At the time of manuscript submission, was Staff physician at St Michael's Hospital in Toronto, Ont, and Director of Postgraduate Education and Associate Professor in the Department of Family and Community Medicine at the University of Toronto.
At the time of manuscript submission, was Chief and Site Director in Family Medicine at Royal Victoria Regional Health Centre in Barrie, Ont, and Assistant Professor in the Department of Family and Community Medicine at the University of Toronto.
Can Fam Physician. 2018 Jan;64(1):e42-e48.
To determine the number of patient visits, patient demographic information, and diagnoses in an urban ambulatory care setting in a family medicine residency program, and assess the correlation between the number of patient visits and residents' in-training examination (ITE) scores.
Retrospective analysis of data from resident practice profiles, electronic medical records, and residents' final ITE scores.
Family medicine teaching unit in a community hospital in Barrie, Ont.
Practice profile data were from family medicine residents enrolled in the program from July 1, 2013, to June 30, 2014, and electronic medical record and ITE data were from those enrolled in the program from July 1, 2010, to June 30, 2015.
Number of patient visits, patient characteristics (eg, sex, age), priority topics addressed in clinic, resident characteristics (eg, age, sex, level of residency), and residents' final ITE scores.
Between July 1, 2013, and June 30, 2014, there were 11 115 patient visits. First-year residents had a mean of 5.48 patient visits per clinic, and second-year residents had a mean of 5.98 patient visits per clinic. A Pearson correlation coefficient of 0.68 was found to exist between the number of patients seen and the final ITE scores, with a 10.5% difference in mean score between residents who had 1251 or more visits and those who had 1150 or fewer visits. Three diagnoses (ie, epistaxis, meningitis, and neck pain) deemed important for Certification by the College of Family Physicians of Canada were not seen by any of the residents in clinic.
There is a moderate correlation between the number of patients seen by residents in ambulatory care and ITE scores in family medicine. It is important to assess patients' demographic information and diagnoses made in resident practices to ensure an adequate clinical experience.
确定在家庭医学住院医师培训计划的城市门诊医疗环境中患者就诊次数、患者人口统计学信息和诊断情况，并评估患者就诊次数与住院医师在培训考试（ITE）成绩之间的相关性。
对居民实践档案、电子病历和居民最终 ITE 成绩数据进行回顾性分析。
安大略省巴里社区医院的家庭医学教学单位。
实践档案数据来自 2013 年 7 月 1 日至 2014 年 6 月 30 日期间参加该项目的家庭医学住院医师，电子病历和 ITE 数据来自 2010 年 7 月 1 日至 2015 年 6 月 30 日期间参加该项目的住院医师。
就诊次数、患者特征（如性别、年龄）、诊所中处理的优先主题、居民特征（如年龄、性别、住院医师水平）和居民最终 ITE 成绩。
2013 年 7 月 1 日至 2014 年 6 月 30 日期间，共进行了 11115 次就诊。第一年住院医师每次门诊就诊平均有 5.48 名患者，第二年住院医师每次门诊就诊平均有 5.98 名患者。就诊患者人数与最终 ITE 成绩之间存在 Pearson 相关系数为 0.68，就诊患者人数为 1251 名或以上的住院医师与就诊患者人数为 1150 名或以下的住院医师之间的平均得分相差 10.5%。在诊所中，没有任何居民看到被加拿大家庭医生学院认定为重要的三种诊断（即鼻出血、脑膜炎和颈部疼痛）。
居民在门诊医疗环境中看诊的患者人数与家庭医学 ITE 成绩之间存在中度相关性。评估患者的人口统计学信息和居民实践中的诊断情况非常重要，以确保获得足够的临床经验。
