Continuity of ambulatory care in an obstetrics and gynecology residency program

Continuity of ambulatory care was instituted four years ago in a large residency training program serving private and clinic patients. Details of the program are described. Seventy-nine percent and 87% continuity of care was achieved for prenatal patients and women with gynecologic problems, respectively. Long-term continuity of care for preventive health maintenance was not attained. House officers and nurses believe that continuity of care fosters more efficient use of laboratory testing and physician time and results in better patient care.