Print this page Email this page Users Online: 651 | Click here to view old website
Home About us Editorial Board Search Current Issue Archives Submit Article Author Instructions Contact Us Login 
PRACTICAL ADVICE PAPER
Year : 2022  |  Volume : 35  |  Issue : 2  |  Page : 58-66

Perspectives of internal medicine residency clinics: A national survey of US medical directors


1 Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
2 Department of Medicine, Yale University School of Medicine, New Haven, CT, USA
3 Department of Medicine, Larner College of Medicine, University of Vermont, Burlington, VT, USA
4 Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
5 Department of Medicine, Boston University School of Medicine, Boston, MA, USA
6 Department of Medicine, Baylor College of Medicine, Houston, TX, USA
7 Biostatics, Baylor College of Medicine, Houston, TX, USA
8 Department of Medicine, University of Virginia, Charlottesville, VA, USA

Correspondence Address:
Dr. Robert J Fortuna
Department of Internal Medicine University of Rochester, Rochester, NY
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/efh.efh_75_22

Rights and Permissions

Background: Ambulatory training is an integral component of internal medicine residency programs, yet details regarding operational processes in resident continuity clinics remain limited. Methods: We surveyed a convenience sample of medical directors of residency practices between 2015 and 2019 (n = 222) to describe and share operational and scheduling processes in internal medicine resident continuity clinics in the US. Results: Among residency practices, support for the medical director role ranged substantially, but was most commonly reported at 11%–20% full-time-equivalent support. By the end of the survey period, the majority of programs (65.1%) reported obtaining patient-centered medical home (PCMH) certification (level 1–3). For new patient appointments, 34.9% of programs reported a 1–7 day wait and 25.8% reported an 8–14 day wait. Wait times for new appointments were generally shorter for PCMH certified practices (P = 0.029). No-show rates were most commonly 26%–50% for new patients and 11%–25% for established patients. Most programs reported that interns see 3–4 patients per ½-day and senior residents see 5–6 patients per ½-day. Most interns and residents maintain a panel size of 51–120 patients. Discussion: Creating high-performing residency clinics requires a focus on core building blocks and operational processes. Based on the survey results and consensus opinion, we provide five summary recommendations related to (1) support for the medical director leadership role, (2) patient-centered and coordinated models of care, (3) support for patient scheduling, (4) recommended visit lengths, and (5) ancillary support, such as social work.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed320    
    Printed20    
    Emailed0    
    PDF Downloaded49    
    Comments [Add]    

Recommend this journal