Abstract:
BACKGROUND:Integrated inpatient-outpatient firms developed in residencies with single institutions may not be applicable to residency programs with multiple inpatient and outpatient training sites. Our objective was to develop a firm in a multisite residency program that improved education and patient care. DESCRIPTION:One ward team was restructured into a firm that included two interns, three residents, and four private practice internists whose patients were admitted to the firm. Educational impact, length of stay, hospital charges, and in-hospital mortality were evaluated. EVALUATION:The firm experience increased outpatient training, fostered mentoring relationships, and increased attending availability. Mean length of stay (5.7 vs. 6.5 days, p = .2) and mean hospital charges ($10,888 vs. $12,316, p = .8) for firm and nonfirm patients, respectively, were not different. In-hospital mortality was lower for firm patients (9 of 348, 3%, vs. 87 of 1,565, 6%; p = .02). CONCLUSIONS:Firm structures with educational and patient care advantages can be instituted in multisite residencies.
journal_name
Teach Learn Medjournal_title
Teaching and learning in medicineauthors
Bravata DM,Huot SJdoi
10.1207/S15328015TLM1403_9keywords:
subject
Has Abstractpub_date
2002-07-01 00:00:00pages
182-8issue
3eissn
1040-1334issn
1532-8015journal_volume
14pub_type
杂志文章abstract:BACKGROUND:The increase in people with insufficient health insurance has largely been fueled by a record influx of immigrants, who often live in medically underserved areas of inner cities. An increase in the desire of medical students to practice in underserved areas is needed to counter low physician-to-population ra...
journal_title:Teaching and learning in medicine
pub_type: 杂志文章
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更新日期:2006-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1207/s15328015tlm1703_8
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pub_type: 杂志文章
doi:10.1207/s15328015tlm1704_5
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journal_title:Teaching and learning in medicine
pub_type: 共识发展会议,杂志文章,评审
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