title: Attitudes and Barriers Encountered in Training Family Medicine Residents in Nursing Home Care: A National Survey of Program Directors: A CERA Study.
abstract: OBJECTIVE
  The purpose of this study is to evaluate program director perceptions of influences on resident decisions to practice long-term care (LTC) medicine. Family physicians are well suited to provide nursing home care, but limited available data suggests a decline in the number of family physicians who do so. Family medicine residencies need to address the need for long-term care providers.
  
  
  OBJECTIVE
  The purpose of this study is to evaluate program director perceptions of influences on resident decisions to practice long-term care (LTC) medicine. Family physicians are well suited to provide nursing home care, but limited available data suggests a decline in the number of family physicians who do so. Family medicine residencies need to address the need for long-term care providers.
  
  
  RESULTS
  We found that support and perceived preparedness for residency graduates practicing in nursing homes was high. We found that barriers to training were few, with resident interest being the largest barrier. Census region and community size correlated significantly to program directors' estimates of the percentage of residents to be practicing in nursing homes after graduation.
  
  
  CONCLUSIONS
  Family medicine residency directors acknowledge the need for family medicine residents to be trained in nursing home care. Further research and policy development are needed to support family physicians in playing key roles in providing care to patients in American nursing homes.
authors.affiliation: University of Washington, Seattle, WA.
authors.forename: Jaqueline
authors.initials: J
authors.lastname: Raetz
authors.forename: Brian
authors.initials: B
authors.lastname: Unwin
authors.forename: Holly A
authors.initials: HA
authors.lastname: Andrilla
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D003479:Curriculum; D005194:Family Practice / Q000193:education*; D005260:Female; D006707:Homes for the Aged; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration; D008134:Long-Term Care; D008297:Male; D009735:Nursing Homes; D011795:Surveys and Questionnaires; D014481:United States