Ambulatory Pediatrics
Volume 5, Issue 4 , Pages 221-227 , July 2005

Changes in Pediatric Residents' Perceptions of Their Continuity Experience During Their Training: A National Study

  • Susan Feigelman, MD

      Affiliations

    • Corresponding Author InformationAddress correspondence to Susan Feigelman, MD, University of Maryland School of Medicine, 655 West Lombard St, Ste 311, Baltimore, MD, 21201
    • ,
  • John Olsson, MD

      Affiliations

    • From the Department of Pediatrics (Dr Feigelman), University of Maryland School of Medicine, Baltimore, Md; the Brody School of Medicine (Dr Olsson), Greenville, NC; Baylor College of Medicine (Dr Drutz), Houston, Tex; the University of Iowa (Dr Dungy), Iowa City, Iowa; Uniformed Services University (Dr Lopreiato), Bethesda, Md; and the Johns Hopkins School of Medicine (Dr Serwint), Baltimore, Md
    • ,
  • Jan Drutz, MD

      Affiliations

    • From the Department of Pediatrics (Dr Feigelman), University of Maryland School of Medicine, Baltimore, Md; the Brody School of Medicine (Dr Olsson), Greenville, NC; Baylor College of Medicine (Dr Drutz), Houston, Tex; the University of Iowa (Dr Dungy), Iowa City, Iowa; Uniformed Services University (Dr Lopreiato), Bethesda, Md; and the Johns Hopkins School of Medicine (Dr Serwint), Baltimore, Md
    • ,
  • Claibourne I. Dungy, MD, MPH

      Affiliations

    • From the Department of Pediatrics (Dr Feigelman), University of Maryland School of Medicine, Baltimore, Md; the Brody School of Medicine (Dr Olsson), Greenville, NC; Baylor College of Medicine (Dr Drutz), Houston, Tex; the University of Iowa (Dr Dungy), Iowa City, Iowa; Uniformed Services University (Dr Lopreiato), Bethesda, Md; and the Johns Hopkins School of Medicine (Dr Serwint), Baltimore, Md
    • ,
  • Joseph Lopreiato, MD, MPH

      Affiliations

    • From the Department of Pediatrics (Dr Feigelman), University of Maryland School of Medicine, Baltimore, Md; the Brody School of Medicine (Dr Olsson), Greenville, NC; Baylor College of Medicine (Dr Drutz), Houston, Tex; the University of Iowa (Dr Dungy), Iowa City, Iowa; Uniformed Services University (Dr Lopreiato), Bethesda, Md; and the Johns Hopkins School of Medicine (Dr Serwint), Baltimore, Md
    • ,
  • Janet R. Serwint, MD

      Affiliations

    • From the Department of Pediatrics (Dr Feigelman), University of Maryland School of Medicine, Baltimore, Md; the Brody School of Medicine (Dr Olsson), Greenville, NC; Baylor College of Medicine (Dr Drutz), Houston, Tex; the University of Iowa (Dr Dungy), Iowa City, Iowa; Uniformed Services University (Dr Lopreiato), Bethesda, Md; and the Johns Hopkins School of Medicine (Dr Serwint), Baltimore, Md
    • ,
  • Continuity Research Network (CORNET) of the Ambulatory Pediatric Association

Received 5 August 2004 ,Accepted 11 March 2005.

REFERENCES 

  1. American Medical Association. . In: Graduate Medical Education Directory, 1997–1998 . Chicago, Ill: American Medical Association; 1997;p. 211–220
  2. Rice TD , Holmes SE , Drutz JE . Comparison of continuity clinic experience by practice setting and postgraduate level . Arch Pediatr Adolesc Med . 1996;150:1299–1304
  3. Garfunkel LC , Byrd RS , McConnochie KM , Auinger P . Resident and family continuity in pediatric continuity clinic: nine years of observation . Pediatrics . 1998;101:37–42
  4. Outlaw DT , Kahn MJ , DeSalvo K , Cummings TL . Description of a combined internal medicine-pediatrics continuity clinic for combined program residents . South Med J . 2001;94:1173–1176
  5. Sargent JR , Osborn LM . Resident training in community pediatricians' offices. Not a financial drain . Am J Dis Child . 1990;144:1356–1359
  6. Dumont-Driscoll MC , Barbian LT , Pollock BH . Pediatric residents' continuity clinics: how are we really doing? . Pediatrics . 1995;96:616–621
  7. Recchia KC , Petros TM , Spooner A , Cranshaw JL . Implementation of the community outpatient practice experience in a large pediatric residency program . Pediatrics . 1995;96:90–98
  8. Osborn LM , Sargent JR , Williams SD . Effects of time-in-clinic, clinic setting, and faculty supervision on the continuity clinic experience . Pediatrics . 1993;91:1089–1093
  9. Croskell SE , Young PC . How well does the continuity experience prepare residents for practice? . Ambul Pediatr . 2002;2:401–405
  10. Ponitz KL , Needlman RD , Kilkenny TJ . Primary care relationships in pediatric hospital clinics vs private offices . Arch Pediatr Adolesc Med . 2000;154:1209–1213
  11. Serwint JR  and the Continuity Clinic Special Interest Group, Ambulatory Pediatric Association. . Multisite survey of pediatric residents' continuity experiences: their perceptions of the clinical and educational opportunities . Pediatrics . 2001;107:1171
  12. Kroboth FJ , Hanusa BH , Parker SC . Didactic value of the clinical evaluation exercise: missed opportunities . J Gen Intern Med . 1996;11:551–553
  13. Norcini JJ , Blank LL , Duffy FD , Fortna GS . The mini-CEX: a method for assessing clinical skills . Ann Intern Med . 2003;138:476–481
  14. Accreditation Council for Graduate Medical Education. . General Competencies . Chicago, Ill: ACGME; 1999;
  15. Roberts KB , Starr S , DeWitt TG . The University of Massachusetts Medical Center office-based continuity experience: are we preparing pediatric residents for primary care practice? . Pediatrics . 1997;100:715
  16. Young PC . Should we be teaching residents how to bill for their outpatient services? . Pediatrics . 2001;108:999–1000
  17. Badgett JT . General pediatric teaching clinics and managed care . Pediatrics . 1998;101:775–778
  18. Devries JM , Berkelhamer JE , Molteni RA , et al.   Developing models for pediatric residency training in managed care settings . Pediatrics . 1998;101:753–759

 Presented as a poster at the annual meeting of the Ambulatory Pediatrics Association, Baltimore, Md, April 28, 2001.

PII: S1530-1567(05)60206-7

doi: 10.1367/A04-137R1.1

Ambulatory Pediatrics
Volume 5, Issue 4 , Pages 221-227 , July 2005

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