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Related Experiment Videos

Improving continuity by increasing clinic frequency in a residency setting.

J O Neher1, G Kelsberg, D Oliveira

  • 1Valley Medical Center Family Practice Residency, Renton, Wash 98055, USA. jneher@vmc.fammed.washington.edu

Family Medicine
|December 4, 2001
PubMed
Summary

Increasing resident clinic frequency in family practice residency programs improves continuity of care for frequent patients. This change enhances patient-provider relationships without increasing overall resident time in the family practice center (FPC).

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Area of Science:

  • Medical Education
  • Primary Care Medicine
  • Health Services Research

Background:

  • Continuity of care is crucial in family practice training.
  • Traditional models with limited clinic hours may hinder patient continuity.
  • Residency programs require effective strategies to ensure consistent patient care.

Purpose of the Study:

  • To evaluate the impact of increased clinic frequency on continuity of care in a family practice residency.
  • To determine if a shift to daily resident clinics affects patient continuity.
  • To assess changes in patient-provider relationships with altered scheduling.

Main Methods:

  • A family practice residency program transitioned from traditional to daily resident clinics (4-5 days/week).
  • Continuity of care was assessed for frequently visiting patients (≥3 visits/6 months) one year before and after the change.

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  • The modified, modified continuity index (MMCI) and percentage of visits to the primary care provider (PCP) were used as measures.
  • Main Results:

    • The overall MMCI for frequent patients increased from 0.59 to 0.64.
    • The percentage of patient visits to their PCP improved significantly for first-year residents (51% to 72%) and third-year residents (66% to 72%).
    • Total resident time in the family practice center (FPC) decreased by only 5%.

    Conclusions:

    • Daily resident clinics in the FPC enhance continuity of care for frequent patients.
    • This scheduling model improves patient-provider consistency compared to traditional models.
    • Increased continuity was achieved without a significant rise in total resident time.