Ambulatory Block

Learn to care for patients of all ages in an ambulatory setting.

Learn to Treat Patients in Ambulatory Setting

You will gain proficiency in the following areas:

  • to learn appropriate health promotion, screening, and disease prevention services for infants, children, adolescents, adult, and elderly patients in the ambulatory setting
  • to learn the evaluation and management of common signs, symptoms or conditions associated with the practice of the ambulatory care of adults and children
  • to learn how to successfully evaluate and manage adult and pediatric patients with common chronic conditions in the ambulatory setting.
  • to learn and demonstrate common outpatient procedures used in internal medicine and pediatrics
  • to learn and demonstrate quality improvement methods used in ambulatory internal medicine and pediatrics
  • to demonstrate interpersonal and communication skills that result in information exchange and partnering with patients their families and professional associates
  • to learn how to practice high quality health care and advocate for patients within the context of the larger health care system

During the first six months of your training each patient seen by you will have direct supervision by the supervising faculty. Afterwards, supervision by the supervising faculty member will be determined by the primary care exception rule.

Caseload

  • each first-year resident is expected to see at least 54 pediatric and 54 adult cases over the year
  • each second-year resident is expected to see at least 72 pediatric and 72 adult cases over the year
  • each third- and fourth-year resident is expected to see at least 90 pediatric and 90 adult cases over the year

Each week in this rotation will typically consist of:

  • 5 sessions of clinical time spent in your assigned continuity clinic
  • 2-3 sessions of clinical time spent at a mini-experience
  • 3 sessions set aside for reading or studying, working on quality improvement projects and working on research projects

Each session is a 4-hour block of time.

Learn New Skills in a Variety of Settings

Mini-experiences:

PGY-1

  • Ophthalmology
  • Podiatry
  • WIC Clinic

PGY-2

  • Sports medicine
  • Department of Health Refugee Clinic

PGY-3

  • Department of Health STD Clinic
  • Pain management

PGY-4

  • Pediatric Dermatology at Oishei Children’s Hospital 

Years Taken and Length of Rotation

  • PGY-1: one module (4 weeks)
  • PGY-2: two modules (4 weeks each)
  • PGY-3: two modules (4 weeks each)
  • PGY-4: two modules (4 weeks each)

Residents will also do 1-2 sessions per week at their continuity clinic site during all other rotations, except while on a unit (CCU, MICU, PICU, or NICU).

Clinical Sites

Patient Population

  • Diverse patient population of all ages