Table 1.

New Educational Models

New Training Models	Major Characteristics	Issues Addressed
New Training Models	Major Characteristics	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