June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Resident Efficiency in Patient Care: Comparing the Rate of Patients Seen Per Hour as Walk-in vs. Scheduled Appointments in an Ophthalmology Outpatient Clinic
Author Affiliations & Notes
  • Jerome Vincent Giovinazzo
    New York Eye and Ear of Mount Sinai, New York, New York, United States
  • Edwin Goncharuk
    University of New England College of Osteopathic Medicine, Biddeford, Maine, United States
  • Glenn Silbert
    New York Eye and Ear of Mount Sinai, New York, New York, United States
  • anita gupta
    New York Eye and Ear of Mount Sinai, New York, New York, United States
  • Footnotes
    Commercial Relationships   Jerome Giovinazzo, None; Edwin Goncharuk, None; Glenn Silbert, None; anita gupta, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 5053. doi:
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      Jerome Vincent Giovinazzo, Edwin Goncharuk, Glenn Silbert, anita gupta; Resident Efficiency in Patient Care: Comparing the Rate of Patients Seen Per Hour as Walk-in vs. Scheduled Appointments in an Ophthalmology Outpatient Clinic. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5053.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The New York Eye and Ear Infirmary walk in clinic provides an important same day service to all patients in New York City. Patients may experience variable waits depending on volume and time of day. Our goal is to measure the hourly rate of patients evaluated and treated by resident physicians in an academic ophthalmology clinic and examine differences in patients seen per hour when comparing walk-in visits (a shared responsibility over multiple residents) to scheduled visits (an individual responsibility of a single resident).

Methods : For all residents rotating in the comprehensive ophthalmology clinic, the rate of patients seen per hour for both walk-in and scheduled visits was calculated from clinic log sheets for 25 days in October 2016 and November 2016. The total number of patients seen per day by resident year was divided by the total number of clinic working hours per day. Rates per resident year were calculated for each clinic day and combined to create a mean patients seen per hour for each resident year.

Results : A total number of 21 residents saw 2325 patient during 25 clinic days. First year residents saw 34.6% (805), second year residents saw 33.4% (776), and third year residents saw 32.0% (744) of patients during this time period. For all residents the mean patients seen per hour was 1.26. The mean rate of patients per hour (pph) for walk-in patients for first year residents was 1.13pph, for second year residents 1.24pph, and for third year residents 1.43pph. Rates increased significantly (p value <0.01 for all comparisons) across each level of training and the overall rate for residents on scheduled appointments. The mean rate for scheduled patients overall was 1.66pph and for first year residents was 1.41pph, for second year residents was 1.72pph, and for third year residents 1.84pph.

Conclusions : Evaluating how many patients are seen per hour by residents is an important step in understanding clinic efficiency and reducing wait times. Residents assigned to scheduled appointments see patients faster than residents seeing walk in patients and appointments combined.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

 

Figure 1: Graph of Patients Seen Per Hour (PPH) vs. Visit Type

Figure 1: Graph of Patients Seen Per Hour (PPH) vs. Visit Type

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