title: Learner-directed intentional diversification: the experience of three P4 programs.
abstract: 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.
authors.affiliation: QuadMed/Mutual Health Center, Franklin, WI 53132, USA. leigh.lopresti@quad-med.com
authors.forename: Leigh
authors.initials: L
authors.lastname: LoPresti
authors.forename: Richard
authors.initials: R
authors.lastname: Young
authors.forename: Alan
authors.initials: A
authors.lastname: Douglass
mesh_terms: D002755:Choice Behavior; D003237:Connecticut; D004059:Diffusion of Innovation; D004503:Education, Medical, Graduate; D005194:Family Practice / Q000193:education* / Q000379:methods; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D007858:Learning; D017145:Models, Educational; D015397:Program Evaluation; D013781:Texas; D014922:Wisconsin