Longitudinal Outpatient Experience

Our program is participating in a pilot study looking at an alternative method of resident scheduling called X+Y scheduling.  As part of this study, residents will do their outpatient rotations and longitudinal clinic in multiple two week rotations over the course of each year. This means that residents will not go to their longitudinal clinic on inpatient rotations such as the Wards or ICU.

The goals and anticipated advantages of this method are:

  • Minimizing conflict between inpatient and outpatient responsibilities
  • Improving resident “presence” on their rotations
  • Improving the predictability of clinic schedules to allow for more patient continuity

 

Here is a sample annual schedule for residents:

  

 

  

 

  • For interns, the Y outpatient blocks include: Adolescent, Newborn, Procedure, Career Exploration, and Longitudinal Clinic
  • For second year residents, the Y outpatient blocks include: Ambulatory with Community Involvement, Behavior and Development, and Longitudinal Clinic
  • For third year residents,  the Y outpatient blocks include: Ambulatory with Community Involvement, Longitudinal Clinic, and some electives

 

Where do I do my Longitudinal Outpatient Clinic? 

At the beginning of training, first-year residents are assigned to one of our three primary continuity sites - UofL Pediatrics - Downtown (opened in their new space in the Novak Center for Children's Health in July 2018) , UofL Pediatrics - Sam Swope Kosair Charities Center, and UofL Pediatrics - Stonestreet for their longitudinal clinic. Residents attend their assigned outpatient clinic for a minimum of 36 half-day clinic experiences per year. Residents are able to watch patients grow and develop over three years and have the opportunity to  develop a strong bond with their patients and their families.

Our ambulatory faculty act as mentors and preceptors and conduct structured clinical observations. Residents also complete an online curriculum on common pediatric outpatient topics and discussions on these modules are facilitated by outpatient clinic faculty.

The longitudinal outpatient experience is designed to provide the house officer with a view of growth and development and disease evolution in the pediatric patient that encompasses the spectrum of birth through adolescence. Residents have the opportunity to recruit patients into their clinic throughout all three years of training. Patients may be recruited during the nursery, wards or emergency department rotations.

Our clinics serve over 50,000 of the most vulnerable patients in our community.