A National Perspective on the Current Educational Environment in Pediatric Community-Based Continuity Clinic.

Abstract Objective To characterize current practices of US pediatric residency programs around use of community-based continuity clinics for residency training. Methods A national, anonymous survey was sent electronically to all US pediatric program directors (PDs) through the Association of Pediatric Program Directors (APPD). The survey assessed preceptor recruitment, faculty development, teaching methods, and PDs’ satisfaction with the experience and teaching at community sites. Data was analyzed using descriptive statistics and Chi 2 Test of Independence. Results 99/200 programs responded (50%). 56% (55/99) do not send any residents into the community. Of the remaining 44 programs, 48% had difficulty recruiting preceptors. Only 34% require preceptors to engage in faculty development around teaching and less than half require community preceptors to work through a formal curriculum. Almost all PDs that send residents to community-based practices were very to extremely satisfied with resident experiences (84%), but 37% were not satisfied with residents having their own patient panel. Conclusions While the majority of PD's were satisfied with resident experiences in community-based sites, recruitment was challenging and teaching and faculty development methods varied. Determining incentives to help recruitment, ensuring use of a formal primary care curriculum and providing faculty development around teaching will be critical for training.