Comparison of Continuity in a Resident Versus Private Practice

Abstract

Although continuity for all visits in this RCP was less than in private practice, it was surprisingly high, considering the limited time residents spend in clinic. In a particularly important area for continuity, health maintenance visits, continuity was identical to one and superior to the other private practice.

Factors Associated With Resident Continuity in Ambulatory Training Practices

“…Continuity was lower on average in residency training sites compared to nonteaching community practices, which is consistent with prior literature. 25 However, we found significant variability in continuity among residency sites and found that resident practices with the highest continuity approached that of the nonteaching practices in the community. This suggests that, under the right circumstances, residency practices can achieve continuity rates comparable to those of nonteaching practices.…”

Clinic Design, Key Practice Metrics, and Resident Satisfaction in Internal Medicine Continuity Clinics: Findings of the Educational Innovations Project Ambulatory Collaborative

“…25,26 PHY is the percentage of visits in which residents see their own patients. Thus, PHY reflects continuity from the perspective of the provider and is appropriate for evaluating the educational experience of residents.…”

“…Thus, PHY reflects continuity from the perspective of the provider and is appropriate for evaluating the educational experience of residents. 25 …”

Continuity Clinic Model and Diabetic Outcomes in Internal Medicine Residencies: Findings of the Educational Innovations Project Ambulatory Collaborative

“…Continuity was measured using 2 methods: the usual provider of care method (UPC), 14,15 and the continuity for physician method (PHY). 16,17 The UPC is defined as the percentage of visits in which patients see their primary resident, whereas the PHY is defined as the percentage of visits for residents in which they see their own patients. Ambulatory workload was defined based on volume as the total number of patient visits provided by each resident during the study period divided by the number of clinics attended.…”