There is a well-organized ambulatory curriculum to complement the clinical experience in outpatient medicine. Weekly, residents and a general medicine faculty review topics in ambulatory medicine, which include medical topics, billing and coding, psychosocial components, and a variety of other subjects.
Residents attend continuity clinic once or twice per week, depending on the rotation. Three or four residents are supervised by a primary care faculty member whose sole responsibility is to guide residents in the practice of medicine. Each resident has a panel of patients who identify the resident as their primary care provider. The resident is the point person for the patient and his family, consultants, and the emergency department. If the patient requires inpatient hospitalization, the resident follows him through his hospital course.
Residents will obtain additional outpatient training during elective months, and spend blocks of time in subspecialty offices and clinics. Many rotations, such as Rheumatology, Endocrinology and Allergy-Immunology are largely outpatient based. On other rotations, such as Pulmonary Medicine, Cardiology, Neurology and Hematology-Oncology, residents are expected to attend outpatient clinic sessions several times a week.
Regardless of the resident's future career goals, he or she will likely be spending some time in the practice of outpatient medicine. The variety of ambulatory opportunities should provide good experiences for the future practice of medicine.