Medical Trainee Continuity of Care Following Emergency Department Consultations in a Pediatric Hospital

Abstract

Background The importance of continuity of care in training is widely recognized; however, a broad-spectrum assessment across all specialties has not been performed.

Continuity—Working Backward From the Patient

“…[13][14][15][16] Decreasing continuity is often associated with the opposite findings. [17][18][19] And yet, as pointed out by Bjorklund and others, 4,20 teaching institutions seem to be choosing the latter approach.…”

“…Programs need to take stock of their current systems of care, determine how their patients interact with it, and develop solutions to improve deficiencies. This could take the form of small tests of change typical of quality improvement projects, or research studies like that by Bjorklund et al 4 Programs need to be given the training, resources, and leeway to determine what might be better. Vanguard examples in graduate medical education include the Educational Innovations Project in internal medicine [32][33][34] and the American Board of Pediatrics-sponsored Initiative for Innovations in Pediatric Education.…”