Factors associated with resident satisfaction with their continuity experience

Janet R. Serwint, Susan Feigelman, Marilyn Dumont-Driscoll, Rebecca Collins, Min Zhan, Diane Kittredge, Alan I. Meltzer, Jan Drutz, John M. Olsson, Karin Hillenbrand, Debra Bogen, Robert R. Tanz, Rachel Moon, Paul Algranti, Daniel Vijjeswarapu, William J. Riley, Lawrence Pasquinelli, Jill Mazurek, Claibourne I. Dungy, Sharon ReisenTheodore Sectish, Henry A. Schaeffer, Keith Derco, Gregory Blaschke, Theresea Heitzler, Arthur Jaffe, Beth Volin, Joseph Loprieato, Thomas M. Ball, Lisa Campbell, Susan Fiegelman, John A. Walburn, Sharon Dabrow, Michelle S. Barrat, Laura E. Feguson, Wendy Davis, Ariane May, Gale Cantor, Catherine Kelly, Brian Forsyth

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Objective. To identify factors associated with resident satisfaction concerning residents' continuity experience. Design and Methods. Continuity directors distributed questionnaires to residents at their respective institutions. Resident satisfaction was defined as satisfied or very satisfied on a Likert scale. The independent variables included 60 characteristics of the continuity experience from 7 domains: 1) patient attributes, 2) continuity and longitudinal issues, 3) responsibility as primary care provider, 4) preceptor characteristics, 5) educational opportunities, 6) exposure to practice management, and 7) interaction with other clinic and practice staff. A stepwise logistic regression model and the Generalized Estimating Equations approach were used. Results. Thirty-six programs participated. Of 1155 residents (71%) who provided complete data, 67% (n = 775) stated satisfaction with their continuity experience. The following characteristics (adjusted odds ratio [OR] and 95% confidence interval [CI]) were found to be most significant: preceptor as good role model, OR = 7.28 CI = 4.2, 12.5); appropriate amount of teaching, OR = 3.25 (CI - 2.1, 5.1); involvement during hospitalization, OR 2.61 (CI = 1.3, 5.2); exposure to practice management, OR = 2.39 (CI = 1.5, 3.8); good balance of general pediatric patients, OR = 2.34 (CI = 1.5, 3.6); resident as patient advocate, OR 1.74 (CI = 1.2, 2.4); and appropriate amount of nursing support, OR = 1.65 (CI = 1.1, 2.6). Future career choice, type of continuity site, and level of training were not found to be statistically significant. Conclusions. Pediatric resident satisfaction was significantly associated with 7 variables, the most important of which were the ability of the preceptor to serve as a role model and teacher. The type of continuity site was not significant. Residency programs may use these data to develop interventions to enhance resident satisfaction, which may lead to enhanced work performance and patient satisfaction.

Original languageEnglish (US)
Pages (from-to)4-10
Number of pages7
JournalAmbulatory Pediatrics
Issue number1
StatePublished - 2004


  • CORNET research network
  • Continuity experience
  • Medical education
  • Preceptor as role model
  • Residency Review Committee requirements
  • Resident satisfaction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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