Mathematical modeling and the redesign of a teaching ambulatory clinic

D. H. Baker, Joseph Mamlin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Mathematical modeling was utilized in the planning and decision making process involved in reorganizing a teaching clinic to effect continuity of care. The model interrelated physicians, time, and space, facilitating value judgments and decisions. After examining multiple model runs, the authors finally selected a per clinic session doctor mix of 5 interns, 2.3 residents, and 1.6 fellows. Group productivity by model simulation was 14.6 pts/hr, utilizing 10.1 rooms. Subsequently, 90 house officers were each assigned to the clinic one half day a wk on a continuing basis. Time motion data, from 10 sessions 5 mth after the change, showed that during 1 wk 353 patients were seen at a rate of 13.9 patients per hr in the rooms and time available. The fact that the reorganization was successful and the outcomes remarkably similar to model predictions has engendered confidence in the role of modeling in the planning process.

Original languageEnglish (US)
JournalJournal of Medical Education
Volume51
Issue number7
StatePublished - 1976

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mathematical modeling
Teaching
value judgement
Continuity of Patient Care
decision making process
reorganization
planning process
simulation model
Decision Making
continuity
confidence
productivity
physician
resident
Physicians
planning
time
Group

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Mathematical modeling and the redesign of a teaching ambulatory clinic. / Baker, D. H.; Mamlin, Joseph.

In: Journal of Medical Education, Vol. 51, No. 7, 1976.

Research output: Contribution to journalArticle

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