Does comprehensive preventive medicine training enhance clinical prevention?
OBJECTIVE
Clinical prevention is an important component of primary care, but its delivery remains deficient. This study determined the effect of a comprehensive preventive medicine curriculum, in combination with use of a prevention flow sheet, on community and family medicine residents' performance of 16 recommended clinical preventive services.


METHODS
A retrospective study was done to document preventive services based on chart reviews of 240 clinic patients for the year prior to intervention initiation and the first year following the intervention.


RESULTS
Chi-square analysis revealed a significant increase in the delivery of 12 out of 15 recommended clinical preventive services after the intervention.


CONCLUSIONS
Implementation of comprehensive preventive medicine curricula, in combination with use of a clinical prevention flow sheet, is associated with an increase in preventive care offered to patients by community and family medicine residents.
Comninellis
N B
NB
Department of Community and Family Medicine, University of Missouri-Kansas City, USA. nicholaz@aol.com
Harper
D M
DM
D016009:Chi-Square Distribution; D002983:Clinical Competence; D003479:Curriculum; D005194:Family Practice / Q000193:education* / Q000379:methods; D006801:Humans; D007396:Internship and Residency; D007615:Kansas; D011320:Primary Health Care / Q000379:methods; D011322:Primary Prevention / Q000193:education* / Q000639:trends; D015397:Program Evaluation; D011787:Quality of Health Care; D012189:Retrospective Studies