title: Improving the Perception of Outpatient Practice: A Second Continuity Experience for Internal Medicine Residents.
abstract: BACKGROUND
  The challenges trainees experience in the traditional medical clinic are felt to be one deterrent to choosing a primary care career.
  
  
  OBJECTIVE
  We examined whether participation in a second outpatient continuity experience (Second Site) affects trainee perception of primary care practice.
  
  
  METHODS
  241 current and former graduates of the Brown Alpert Medical School Internal Medicine training programs were surveyed about their experiences with Second Site.
  
  
  RESULTS
  Of the 232 potential responders, 160 completed the survey. Although most did not feel that the experience altered their chosen career path, a positive perception of outpatient practice was noted by 97% of the primary care respondents and 92% of the subspecialty respondents.
  
  
  CONCLUSIONS
  Second Site improved the perception of outpatient practice. A large number of our residents enter primary care, thus, few residents' careers were influenced by Second Site. Despite this, Second Site might enhance interest in primary care careers at other institutions. [Full article available at http://rimed.org/rimedicaljournal-2017-04.asp].
authors.affiliation: Associate Professor of Medicine (Clinical), Alpert Medical School of Brown University, Providence, RI; Department of Medicine, Rhode Island Hospital.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Jeremiah
authors.affiliation: Associate Professor of Medicine, Alpert Medical School of Brown University, Providence, RI; Department of Medicine, Rhode Island Hospital.
authors.forename: Kelly
authors.initials: K
authors.lastname: McGarry
authors.affiliation: Department of Medicine, Rhode Island Hospital.
authors.forename: Joao Filipe Goncalves
authors.initials: JF
authors.lastname: Monteiro
mesh_terms: D001291:Attitude of Health Personnel; D002321:Career Choice; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D010044:Outpatient Clinics, Hospital / Q000639:trends*; D010820:Physicians; D011320:Primary Health Care; D014481:United States; D000078329:Workforce
keywords: Medical education; ambulatory practice; primary care