Adverse effects of faculty practice on diagnostic content of residents' outpatient experience.
The outpatient experience of two cohorts of family medicine residents was compared. Those who worked at a site with an existing faculty practice had fewer pregnancy-related patient encounters and proportionately more encounters for acute self-limited care compared with residents at a site without a faculty practice (P less than .001). More important, the faculty-associated residents also cared for fewer patients with a variety of chronic diseases and saw them less frequently. These findings suggest that a coexistent faculty practice may have adverse effects on outpatient training in primary care.
Zweig
S
S
Department of Family and Community Medicine, School of Medicine, University of Missouri-Columbia 65212.
Williamson
H A
HA
D000367:Age Factors; D000553:Ambulatory Care; D002908:Chronic Disease; D005180:Faculty, Medical; D005194:Family Practice / Q000193:education*; D005260:Female; D006123:Group Practice; D006785:Hospitals, University; D006801:Humans; D007396:Internship and Residency; D010044:Outpatient Clinics, Hospital; D010361:Patients / Q000145:classification; D011247:Pregnancy; D012189:Retrospective Studies; D012423:Rural Health