Published online August 21, 2006
PEDIATRICS Vol. 118 No. 3 September 2006, pp. e849-e858 (doi:10.1542/10.1542/peds.2006-0422)

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ARTICLE

Comparing Patients Seen in Pediatric Resident Continuity Clinics and National Ambulatory Medical Care Survey Practices: A Study From the Continuity Research Network

Janet R. Serwint, MD^a, Kathleen A. Thoma, MA^b, Sharon M. Dabrow, MD^a, Lynn E. Hunt, MD^a, Michelle S. Barratt, MD, MPH^a, Timothy R. Shope, MD, MPH^a, Paul M. Darden, MD^a for the CORNET Investigators

^a Ambulatory Pediatric Association, McLean, Virginia
^b Department of Practice and Research, Center for Child Health Research, American Academy of Pediatrics, Elk Grove Village, Illinois

OBJECTIVES. The goal was to compare visit data from Continuity Research Network practices with data for a nationally representative sample of pediatric visits in practice settings from the National Ambulatory Medical Care Survey.

METHODS. A cross-sectional study comparing data for Continuity Research Network practice visits during a 1-week period in 2002 with data from the 2000 National Ambulatory Medical Care Survey was performed. Continuity Research Network and National Ambulatory Medical Care Survey data were derived from 30 patient visits per practice site for patients <22 years of age, with the primary care providers being residents and practicing pediatricians, respectively.

RESULTS. Eighteen Continuity Research Network practices reported on 540 visits, compared with 32 National Ambulatory Medical Care Survey physicians reporting on 792 visits. Continuity Research Network patients were more likely to be black non-Hispanic or Hispanic/Latino and to have public insurance. The top 5 reasons for visits were the same for Continuity Research Network and National Ambulatory Medical Care Survey visits, although the orders varied slightly. These 5 reasons accounted for 58% of Continuity Research Network visits and 49% of National Ambulatory Medical Care Survey visits. Continuity Research Network visits were more likely to result in patient instructions to return at a specific time (78% vs 52%).

CONCLUSIONS. Residents in Continuity Research Network practices provide care to more underserved patients but evaluate problems that are similar to those observed in office practices; the Continuity Research Network practices thus provide important training experiences for residents who will serve both minority and nonminority children.

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Key Words: resident continuity clinic • resident education • National Ambulatory Medical Care Survey • Continuity Research Network

Abbreviations: CORNET—Continuity Research Network • NAMCS—National Ambulatory Medical Care Survey • PROS—Pediatric Research in Office Settings

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Accepted Apr 10, 2006.

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