• J Gen Intern Med · Feb 2024

    Review

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

    • D Rani Nandiwada, Amy H Farkas, Tanya Nikiforova, Peggy B Leung, Anna K Donovan, Katherine Killian, Mary L Thomas, Mamta K Singh, Benjamin Gallagher, and David M Callender.
    • Perelman School of Medicine, University of Pennsylvania, 51 North 39Th Street, MAB 102, Philadelphia, PA, 19104, USA.
    • J Gen Intern Med. 2024 Feb 1; 39 (2): 277282277-282.

    AbstractMultiple 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.© 2023. The Author(s), under exclusive licence to Society of General Internal Medicine.

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