title: The Effect of Teaching Clinics on Prescribing Practices.
abstract: OBJECTIVE
  The objective of this study was to investigate the effect of lack of continuity in a teaching clinic and to ascertain the role of supervisory attending in treatment decisions in a teaching psychiatric clinic.
  
  
  METHODS
  A retrospective evaluation of paired consecutive visits of patients attending an education clinic was performed.
  
  
  RESULTS
  Medication changes occurred in 56.3% of all visit pairs. Visit pairs in which the resident was unchanged had significantly more medication changes than visit pairs in which the attending was unchanged. When the resident stays the same, the number of medication changes is high and does not change significantly even if the attending is the same or different. Similarly, when the resident is different, the number of medication changes is low and does not change significantly if the attending is the same or different.
  
  
  CONCLUSIONS
  Residents, not the attending physicians, are more instrumental in medication changes in patients attending an education clinic.
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Alleyne
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Ahmad S
authors.initials: AS
authors.lastname: Bashir
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Meredith L
authors.initials: ML
authors.lastname: Birdwhistell
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: C Amanda
authors.initials: CA
authors.lastname: McDonald
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Thuy-Trang
authors.initials: TT
authors.lastname: Nguyen
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Partin
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Kimberly S
authors.initials: KS
authors.lastname: Siscoe
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Nichole L
authors.initials: NL
authors.lastname: Sonderman
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Gerry-Lynn
authors.initials: GL
authors.lastname: Wichmann
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Joyce
authors.initials: J
authors.lastname: Spurgeon
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA. rselma01@louisville.edu.
authors.forename: Rif S
authors.initials: RS
authors.lastname: El-Mallakh
authors.affiliation: University of Louisville School of Medicine, Louisville, KY, USA.
authors.forename: Kathy
authors.initials: K
authors.lastname: Vincent
mesh_terms: D004358:Drug Therapy; D006801:Humans; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D010818:Practice Patterns, Physicians'; D012189:Retrospective Studies
keywords: Educations; Medication changes; Medications; Residents; Supervision