Evidence for Longitudinal Ambulatory Care Rotations
Academic MedicinePublished 1 July 2002
Gregory S Ogrinc, Sunita Mutha, David M. Irby
Citations53
SJR quartileQ1
SJR score1.45
SNIP2.03
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TL;DR
Evidence supporting their widespread implementation is sparse and research to identify benefits and costs, improve the quality and consistency of the students' experiences, and develop other innovative ways of teaching and learning ambulatory care is needed.
Abstract
Although longitudinal ambulatory care experiences are now common in medical schools, evidence supporting their widespread implementation is sparse. Few studies employ rigorous methods to evaluate educational outcomes. Research to identify benefits and costs, improve the quality and consistency of the students' experiences, and develop other innovative ways of teaching and learning ambulatory care is needed.
Keywords
Health Professions
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BMJContinuity of care in general practice: effect on patient satisfaction.
417 Citations1992Per Hjortdahl, E Lærum
American Journal of Public HealthFaithful patients: the effect of long-term physician-patient relationships on the costs and use of health care by older Americans.
305 Citations1996L. Weiß, Jeffrey Blustein
This preliminary study suggests that long-standing physician-patient ties foster less expensive, less intensive medical care.
JAMAContinuity of outpatient medical care in elderly men. A randomized trial
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248 Citations1994David W. Baker
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PubMedContinuity of care in a family practice residency program. Impact on physician satisfaction.
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