These ambulatory care blocks occur during the PGY III year and are not associated with call responsibilities. Residents work under the supervision of Pritam Badesha MD, a general internist. The rotation is intended to provide a well-rounded familiarity of acute and chronic conditions most commonly encountered in ambulatory internal medicine, with particular emphasis on preventive care. In addition, health care issued specific to the veteran population afford unique challenges in diagnosis and management. Knowledge and skill to perform 60 cm flexible sigmoidoscopy during this rotation.
Independent study complements the primary care learning experience and is strongly encouraged.
Each resident is responsible for hands-on performance of all ambulatory visits to which he or she is assigned. Each resident sees over 100 patients per month per four week rotation in the outpatient setting. The majority of patients seen have both acute and chronic care issues simultaneously. The preceptor completes a rating form that allows assessment of knowledge, clinical skills, practice behaviors, attitudes, and professional behavior.