Abstract • A teaching practice of a residency program in primary care internal medicine was used for a cross-sectional study of the record-keeping habits of ambulatory preceptors and the residents they supervise. A retrospective review of 12 charts per physician over a six-month period was used to compare the charting behavior of three practice groups. Each group was comprised of an attending preceptor and a resident in each of the first, second, and third years of residency. Compared with the other two ambulatory preceptors, one ambulatory preceptor had significantly fewer charts with problem lists, medication lists, and health maintenance records as well as a lower ratio of psychosocial problems to total problems noted on his problem lists. The medical records of the residents supervised by this ambulatory preceptor were also significantly more deficient in each of these areas than the medical records of the other two resident groups. 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Archives of Internal Medicine – American Medical Association
Published: May 1, 1987