ReviewJournal of general internal medicine2005
Changing habits of practice. Transforming internal medicine residency education in ambulatory settings.
Review in Journal of general internal medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Evidence based post graduate training. A systematic review of reviews based on the WFME quality framework.BMC medical education · 2011Pooled it
- A Skills-Based Curriculum for Outpatient Procedures in Internal Medicine Residency Training: Impact on Resident Confidence and Procedural Volume.The clinical teacher · 2026Article
- Senior Residents' Perspectives and Intentions to Teach in Outpatient Primary Care Settings.Journal of general internal medicine · 2025Article
- Learning in Tension: A Case Study Examining What Internal Medicine Residents Learn in the Ambulatory Care Setting.Perspectives on medical education · 2023Article
- Screening for Thyroid Disorders Among Resistant Hypertension Patients: Are We Doing Enough?Clinical medicine & research · 2022Article
- Evaluation of a longitudinal subspecialty clinic for internal medicine residents.Medical education online · 2021Article
- Insights from a community-based palliative care course: a qualitative study.BMC palliative care · 2021Article
- A Novel Ambulatory Curriculum for Pulmonary and Critical Care Fellowship Training.ATS scholar · 2021Article
- Resident Inbox Task Completion Is Improved with a Single Electronic Health Record (EHR) System.Journal of general internal medicine · 2021Article
- A narrative review of ambulatory care education in Canadian internal medicine.Canadian medical education journal · 2020Review
- Effects of gender in resident evaluations and certifying examination pass rates.BMC medical education · 2019Observational
- Avoid reinventing the wheel: implementation of the Ottawa Clinic Assessment Tool (OCAT) in Internal Medicine.BMC medical education · 2018Article
- Clinic First: 6 Actions to Transform Ambulatory Residency Training.Journal of graduate medical education · 2016Article
- Fulfilling outpatient medicine responsibilities during internal medicine residency: a quantitative study of housestaff participation with between visit tasks.BMC medical education · 2016Article
- Is Training in a Primary Care Internal Medicine Residency Associated with a Career in Primary Care Medicine?Journal of general internal medicine · 2015Article
- Financing Residency Training Redesign.Journal of graduate medical education · 2014Article
- X + Y Scheduling Models for Internal Medicine Residency Programs-A Look Back and a Look Forward.Journal of graduate medical education · 2014Article
- Restoring Emphasis on Ambulatory Internal Medicine Training-The 3∶1 Model.Journal of graduate medical education · 2014Article
- Impact of 4 + 1 block scheduling on patient care continuity in resident clinic.Journal of general internal medicine · 2014Article
- Clinic design, key practice metrics, and resident satisfaction in internal medicine continuity clinics: findings of the educational innovations project ambulatory collaborative.Journal of graduate medical education · 2014Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe majority of health care, both for acute and chronic conditions, is delivered in the ambulatory setting. Despite repeated proposals for change, the majority of internal medicine residency training still occurs in the inpatient setting. Substantial changes in ambulatory education are needed to correct the current imbalance. To assist educators and policy makers in this process, this paper reviews the literature on ambulatory education and makes recommendations for change.
methodsThe authors searched the Medline, Psychlit, and ERIC databases from 2000 to 2004 for studies that focused specifically on curriculum, teaching, and evaluation of internal medicine residents in the ambulatory setting to update previous reviews. Studies had to contain primary data and were reviewed for methodological rigor and relevance.
resultsFifty-five studies met criteria for review. Thirty-five of the studies focused on specific curricular areas and 11 on ambulatory teaching methods. Five involved evaluating performance and 4 focused on structural issues. No study evaluated the overall effectiveness of ambulatory training or investigated the effects of current resident continuity clinic microsystems on education.
conclusionThis updated review continues to identify key deficiencies in ambulatory training curriculum and faculty skills. The authors make several recommendations: (1) Make training in the ambulatory setting a priority. (2) Address systems problems in practice environments. (3) Create learning experiences appropriate to the resident's level of development. (4) Teach and evaluate in the examination room. (5) Expand subspecialty-based training to the ambulatory setting. (6) Make faculty development a priority. (7) Create and fund multiinstitutional educational research consortia.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.