ABSTRACT
This article summarizes the practice content and continuity for 35 senior residents in six family medicine residency model teaching units utilizing a computerized information management system. Comparisons are drawn with the content of family practices in the National Ambulatory Medical Care Survey (NAMCS), showing that family medicine third-year residents provide a large proportion of pregnancy care and general medical examinations and treat a smaller number of chronic illness patients compared with family physicians in practice. Third-year residents performed few surgical procedures in the model teaching units. Continuity of care, though espoused by family medicine residencies in principle, was deficient in the model teaching units studied. Intensive training to compensate for these deficiencies is recommended.
Subject(s)
Ambulatory Care/education , Continuity of Patient Care , Family Practice/education , Internship and Residency , Primary Health Care , Teaching/methods , Database Management SystemsABSTRACT
The methodology and results of a concurrent review of prescribing practices in a family practice residency are discussed. A clinical pharmacist reviewed copies of prescriptions returned to him during a six-month period, and he tabulated information to allow comparisons of clinic prescribing patterns with national patterns. Additionally, peer group comparisons within the residency were made. It was found that tricyclic antidepressants were prescribed more frequently than anxiolytic drugs, a distinct difference when compared to national prescribing reports. Peer group comparisons showed apparent autonomy in prescribing habits among residents and faculty, and the drug "repertoire" and number of prescriptions written increased as the number of years in the residency progressed.
Subject(s)
Drug Prescriptions , Drug Utilization , Family Practice/education , Internship and Residency , Ambulatory Care Facilities , Humans , Peer Group , Pharmacists , Utilization Review , WashingtonABSTRACT
General practice dental training and family practice medical training can be combined into one effective integrated program. This combination benefits the patients in a family practice model unit, enhances family practice resident education, and will ultimately benefit patient care delivery. This paper describes the experience of such an integrated program which is now well established.