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Exploring Models of Exposure to Primary Care Careers in Training: a Narrative Review.

Author information

Affiliations

  • 1. Perelman School of Medicine, University of Pennsylvania, 51 North 39Th Street, MAB 102, Philadelphia, PA, 19104, USA.
      Authors
    • Nandiwada DR 1
    (1 author)
  • 2. Milwaukee VA Medical Center, 5000 W National Ave, Milwaukee, WI, 53211, USA.
      Authors
    • Farkas AH 2
    (1 author)
  • 3. Division of General Internal Medicine, UPMC Montefiore Hospital, 9 West 921, 200 Lothrop Street, Pittsburgh, PA, 15213, USA.
      Authors
    • Nikiforova T 3
    (1 author)
  • 4. Weill Cornell Internal Medicine Associates, 505 East 70Th St, HT-4, New York, NY, 10021, USA.
      Authors
    • Leung PB 4
    (1 author)
  • 5. Division of General Internal Medicine, UPMC Montefiore Hospital, 9 West 930, 200 Lothrop Street, Pittsburgh, PA, 15213, USA.
      Authors
    • Donovan AK 5
    (1 author)
    • Show all (10)

ORCIDs linked to this article

Journal of General Internal Medicine, 21 Nov 2023, 39(2):277-282
https://doi.org/10.1007/s11606-023-08532-6 PMID: 37989819 

Review

Free full text available after 01 Feb 2025

Abstract 

Multiple models of clinical exposure to primary care exist within undergraduate medical education (UME) and graduate medical education (GME). In this narrative review, we explore the evidence behind these different models of exposure, their alignment with positive promoters of primary care careers, and the pros and cons of each. Without positive exposure to primary care during training, sustaining the future primary care work force becomes increasingly challenging. Here, we explore multiple models of clinical exposure in UME, including longitudinal integrated clerkships, primary care tracks, and primary care clerkships. Within GME, we will review the impact of primary care tracks, Area Health Education Centers, block scheduling models, and continuity clinic scheduling models. The goal of this narrative review is to allow educators to think broadly and intentionally about the array of models to develop positive primary care experiences and perceptions in training, ultimately sustaining the primary care workforce.

Full text links 

Read article at publisher's site: https://doi.org/10.1007/s11606-023-08532-6

References 

Articles referenced by this article (42)

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Funding 

Funders who supported this work.

NCATS NIH HHS (1)