1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1370/afm.391" target="_blank" rel="noreferrer noopener">http://doi.org/10.1370/afm.391</a> Pages 494–499 Issue 6 Volume 3 Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Physician activities during time out of the examination room. Publisher An entity responsible for making the resource available Annals of family medicine Date A point or period of time associated with an event in the lifecycle of the resource 2005 2005-12 Subject The topic of the resource Adult; Female; Humans; Male; Middle Aged; Ohio; Aged; *Family Practice; *Patient Care; Task Performance and Analysis; Time and Motion Studies; Medical; *Practice Management Creator An entity primarily responsible for making the resource Gilchrist Valerie; McCord Gary; Schrop Susan Labuda; King Bridget D; McCormick Kenelm F; Oprandi Allison M; Selius Brian A; Cowher Michael; Maheshwary Rishi; Patel Falguni; Shah Ami; Tsai Bonny; Zaharna Mia Description An account of the resource PURPOSE: Comprehensive medical care requires direct physician-patient contact, other office-based medical activities, and medical care outside of the office. This study was a systematic investigation of family physician office-based activities outside of the examination room. METHODS: In the summer of 2000, 6 medical students directly observed and recorded the office-based activities of 27 northeastern Ohio community-based family physicians during 1 practice day. A checklist was used to record physician activity every 20 seconds outside of the examination room. Observation excluded medical care provided at other sites. Physicians were also asked to estimate how they spent their time on average and on the observed day. RESULTS: The average office day was 8 hours 8 minutes. On average, 20.1 patients were seen and physicians spent 17.5 minutes per patient in direct contact time. Office-based time outside of the examination room averaged 3 hours 8 minutes or 39% of the office practice day; 61% of that time was spent in activities related to medical care. Charting (32.9 minutes per day) and dictating (23.4 minutes per day) were the most common medical activities. Physicians overestimated the time they spent in direct patient care and medical activities. None of the participating practices had electronic medical records. CONCLUSIONS: If office-based, medically related activities were averaged over the number of patients seen in the office that day, the average office visit time per patient would increase by 7 minutes (40%). Care delivery extends beyond direct patient contact. Models of health care delivery need to recognize this component of care. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1370/afm.391" target="_blank" rel="noreferrer noopener">10.1370/afm.391</a> Rights Information about rights held in and over the resource Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). *Family Practice *Patient Care *Practice Management 2005 Adult Aged Annals of family medicine Cowher Michael Department of Family & Community Medicine Female Gilchrist Valerie Humans King Bridget D Maheshwary Rishi Male McCord Gary McCormick Kenelm F Medical Middle Aged NEOMED College of Medicine Ohio Oprandi Allison M Patel Falguni Schrop Susan Labuda Selius Brian A Shah Ami Task Performance and Analysis Time and Motion Studies Tsai Bonny Zaharna Mia