ArticleJournal of general internal medicine2008
The ambulatory long-block: an accreditation council for graduate medical education (ACGME) educational innovations project (EIP).
Article in Journal of general internal medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 4 of them syntheses 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.
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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.
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Who cites it
58 citing papers in PubMed, 4 syntheses or guidelines pooled it, 125 citations in OpenAlex.
- Longitudinal training models for entrusting students with independent patient care?: A systematic review.Medical education · 2022Pooled it
- The Impact of Block Ambulatory Scheduling on Internal Medicine Residencies: a Systematic Review.Journal of general internal medicine · 2019Pooled it
- Factors Affecting Resident Satisfaction in Continuity Clinic-a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Pooled it
- Firsthand Accounts of Practicing Generalists-Internal Medicine Residency and the 'Leap of Faith' into Primary Care.Journal of general internal medicine · 2026Article
- Education Research: Integration of Trainee and Faculty Clinics at an Academic Medical Center: Improving Quality of Care and Education.Neurology. Education · 2026Article
- Differences in Ambulatory Care Outcomes Between Trainees and Faculty: A Multi-center Study.Journal of general internal medicine · 2025Article
- Optimal outpatient training for resident physicians' general medicine in-training examination score: a cross-sectional study.BMC medical education · 2025Article
- User-Centered Evaluation and Design Recommendations for an Internal Medicine Resident Competency Assessment Dashboard.Applied clinical informatics · 2023Article
- Longitudinal Interleaved Residency Training: A Consensus Definition.Family medicine · 2023Article
- Education Research: The Effect of an X + Y Schedule Model on Neurology Residency Training.Neurology. Education · 2022Article
- Continuity and Health Outcomes in Resident Clinics: A Scoping Review of the Literature.Cureus · 2022Article
- A narrative review of ambulatory care education in Canadian internal medicine.Canadian medical education journal · 2020Review
- USMLE Step 2 CK: Best Predictor of Multimodal Performance in an Internal Medicine Residency.Journal of graduate medical education · 2019Article
- Continuity of Care in Resident Outpatient Clinics: A Scoping Review of the Literature.Journal of graduate medical education · 2018Article
- Why Aren't More Primary Care Residents Going into Primary Care? A Qualitative Study.Journal of general internal medicine · 2016Article
- Improving Ambulatory Training in Internal Medicine: X + Y (or Why Not?).Journal of general internal medicine · 2016Article
- Factors Associated With Resident Continuity in Ambulatory Training Practices.Journal of graduate medical education · 2016Article
- Clinic First: 6 Actions to Transform Ambulatory Residency Training.Journal of graduate medical education · 2016Article
- Continuity of Care as an Educational Goal but Failed Reality in Resident Training: Time to Innovate.Journal of graduate medical education · 2016Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHistorical bias toward service-oriented inpatient graduate medical education experiences has hindered both resident education and care of patients in the ambulatory setting.
aimDescribe and evaluate a residency redesign intended to improve the ambulatory experience for residents and patients.
settingCategorical Internal Medicine resident ambulatory practice at the University of Cincinnati Academic Health Center. PROGRAM DESCRIPTION: We created a year-long continuous ambulatory group-practice experience separated from traditional inpatient responsibilities called the long block as an Accreditation Council for Graduate Medical Education Educational Innovations Project. The practice adopted the Chronic Care Model and residents received extensive instruction in quality improvement and interprofessional teams. PROGRAM EVALUATION: The long block was associated with significant increases in resident and patient satisfaction as well as improvement in multiple quality process and outcome measures. Continuity and no-show rates also improved. DISCUSSION: An ambulatory long block can be associated with improvements in resident and patient satisfaction, quality measures, and no-show rates. Future research should be done to determine effects of the long block on education and patient care in the long term, and elucidate which aspects of the long block most contribute to improvement.
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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.