Resident continuity of care experience: a casualty of ambulatory surgery and current patient admission practices

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

“…Past efforts, including resident participation questionnaires for limited periods 5,19,20 and retrospective medical record reviews, 21 were time consuming, labor intensive, and incomplete, capturing only a glimpse of the overall experiences. With the advent (and requirement) of electronic health records (EHRs), there are new opportunities for acquisition of data on residents' educational experiences.…”

“…[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. 5 Despite its importance, providing residents with appropriate continuity of care experiences is difficult.…”

“…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. 5 Despite its importance, providing residents with appropriate continuity of care experiences is difficult. Multiple rotation sites, short rotation time, haphazard clinic scheduling, seeing new patients rather than follow-up patients, 7 and work restrictions reducing outpatient clinic experiences limit continuity.…”

Medical Trainee Continuity of Care Following Emergency Department Consultations in a Pediatric Hospital

“…8,10,11,[14][15][16] Pu et al 16 suggested that resident surgery clinics provide trainees with an invaluable patient-physician interaction. Resident clinics, however, are not without shortcomings.…”

“…Previous studies of individual specialties suggest poor continuity of care in outpatient follow-up is not unique to our study population. 10,11,14 A study of general surgery residents identified outpatient continuity of care in only 1% of cases when a resident had been involved in the operative procedure. 14 Holmboe et al 15 noted that trainees' frequent rotational transitions promote a ''trainee as a tourist'' mentality in current medical education.…”