Abstract Details

Title Neurology Residency Subspecialty Block Continuity Clinic Curriculum and Departmental Contribution

Topic Research Methodology, �鶹��ýӳ��, and History

Presentation(s) P8 - Poster Session 8 (8:00 AM-9:00 AM)

Poster/Presentation
Number 13-010

Objective

The Geisinger neurology residency program designed a new clinic curriculum subspecialty block model and evaluated outpatient encounter contribution to the department over time.

Background

The Neurology Review Committee and the ACGME requires that neurology resident’s complete continuity clinic over the course of their PGY2-PGY4 years. In response to recent educational research the RRC amended its requirements of ½ day per week to allow resident clinic to occur in a blocked amount of time if there is no more than 6 weeks between clinics. The Geisinger neurology residency program designed a new clinic curriculum subspecialty block model and evaluated outpatient encounter contribution to the department.

Design/Methods In 2018, the neurology resident continuity clinic was changed from a ½ day per week model to a block clinic model occurring one week with a frequency of every six weeks. A scheduling design was implemented that maximized subspecialty clinic slots. Subspecialty slots included epilepsy, neuromuscular, movement disorder, stroke, cognitive, and neuroimmunology. New subspecialty patient slots were inter-mixed with follow-up slots for a total of 8 patient’s per day (4 new and 4 follow-up) per resident. Total outpatient resident encounters were tracked from 2016 to 2019.

Results As a result of the continuity clinic change, total outpatient resident encounters increased from 1325 to 1386 annually while allowing for more subspecialty care. Overall departmental contribution from continuity clinic was 12% (1386 encounters out of 11,359 total outpatient encounters). Overall resident satisfaction towards the continuity clinic was improved after block curriculum as compared to the longitudinal curriculum prior (79% vs 38%, p 0.0004).

Conclusions

Residents are a valuable addition to the neurology department, significantly adding to subspecialty patient access and department productivity. Residents are overall more satisfied with the new outpatient block model when compared to traditional ½ day per week model.

Authors/Disclosures
Kelly Baldwin, MD (Evangelical Community Hospital) PRESENTER	Dr. Baldwin has nothing to disclose.
Neil R. Holland, MBBS, F�鶹��ýӳ�� (Geisinger)	Dr. Holland has nothing to disclose.
J. David Avila, MD, F�鶹��ýӳ�� (Geisinger Medical Center)	Dr. Avila has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for AstraZeneca. Dr. Avila has received personal compensation in the range of $50,000-$99,999 for serving on a Speakers Bureau for Alnylam Pharmaceuticals. Dr. Avila has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for argenx. Dr. Avila has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Alexion Pharmaceuticals. Dr. Avila has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for UCB. Dr. Avila has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for AstraZeneca. Dr. Avila has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Takeda.