Article Text

  1. J. G. Sayat,
  2. V. F. Jones,
  3. S. M. Franco,
  4. J. A. Theriot
  1. University Child Health Specialists, Department of Pediatrics


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.

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