Evaluating whether a combined internal medicine-pediatrics practice was successful

Acad Med. 1991 Jun;66(6):353-8. doi: 10.1097/00001888-199106000-00010.


Will primary care practices set up by physicians trained in combined internal medicine-pediatrics residencies be successful? To address this question, the recruitment of patients to the medicine-pediatrics office established in May 1985 by a northeastern medical center and the patients' understanding of and satisfaction with the combined practice were studied via the billing system and a questionnaire mailed to 1,001 households of patients in November 1988. Although equally divided between children and adults, the patient population had two large bulges, infants less than 2 years old and young adults aged 18-39 years. Most of the 833 patients (from 406 households) who returned the questionnaires were well educated and professional. They indicated they were aware of the nature of the practice; had been looking for a specialist, not a "doctor for the family"; and were highly satisfied. Therefore, the medicine-pediatrics residency program studied appears to have been very successful in preparing primary care physicians. These physicians had a particular appeal to young upper-middle-class families.

MeSH terms

  • Attitude to Health
  • Consumer Behavior
  • Education, Medical, Graduate / standards
  • Humans
  • Internal Medicine / education
  • Internal Medicine / organization & administration
  • Internal Medicine / standards*
  • Internship and Residency / standards
  • New York
  • Office Visits / statistics & numerical data
  • Partnership Practice / organization & administration
  • Partnership Practice / standards*
  • Partnership Practice / statistics & numerical data
  • Pediatrics / education
  • Pediatrics / organization & administration
  • Pediatrics / standards*
  • Surveys and Questionnaires