Background The pediatric residency work hour restrictions resulted in several continuity practice clinics (CC) cancellation to maintain compliance. The Residency Review Committee mandates a minimum of 36 CC per year. Nationwide, programs are exploring ways to enhance resident education under these time constraints.
Objective To evaluate the usefulness of attending faculty-driven, bi-weekly, 15-minute continuity clinic conferences to enhance learning and to evaluate residents' attitudes towards these conferences.
Methods Ambulatory pediatric topics were developed by general pediatric faculty and were discussed over a six-month period with 59 pediatric and combined medicine/pediatric residents at two continuity practice sites: university-affiliated pediatric clinic A and clinic B. Residents at clinic A received the article citations, 5 to 10 questions for each topic, and briefly discussed each topic with faculty at the end of CC. Residents at clinic B were informed of the topic, article citations, and questions, but no faculty discussions. All residents were informed in month one and reminded in month five of a written examination covering the topics. Residents completed a survey regarding this activity. Fisher's exact test and independent t-test were used for analysis.
Results 59 residents (35: clinic A, 24: clinic B) completed the examination and survey; 2 residents at clinic B declined participation. The mean test score for clinic A was 89.7 ± 9.7, and for clinic B, 69.7 ± 12.3 (p < .0001). In clinic A, 34% of residents read 4 or more articles, 94% discussed 4 or more topics with a faculty member, 97% agreed that the discussions were helpful and 91% stated their knowledge base improved compared to 8%, 0%, 8% and 4%, respectively in clinic B (p < .0001). Majority of the residents in clinic A (94%) and 29% in clinic B (p < .0001) agreed that this activity should continue.
Conclusion Faculty-driven discussions during continuity clinics may enhance the learning experience for pediatric residents. Residents who participated in this activity felt that this was a worthwhile endeavor.