Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Teaching of Primary Care in an Internal Medicine Residency Program

Teaching of Primary Care in an Internal Medicine Residency Program Abstract A teaching module in ambulatory internal medicine has been added to a residency program in a large referral hospital. The effort was directed to structure a program of instruction reflecting common problems seen by primary care internists. Patients were screened by supervising staff to make the rotation an efficient learning experience. Experienced nurse clinicians were used to monitor patients with stabilized medical problems, thus freeing the housestaff for problems more suited to their level of training. The nurses also served as role models with which the housestaff could interact and provide continuity and accessibility of care to patients being followed up by transient physicians-in-training. Various teaching conferences based on traditional inpatient models were conducted. Self-assessment and peer review techniques were structured around monthly conferences in which medical records were assessed by each participant. (Arch Intern Med 136:893-896, 1976) References 1. Almy TP: Primary care and departments of internal medicine: Report of a meeting . Arch Intern Med 134:771-773, 1974.Crossref 2. Ebert RV: Training of the internist as primary physician . Ann Intern Med 76:653-656, 1972.Crossref 3. Bogdonoff MD: A change in the training model for the practicing internist . Arch Intern Med 126:694-697, 1970.Crossref 4. Bogdonoff MD: The internist and primary care . Arch Intern Med 134:780-781, 1974.Crossref 5. Schulman J: The role of hospital ambulatory service in medical education . J Med Educ 46:246-248, 1971. 6. Haggerty RJ: Preparing personnel to meet the demand . J Med Educ 46:3-10, 1971. 7. Young LE: The broadly based internist as the backbone of medical practice , in Ingelfinger FJ, Relman AS, Finland M (eds): Controversy in Internal Medicine . Philadelphia, WB Saunders Co, 1974, pp 51-63. 8. Reitemeier RJ, Spittell JA, Weeks RE, et al: Participation by internists in primary care: Results of a survey of Mayo Clinical alumni . Arch Intern Med 135:255-257, 1975.Crossref 9. Training and certifying the primary care internist, American Board of Internal Medicine, Inc . Arch Intern Med 135:619, 1975.Crossref 10. Burnum JF: What one internist does in his practice . Ann Intern Med 78:437-444, 1973.Crossref 11. Johnson AC, Kroeger HH, Altman I, et al: The office practice of internists: III. Characteristics of patients . JAMA 193:916-922, 1965.Crossref 12. Koslow DA (ed): National Disease and Therapeutic Index: Specialty Profile . Ambler, Pa, IMS America Ltd, 1974. 13. Vickery DM, Liang MH, Collins PB, et al: Physician extenders in walk-in clinics: A prospective evaluation of the AMOSIST program . Arch Intern Med 135:720-725, 1975.Crossref 14. Bystran SF, Knight CC, Soper MR, et al: An evaluation of nurse practitioners in chronic care clinics . Int J Nurs Stud 11:185-194, 1974.Crossref 15. Spitzer WO, Sackett DL, Sibley JC, et al: The Burlington randomized trial of the nurse practitioner . N Engl J Med 290:251-256, 1974.Crossref 16. Brook RH, Appel FA: Quality-of-care assessment: Choosing a method for review . N Engl J Med 288:1323-1329, 1973.Crossref 17. Donabedian A: Promoting quality through evaluating the process of patient care . Med Care 6:181-202, 1968.Crossref 18. Fesser WJ, Van Brunt EE: Assessing quality of care from the medical record . N Engl J Med 286:134-138, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Teaching of Primary Care in an Internal Medicine Residency Program

Download PDF
4 pages

Loading next page...
 
/lp/american-medical-association/teaching-of-primary-care-in-an-internal-medicine-residency-program-H3WEfiHhVX

References (22)

Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1976.03630080035012
Publisher site
See Article on Publisher Site

Abstract

Abstract A teaching module in ambulatory internal medicine has been added to a residency program in a large referral hospital. The effort was directed to structure a program of instruction reflecting common problems seen by primary care internists. Patients were screened by supervising staff to make the rotation an efficient learning experience. Experienced nurse clinicians were used to monitor patients with stabilized medical problems, thus freeing the housestaff for problems more suited to their level of training. The nurses also served as role models with which the housestaff could interact and provide continuity and accessibility of care to patients being followed up by transient physicians-in-training. Various teaching conferences based on traditional inpatient models were conducted. Self-assessment and peer review techniques were structured around monthly conferences in which medical records were assessed by each participant. (Arch Intern Med 136:893-896, 1976) References 1. Almy TP: Primary care and departments of internal medicine: Report of a meeting . Arch Intern Med 134:771-773, 1974.Crossref 2. Ebert RV: Training of the internist as primary physician . Ann Intern Med 76:653-656, 1972.Crossref 3. Bogdonoff MD: A change in the training model for the practicing internist . Arch Intern Med 126:694-697, 1970.Crossref 4. Bogdonoff MD: The internist and primary care . Arch Intern Med 134:780-781, 1974.Crossref 5. Schulman J: The role of hospital ambulatory service in medical education . J Med Educ 46:246-248, 1971. 6. Haggerty RJ: Preparing personnel to meet the demand . J Med Educ 46:3-10, 1971. 7. Young LE: The broadly based internist as the backbone of medical practice , in Ingelfinger FJ, Relman AS, Finland M (eds): Controversy in Internal Medicine . Philadelphia, WB Saunders Co, 1974, pp 51-63. 8. Reitemeier RJ, Spittell JA, Weeks RE, et al: Participation by internists in primary care: Results of a survey of Mayo Clinical alumni . Arch Intern Med 135:255-257, 1975.Crossref 9. Training and certifying the primary care internist, American Board of Internal Medicine, Inc . Arch Intern Med 135:619, 1975.Crossref 10. Burnum JF: What one internist does in his practice . Ann Intern Med 78:437-444, 1973.Crossref 11. Johnson AC, Kroeger HH, Altman I, et al: The office practice of internists: III. Characteristics of patients . JAMA 193:916-922, 1965.Crossref 12. Koslow DA (ed): National Disease and Therapeutic Index: Specialty Profile . Ambler, Pa, IMS America Ltd, 1974. 13. Vickery DM, Liang MH, Collins PB, et al: Physician extenders in walk-in clinics: A prospective evaluation of the AMOSIST program . Arch Intern Med 135:720-725, 1975.Crossref 14. Bystran SF, Knight CC, Soper MR, et al: An evaluation of nurse practitioners in chronic care clinics . Int J Nurs Stud 11:185-194, 1974.Crossref 15. Spitzer WO, Sackett DL, Sibley JC, et al: The Burlington randomized trial of the nurse practitioner . N Engl J Med 290:251-256, 1974.Crossref 16. Brook RH, Appel FA: Quality-of-care assessment: Choosing a method for review . N Engl J Med 288:1323-1329, 1973.Crossref 17. Donabedian A: Promoting quality through evaluating the process of patient care . Med Care 6:181-202, 1968.Crossref 18. Fesser WJ, Van Brunt EE: Assessing quality of care from the medical record . N Engl J Med 286:134-138, 1972.Crossref

Journal

Archives of Internal Medicine – American Medical Association

Published: Aug 1, 1976

There are no references for this article.