Residency Experiences Shape Choice of Primary Care

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A positive experience in an outpatient clinic, a supportive learning community, and reduced administrative burdens can promote a choice to specialize in primary care among residents.

Robust multidisciplinary support is crucial for encouraging internal medicine residents to pursue primary care careers, as many are deterred by administrative burdens and concerns about burning out.Researchers conducted a cross-sectional electronic survey of internal medicine primary care residency graduates from seven institutions who completed training between 2014 and 2019.

A total of 256 graduates responded to the survey, almost two thirds of whom were practicing in primary care, and no significant differences were found in the self-reported demographics of those who pursued the specialty compared with those who did not. Survey topics included fellowship and employment history, interest in primary care as a career choice before and after residency, factors influencing primary care career choice, and satisfaction with residency components.

Other influences of choosing the career included reporting that primary care work was fulfilling, required a large swath of knowledge and skills, and required the ability to care for many conditions."These data may compel health system and medical education leaders to explore, advocate for, and implement adaptations that will better support the expansion of the primary care workforce," the authors wrote.The sample was limited to graduates from seven institutions.

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