Our goal is to maximize continuity and access between doctors and
their patients. We all agree that continuity is the key to
quality of care and satisfaction for doctors and their patients.
It is a priority that we set the schedule of continuity sessions
for each provider and rarely change it throughout the year. R1s
spend one half-day per week in the Family Health Center (FHC),
where they develop the ability to manage three to four patients
per session. The Residency Review Committee (RRC) requires that
Family Medicine residents see 150 patients in their first year.
R2s spend two to three half-days each week in the FHC, manage six
to eight patients per session and are required by the RRC to see
a minimum of 750 visits in their second year. R3s spend three to
four half-days each week in the FHC, manage eight to 10 patients
per session, and are required by the RRC to see a minimum of 750
visits in their third year. Productivity data (encounters) by
provider are posted on the back hall bulletin board, updated
monthly, and reviewed with advisors. Because the complexity of
the visit is a factor in patient volumes, we also monitor coding
data and panel size.
We have collected data on this curriculum for the last two
graduating classes, which averaged 2,100 visits over three years.
OB Continuity Patients
Dr. Karen Perkins is the faculty coordinator for the
Continuity OB curriculum and the OB fellowship.
- One of the residents on his or her Family Health Center (FHC)
rotation does initial OB teaching visits on Friday mornings,
under the guidance of an assigned OB preceptor, always one of our
Family Medicine faculty members.
- The residents are repeatedly evaluated at the conclusion of
their OB night float rotations.
- Residents are required to deliver a minimum of 40 babies, at
least 10 of which must be deliveries of their own continuity
patients from the FHC.
- OB chart audit pearls and deliveries are discussed at our
Friday weekly OB morning report, which is run by the upper-level
- Electives in OB are available in this and other MedStar
hospitals for those interested in maximizing their OB experience.
- We also offer a one-year OB fellowship that can be taken any
time after the R1 year.