Brief report: Trainee provider perceptions of group visits

  • Kimberly S. Davis
  • Kathryn M. Magruder
  • Yan Lin
  • Caroline K. Powell
  • Dawn E. Clancy
Original Articles


OBJECTIVE: To evaluate the effect of observing group visits on trainees’ perceptions of group visits as a method of health care delivery.

RESEARCH DESIGN AND METHODS: Thirty-two trainees assigned to month-long rotations at an academic Internal Medicine Primary Care Clinic serving underinsured patients were recruited to observe between 1 and 4 group visits. Prior to observation of their first, and subsequent to observation of their last group visit, each trainee completed the Patient-Physician Orientation Scale (PPOS), a validated survey evaluating their tendencies toward being patient-centered or provider-centered. Additionally, they completed a Group Visit Questionnaire (GVQ) evaluating their perceptions of group visits as a method of health care delivery.

RESULTS: Trainee gender, type, and level of training were similarly represented across the study population of trainees. While there were no significant differences noted on pre- and postobservation PPOS scores, the postobservation GVQs scores were significantly improved after observing at least one group visit (P<.0001).

CONCLUSION: Trainees’ perceptions of group visits as a method of health care delivery improved significantly after observation of at least 1 group as measured by the GVQ.

Key words

group visits health care delivery system provider perceptions 


  1. 1.
    Mechanic D, McAlpine DD, Rosenthal M. Are patients’ office visits with physicians getting shorter? N Engl J Med. 2001;244:198–204.CrossRefGoogle Scholar
  2. 2.
    Blendon RJ, Schoen C, Donelan K, et al. Physicians’ view on quality of care: a five-country comparison. Health Affairs. 2001;20:233–43.CrossRefPubMedGoogle Scholar
  3. 3.
    Lin CT, Albertson GA, Schilling LM, et al. Is patients’ perception of time spent with a physician a determinant of ambulatory patient satisfaction? Arch Intern Med. 2001;161:1437–42.CrossRefPubMedGoogle Scholar
  4. 4.
    Beck A, Scott J, Williams C, et al. A randomized trial of group outpatient visits for chronically ill HMO members: the cooperative health care clinic. JAGS. 1997;45:543–9.Google Scholar
  5. 5.
    Clancy DE, Cope DW, Magruder KM, et al. Evaluating concordance to American Diabetes Association standards of care for type 2 diabetes through group visits in an uninsured or inadequately insured patient population. Diab Care. 2003;26:2032–6.CrossRefGoogle Scholar
  6. 6.
    Trento M, Passera P, Borga E, et al. A 5-year randomized controlled study of learning, problem solving, and quality of life modifications in people with type 2 diabetes managed in group care. Diab Care. 2004;27:670–5.CrossRefGoogle Scholar
  7. 7.
    Noffsinger EB. Benefits of Drop-In Group Medical Appointments (DIG-MAs) to physicians and patients. Group Pract J. 1999;48:21–8.Google Scholar
  8. 8.
    Krupat E, Rosenkranz SL, Yeager CM, et al. The practice orientation of physicians and patients: the effect of doctor-patient congruence on satisfaction. Patient Educ Coun. 2000;39:49–59.CrossRefGoogle Scholar

Copyright information

© Society of General Internal Medicine 2006

Authors and Affiliations

  • Kimberly S. Davis
    • 1
  • Kathryn M. Magruder
    • 2
    • 3
    • 4
  • Yan Lin
    • 5
  • Caroline K. Powell
    • 6
  • Dawn E. Clancy
    • 1
  1. 1.Department of MedicineMedical University of South CarolinaCharlestonUSA
  2. 2.Ralph H. Johnson Veterans Affairs Medical CenterMedical University of South CarolinaCharlestonUSA
  3. 3.Department of Psychiatry and Behavioral SciencesMedical University of South CarolinaCharlestonUSA
  4. 4.Center for Health Care ResearchMedical University of South CarolinaCharlestonUSA
  5. 5.Department of Biostatistics, Bioinformatics and EpidemiologyMedical University of South CarolinaCharlestonUSA
  6. 6.Clinical Instructor Department of MedicineMedical University of South CarolinaCharlestonUSA

Personalised recommendations