Biomaterial Database

Clinical experience during family medicine residency training. 1987

G R Parkerson, and E W Griffin

We report the total clinical experience for one family medicine resident who documented every patient encounter during his three years of residency training, and compare experience with model practice patients with that in other training sites. There were 7,671 encounters with 4,449 patients, for 17,660 problem contacts and 679 procedures. Encounter and problem activity for model practice patients constituted one fifth of the total experience. Model practice patients were older than patients, and were seen more often in the office than in the hospital. Most clinical experience with acute infections, depression, and obesity was gained with model practice patients. Most experience with pneumonia, normal delivery, myocardial infarction, and chronic lung disease was acquired with other patients, and most procedures were performed on them. Personal patients of the resident within the model practice provided the greatest experience with continuity of care. These data support the value of the model practice as an important supplement to traditional hospital-based patient populations for training family physicians.

UI	MeSH Term	Description	Entries
D007396	Internship and Residency	Programs of EDUCATION, MEDICAL, GRADUATE training to meet the requirements established by accrediting authorities.	House Staff,Internship, Dental,Residency, Dental,Residency, Medical,Dental Internship,Dental Internships,Dental Residencies,Dental Residency,Internship,Internship, Medical,Internships, Dental,Medical Residencies,Medical Residency,Residencies, Dental,Residencies, Medical,Residency,Residency and Internship,Internships, Medical,Medical Internship,Medical Internships,Residencies,Staff, House
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009657	North Carolina	State bounded on the north by Virginia, on the east and Southeast by the Atlantic Ocean, on the south by Georgia and South Carolina, and on the west by Tennessee.
D009819	Office Visits	Visits made by patients to health service providers' offices for diagnosis, treatment, and follow-up.	Office Visit,Visit, Office,Visits, Office
D011320	Primary Health Care	Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)	Primary Care,Primary Healthcare,Care, Primary,Care, Primary Health,Health Care, Primary,Healthcare, Primary
D003266	Continuity of Patient Care	Health care provided on a continuing basis from the initial contact, following the patient through all phases of medical care.	Continuum of Care,Continuity of Care,Care Continuity,Care Continuity, Patient,Care Continuum,Patient Care Continuity
D004282	Documentation	Systematic organization, storage, retrieval, and dissemination of specialized information, especially of a scientific or technical nature (From ALA Glossary of Library and Information Science, 1983). It often involves authenticating or validating information.	Documentations
D005194	Family Practice	A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.	Family Practices,Practice, Family,Practices, Family
D005260	Female		Females