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  1. Resident and family continuity in pediatric continuity clinic : Nine years of observation.

    Article - En anglais

    Objective

    To assess resident, patient, and family continuity.

    Background

    Continuity clinic is the principal longitudinal primary care experience for pediatric residents.

    Although it has been a recommendation of the Residency Review Committee for pediatric training for more than 10 years and has been a requirement of the Accreditation Council of Graduate Medical Education since 1989, the extent to which continuity is achieved in this setting has not been reported.

    Methods

    Nine years (1984-1993) of residents'continuity clinic experience in a community hospital affiliate of a university training program were reviewed.

    Continuity was defined by recurring visits between the same patient/provider pair.

    The analysis from 57 different residents includes 48 intern (R1) years, 45 level two (R2) years, and 40 level three (R3) years ; 32 of these residents completed all 3 years of training (3-year cohort) in the program during the study period.

    Observations included 89 952 visits by 11 009 patients in 7130 families.

    Continuity was determined for the resident, patient, and family.

    Results

    Residents saw an annual average of 93,136, and 144 visits as R1s, R2s, and R3s.

    Residents saw 60% of their patients fewer than 3 times and nearly 40% only once.

    In the final year for those in the 3-year cohort, residents saw an average of 149 visits ; 53% of the time these R3s had seen their patients once or twice over 3 years. (...)

    Mots-clés Pascal : Interne(étudiant), Pédiatrie, Enseignement universitaire, Programme enseignement, Malade, Milieu familial, Clinique, Hôpital, Soin santé primaire, Etude longitudinale, Homme, Enfant, Continuité soins

    Mots-clés Pascal anglais : Resident(student), Pediatrics, Higher education, Educational program, Patient, Family environment, Clinic, Hospital, Primary health care, Follow up study, Human, Child

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0090840

    Code Inist : 002B30A01C. Création : 14/05/1998.