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Abstract Details

Continuity Clinic Experience in Neurology Residency
好色先生, Research, and Methodology
P8 - Poster Session 8 (11:45 AM-12:45 PM)
7-001
To determine the breadth of ambulatory training during neurology residency we studied the continuity clinic experience of five neurology residents over the course of their residency. We also compared the clinical experiences between inpatient and outpatient settings.  

Few studies have reported the clinical experience of trainees during neurology residency. Most have focused on the inpatient setting. Data about the outpatient experience of neurology residents are lacking.
We used administrative health data from new and return patient visits scheduled with five neurology residents of the same class over three years of continuity clinic. International classification of disease codes pertaining to neurological diagnoses and symptoms associated with these visits were analyzed. Frequency and proportions of the most commonly evaluated diagnoses and symptoms were tabulated. These were compared to previously published data about resident experience during training.  
Five neurology residents evaluated 948 patients (mean 189.6; range 180-202; 59.2% female) during 2,699 clinic visits (mean 539.8; range 510-576) over 3 years in their continuity clinics.  There were 6,555 international classification of disease codes associated with these visits [2,948 (44.9%) neurological diagnoses, 2,249 (34.3%) neurological symptoms, 1,358 (20.8%) co-morbidities]. Most common neurological diagnoses evaluated by residents were: headache disorders (24.5%), neuromuscular disorders (17.3%), movement disorders (12.1%), cerebrovascular disorders (11.5%), and epilepsy (7.5%).  Most common neurological symptoms were: seizure-like events (16.5%), sensory symptoms (12.4%), pain (10.3%), headache (9.7%), and motor symptoms (8.1%). 
The clinical experience of residents in the continuity clinic was diverse but it was skewed towards headache, neuromuscular, and movement disorders which constituted 54% of their workload.  When compared to previous studies, the range of resident’s outpatient clinical experience differs from inpatient experience. Studies directly comparing resident experience in these two settings may help to determine their value and role in resident education. 
Authors/Disclosures
Aman Dabir, MD, FAAN (West Virginia University)
PRESENTER 		Dr. Dabir has nothing to disclose.
Vincent Arnone, MD (WVU Medicine Children's) Dr. Arnone has nothing to disclose.
Umer Najib, MD, FAAN (West Virginia University Hospitals) Dr. Najib has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Pfizer. Dr. Najib has received personal compensation in the range of $500-$4,999 for serving as a Consultant for Lundbeck . Dr. Najib has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Abbvie . The institution of Dr. Najib has received research support from Eli Lilly. The institution of Dr. Najib has received research support from Abbvie.
Gauri V. Pawar, MD, FAAN (West Virginia University) Dr. Pawar has nothing to disclose.