1. Continuity in Model SFGH Margo Vener, MD, MPH University of California, San Francisco

2. Goals for Continuity Site Patient Population (Urban Underserved) Peers
Preceptors
Patient Panel

3. Inpatient-Outpatient Blend
14 weeks total (FM plus IM)
2 week immersion in each inpt and outpt
10 weeks of inpatient with “cut outs” for outpatient care
I Full Day per Week of Outpatient Continuity Clinic (Primary Care)
½ Day per Week Of Longitudinal Clinic (any specialty)
½ Day per Week for Home Visits, Patient F/U, etc

4. Continuity with Patients
Panel of Clinic Patients (3 points of contact in 14 weeks)
Outpatient Visits
Urgent Care
Inpatient Care
Home Visits (include post-d/c)
Phone Follow Up
Specialty Visits

5. Results Clinical Skills Exam and Final Exam same as traditional model
Focus Group:
Continuity Clinic was a highlight because had more responsibility for pts and got to know them.
Attendings resisted multiple days away from inpt but students and residents felt ok.
6 month continuity at one site allowed for greater learning, higher level of engagement, more significant role.