Introduction

Ensuring patient–physician continuity in an academic internal medicine resident clinic is essential in providing a longitudinal clinic experience as required by the Accreditation Council for Graduate Medical Education(ACGME).1 Efforts to improve continuity in longitudinal clinics are important to patients and physicians and improve patient outcomes.2 Concern for declining patient continuity identified by subjective patient and resident complaints prompted investigating enterprise metrics to better understand continuity within resident clinics. These metrics, as well as ACGME requirements for longitudinal continuity clinic, drove improvement efforts to increase continuity. Our aim was to increase patient continuity in all resident clinics to ≥75% in 4 months.