Learner-directed intentional diversification: the experience of three P4 programs

Fam Med. 2011 Feb;43(2):114-6.


This paper presents early outcomes of three residency programs participating in Preparing the Personal Physician for Practice (P4), family medicine's innovative residency redesign initiative. The three programs allow learner-directed diversification and either allow or require extra time, up to 4 years of residency, to complete these experiences. Residents endorse the changes by two measures: they choose a wide variety of areas of concentration, and a significant minority (40%) of residents chose to extend their residency training to 4 years, a proportion that grew significantly from 2006 to 2008.

MeSH terms

  • Choice Behavior
  • Connecticut
  • Diffusion of Innovation*
  • Education, Medical, Graduate
  • Family Practice / education*
  • Family Practice / methods
  • Humans
  • Internship and Residency / statistics & numerical data*
  • Learning*
  • Models, Educational
  • Program Evaluation*
  • Texas
  • Wisconsin