Internal Medicine is an increasingly outpatient endeavor, and many national medical organizations have encouraged training programs to improve and augment residents' outpatient experiences.
In recognition of this trend, and of the needs of our program's patients, we are continually seeking opportunities to expand outpatient clinical opportunities for our trainees.
Our program's primary outpatient continuity experience is in "AIM" clinic, an important piece of Jefferson County's medical safety net.
Each categorical resident builds a stable panel of primary care patients for which he/she is primarily responsible and attends clinic for a half day every week unless he/she is on an intensive care unit rotation or is on call on a ward team.
Weekly presence in clinic ensures a higher level of responsibility for one's patients and better continuity of care.
Outpatient practice is well-integrated into the three-year training curriculum. Residents complete a one month community primary care rotation and spent an additional month in the VA Medical Center's "Prime" clinic, which mixes outpatient primary and subspecialty care experiences.
Additionally, many elective rotations are either fully or partly outpatient-based, and provide residents the opportunity to follow clinic patients for two week time periods.