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2016 NAPCRG Annual Meeting

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SRF225 Resident and Residency Characteristics Associated with Population Health Management Preparedness

Erica Kaitlyn Schuster; Lars Peterson, MD, PhD

11/14/16 10:30 AM - 11:30 AM Broadmoor A

The United States is shifting toward value-based healthcare delivery. As such, population health management (PHM) is an increasingly important function of primary care, with the potential to improve outcomes and decrease healthcare costs. Teaching PHM early in medical education will better prepare physicians to adapt to a changing healthcare landscape. However, PHM is among the most difficult strategies to implement into both existing practices and residency training. This study’s objective was to identify resident and residency program characteristics associated with graduates’ preparation to perform PHM. Secondary data analysis was performed using data from the American Board of Family Medicine (ABFM) certification examination registration questionnaire in 2014 and 2015 and ABFM administrative data. Resident PHM preparedness, the main outcome, was assessed via a single self-reported question. Bivariate analysis and logistic multilevel regression were performed to determine independent associations between characteristics and PHM preparedness. The sample included 6,135 residents from 442 family medicine residency programs. Sixty eight percent (n=4,240) of respondents reported being either extremely or moderately prepared to perform PHM. Characteristics independently associated with preparedness included being an international medical graduate (OR=1.38 [1.17–1.12]), being an international medical graduate from a commonwealth nation (OR=3.20 [2.20-4.67]), male sex (OR=1.17 [1.04-1.33]), over the age of 35 (OR=1.22 [1.05-1.04]), of Hispanic ethnicity, and having a greater preparedness to use health information tools. Residency size and rural location were not associated with PHM preparedness. Similarly to a study of practicing physicians, the results show that international medical graduates are more likely to be prepared to perform PHM. These findings suggest that elements of international medical education better inculcate PHM principles. Future identification of these elements could guide U.S. medical educators in their efforts to produce physicians better prepared to manage population health.