- Continuity care clinics (CCC) provide important longitudinal care experience for pediatric residents; ACGME requires a minimum one half-day CCC session/week for a minimum 36 outpatient clinic weeks/year. In CCC, residents assume responsibility of care for a progressive number of well patients & those with complex/chronic problems on a regular, continuing basis. To develop proficiency in comprehensive care, the flow & efficiency of the clinic experience is vital. As second-year residents, we addressed communication related to immunization ordering/administration in our CCC as a targeted intervention to improve clinic flow & efficiency.
- Over 200,000 patients are hospitalized annually for influenza-related illness; kids are more vulnerable than healthy adults. Vaccination is the best prevention. Thus, the CDC recommends annual flu vaccination for all children aged 6 months through 18 years of age, with specific guidance that previously unimmunized children aged 6 months through 8 years should receive a 2-dose vaccine series during their first season of flu vaccination. Prior research demonstrates that while two doses of vaccine decreased the number of office visits for influenza-like illness (ILI), one dose of vaccine had no effect on visits for ILI.