Format

Send to

Choose Destination
South Med J. 1998 Jun;91(6):550-4.

The level of preventive health care in an internal medicine residency clinic: still only an ounce of prevention?

Author information

1
Department of Internal Medicine, University of Virginia Health Sciences Center, Charlottesville 22908, USA.

Abstract

BACKGROUND:

Clinical prevention is a critical component of primary care residency training. How well residents do preventive services is one measure of the adequacy of their training.

METHODS:

To assess the level of preventive health care in a university internal medicine residency clinic, we conducted a randomized retrospective review of 225 patient records.

RESULTS:

We documented preventive services in only 39% of potentially appropriate instances. Cholesterol screening occurred in 53% of eligible cases, breast examination in 41%, mammogram in 69%, Papanicolaou's smear in 53%, estrogen replacement therapy (ERT) in 41%, fecal occult blood testing in 30%, flexible sigmoidoscopy in 18%, influenza vaccination in 65%, pneumococcal vaccination in 44%, and tetanus immunization in only 9%. Male residents were significantly less likely than females to order mammograms or offer ERT.

CONCLUSIONS:

Compared to earlier studies of similar design, we found that the level of preventive health care has improved during residency training, but remains unacceptably low.

PMID:
9634117
[Indexed for MEDLINE]

Supplemental Content

Loading ...
Support Center