Continuity Clinic Practice Feedback Curriculum for Residents: A Model for Ambulatory Education

Christine Haynes, Myrt Yamamoto, Cody Dashiell-Earp, Delani Gunawardena, Reshma Gupta, Wendy Simon

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background: There is an unmet need for formal curricula to deliver practice feedback training to residents. Objective: We developed a curriculum to help residents receive and interpret individual practice feedback data and to engage them in quality improvement efforts. Methods: We created a framework based on resident attribution, effective metric selection, faculty coaching, peer and site comparisons, and resident-driven goals. The curriculum used electronic health record-generated resident-level data and disease-specific ambulatory didactics to help motivate quality improvement efforts. It was rolled out to 144 internal medicine residents practicing at 1 of 4 primary care clinic sites from July 2016 to June 2017. Resident attitudes and behaviors were tracked with presurveys and postsurveys, completed by 126 (88%) and 85 (59%) residents, respectively. Data log-ins and completion of educational activities were monitored. Group-level performance data were tracked using run charts. Results: Survey results demonstrated significant improvements on a 5-point Likert scale in residents' self-reported ability to receive (from a mean of 2.0 to 3.3, P < .001) and to interpret and understand (mean of 2.4 to 3.2, P < .001) their practice performance data. There was also an increased likelihood they would report that their practice had seen improvements in patient care (13% versus 35%, P < .001). Run charts demonstrated no change in patient outcome metrics. Conclusions: A learner-centered longitudinal curriculum on ambulatory patient panels can help residents develop competency in receiving, interpreting, and effectively applying individualized practice performance data.

Original languageEnglish (US)
Pages (from-to)189-195
Number of pages7
JournalJournal of graduate medical education
Issue number2
StatePublished - Apr 1 2019
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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