Academic Pediatrics
Volume 10, Issue 2 , Pages 119-123 , March 2010

Continuity of Care in Fixed-Day Versus Variable-Day Resident Continuity Clinics

  • Carlos F. Lerner, MD, MPhil

      Affiliations

    • Corresponding Author InformationAddress correspondence to Carlos F. Lerner, MD, MPhil, Division of General Pediatrics, 12-311 MDCC, 10833 Le Conte Avenue, Los Angeles, California 90095.
    • ,
  • Peter J. Chung, MD

Received 8 June 2009 ,Accepted 13 November 2009.

References 

  1. Samuels RC, Chi GW, Rauch DA, et al. Lessons from pediatrics residency program directors' experiences with work hour limitations in New York State. Acad Med. 2005;80:467–472
  2. Weinstein DF. Duty hours for resident physicians–tough choices for teaching hospitals. N Engl J Med. 2002;347:1275–1278
  3. Steinbrook R. The debate over residents' work hours. New Engl J Med. 2002;347:1296–1302
  4. Fortuna RJ, Palfrey JS, Shelov SP, Samuels RC. Paediatric experiences with work-hour limitations. J Eval Clin Pract. 2009;15:116–120
  5. McBurney PG, Gustafson KK, Darden PM. Effect of 80-hour workweek on continuity of care. Clin Pediatr (Phila). 2008;47:803–808
  6. Fletcher KE, Saint S, Mangrulkar RS. Balancing continuity of care with residents' limited work hours: defining the implications. Acad Med. 2005;80:39–43
  7. In:  Ulmer C,  Miller Wolman D,  Johns MEM editor. Committee on Optimizing Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. Washington, DC: The National Academies Press; 2009;
  8. Christakis DA, Mell L, Koepsell TD, et al. Association of lower continuity of care with greater risk of emergency department use and hospitalization in children. Pediatrics. 2001;107:524–529
  9. Christakis DA, Mell L, Wright JA, et al. The association between greater continuity of care and timely measles-mumps-rubella vaccination. Am J Public Health. 2000;90:962–965
  10. Alpert JJ. Broken appointments. Pediatrics. 1964;34:127–132
  11. Becker MH. Predicting mothers' compliance with pediatric medical regimens. J Pediatr. 1972;81:843–854
  12. Christakis DA, Wright JA, Zimmerman FJ, et al. Continuity of care is associated with well-coordinated care. Ambul Pediatr. 2003;3:82–86
  13. Krugman SD, Racine A, Dabrow S, et al. Measuring primary care of children in pediatric resident continuity practices: a Continuity Research Network study. Pediatrics. 2007;120:e262–e271
  14. Accreditation Council for Medical Education. Program requirements for residency education in pediatrics. Available at: http://www.acgme.org/acWebsite/downloads/RRC_progReq/320pr106.pdf. Accessed May 13, 2009.
  15. 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
  16. Kuo AK, Ma CT, Kamei RK. Evening continuity clinic: preserving primary care education in the face of duty hour limitations?. Ambul Pediatr. 2004;4:332–335
  17. McBurney PG, Moran CM, Ector WL, et al. Time in continuity clinic as a predictor of continuity of care for pediatric residents. Pediatrics. 2004;114:1023–1027
  18. Christakis DA, Wright JA. Can continuity of care be improved? Results from a randomized pilot study. Ambul Pediatr. 2004;4:336–339
  19. Breslau N, Reeb KG. Continuity of care in a university-based practice. J Med Educ. 1975;50:965–969
  20. Darden PM, Ector W, Moran C, Quattlebaum TG. Comparison of continuity in a resident versus private practice. Pediatrics. 2001;108:1263–1268
  21. Becker MH, Drachman RH, Kirscht JP. Continuity of pediatrician: new support for an old shibboleth. J Pediatr. 1974;84:599–605
  22. Zuckerman B, Parker S. Preventive pediatrics–new models of providing needed health services. Pediatrics. 1995;95:758–762
  23. Starfield B. On continuity of care in pediatric training. Pediatrics. 2004;114:1082
  24. Inkelas M, Schuster MA, Olson LM, et al. Continuity of primary care clinician in early childhood. Pediatrics. 2004;113:1917–1925
  25. Medical Home Initiatives for Children With Special Needs Project Advisory Committee . American Academy of Pediatrics. The medical home. Pediatrics. 2002;110:184–186
  26. Balmer D, Ruzek S, Ludwig S, Giardino A. Pediatric residents' and continuity clinic preceptors' perceptions of the effects of restricted work hours on their learning relationship. Ambul Pediatr. 2007;7:348–353

PII: S1876-2859(09)00303-9

doi: 10.1016/j.acap.2009.11.002

Academic Pediatrics
Volume 10, Issue 2 , Pages 119-123 , March 2010

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