title: Retail clinic visits: are resident paneled patients more likely to make multiple visits?
abstract: OBJECTIVE
  Primary care resident physicians generally have significantly fewer hours in outpatient clinic per week than staff physicians. With the transient nature of a primary care resident's practice, do the patients of residents utilize the health care system differently? Our hypothesis was that patients paneled with a resident physician would be more likely to utilize retail clinics with repeat week day visits than those patients paneled with a staff primary care physician.
  
  
  METHODS
  A retrospective review of 16,318 retail clinic visits made in 2009 was studied. Since the patient making a repeat retail clinic visit had experience with the services available, they were making an informed decision on the type of care desired (their primary care provider or not). The patients who made repeat retail clinical visits were divided into groups by age, those younger than 18 years and those 18 years and older.
  
  
  RESULTS
  Via multiple logistic regression, patients under 18 years demonstrated that a patient paneled with a resident physician was no more likely to have repeat visits to the retail clinic than a staff physician's patient, when controlling for all other variables. Similarly, those ages 18 years and older also demonstrated no differences in resident or staff paneled patients in utilization of retail clinics during the work day.
  
  
  CONCLUSIONS
  Multivariate analysis found no difference in the utilization of repeat retail clinic visits during 2009 with resident paneled patients as compared to staff physician patients.
authors.affiliation: Department of Family Medicine, Mayo Clinic, Rochester, MN 55905, USA. angstman.kurt@mayo.edu
authors.forename: Kurt B
authors.initials: KB
authors.lastname: Angstman
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Garrison
authors.forename: James E
authors.initials: JE
authors.lastname: Rohrer
authors.forename: Denise M
authors.initials: DM
authors.lastname: Dupras
authors.forename: Jason S
authors.initials: JS
authors.lastname: O'Grady
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data*; D002648:Child; D003132:Commerce; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D008505:Medical Staff, Hospital; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012189:Retrospective Studies