Part of JFP monograph on graduate follow-up.
Below was taken from authors summary. " . . .
Retention in the field and within the geographic area served by the Network is high.
A broad range of services are being provided by recent graduates.
At an average age of 34 years, they tend to favor partnership and group practice, are evenly distributed among communities ranging from rural to urban, maintain an active hospital practice (usually including obstetrics), and are generally fairly well satisfied with their personal and professional lives." This report demonstrates the more comprehensive services provided by residency-trained family physicians from the Western United States.
TCB 89 PUBLICATION INFORMATION Report of a Committee of Directors of Research of the New York State Family Medicine Residency Programs.
Graduates of family practice residency programs in New York State.
J FAM PRACT 11:753-760, May 1980 TYPE OF STUDY State LOCATION Report of a Committee of Directors of Research of New York State Family Medicine Residency Programs GRADUATE YEARS COVERED 301 surveys sent, 184 return for return rate of 61.1 percent and 170 analyzed for analyzed return rate of 56.5 percent.
NUMBER OF GRADUATES SURVEYED – TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes, by percent hours/week OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS Yes ADEQUACY OF TRAINING No COMMUNITY SIZE – Yes SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION State, only.
5.
ABSTRACT Part of JFP monograph on graduate follow-up.
Below are article conclusions. " . . . respondents were male, white, about 33 years of age, and were in practice for an average of three years.
Most came from low population density areas and also reported setting up their practice in similar low population density areas. [D]esire to be near ones family, spouses preferences, and guaranteed income were main factors . . . to locate . . ." Although the study is well-written, readers should be reminded that a return rate of less than 70 percent on questionnaires generally is considered too small to provide useful information.
Another major problem, then, is an unwarranted use of statistics in the analysis of their data.
Even with these flaws, the study is useful, especially as it covers a highly populated part of the United States.
TCB 89 PUBLICATION INFORMATION Geyman, John P.; Ciriacy, Edward W.; Mayo, Fitzhugh; Wood, Maurice; and Cherkin, Daniel C.
Geographic distribution of family practice graduates: The experience of three statewide networks.
J FAM PRACT 11: 761-776, May 1980.
TYPE OF STUDY National for three regions.
LOCATION Minnesota, Virginia and Washington states.
Department of Family Practice, University of Washington, Seattle, Washington GRADUATE YEARS COVERED 1970-1979 NUMBER OF GRADUATES SURVEYED 533 sent forms by respective network and 401 surveys returned for overall return rate of 75.2 percent.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES No OFFICE RECORD SYSTEM TYPES No PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING No COMMUNITY SIZE – Yes SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT Part of a JFP monograph on graduate follow-up.
The three networks collaborated on data collected individually and obtained comparative data from the American Academy of Family Physicians.
Several governmental sources were used, also.
Major findings showed about two-thirds of the graduates located in SMSA (urban) areas and one-third in non-SMSA (rural) areas, with a higher portion of family practice residency graduates in non-SMSA areas than their medical school classmates, and that the family practice residency graduates closely paralleled the general population distribution of their states in terms of practice locations.
A large majority of all three network graduates were in partnership or group practices.
A higher percentage of network graduates remain in the states and regions where they completed their residency training than did all medical school graduates from the network medical schools in the three states of the study.
The authors concluded that "These findings confirm the original assumptions and hope that family practice residency programs would effectively address this issue [geographic maldistribution of physicians.] This study definitively addressed the issue of physician distribution issues without resorting to specialty by specialty comparisons.
TCB 89 PUBLICATION INFORMATION Black, Ross R.; Schmittling, Gordon; and Stern, Thomas L.
Characteristics and practice patterns of family practice residency graduates in the United States.
J FAM PRACT 11: 767-778, May 1980.
TYPE OF STUDY National LOCATION American Academy of Family Physicians, Kansas City, Missouri GRADUATE YEARS COVERED 1970-1978 NUMBER OF GRADUATES SURVEYED 4,295 diplojmates of the ABFP who graduated from residency programs in family practice mailed survey and 3, 302 responded for a response rate of 76.9 percent.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes by percent time.
OFFICE RECORD SYSTEM TYPES No PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING No COMMUNITY SIZE Yes SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION – No 5.
ABSTRACT Part of the JFP monograph on graduate follow-up.
91.5 percent were in practice, 69.7 percent were between 30-34 years of age, 92.9 percent were male, 92.4 percent were white, and 86.8 percent were married.
94.4 percent of their spouses had some college training or college, most had children at home, 63.8 percent of the spouses were not employed, with 54.5 percent of employed spouses working in health related jobs.
23.3 percent chose family practice before entering medical school with 39 percent choosing family practice in the third or fourth year of medical school.
57.1 percent took a family practice preceptorship during medical school.
64.9 percent graduated from medical school between the years 1970 and 1974, 98.2 percent had an M.D. degree and 1.8 had a D.O. degree and 72 percent completed a full three-years of residency training.
53.2 percent of those reporting practiced in federally-designated Physician Primary Care Health Manpower Shortage Areas (either the full county or a portion of the county), 58 percent practiced in SMSA (urban) areas and 38.1 practiced in non-SMSA (rural) areas.
Median net income before taxes salary of graduates were $32,208 for 1978 graduates and $60,000 for 1970 graduates which indicated a steady increase in salaries due to length of time post-residency.
For hospital privileges, 92.5 percent had pediatric, 88.8 percent had special unit (ICU, CCU, etc.), 93.5 percent had medicine, 64.3 percent had routine obstetrics care, 37.6 percent had complicated obstetrics, 13.9 percent had Cesarean sections, 62.23 percent had surgery first assist, and 7.4 percent had major surgery privileges.
Excellent study but manner in which medically-underserved area location reported leaves questions as to the physical location of practices in such locales.
TCB 89 PUBLICATION INFORMATION Wilson, Sandra R., Chairman.
Recruitment and Seletion of physicians for primary care and rural practice Results from the project TALENT longitudinal study.
Symposium Paper, Annual Meeting of the American Association of Medical Colleges, Washington, DC, 1980.
TYPE OF STUDY National LOCATION Health Research Group, American Institutes for Research, Palo Alto, California GRADUATE YEARS COVERED Probably finished internship or residency between 1969-1975 NUMBER OF GRADUATES SURVEYED 1,670 physicians, of which about 117 entered general or family practice and who had been among 400,000 high school students in the Project TALENT program for disadvantaged youths, were tracked between the years 1960 and 1978.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES No PATIENT ENCOUNTER TYPES No OFFICE RECORD SYSTEM TYPES No PRACTICE SELECTION CHARACTERISTICS No ADEQUACY OF TRAINING No COMMUNITY SIZE Yes SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION – No 5.
ABSTRACT Three papers at this symposium addressed characteristics of physicians who had been selected to participate as high school students in the Project TALENT program (special enhancements, educationally).
Only 7 percent chose general of family medicine as careers.
They had only average high school academic records, came from smaller communities, and from the Southeast, Plains, Far West, Southwest, and Rocky Mountains more often than the other physicians.
They came from lower socioeconomic backgrounds, were more likely Christian than Jew, and came from larger families than did other physicians.
In high school, they had lower interests in public service, biological sciences (including medicine), art and literature and higher interests in mechanical work, skilled trades, labor and farming than did other physicians.
Their educational expectations were lower when in high school than other physicians.
They were more likely than the other physicians to have attended religious affiliated colleges and scored somewhat lower on MCAT scores than other physicians.
They were more likely to locate in less populated counties than did other physicians.
A major finding was that " . . .the potential GP/FPs were much less likely to make it into the applicant pool.
Nearly one fifth did not enter college.
Of those who did enter college, about the same entered pre-med or science as the other potential physicians, but only half as many of the GP/FP science majors applied to medical school.
TCB 89 PUBLICATION INFORMATION Hecht, Rudolph C.; and Farrell, James G.
Graduate follow-up in the University of Wisconsin family practice residency program.
J FAM PRACT 14:549-555, Mar 1982.
TYPE OF STUDY Program LOCATION Department of Family Practice, University of Wisconsin Medical School, Madison, Wisconsin 53715 GRADUATE YEARS COVERED 1973-1980 NUMBER OF GRADUATES SURVEYED 100 graduates surveyed and 97 returned survey for a 97 percent response rate.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS Yes ADEQUACY OF TRAINING Yes COMMUNITY SIZE – Yes SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION – Yes 5.
ABSTRACT – This well-done descriptive study was similar to earlier graduate follow-up studies done in the early 1980s.
While graduates considered themselves well-prepared for practice, 50 percent or more felt underprepared in fracture care, emergency surgery, and applying forcepts for vaginal deliveries.
60 percent felt underprepared in selected administrative and financial aspects of practice.
Graduates were generally well-satisfied with the availability and extent of their hospital privileges.
Patient encounters were means of 91 in office, 21 in hospital, 16 in emergency room, 9 in nursing homes, 3 in patients home per week.
94 percent used problem lists and 92 percent used POMRs.
39 percent of the graduates who were in rural practice were interviewed and indicated that availability of adequate hospital facilities, opportunity to join existing practice, and location near home town as being most important to practice site location.
For total group, coverage of patients when off duty was seen as most important part of practice selection .
TCB 89 PUBLICATION INFORMATION McCranie, Edward W., Hornsby, J.
Larry, and Calvert, Jon C.
Practice and career satisfaction among residency trained family physicians: A national survey.
J FAM PRACT 14:1107-1114, Jun 1982.
TYPE OF STUDY National LOCATION Department of Psychiatry and the Department of Family Practice, Medical College of Georgia, Augusta, Georgia 30912 GRADUATE YEARS COVERED 1970-1978 NUMBER OF GRADUATES SURVEYED 2,000 graduates surveyed and 876 returned survey for a 43.8 percent response rate. (Counting blank returned forms and other eliminations because of other limitations, the rate in 52 percent response rate.) TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES No OFFICE RECORD SYSTEM TYPES No PRACTICE SELECTION CHARACTERISTICS NO ADEQUACY OF TRAINING Yes COMMUNITY SIZE No SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION No 5.
ABSTRACT A 76-item questionnaire was developed using a 7-point scale to assess graduate satisfaction/dissatisfaction.
Of the 876 graduates who responded, 25 percent were in solo practice, 22.5 percent were in partnership, 27 percent were in a three to four person family practice group, nine percent were in a five or more person family practice group, and over 14 percent were in a multi-specialty group. (Responders in other types of practices/work were eliminated from study.) Office-based graduates were most satisfied with hospital privileges they had, respect received from patients and the adequacy of residency training received.
They were least satisfied with costs involved in operating practices, and time for recreation and time with family.
Major difficulties caused by aspects of work were patient care paperwork, interference of external agencies in the physician-patient relationship, and taking care of emotional problems of patients for which they were undertrained.
The authors note the weakness of a low response rate but justify reporting the study based on the target of graduates three or fewer years out in practice and the need to identify problems/opportunities for the group of practitioners.
They recommended further studies to determine if problems identified by graduates were corrected as a result of practice experience.
Because of the low response rate, care should be taken in interpreting information from his study.
TCB 89 PUBLICATION INFORMATION – Gaede, Gary L.; Brownlee, H.
James; Grayson, Robert S; and Bryant, Edward E.
Graduate follow-up in the US Air Force family practice residency programs.
J FAM PRACT 17:1057-1063, Jun 1983.
TYPE OF STUDY National LOCATION Department of Family Practice, USAF Regional Hospital, Carwell AFP, Texas, 76127 GRADUATE YEARS COVERED 1973-1982 NUMBER OF GRADUATES SURVEYED 216 graduated from Air Force FP residencies and were surveyed and 179 responded for an 83 percent response rate.
TYPES OF DATA ANALYZED PRACTICE SETTING TYPES Yes PATIENT ENCOUNTER TYPES Yes as a percent of time.
OFFICE RECORD SYSTEM TYPES Yes PRACTICE SELECTION CHARACTERISTICS Yes ADEQUACY OF TRAINING Yes COMMUNITY SIZE No SIZES OF PROGRAMS No STATE AND REGIONAL RETENTION Air Force retention versus return to civilian status.
5.
ABSTRACT This is an excellent study modeled after the JFP monograph studies modified to answer questions of interest to the armed services.
88.1 percent of the graduates were white, 6.2 percent black, 3.4 percent Hispanic and 2.3 were Asian, racially.
89 percent had M.D. degrees and 11 percent had D.O. degrees.
All but one was board certified and 19, or 11 percent, had been recertified by the ABFP.
90.5 percent considered FP to be their primary specialty, 3.9 percent consider flight surgery, 1.7 percent consider emergency medicine, and 3.9 percent consider other specialties to be their primary specialties.
74 percent were still on active duty and 26 percent were in civilian practice.
Of these, 34 percent who returned to civilian life located practice in areas similar to where they or their spouses had spent the first 15 to 20 years of life.
Also, for those who left the service, 38 percent established a practice within a 50 mile radius of their last duty assignment.
Of the 132 who remained on active military duty, 80.3 percent had vaginal delivery privileges, 15.2 percent had Cesarean section (primary physician) privileges, and 20.5 percent had tubal ligation privileges.
Graduates felt they had been adequately prepared except for rehabilitative medicine and some practice management areas.
58 percent of those who left for civilian practice indicated that personal and family needs had not been fulfilled, 54 percent cited frequency of moves, 47 percent cited low income, and 46 percent cited not being allowed to practice family medicine and inadequate ancillary personnel as reasons for their decision to leave.
PUBLICATION INFORMATION Davidson, Robert C.; and Kahn, Norman B., Jr.
A comparison of university-based and community-based family practice residency programs.
Source file: coastal/crgtemp/fpfus2.html. Historic from local Coastal Research Group archive files during the DEV archive reorganization.