ArticleJournal of graduate medical education2015
Clinic Design and Continuity in Internal Medicine Resident Clinics: Findings of the Educational Innovations Project Ambulatory Collaborative.
Article in Journal of graduate medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- Resident Perceptions of Ambulatory Block Handoffs in the X + Y Block Scheduling Model.Journal of general internal medicine · 2025Article
- Impact of Ambulatory Blocks on Pulmonary Critical Care Fellow Outpatient Training Experience.ATS scholar · 2024Article
- The Impact of Changing From a 6+2 to a 3+1 Residency Block Schedule on Patient Access and Other Outcomes.Journal of graduate medical education · 2024Article
- Longitudinality Matters: Qualitative Perspectives on a Longitudinal Clinical Experience in a Psychiatry Residency Training Program.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2023Article
- 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
- Continuity and Health Outcomes in Resident Clinics: A Scoping Review of the Literature.Cureus · 2022Article
- Residency Practice Transformation: Implementation of Team-Based Care in an Academic Continuity Clinic.Journal of graduate medical education · 2020Article
- A Decade of Teaching and Learning in Internal Medicine Ambulatory Education: A Scoping Review.Journal of graduate medical education · 2019Article
- Striving toward team-based continuity: provision of same-day access and continuity in academic primary care clinics.BMC health services research · 2019Article
- Continuity of Care in Resident Outpatient Clinics: A Scoping Review of the Literature.Journal of graduate medical education · 2018Article
- Resident and Preceptor Perceptions of Preceptor Integration Into Resident Clinic Scheduling Templates.Journal of graduate medical education · 2017Article
- X + Y (or Why Not?).Journal of general internal medicine · 2017Article
- Improving Ambulatory Training in Internal Medicine: X + Y (or Why Not?).Journal of general internal medicine · 2016Article
- Clinic First: 6 Actions to Transform Ambulatory Residency Training.Journal of graduate medical education · 2016Article
- Continuity Clinic Model and Diabetic Outcomes in Internal Medicine Residencies: Findings of the Educational Innovations Project Ambulatory Collaborative.Journal of graduate medical education · 2016Article
- Continuity and Darwinism-Natural Selection, Extinction, or Adaptation.Journal of graduate medical education · 2015Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany internal medicine (IM) programs have reorganized their resident continuity clinics to improve trainees' ambulatory experience. Downstream effects on continuity of care and other clinical and educational metrics are unclear.
methodsThis multi-institutional, cross-sectional study included 713 IM residents from 12 programs. Continuity was measured using the usual provider of care method (UPC) and the continuity for physician method (PHY). Three clinic models (traditional, block, and combination) were compared using analysis of covariance. Multivariable linear regression analysis was used to analyze the effect of practice metrics and clinic model on continuity.
resultsUPC, reflecting continuity from the patient perspective, was significantly different, and was highest in the block model, midrange in combination model, and lowest in the traditional model programs. PHY, reflecting continuity from the perspective of the resident provider, was significantly lower in the block model than in combination and traditional programs. Panel size, ambulatory workload, utilization, number of clinics attended in the study period, and clinic model together accounted for 62% of the variation found in UPC and 26% of the variation found in PHY.
conclusionsClinic model appeared to have a significant effect on continuity measured from both the patient and resident perspectives. Continuity requires balance between provider availability and demand for services. Optimizing this balance to maximize resident education, and the health of the population served, will require consideration of relevant local factors and priorities in addition to the clinic model.
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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.