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Ambulatory Clinical Experience

Dr. Green with residentsAmbulatory care is an essential component of the careers of general internists and specialists. Residents are trained in ambulatory care at hospital-owned primary care clinics as well as community practices in and around our hospitals.

Weekly Ambulatory Care Longitudinal Experience

Interns and residents work in an outpatient setting, including the medical clinics at Mercy Fitzgerald and Mercy Philadelphia Hospitals as well as private offices of teaching faculty. Residents spend one afternoon each week throughout the three-year residency program. Each practice draws a diverse population of patients from the communities that surround our hospitals.

Each trainee will develop a panel of patients whom he or she will follow throughout their three-year experience. Under the supervision of the ambulatory instructor, the trainee will develop the skills required of a general internist including knowledge of preventive care guidelines, cost-effectiveness of various tests and skills in office management. Residents gain experience with ambulatory electronic health records and interdisciplinary care, working alongside nurses, case managers, and other members of the health care team.

Ambulatory Care Block Rotation

Residents spend one block during their intern year and four blocks during their PGY2 and PGY3 year focused on ambulatory medicine. During these blocks, residents spend extra time seeing their own continuity clinic patients. In addition, they rotate at both internal medicine and non-internal medicine ambulatory sites, gaining important experience in gynecology, neurology, dermatology, ophthalmology, and other non-internal medicine disciplines. There is also an opportunity to select other outpatient ambulatory experiences. During the rotation, there are dedicated didactic sessions on ambulatory topics as well as opportunities to work on research and quality improvement projects.
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