Background And Objectives: In 1992, with the approval of the American Board of Family Medicine (ABFM) (formerly known as the American Board of Family Practice), we established an accelerated residency program (ARP) involving five residency programs at the University of Tennessee (UT). An accredited resident can complete medical school and residency in a combined total of 6 years. This paper is a report of our experience with the ARP. Our objective was to determine if accelerated residents performed as well as or better than non-accelerated residents.
Methods: Students are selected for the ARP on the basis of academic achievement, life experience, interviews, and commitment to family medicine. For the accelerated residents, we tracked outcomes measures, including medical school grade point average (GPA), US Medical Licensing Examination (USMLE) scores, ABFM In-training Examination scores, and board certification status.
Results: From 1992 to 2002, 47 students entered the ARP at five UT residency programs. Five students did not complete the program. The average entering GPA was 3.17, and the average USMLE Step I score was 207. The accelerated residents, on average, performed better on ABFM In-training Examinations in the first and third years of residency than the non-accelerated residents did. Accelerated residents have a 100% ABFM certification rate. A total of 76% practice in Tennessee, and 65% began practice in a rural county.
Conclusions: The UT ARP has been an effective means for allowing medical students to complete their family medicine training in 6 years. Accelerated residents have performed as well as or better than non-accelerated residents on standardized testing.
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Med Educ Online
December 2025
School of Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Background: Texas is one of the states with the lowest access to usual sources of primary care; most critically, family medicine (FM) has been projected to have the greatest physician shortage increase between 2018 and 2032. Texas Tech University Health Sciences Center (TTUHSC) School of Medicine developed the Family Medicine Accelerated Track (FMAT), a 3-year curriculum that culminates in the MD degree and links medical students to FM residency programs at TTUHSC campuses in Lubbock, Amarillo or the Permian Basin. This article reflects on 10 years of experience with the program, and particularly its impact on the primary care physician workforce in Texas.
View Article and Find Full Text PDFInt J Biol Macromol
January 2025
College of Food and Bioengineering, Zhengzhou University of Light Industry, Zhengzhou 450001, PR China; Key Laboratory of Cold Chain Food Processing and Safety Control (Zhengzhou University of Light Industry), Ministry of Education, Zhengzhou 450001, PR China. Electronic address:
Oral fast dissolving films represent a novel dosage form for probiotics. To reduce the dependence of film preparation on synthetic materials, a polysaccharide-based oral fast dissolving nanofilm for probiotics was fabricated through pullulan (PUL) electrospinning. An electrospinnability map of PUL with varying physical properties was developed, identifying a molecular weight of 200 kDa and a concentration of 20 % as suitable conditions for achieving favorable fiber morphology.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Importance: More than 4 million Medicare beneficiaries have enrolled in dual-eligible Special Needs Plans (D-SNPs), and coordination-only D-SNPs are common. Little is known about the impact of coordination-only D-SNPs on Medicaid-covered services and spending, including long-term services and supports, which are financed primarily by Medicaid.
Objective: To evaluate changes in Medicaid fee-for-service (FFS) spending before and after new enrollment in coordination-only D-SNPs vs new enrollment in non-D-SNP Medicare Advantage (MA) plans among community-living beneficiaries enrolled in both Medicare and North Carolina Medicaid.
Front Public Health
January 2025
School of Physical Education, Shanxi Normal University, Taiyuan, China.
Background: Over the past few decades, China has experienced significant demographic and epidemiological changes. The sharp decline in fertility and mortality rates has accelerated population aging, contributing to an increase in the prevalence of chronic diseases. The nutritional condition during early life is associated with the onset of chronic illnesses later in adulthood.
View Article and Find Full Text PDFArterioscler Thromb Vasc Biol
January 2025
British Heart Foundation Centre of Research Excellence, School of Cardiovascular and Metabolic Medicine & Sciences, King's College London, United Kingdom. (M.W., M.F., R.O., L.S., M.M., C.M.S.).
Background: The ECM (extracellular matrix) provides the microenvironmental niche sensed by resident vascular smooth muscle cells (VSMCs). Aging and disease are associated with dramatic changes in ECM composition and properties; however, their impact on the VSMC phenotype remains poorly studied.
Methods: Here, we describe a novel in vitro model system that utilizes endogenous ECM to study how modifications associated with age and metabolic disease impact the VSMC phenotype.
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