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Perry A Pugno

Publications and source records attributed to Perry A Pugno.

22 records · Page 2Linked to original sources
PubMed2002

Results of the 2002 National Resident Matching Program: family practice.

The results of the 2002 National Resident Matching Program (NRMP) reflect a persistent decline of student interest in family practice residency training in the United States. Compared with the 2001 Match, six fewer positions (103 fewer US seniors) were filled in family practice residency programs through the NRMP in 2002, as well as 48 fewer (30 fewer US seniors) in primary care internal medicine, 1 fewer in pediatrics-primary care (8 more US seniors), and 45 fewer (45 fewer US seniors) in internal medicine-pediatric programs. In comparison, 43 more positions (70 more US seniors) were filled in anesthesiology, but 11 fewer (16 fewer US seniors) in diagnostic radiology, two "marker" disciplines that have shown increases over the past 3 years. Eight fewer positions (60 fewer US seniors) were also filled in categorical internal medicine while 99 fewer positions (142 fewer US seniors) were filled in categorical pediatrics programs, where trainees perceive options for either practicing as generalists or entering subspecialty fellowships, depending on the market. While the needs of the nation, especially rural and underserved populations, continue to offer opportunities for family physicians, family practice experienced a fifth year of decline through the 2002 NRMP. Many different forces, however, are impacting medical student career choices, including student perspectives of the demands, rewards, and prestige of the specialty, the turbulence and uncertainty of the health care environment, liability protection issues, and the impact of faculty and resident role models. The 2002 NRMP results may herald the leveling of recent trends away from family practice careers.

Adult↗
PubMedDate not supplied

The National Institute for Program Director Development: a school for program directors.

BACKGROUND: The role of residency program director is unique in medicine and medical education. Most program directors learn the job through trial and error, with a fortunate few benefiting from the wisdom and experience of their predecessors and mentors. In 1994, the Association of Family Practice Residency Directors (AFPRD) made the development of training and support resources for program directors a top priority. METHODS: With the support of the strategic plan of the AFPRD, the focus on excellence in residency education by the ABFP, and a survey documenting need, the National Institute for Program Director Development (NIPDD) was formed, with its sentinel product, a school for family practice residency directors. RESULTS: A fellowship-format 9-month training program was constructed using a multidimensional educational model. To date, there have been more than 300 participants. The curriculum emphasizes leadership development, resource allocation, a thorough familiarity with regulations and standards, educational options, and personnel management skills. A follow-up survey in 1999 documented an increase in program director tenure and an overall positive impact on family practice residency programs. CONCLUSIONS: Enhanced preparation for the job of residency program director results in a positive impact on both the director and the program.

Curriculum↗
PubMedDate not supplied

A study of closure of family practice residency programs.

BACKGROUND: Between July 1, 2000, and July 1, 2002, the Residency Review Committee for Family Practice had received requests for voluntary withdrawal from 27 residency programs. This number represents a significant increase in the rate of program closure over previous years. OBJECTIVES: We compared descriptive data on these closing programs and explored factors contributing to the closure. METHODS: Descriptive program data were collected from the Accreditation Council for Graduate Medical Education, National Resident Matching Program, the American Academy of Family Physicians, and the American Board of Family Practice. Program directors from closing programs were invited to participate in a semi-structured interview to discuss factors contributing to the closure of their program. RESULTS: Seventy-five percent of closing programs were community based, median program age was 11 years, board pass rate averaged 98%, and 69% cared for underserved communities. Financial, political, and institutional leadership changes were most frequently cited by program directors as primary reasons for program closure. CONCLUSIONS: The rate of program closure is increasing, affecting programs that meet most measures of high quality. Quality programs are being lost, and the ultimate impact is yet to be seen. Program directors offer warning signs and advice that is generally applicable to other family practice residency programs.

Family Practice↗