Retrospective Analysis of Patient Records at the Adana City Training and Research Hospital Family Medicine Clinic

Abstract Purpose: This study aims to evaluate the contribution of tertiary health services to the specialty training of family medicine residents by retrospectively examining the demographic and clinical characteristics of patients who visited the Family Medicine Clinic at Adana City Training and Research Hospital. The findings aim to provide clinically based recommendations for structuring family medicine residency training in line with tertiary care dynamics. Methods: This study was designed as a cross-sectional and retrospective study. After obtaining ethical approval, the electronic health records of patients who visited the Family Medicine-1 outpatient clinic at Adana City Training and Research Hospital between January 15, 2024, and October 15, 2024, were reviewed. Data were obtained from the hospital automation program and the Ministry of Health's platform and analyzed using statistical software. Results: The mean age of the 6,796 patients who applied was 31.05±14.55, 58.62% were female, and 41.37% were male; applications were particularly concentrated in the 20-34 age group. 29.3% of the total number of applications were from Syrian origin. Clinically, the most common diagnoses were acute upper respiratory tract infection (19.33%) and iron deficiency anemia (10.88%). The antibiotic prescription rate was 51.27%, which is higher than the provincial (29.39%) and Turkish (20.82%) averages. The average number of medications per prescription was 0.32 in the outpatient clinic, which is below the provincial (0.43) and national (0.53) averages. Conclusion: The data obtained in the study show that the outpatient clinic focuses on administrative requests such as marriage and employment reports, while preventive health services are limited. High prescription and examination rates also reveal that outpatient services provided at the tertiary level differ from primary care practices. Practical skills related to status reports should be developed in specialty training Keywords: Family Medicine, Family Medicine Residency Training, Tertiary Care