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Invited Commentary

Invited Commentary This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The authors have evaluated the issue of continuity of care in the general surgery residency at Michigan State University. They have disaggregated the terms resident continuity experiences and patient continuity and found them not to be synonymous. The study evaluates the 4 essential phases defined by the Residency Review Committee of preoperative, operative, postoperative hospitalization, and postdischarge phases. Only 23.7% of the residents had perfect continuity, as evidenced by documentation of contact in all 4 phases. Fifty percent of the residents had 3 of 4 phases covered. Most of the discontinuity (12%) occurred with contact at the initial visit. There was surprising discrepancy between the postgraduate year of the residency and continuity. While continuity has been believed to be most crucial for the resident at the senior level who is performing the operation, and therefore subject to high expectations of continuity of care, the study seems to show that junior http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Invited Commentary

Archives of Surgery , Volume 131 (9) – Sep 1, 1996

Invited Commentary

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The authors have evaluated the issue of continuity of care in the general surgery residency at Michigan State University. They have disaggregated the terms resident continuity experiences and patient continuity and found them not to be synonymous. The study evaluates the 4 essential phases defined by the Residency Review Committee of preoperative,...
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Publisher
American Medical Association
Copyright
Copyright © 1996 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1996.01430210020003
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract The authors have evaluated the issue of continuity of care in the general surgery residency at Michigan State University. They have disaggregated the terms resident continuity experiences and patient continuity and found them not to be synonymous. The study evaluates the 4 essential phases defined by the Residency Review Committee of preoperative, operative, postoperative hospitalization, and postdischarge phases. Only 23.7% of the residents had perfect continuity, as evidenced by documentation of contact in all 4 phases. Fifty percent of the residents had 3 of 4 phases covered. Most of the discontinuity (12%) occurred with contact at the initial visit. There was surprising discrepancy between the postgraduate year of the residency and continuity. While continuity has been believed to be most crucial for the resident at the senior level who is performing the operation, and therefore subject to high expectations of continuity of care, the study seems to show that junior

Journal

Archives of SurgeryAmerican Medical Association

Published: Sep 1, 1996

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