+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

National study of continuity clinic satisfaction in pediatric fellowship training

National study of continuity clinic satisfaction in pediatric fellowship training

Advances in Medical Education and Practice 4(): 165-169

A national online survey was conducted to evaluate pediatric subspecialty fellow satisfaction regarding continuity clinic experience. An anonymous online survey (SurveyMonkey™) was developed to evaluate demographics of the program, clinic organization, and patient and preceptor characteristics, and to compare fellow satisfaction when fellows were the primary providers with faculty supervision versus attending-run clinics assisted by fellows or a combination of the two models. Pediatric subspecialty fellows in a 3-year Accreditation Council for Graduate Medical Education accredited program in the United States (excluding emergency medicine, neonatology, and critical care) were invited to participate. There were 644 respondents and nearly half (54%) of these had fellow-run clinics. Eighty-six percent of fellows responded that they would prefer to have their own continuity clinics. Higher satisfaction ratings on maintaining continuity of care, being perceived as the primary provider, and feeling that they had greater autonomy in patient management were associated with being part of a fellow-run clinic experience (all P < 0.001). Additionally, fellow-run clinics were associated with a feeling of increased involvement in designing a treatment plan based on their differential diagnosis (P < 0.001). There were no significant associations with patient or preceptor characteristics. Fellow-run continuity clinics provide fellows with a greater sense of satisfaction and independence in management plans.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 054551905

Download citation: RISBibTeXText

PMID: 24101886

DOI: 10.2147/amep.s51069

Related references

Continuity clinic satisfaction and valuation in residency training. Journal of General Internal Medicine 22(12): 1704-1710, 2007

Changes in pediatric residents' perceptions of their continuity experience during their training: a national study. Ambulatory Pediatrics 5(4): 221-227, 2005

Improving quality and patient satisfaction in a pediatric resident continuity clinic through advanced access scheduling. Journal of Graduate Medical Education 2(2): 215-221, 2010

Program graduate rates of satisfaction and preparation for practice Comparing different continuity clinic training sites. Pediatric Research 47(4 Part 2): 86A, 2000

Teaching in Continuity Clinic at six pediatric residency training programs. Pediatric Research 49(4 Part 2): 64A, 2001

Smoking cessation counseling training for pediatric residents in the continuity clinic setting. Ambulatory Pediatrics 4(4): 289-294, 2004

Comparing continuity in a pediatric resident continuity clinic with a private pediatric practice. Journal of Investigative Medicine 47(2): 140A, 1999

Pediatric infectious diseases fellowship training in healthcare epidemiology: a national needs assessment. Infection Control and Hospital Epidemiology 34(2): 195-199, 2013

Comparing patients seen in pediatric resident continuity clinics and national ambulatory medical care survey practices: a study from the continuity research network. Pediatrics 118(3): E849-E858, 2006

Time in continuity clinic as a predictor of continuity of care for pediatric residents. Pediatrics 114(4): 1023-1027, 2004

Resident and family continuity in pediatric continuity clinic: nine years of observation. Pediatrics 101(1 Pt 1): 37-42, 1998

Strengthening the fellowship training experience: findings from a national survey of fellowship trained geriatricians 1990-1998. Journal of the American Geriatrics Society 52(4): 607-610, 2004

Continuity-structured clinical observations: assessing the multiple-observer evaluation in a pediatric resident continuity clinic. Pediatrics 121(6): E1633-E1645, 2008

2015 SPCTPD/ACC/AAP/AHA Training Guidelines for Pediatric Cardiology Fellowship Programs (Revision of the 2005 Training Guidelines for Pediatric Cardiology Fellowship Programs). Journal of the American College of Cardiology: -, 2015