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Related Concept Videos

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Related Experiment Video

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Engaging Family Medicine Residents in a Structured Patient Panel Reassignment Process.

Rebekah Compton1, Amanda Sebring1, Sarah Dalrymple1

  • 1Department of Family Medicine, University of Virginia, Charlottesville, VA.

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Summary

Implementing a structured patient panel reassignment system for graduating family medicine residents improved patient continuity and resident satisfaction. This process ensures seamless care transitions for over a million patients annually.

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Area of Science:

  • Medical Education
  • Health Systems Management
  • Patient Care Continuity

Background:

  • Annual reassignment of patient panels for graduating residents impacts over 1 million family medicine patients.
  • Effective patient panel reassignment is crucial for maintaining continuity of care.

Purpose of the Study:

  • To implement and evaluate a structured, year-end patient panel reassignment system within a family medicine residency program.

Main Methods:

  • A structured reassignment process was conducted from December 2017 to June 2020.
  • Key components included a tip sheet, risk stratification algorithm, and tracking tool.
  • Resident satisfaction surveys and patient-provider continuity run charts were used for outcome measurement.

Main Results:

  • 75% resident survey response rate; 73% found reassignment night very helpful.
  • 87% felt they had adequate information and reasonable timelines.
  • Patient continuity improved, showing nonrandom variation above the median until April 2020.

Conclusions:

  • The structured reassignment process was positively received by residents.
  • The system effectively improved patient-provider continuity.
  • This model provides a framework for other residency programs facing similar challenges.