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August 1992, Vol 146, No. 8 >
Article | August 1992

A Survey of the Structure and Function of Pediatric Continuity Clinics FREE

Michelle Sasynuik Barratt, MD, MPH; Robert R. Tanz, MD
[+] Author Affiliations

Accepted for publication April 10, 1992.

Reprint requests to Community and General Pediatrics, University of Texas Medical at Houston, 6655 Travis, Suite 570, Houston, TX 77030 (Dr Barratt).


Am J Dis Child. 1992;146(8):937-940. doi:10.1001/archpedi.1992.02160200059027.
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• Continuity clinic is a mandated part of all accredited pediatric residency programs, yet there are minimal guidelines regarding structure and function. In 1988, we surveyed 101 residency programs, asking them to describe their continuity clinic experience. Eighty-seven residency programs (86%) responded to the 40-item questionnaire. The results showed clinics to be similar in many aspects, with consistent emphasis on developmental issues and anticipatory guidance. Areas of concern included lack of monitoring of the patient panel (31 % did not monitor), excess care for chronic diseases or handicapping conditions (mean, 22% of patients), and lack of training in telephone advice (43% provided no such training).

(AJDC. 1992;146:937-940)

REFERENCES

1 +
1991-1992 Directory of Graduate Medical Education Programs . Chicago, Ill: American Medical Association; 1991;:88.
2 +
Wilson MEH, Weiner JP, Bender JC, Bergstrom SK, Starfield BH.  Does a residents' continuity clinic provide primary care? AJDC . 1989;;143:809-812.
3 +
Berkelhamer JE.  General pediatric clinic practice management: results of a survey of academic departments . Pediatrics . 1989;;84:98-102.
4 +
1987-1988 Directory of Graduate Medical Education Programs . Chicago, Ill: American Medical Association; 1987;:351-366.
5 +
Sargent JR, Osborn LM.  Resident training in community pediatricians' offices: not a financial drain . AJDC . 1990;;144:1356-1359.
6 +
Burnett RD, Bell LS.  Projecting pediatric practice patterns: a survey by the American Academy of Pediatrics, Committee on Manpower . Pediatrics . 1978;;62( (suppl) ):638, 641.
7 +
Mathieu OR, Alpert JJ.  Residency training in general pediatrics: the role of federal funding . AJDC . 1987;;141:754-757.
8 +
Wood PR.  Pediatric resident training in telephone management: a survey of training programs in the United States . Pediatrics . 1986;;77:822-825.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
1991-1992 Directory of Graduate Medical Education Programs . Chicago, Ill: American Medical Association; 1991;:88.
2 +
Wilson MEH, Weiner JP, Bender JC, Bergstrom SK, Starfield BH.  Does a residents' continuity clinic provide primary care? AJDC . 1989;;143:809-812.
3 +
Berkelhamer JE.  General pediatric clinic practice management: results of a survey of academic departments . Pediatrics . 1989;;84:98-102.
4 +
1987-1988 Directory of Graduate Medical Education Programs . Chicago, Ill: American Medical Association; 1987;:351-366.
5 +
Sargent JR, Osborn LM.  Resident training in community pediatricians' offices: not a financial drain . AJDC . 1990;;144:1356-1359.
6 +
Burnett RD, Bell LS.  Projecting pediatric practice patterns: a survey by the American Academy of Pediatrics, Committee on Manpower . Pediatrics . 1978;;62( (suppl) ):638, 641.
7 +
Mathieu OR, Alpert JJ.  Residency training in general pediatrics: the role of federal funding . AJDC . 1987;;141:754-757.
8 +
Wood PR.  Pediatric resident training in telephone management: a survey of training programs in the United States . Pediatrics . 1986;;77:822-825.

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