Evidence map›Paper›PMID 41578108›Full record

ArticleJournal of general internal medicine2026

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.

Jennifer Shiroky-Kochavi, Lauren Block, Anne Cioletti, Margaret Lo, Meghan Black, David Callender, Corey Dean, Shivani Desai, Lydia Flier, Anna Golob and 8 more

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Jennifer Shiroky-KochaviDepartment of Medicine, University of South Florida Morsani College of Medicine, Tampa, FL, USA.
Lauren BlockNorthwell Health, Lake Success, NY, USA.
Anne CiolettiDepartment of Internal Medicine, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, UT, USA.
Margaret LoDivision of General Internal Medicine, Department of Medicine, University of Florida College of Medicine, Gainesville, FL, USA.
Meghan BlackDivision of General Internal Medicine and Population Science, University of Alabama Birmingham Heersink School of Medicine, Birmingham, AL, USA.
David CallenderDivision of General Internal Medicine, Department of Medicine, University of Virginia School of Medicine, Charlottsville, VA, USA.
Corey DeanDivision of Internal Medicine, Trinity Health IHA, Michigan State College of Medicine, Ann Arbor, MI, USA.
Shivani DesaiDepartment of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Lydia FlierDivision of Internal Medicine of Mount Auburn Hospital, Cambridge, MA, USA.
Anna GolobDepartment of Medicine and Veterans Affairs Puget Sound Health Care System, University of Washington, Seattle, WA, USA.
Matthew MetzingerUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Deepa Rani NandiwadaDivision of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Patricia NgDivision of General, Geriatric & Hospital Medicine, Renaissance School of Medicine at Stony, Stony Brook University Hospital, Brook University, Stony Brook, NY, USA.
Paul O'RourkeDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Margot RogersDepartment of General Internal Medicine, Boston Medical Center, Boston University, Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Halle SobelDepartment of General Internal Medicine, Robert Larner College of Medicine, The University of Vermont Medical Center, Burlington, VT, USA.
Brielle SpataroUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Kelly GrahamDepartment of Medicine, Beth Israel Deaconess Medical Centerand, Harvard Medical School , Boston, MA, USA. kgraham@bidmc.harvard.edu.ORCID 0000-0002-6299-494X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Association of Chiefs and Leaders of General Internal Medicine (ACLGIM), a group of division chiefs and other division leaders within the Society for General Internal Medicine (SGIM), convened the Hess Initiative Work Group on Learner Experience in Primary Care in 2023 to (1) identify the gaps between the current state of resident continuity clinic and current standards for a high-functioning primary care setting, (2) review the evidence to identify solutions, and (3) develop a set of evidence-based recommendations. These recommendations align with the current Accreditation Council for Graduate Medical Education (ACGME) IM milestones, with the goal to improve the experience of resident continuity clinic and meet the needs of the three key stakeholders of GME: residents, patients, and the healthcare system. We recruited experts in internal medicine ambulatory training from across the country, representing a variety of US regions, membership in professional societies and organizations related to internal medicine, community and academic settings, and residency program sizes during national and regional meetings at SGIM between 2023 and 2025. Using standard frameworks of high-functioning primary care practice, we performed an extensive review of the literature to identify discrepancies between these standards and resident continuity clinics, then, using the expertise of the group, produced a set of recommendations, which were reviewed and endorsed by the SGIM Council in September 2025.

Indexed as

Continuity of Patient CareEducation, Medical, GraduateInternal MedicineInternship and ResidencyPrimary Health CareClinical CompetenceHumansSocieties, MedicalUnited Statesambulatory careGraduate medical educationprimary care training

Identifiers

PMID41578108
PMCPMC13241573

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.