ArticleFamily medicine2025
Impact of Training Length on Scope of Practice Among Residency Graduates: A Report From the Length of Training Pilot Study in Family Medicine.
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 10 papers.
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Who cites it
10 citing papers in PubMed.
- Response to "Extended Duration of Training, Resident Physician Well-Being, and the Primary Care Physician Shortage: Questions Remaining Following the Length of Training Pilot".Family medicine · 2026Article
- Authors' Response to "When Scope Meets System: Reflections 6 Years After Residency".Family medicine · 2026Article
- When Scope Meets System: Reflections 6 Years After Residency.Family medicine · 2026Article
- Authors' Response to "Integrating Accelerated Medical School Programs With Extended Family Medicine Residency Programs: Innovations in Length of Training".Family medicine · 2025Article
- Extended Duration of Training, Resident Physician Well-being, and the Primary Care Physician Shortage: Questions Remaining Following the Length of Training Pilot.Family medicine · 2025Article
- Appreciating the LoTP Study: Further Refining Scope-of-Practice Analysis.Family medicine · 2025Article
- Response to "Impact of Training Length on Scope of Practice Among Residency Graduates: A Report From the Length of Training Pilot Study in Family Medicine".Family medicine · 2025Article
- Authors' Response to "Appreciating the LoTP Study: Further Refining Scope-of-Practice Analysis".Family medicine · 2025Article
- Authors' Response to Letter From 4-Year Program's Faculty.Family medicine · 2025Article
- Integrating Accelerated Medical School Programs With Extended Family Medicine Residency Programs: Innovations in Length of Training.Family medicine · 2025Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesAssociations between training length and scope of practice in family medicine are unknown. We compared scope of practice among family medicine graduates from 3YR and 4YR training programs.
methodsWe compared survey responses 1 year after graduates started their first job as an independently practicing physician according to their length of training. Comparisons were made across three groups: (1) 3-year program graduates with 36 months of training (3YR-36); (2) all 4-year program graduates with either 36 or 48 months of training (4YR-36/48); (3) 4-year program graduates with only 48 months of training (4YR-48).
resultsOur sample included 1,136 graduates. Of these 423 (37.2%) were in 3YR programs, 447 (39.4%) were in 4YR-36/48, and 266 (23.4%) were in 4YR-48 months. Participant demographics and practice characteristics were similar across groups. Graduates with 4 years of training were more likely to provide pediatric inpatient care than 3YR program graduates (4YR-48 [43.6%] vs 3YR [35.1%], P=.032); and more 4YR program graduates provide adult inpatient care (3YR [39.8%] vs 4YR-48 [52.5%], P=.002). Graduates of 4YR programs (both groups) were statistically more likely to include 13 of 24 procedures in practice compared to those from 3YR programs, including point-of-care ultrasound, vaginal delivery, joint injection/aspiration, circumcision, and vasectomy. Graduates of all participating programs reported performance that exceeded national means for 20 of 32 (62.5%) clinical practice areas and procedures.
conclusionsGraduates of 4YR programs reported obtaining a unique set of skills and undertaking a broader scope of practice postgraduation compared to graduates of 3YR programs.
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