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Objective Within residency programs, half-day continuity clinics can lead to difficulties transitioning between inpatient and outpatient obligations and achieving continuity of care. We examined resident and attending perceptions of a switch to full-day continuity clinics in order to determine its impact on work balance, continuity of care, patient ownership, and clinic satisfaction. Methods In January 2018, a pediatric residency program transitioned to full-day continuity clinics. From six to eight months after the transition, we administered a retrospective pre-post implementation survey to gauge resident and attending perceptions of the change. Surveys included 20 matched pairs of 5-point Likert-style questions for residents and 18 matched pairs for attendings, with two free-response questions asking for specific benefits or problems encountered. Survey responses pre vs. post-implementation were compared using two-tailed, paired t-tests. Results 32/46 residents (70%) and 6/8 attendings (75%) completed the survey. Residents and attendings agreed that full-day continuity clinics made it easier for residents to balance inpatient and outpatient obligations (p Conclusion Full-day continuity clinics improved perceptions of residents balance of inpatient and outpatient obligations, continuity of care, patient ownership, and overall clinic satisfaction. |
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