One-on-one mentor-resident rotation for improving continuity of care in a surgical training program.
Annual Meeting of the Association for Academic Surgery. Chicago, Illinois (USA), 1996/11/13.
The modern resident team, staffed by multiple attendings, often makes sacrifices on continuity of care due to scheduling conflicts.
We investigated a one-on-one mentor-resident rotation where all clinical activities were synchronized to produce near-perfect continuity of care, and we compared the objective and subjective outcome measures to those of control rotations of the same resident during the same year.
The results showed that continuity of care close to 100% was possible in such rotations, but work hours were increased by 25%. Also, the number of patients seen was decreased by over 50%. The rotation was well-received by both mentors and residents.
Continuity of care per se can be improved by this rotation.
However, theoretical disadvantages, mainly narrow training due to exposure to only one mentor and fewer patients, make it unsuitable for extended use.
Mots-clés Pascal : Relation médecin malade, Formation professionnelle, Chirurgie, Enseignement professionnel, Organisation hospitalière, Chirurgien, Etudiant, Planification travail, Méthode, Optimisation, Préopératoire, Postopératoire, Peropératoire, Rotation, Continuité des soins
Mots-clés Pascal anglais : Physician patient relation, Occupational training, Surgery, Occupational education, Hospital organization, Surgeon, Student, Production schedule, Method, Optimization, Preoperative, Postoperative, Intraoperative, Rotation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428647
Code Inist : 002B30A05. Création : 19/12/1997.