title: Incorporating population medicine into primary care residency training.
abstract: OBJECTIVE
  Expanded competencies in population health and systems-based medicine have been identified as a need for primary care physicians. Incorporating formal training in preventive medicine is one method of accomplishing this objective.
  
  
  METHODS
  We identified three family medicine residencies that have developed formal integrated pathways for residents to also complete preventive medicine residency requirements during their training period. Although there are differences, each pathway incorporates a structured approach to dual residency training and includes formal curriculum that expands resident competencies in population health and systems-based medicine.
  
  
  RESULTS
  A total of 26 graduates have completed the formally combined family and preventive medicine residencies. All are board certified in family medicine, and 22 are board certified in preventive medicine. Graduates work in a variety of academic, quality improvement, community, and international settings utilizing their clinical skills as well as their population medicine competencies. Dual training has been beneficial in job acquisition and satisfaction.
  
  
  CONCLUSIONS
  Incorporation of formal preventive medicine training into family medicine education is a viable way to use a structured format to expand competencies in population medicine for primary care physicians. This type of training, or modifications of it, should be part of the debate in primary care residency redesign.
authors.affiliation: Department of Preventive Medicine, Loma Linda University, Loma Linda, CA 92350, USA. wdysinge@llu.edu
authors.forename: Wayne S
authors.initials: WS
authors.lastname: Dysinger
authors.forename: Valerie
authors.initials: V
authors.lastname: King
authors.forename: Tina C
authors.initials: TC
authors.lastname: Foster
authors.forename: Dominic
authors.initials: D
authors.lastname: Geffken
mesh_terms: D005194:Family Practice / Q000193:education* / Q000639:trends; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration / Q000639:trends*; D058007:Physicians, Primary Care / Q000193:education* / Q000639:trends; D011315:Preventive Medicine / Q000193:education* / Q000639:trends; D011320:Primary Health Care / Q000458:organization & administration* / Q000639:trends; D014481:United States