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Ambulatory Medicine

Four different ambulatory care settings are available to residents during training. These include the VA Medical Center (VAMC), Regional One Health (ROH), Methodist University Hospital (MUH), and Baptist Medical Hospital East (BMH-E). Each offers a different type of patient population, pathology profile, and healthcare system. Training in these varying scenarios ensures that when residents complete training, they will be equipped to handle any ambulatory care setting.

The training in ambulatory medicine is achieved through time spent in the continuity clinics and subspecialty clinics throughout the ambulatory weeks.

Continuity clinics are available at the VAMC, ROH, and MUH. Each resident is assigned to one of these clinics at the beginning of training, and he/she provides care to a panel of patients that is built over one to two years. On average, patients are seen every three to six months, and at ROH and MUH, residents have the ability to follow their patients’ progress between visits using remote access to the electronic medical record. Residents follow the Yale office-based medicine curriculum to develop their ambulatory medicine knowledge base.

Acute care clinics are available at both ROH and MUH. Each clinic provides services to any patient with an acute illness. ROH specializes in care of indigent and low-income patients. A variety of presentations are seen in this clinic, and trainees will develop the knowledge of acute care clinic medicine and the ability to properly triage patients from the clinic.

Subspecialty clinics are held at all four sites. Each resident has a different set of subspecialty interests according to their goals for the future. For this reason, residents are assigned to 1-2 subspecialty clinics per ambulatory block according to their interests. At least one of these can become similar to a continuity clinic. This allows residents to more fully explore subspecialties and develop stronger relationships with faculty who may be able to provide career guidance. The BMH-E clinics are notable because they expose residents to clinic settings more similar to the clinics of private practitioners, and in these clinics residents become familiar with use of many of the newer, higher-cost treatment modalities available to patients.

Last Published: Mar 23, 2017