Longitudinal residency training: a survey of family practice residency programs

Fam Med. Nov-Dec 2001;33(10):740-5.


Background and objectives: Most family practice residency training consists of 2-4-week block rotations in specific curricular areas, supplemented by training in the family practice center. An alternative model, longitudinal residency training, emphasizes training in curricular areas over a 3-year time period. This study determined the frequency of longitudinal training in family practice residency programs.

Methods: We conducted a survey of 477 residency program directors listed in the American Academy of Family Physicians 2000 Directory of Family Practice Residency Programs.

Results: Sixty-eight percent (n=320) of program directors responded to the survey. A total of 3.6% of program directors described their program as "mostly longitudinal," and 14.2% described their program as "half block/half longitudinal." An additional 15% of program directors indicated interest in adopting or moving toward a longitudinal program in the next 2 wears. Responses suggest some inconsistencies in program directors' understanding of what constitutes a longitudinal curriculum.

Conclusions: Longitudinal residency training is reported in 18% of family practice residency programs. Further work is needed to develop a definition of longitudinal residency training.

MeSH terms

  • Adult
  • Analysis of Variance
  • Clinical Competence*
  • Data Collection
  • Educational Measurement
  • Family Practice / education*
  • Female
  • Humans
  • Internship and Residency / organization & administration*
  • Internship and Residency / standards
  • Internship and Residency / trends
  • Longitudinal Studies
  • Male
  • Program Development
  • Program Evaluation
  • United States