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New Training Models Major Characteristics Issues Addressed Declining Student Interest Cost of Training Competencies Defined End Product Changing Medical Practice Health Manpower Needs 4-Year Differential Model 12 to 16 months of block rotations (maximum)
Longitudinal learning where feasible
New model FPC
Fourth year: 50% to 60% time in focused area—OB, sports, UC, geriatrics, etc (limit of 2 per program)
+3 −1 +4 +3 +2 +2 4-Year Advanced Model 12 to 16 months of block rotations (maximum)
Longitudinal learning emphasized
New model FPC
Advanced training: fourth-year MPH (begin in second year and finish in fourth year) OR curriculum in population medicine and medical administration/leadership
+3 −1 +3 +3 +4 +2 3-Year Differential Model 12 months of block rotations (maximum)
OB for 2 months, block only, if desired
No traditional FPC practice teams of residents/faculty in real practices
Tracks in third year are 4 to 6 months long: OB/geriatrics/UC/hospitalist medicine
+2 +3 +2 +2 +2 +2 FPC, Family Practice Center; OB, obstetrics; UC, urgent care. 0, no effect on the issue; −4 to 0 to +4, increasing positive effect on issue
