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A resident's internal medicine practice.

T J McGlynn, R F Munzenrider, J Zizzo

Evaluation & the Health Professions

|November 8, 1979

Summary

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Primary care residents

Area of Science:

Internal Medicine Training
Primary Care Education
Clinical Decision-Making

Background:

Primary care internal medicine training is crucial for developing clinical judgment.
Resident decision-making experiences are key to effective learning in ambulatory settings.
Evaluating training programs requires understanding the scope of resident decision-making opportunities.

Purpose of the Study:

To examine the decision-making experiences of residents in primary care internal medicine training.
To identify factors influencing residents' ability to learn from patient care.
To provide arguments for evaluating training programs based on decision-making content.

Main Methods:

Qualitative examination of resident decision-making experiences.

Related Experiment Videos

Analysis of patient populations and training opportunities provided.

Review of residents' evaluations of their educational experiences.

Main Results:

While patient populations offered opportunities, many residents had inadequate decision-making experience with common primary care problems.
Factors influencing learning included disease prevalence, patient continuity, diagnostic procedure use, and supervisory/consultative review.
Residents' perceptions highlighted specific elements of patient care impacting their learning.

Conclusions:

Internal medicine training programs should be evaluated by the content of residents' decision-making opportunities in ambulatory practice.
Improving the quality and breadth of decision-making experiences is essential for resident education.
Further research into clinical judgment development is needed to inform training program design.