Resident continuity of care experience: a casualty of ambulatory surgery and current patient admission practices
The American Journal of SurgeryPublished 22 January 2007
Adrienne Melck, Eric Weber, Ravi Sidhu
Citations7
SJR quartileQ1
SJR score0.95
SNIP1.17
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TL;DR
Changes in health care delivery have outpaced changes in the structure of surgical education, resulting in suboptimal continuity of care experiences for trainees, and Residency programs must adapt their curricula to include adequate ambulatory experience.
Abstract
Changes in health care delivery have outpaced changes in the structure of surgical education, resulting in suboptimal continuity of care experiences for trainees. Residency programs must adapt their curricula to include adequate ambulatory experience.
Keywords
Medicine
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The author traces the arbitrary choice of an 80-hour work week to several sources, including the leadership of internal medicine, which he feels has largely de-emphasized patient contact for many years and has become focused on research and/or administration.
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It was showed that continuity of care close to 100% was possible in such rotations, but work hours were increased by 25%.
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To provide complete surgical training in an era of changing therapeutic modalities and same-day admission surgery, vascular programs must be creative in structuring training to include adequate ambulatory experience.
