ArticleJournal of graduate medical education2018
Continuity of Care in Resident Outpatient Clinics: A Scoping Review of the Literature.
Article in Journal of graduate medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 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
35 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Longitudinal training models for entrusting students with independent patient care?: A systematic review.Medical education · 2022Pooled it
- Language Disparities in Caregiver Satisfaction with Physician Communication at Well Visits from 0-2 Years.Academic pediatrics · 2024Trial
- Which aspects of continuity of care in primary care are associated with better self-rated health? A cross-sectional study among older adults in Berlin.BMC primary care · 2026Article
- Optimizing Resident Experience in Continuity Clinic: Recommendations for Internal Medicine Residency Training-A Report from the Society of General Internal Medicine (SGIM) and Association of Chiefs and Leaders of General Internal Medicine (ACLGIM) Hess Initiative Work Group on Learner Experience in Primary Care.Journal of general internal medicine · 2026Article
- Continuity of Primary Care in Community Health Centers.Annals of family medicine · 2026Article
- Trends in Pediatric In-Training Exam Scores and Association With Clinical Encounters Across the COVID-19 Pandemic.Cureus · 2025Article
- Primary care quality of primary healthcare institutions in china: current status and influencing factors.Archives of public health = Archives belges de sante publique · 2025Article
- Segregation by Payer in Obstetrics and Gynecology Residency Ambulatory Care Sites.JAMA network open · 2024Article
- Resident Versus Attending Prenatal Care Models: an Analysis of the Effects of Race and Insurance on Appointment Attendance.Journal of racial and ethnic health disparities · 2024Article
- Patient Experience With Resident Versus Staff Physicians: Results From a Cross-Sectional Patient Survey From Canadian Family Medicine Residencies.Family medicine · 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
- Enhanced Scheduling to Improve Resident Continuity in a Family Medicine Teaching Clinic.Family medicine · 2024Article
- Continuity of Care: A Primer for Family Medicine Residencies.Family medicine · 2024Review
- 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
- Impact of Set-Day Clinic on Physician Continuity in a Family Medicine Residency Clinic.Family medicine · 2023Article
- Perceived Access and Appropriateness: Comparison of Teaching and Resident Family Physicians' Patients.Family medicine · 2023Article
- Resident Visit Productivity and Attitudes About Continuity According to 3 Versus 4 Years of Training in Family Medicine: A Length of Training Study.Family medicine · 2023Article
- Introduction of Otolaryngology Outpatient Examination Training Program for junior residents as part of rural regional medical support in Japan.Journal of general and family medicine · 2022Article
- The Reliability of Graduate Medical Education Quality of Care Clinical Performance Measures.Journal of graduate medical education · 2022Article
- Continuity and Health Outcomes in Resident Clinics: A Scoping Review of the Literature.Cureus · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundContinuity between patients and physicians is a core principle of primary care and an accreditation requirement. Resident continuity clinics face challenges in nurturing continuity for their patients and trainees.
objectiveWe undertook a scoping review of the literature to better understand published benchmarks for resident continuity; the effectiveness of interventions to improve continuity; and the impact of continuity on resident and patient satisfaction, patient outcomes, and resident career choice.
methodsWe developed a MEDLINE search strategy to identify articles that defined continuity in residency programs in internal medicine, family medicine, and pediatrics published prior to December 31, 2015, and used a quality evaluation tool to assess included studies.
resultsThe review includes 34 articles describing 12 different measures of continuity. The usual provider of care and continuity for physician formulas were most commonly utilized, and mean baseline continuity was 56 and 55, respectively (out of a total possible score of 100). Clinic and residency program redesign innovations (eg, advanced access scheduling, team-based care, and block scheduling) were studied and had mixed impact on continuity. Continuity in resident clinics is lower than published continuity rates for independently practicing physicians.
conclusionsInterventions to enhance continuity in resident clinics have mixed effects. More research is needed to understand how changes in continuity affect resident and patient satisfaction, patient outcomes, and resident career choice. A major challenge to research in this area is the lack of empanelment of residents' patients, creating difficulties in scheduling and measuring continuity visits.
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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.