Continuity of Care in Fixed-Day Versus Variable-Day Resident Continuity Clinics

Clinic Design and Continuity in Internal Medicine Resident Clinics: Findings of the Educational Innovations Project Ambulatory Collaborative

“…A prior study in the pediatric literature demonstrated that variable day scheduling for continuity clinic resulted in lower continuity from the patient perspective, despite increased time in clinic, which is similar to our results. 25 Continuity is a balance between supply and demand, between the educational needs of residents and the needs of their patients. Factors that increase demand for a set number of appointments with a resident provider, such as higher panel size and utilization, tend to decrease a given patient's chances of seeing their own resident.…”

Continuity of Care in Resident Outpatient Clinics: A Scoping Review of the Literature

“…The majority selected were retrospective and single institution studies. Twelve studies 25,26,[31][32][33][34][35][36][37][38][39][40] describe an intervention; others provide a crosssectional overview of continuity in a particular group. Median quality score using the Medical Education Research Study Quality Instrument was 12 (range, 9.5-14).…”

Use of the Electronic Health Record to Track Continuity of Care in Neurological Surgery Residency

“…Mechanisms suggested for improving resident continuity experiences in surgical and nonsurgical specialties have included increasing rotation length 13,22,23 ; mandatory ambulatory clinic 19 ; other means of increasing clinic time 13 without increasing panel size 3 ; ''resident-return model'' of outpatient clinic, in which residents were able to see postoperative patients in clinic, even if they were on a different rotation 23 ; a ''one-on-one mentor model,'' in which each resident was assigned to a specific faculty member to see all of that faculty member's patient preoperatively, postoperatively, and intraoperatively 24 ; and variable-day clinic schedule for residents' returning patients. 2 Some have been more successful than others. Interestingly, continuity of care was comparable for our PGY-3 residents (29.0%) and PGY-5 residents (28.8%).…”

“…1 Nonsurgical specialties provide longitudinal care experiences with a panel of patients. [2][3][4] In surgical training programs, the components of continuity of care include participating in preoperative care by deriving diagnoses and planning operative procedures, performing operative procedures, and providing postoperative care. 5,6 Resident continuity of care has a positive effect on the care of surgical patients, with research showing patients are more knowledgeable, have better satisfaction, and have improved compliance.…”