Background: There is recognition by educational regulatory bodies that physicians need to have some level of leadership skills. In 2007 the Residency Review Committee for Family Medicine approved a new requirement for training in leadership during family medicine residency. Seven years later in 2014, the Journal of Graduate Medical Education published the relationship between physician leadership and emotional intelligence. Also cited were an increased demand for physician leadership and providers accountable for producing quality outcomes increases demand for physician leadership. Following these requirements and studies, medical schools have also started to addresses the need for physician leadership competencies.

Purpose: To address this need, the family medicine department of the Zucker School of Medicine at Hofstra/Northwell began dual programs. One aimed at providing structured and immersive education in hospital medicine; the other addressing leadership, quality improvement, and advocacy. These tracks were offered to 5 residency programs. The residents are involved in either 2-4 week electives or are able to enroll in a 12 week track which provides them with in depth training in hospital medicine or advocacy, physician leadership, and quality improvement.

Description: To address this need, the family medicine department of the Zucker School of Medicine at Hofstra/Northwell began dual programs. One aimed at the medical students and the other for the family medicine residents within their four residency programs. The students are involved in an annual advocacy clerkship and are invited to attend local and national advocacy events. The residents are involved in either 2-4 week electives or are able to enroll in a 12 week track which provides them with in depth training in advocacy, physician leadership, and quality improvem

Conclusions: Eighty three percent of current residents and 63% of graduates reported mild to strong positive influence on (choice of) position after completion of residency. However, a third of graduates felt that electives didn’t influence their current position.•Electives such as Hospital Medicine, Urgent Care, and Sports Medicine continue to be popular and year over year, matriculating residents are finding employment in these areas.