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Published: April 5, 2025

Performance Improvement: Patient-Centered Continuity in the Teaching Clinic

Family medicine residency clinics are challenged with meeting the dual missions of education and clinical care. Achieving both missions is particularly difficult when residents and faculty are frequently away from the clinic, undermining continuity of care. This in turn creates frustrating and overwhelming conditions in the clinic for patients, faculty and learners. Recent changes in family medicine residency requirements support increased attention to developing high-functioning teaching clinics.

In this performance improvement (PI) project, participants will measure patient-centered continuity at baseline and again after implementing at least one Plan Do Study Act (PDSA) cycle, and then reflect on resulting practice improvement.

Measuring continuity requires that all patients are empaneled to a primary care clinician (faculty resident, nurse practitioner or physician assistant) so that it is clear which clinicians are responsible for which patients. Accurate empanelment is a critical foundation for measuring continuity.

Approved for 20 AAFP Prescribed credits & 20 ABFM PI MOC points.

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