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Related Experiment Videos

How well does the continuity experience prepare residents for practice?

Sarah E Croskell1, Paul C Young

  • 1Department of Pediatrics, The University of Utah School of Medicine, 50 North Medical Drive, Salt Lake City, UT 84132, USA. sarah.croskell@hsc.utah.edu

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
|September 21, 2002
PubMed
Summary

Most pediatric residency graduates felt well-prepared for practice after their continuity experience (CE). Private practice settings were associated with higher preparedness than hospital or public health clinics.

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Area of Science:

  • Medical Education
  • Pediatric Residency Training
  • Continuity Experience

Background:

  • The continuity experience (CE) is crucial for preparing pediatric residency graduates for practice.
  • Assessing the effectiveness of CE is vital for curriculum development and improving graduate readiness.

Purpose of the Study:

  • Evaluate graduate perceptions of CE effectiveness in preparing them for pediatric practice.
  • Measure graduate satisfaction with their CE.
  • Identify factors (patient and preceptor characteristics) associated with satisfaction and preparedness.

Main Methods:

  • A questionnaire was mailed to 130 pediatricians who completed residency at the University of Utah (1985-1996).
  • Data collected included practice information, CE site details, patient volume and types, preceptor evaluation, and perceived preparedness and satisfaction.

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  • Response rate was 58%.

    • Main Results:

    • A majority of respondents felt well-prepared (26% "very well", 56% "pretty well") and satisfied (32% "very satisfied", 57% "satisfied") with their CE.
    • Graduates with CE in private practice (PP) reported higher preparedness (53% "very well") compared to those in university hospital (UH) (16%) or public health clinics (PH) (19%).
    • Higher patient volume per half-day was linked to better preparedness, with PP graduates seeing more patients.

    Conclusions:

    • Despite variations in CE content, most graduates perceived adequate preparation for pediatric practice.
    • The setting of the continuity experience, particularly private practice, appears to influence graduate preparedness.
    • Further investigation into optimizing CE across different settings may enhance graduate readiness.