The impact on families of pediatric resident departure from a continuity clinic practice

Article Abstract:

Many parents are distressed when they lose continuity of pediatric care and are not consulted about the choice of a new physician. Pediatric residents in continuity clinics at teaching hospitals provide continuous care for several years. Researchers surveyed 90 parents whose primary care pediatrician was about to graduate and leave the clinic. Many parents were sad or angry about the transition to a new doctor, and 75% wanted to be involved in choosing a new physician. Only 19% had been consulted. Parents want early notification and a choice when they must select a pediatrician.

Analysis, Officials and employees, Physician and patient, Physician-patient relations, Appointments, resignations and dismissals, Pediatric clinics

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The Effect of Patient Reassignment on Future Continuity in a Pediatric Resident Continuity Practice

Article Abstract:

Many graduating pediatric residents will re-assign some patients to a resident they know well in order to maintain continuity. Studies have shown that continuity of care is very important. However, most residents graduate after three years, and the family must be assigned to another resident. Among 758 patients of 18 graduating pediatric residents, 86 were re-assigned to a colleague rather than to an unknown resident. These children often had a chronic medical condition, made more visits to their resident and used more healthcare resources in general.

Research, Practice

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The Pediatric Continuity Experience: Do Academic Sites Still Have a Role?

Article Abstract:

Pediatric residency programs should give residents experience in a private practice or community health clinic as well as in an academic teaching hospital. Traditionally, most residents were trained in the teaching hospital. However, many hospitals try to give residents experience in a private practice. Studies have shown that both types of sites provide complementary training and experience. Private practice allows residents to see more patients but the academic sites provide more patient continuity.

Training, Study and teaching, Pediatrics

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