Through the weekly Ambulatory Care Seminars and weekly primary care Morning Report session, residents expand their knowledge of primary care and its related disciplines. Continuity Medical Clinics Residents participate in a weekly continuity medical clinic starting in the beginning of their residency. Beginning in the second year, residents can opt for a second continuity session at these sites or at an off-campus private practice, HMO or clinic. At some sites, a psychiatrist is readily available to provide training in interviewing techniques and be a resource for residents to aid in the management of their patients. By completing four-month long Ambulatory Blocks during their training, residents attain expertise in primary care and are exposed to important skills for achieving competency in internal medicine.
Residents rotate through various sites, both at the academic medical center and in the community.
Select attendings at private practice sites, in managed care organizations and in public clinics precept residents during the rotation. The blocks are divided into four groups, each with a clinical theme. Special emphasis is placed on the continuity medical clinics, community service and public health, geriatrics and rehabilitative medicine, women's health and psychiatry. During all four blocks, residents participate in at least one session each week of both their primary and secondary Continuity Medical Clinics. Thus, residents increase their panel of continuity patients and add to their exposure to episodic care.