2008
DOI: 10.1007/s11606-008-0588-y
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The Ambulatory Long-Block: An Accreditation Council for Graduate Medical Education (ACGME) Educational Innovations Project (EIP)

Abstract: An ambulatory long block can be associated with improvements in resident and patient satisfaction, quality measures, and no-show rates. Future research should be done to determine effects of the long block on education and patient care in the long term, and elucidate which aspects of the long block most contribute to improvement.

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Cited by 109 publications
(131 citation statements)
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“…22,23 Given the noted strain between competing inpatient and outpatient responsibilities, 24 the continuity clinic experience for IM residents can become stressful and there is variable program compliance with ACGME ambulatory training requirements. 25 In an attempt to uncouple inpatient and outpatient training, a few new program models have developed, which include a year long ambulatory block 26 and an alternating 4:1 week inpatient to ambulatory schedule [27][28][29] that might help to support ambulatory education. Emphasizing outpatient training and education during residency while simultaneously providing protected time to practice ambulatory medicine may help retain resident interest in primary care.…”
Section: Discussionmentioning
confidence: 99%
“…22,23 Given the noted strain between competing inpatient and outpatient responsibilities, 24 the continuity clinic experience for IM residents can become stressful and there is variable program compliance with ACGME ambulatory training requirements. 25 In an attempt to uncouple inpatient and outpatient training, a few new program models have developed, which include a year long ambulatory block 26 and an alternating 4:1 week inpatient to ambulatory schedule [27][28][29] that might help to support ambulatory education. Emphasizing outpatient training and education during residency while simultaneously providing protected time to practice ambulatory medicine may help retain resident interest in primary care.…”
Section: Discussionmentioning
confidence: 99%
“…PGY-2 s in our program receive fewer assessments due to a unique residency structure and parallel assessment system. 18,19 Entrustment data are used to create curves for longitudinal assessment. Figure 2b-d shows a comparison of a single NAS milestone, PC-2: develops and achieves comprehensive management plan for each patient, for three PGY-1/2 residents over the first five quarters of residency.…”
Section: Program Evaluationmentioning
confidence: 99%
“…Some possible strategies to address this issue include (1) treating intrateam handoffs like interteam handoffs by implementing a formal system, (2) better utilizing senior residents/faculty when interns are covering for each other, (3) using bedside attending rounds to increase the exposure of all team members to the team's patients, (4) block scheduling to avoid absences due to clinics, 12 and (5) …”
Section: Discussionmentioning
confidence: 99%