Ambulatory Care

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Continuity Clinic Experience

Most residents are assigned to a continuity care clinic at the Medplex or the Methodist University Hospital. All clinics are conveniently located in close proximity to our teaching hospitals. Each first year categorical, primary care, and preliminary resident has a continuity clinic for one half day each week, except during ICU or Night Float rotations when the resident has only 1 clinic per month. Each med/peds resident has an internal medicine continuity clinic every other week alternating with the pediatric continuity clinic. Patients are longitudinal, managed care, post-hospital follow-ups, consultations, or walk-in primary care patients. First hand knowledge is gained about managed health care. Each PGY-1 will see 4-5 patients weekly. Typically, PGY-2 residents see 6 patients and PGY-3/4 residents see 6-8 patients per week. Ambulatory care lectures occur as part of the noon conference series, and there are interactive 15 minute conferences at the start of each continuity clinic at the Medplex.

Clinics

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The Medplex is a 30 million dollar out-patient facility and serves as one of the major sites of ambulatory training for our residents. It provides comprehensive services in primary and urgent care, as well as most medicine, surgery, and ob-gyn subspecialties. Click here to visit the Medplex Clinic Website.

PGY-2 residents have a second half-day/week clinic at the VA, the Student Health Center at Rhodes College, or in a subspecialty clinic of their choice. These clinics occur weekly. PGY-3 and PGY-4 residents have a second half-day/week clinic rotating among ambulatory clinics on a three month cycle. Residents can choose to rotate in the following areas: allergy/immunology, cardiology, dermatology, endocrinology, gastroenterology, general internal medicine, geriatrics, hematology, hepatology, hyperlipidemia, metabolic bone, nephrology, neurology, orthopedics, pulmonary, and treadmill clinics. All residents on subspecialty rotations attend subspecialty clinics in addition to their continuity clinic. Additional experiences are available in private offices at most sites, ambulatory care block rotations, rural health care rotations, neighborhood health clinics and the health department, adolescent clinics (LeBonheur and Rhodes College), and minor medical rotations.

Primary Care Track

Primary care residents have a highly structured curriculum guaranteeing seven purely ambulatory care months. These months include the following: rheumatology/orthopedic clinics, dermatology/ophthalmology clinics, allergy/immunology and non-invasive cardiology, gynecology, GI procedures and general internal medicine clinics, neurology and minor medical experience, and practice management, rehabilation medicine, and general internal medicine. Other elective months may also involve ambulatory care. For residents matching in the primary care track, there is a required one year clinic experience in adolescent medicine based at Rhodes College. Here the residents provide episodic care to college students and learn about the medical conditions of young adults.

Women's Health

Residents matching into primary care have the added option of designing their seven ambulatory months around issues in women's health. Ambulatory months for these residents include osteoporosis clinic, breast clinic, reproductive endocrinology, high risk pregnancy clinic, office gynecology, general ambulatory care, and urogynecology.

Medicine/Pediatrics

The med/peds resident alternates on an every other week basis between a medicine continuity clinic and a pediatric continuity clinic. Med/peds residents obtain training in adolescent medicine through an elective at LeBonheur and through Rhodes College Clinic. A one month elective is available in a number of smaller communities throughout Tennessee under the direction of a recently trained UT med/peds physician, usually a previous chief resident.