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Actually, I've seen and read the link and understand it well. Yes I know, a medical home where all your needs are met and your care is well coordinated.
that sounds great, I don't have anything against it.
The point you missed is that we don't need an extra 365 days to teach someone this concept that could be taught in the existing 3 years.
The second point is that if you are going to create a 4th year of residency it should be value added. In other words it should be a fellowship that will increase your bottom line when you start practicing as an attending.
I hope that cleared up some of the confusion for you.
I think everyone should realize that P4 isn't necessarily adding another year to residency. For example, University of Missouri is a P4 school and they have a program that accepts you into the residency program as a fourth year med student. After med school, there is still only three years in residency.
