Evidence map›Paper›PMID 40526850›Full record

ArticleFamily medicine2025

The Impact of Length of Training on Clinical Preparedness Among New Graduates: A Report From the Length of Training Pilot Study in Family Medicine.

Patricia A Carney, Steele Valenzuela, Annie Ericson, Dang H Dinh, Colleen Conry, Lars E Peterson, Alan B Douglass, Stephanie E Rosener, W Perry Dickinson, Mark T Nadeau and 3 more

Abstract read
In one paragraph

Article in Family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Patricia A CarneySchool of Medicine, Oregon Health & Science University, Portland, OR.
Steele ValenzuelaDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR.
Annie EricsonDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR.
Dang H DinhDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR.
Colleen ConryUniversity of Colorado School of Medicine, CU Anschutz Medical Campus, Denver, CO.
Lars E PetersonAmerican Board of Family Medicine, Lexington, KY.
Alan B DouglassUniversity of Colorado School of Medicine, CU Anschutz Medical Campus, Denver, CO.
Stephanie E RosenerDepartment of Family Medicine, Mountain Area Health Education Center, Asheville, NC.
W Perry DickinsonUniversity of Colorado School of Medicine, CU Anschutz Medical Campus, Denver, CO.
Mark T NadeauFamily Medicine Residency Program, Long School of Medicine, University of Texas Health Science Center, San Antonio, TX.
Karen B MitchellStudent and Resident Initiatives, American Academy of Family Physicians, Leawood, KS.
James C MartinFamily Medicine Residency Program, Long School of Medicine, University of Texas Health Science Center, San Antonio, TX.
M Patrice EiffDepartment of Family Medicine, School of Medicine, Oregon Health & Science University, Portland, OR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAssociations between training length and clinical preparedness are unknown. We compared assessments of clinical preparedness for family medicine graduates from 3-year and 4-year training programs.

methodsIn this prospective case-control study, we compared responses from two surveys, which occurred 3 months after graduates started their first job. One survey was conducted by a supervising physician. The other was conducted by a clinic staff member who rated family medicine graduates from both 3-year and 4-year programs.

resultsOur study included 403 graduates of 3-year programs, 185 who trained in 4-year programs with 36 months of training (4YR-36) and 274 who trained in 4-year programs with 48 months of training (4YR-48). Physician assessor ratings were similar across study groups on 18 of 21 Entrustable Professional Activities. The 4YR-48 graduates were rated higher for "practicing independently" on providing a usual source of comprehensive, longitudinal medical care for people of all ages (86.5% vs 77.9%); managing prenatal (63.1% vs 41.2%); and labor, delivery, and postpartum care (41.4% vs 25.7%). For five care process areas, physician assessors were more likely to rate 4YR-48 graduates as having "no challenges" with speed/timing related health care visits (91.9%) compared to 3YR graduates (82.4%). We noted no differences according to study group for staff member assessors.

conclusionsWe found several differences in clinical preparedness according to length of training in this pilot study. Comprehensive longitudinal care, including prenatal and maternity care, were rated higher among graduates of 4YR-48 programs.

Indexed as

Clinical CompetenceFamily PracticeInternship and ResidencyAdultCase-Control StudiesFemaleHumansMalePilot ProjectsProspective StudiesSurveys and QuestionnairesTime Factors

Identifiers

PMID40526850
PMCPMC12611190

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.