Improving Preventive Health Care in a Medical Resident Practice

摘要: Background The ambulatory care resident practice is an opportunity to enhance the skills, knowledge, and attitudes for effective provision of preventive health services (PHS). Objective To determine whether a required intervention at university medical would lead improved performance 6 secondary PHS. Methods A sequentially randomized chart analysis was performed 2 clinics, collaborative nurse practitioner (NP) (RP) rate PHS (pelvic, prostate, breast examinations, stool guaiac testing, mammography, prostate-specific antigen determination). significantly lower (36.9%) noted in RP compared with 84.5% NP all studied. An implemented RP: following every resident-patient clinic encounter discussion documentation patient's status as part assessment plans management. At end 1 year effect this on rates analyzed. Results There statistically significant difference ( P Conclusions Despite various task force recommendations, are generally suboptimal varied settings, including those practices teaching hospitals. Physicians residents believe importance maintenance but fall short their ideal practice. Interventions improve have been described; we detailing simple, inexpensive, practical method that achieved positive results.