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10.22454/FamMed.2021.272274

http://scihub22266oqcxt.onion/10.22454/FamMed.2021.272274
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33887054!ä!33887054

suck abstract from ncbi


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pmid33887054      Fam+Med 2021 ; 53 (4): 300-304
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  • Engaging Family Medicine Residents in a Structured Patient Panel Reassignment Process #MMPMID33887054
  • Compton R; Sebring A; Dalrymple S; Rollins LK
  • Fam Med 2021[Apr]; 53 (4): 300-304 PMID33887054show ga
  • BACKGROUND AND OBJECTIVES: The patient panels of graduating residents must be reassigned by the end of residency. This process affects over 1 million patients annually within the specialty of family medicine. The purpose of this project was to implement a structured, year-end reassignment system in a family medicine residency program. METHODS: Our structured reassignment process took place from December 2017 through June 2020. Panel lists of current, active patients were generated and residents were responsible for reassigning their own panels during a panel reassignment night. We created a tip sheet that addressed patient complexity and continuity, a risk stratification algorithm based on patients' medical and social complexity, and a tool that tracked the number of patients assigned to each future provider. Outcome measures included a resident satisfaction survey administered in 2018-2020 and patient-provider continuity measured with a run chart from December 2016 through August 2020. RESULTS: The resident survey response rate was 75%. Seventy-three percent felt the panel reassignment night was very helpful; 87% thought the reassignment timeline was extremely reasonable, and 87% indicated that they had the necessary information to reassign their patients. Residents also felt confident that their patients were reassigned appropriately (33% extremely confident, 67% somewhat confident). Patient continuity improved with a 13-point run above the median, indicating nonrandom variation. Patient continuity remained above the median until the impact of COVID-19 in April 2020. CONCLUSION: Our structured reassignment process was received positively by residents and resulted in improved patient continuity.
  • |*Family Practice[MESH]
  • |*Internship and Residency[MESH]
  • |*Quality Improvement[MESH]
  • |Continuity of Patient Care[MESH]
  • |Humans[MESH]
  • |Patient Handoff/*organization & administration[MESH]


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