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Internal Medicine Residency

Ambulatory Education Program

All residents receive extensive training in ambulatory care, including continuity medical clinics, ambulatory blocks, walk-in clinics, emergency rooms, private practices and health maintenance organizations. Residents are exposed to a broad variety of patients under close supervision of faculty with expertise in primary care and preventive medicine. Through the weekly Ambulatory Care Seminars and weekly core curriculum during Morning Report, residents expand their knowledge of primary care and its related disciplines. Dr. Nikki Southall, Associate Program Director, along with the Primary Care Chief Resident are responsible for development and implementation of the ambulatory curriculum.

Continuity Medical Clinics

Residents participate in a weekly continuity medical clinic starting in the beginning of their residency. Clinic sites include University Health Center (UHC), the Primary Care Clinics at the VA, Mercy Medical Center and the Waxter Center for Senior Citizens. Categorical residents alternate clinic sites between the VA and UHC every week, allowing residents to have broad exposure to a variety of patients. Residents with an interest in geriatrics or community practice may choose the Waxter Center or Mercy Medical Center, respectively, for their weekly continuity clinic. In the upper years, residents can opt for a second continuity session at these sites or at an off-campus private practice, HMO or clinic.

At each site, residents develop a close working relationship with their colleagues and the general medicine faculty, who are adept at providing one-on-one supervision in primary care. All clinic sites provide easy access to laboratory and radiologic studies, medical records, textbooks and electronic resources, such as Up-to-Date, Medline and Ovid.

Ambulatory Block Rotations

By completing four Ambulatory Block rotations, residents attain expertise in primary care and are exposed to important skills for achieving competency in internal medicine. Residents rotate through various sites, both at the academic medical center and in the community. Residents may also choose to attend various medical subspecialty clinics. Select attendings at private practice sites, in managed care organizations and in public clinics precept residents during the rotation.

The blocks are divided into 4 groups, each with a clinical theme. Special emphasis is placed on community service and public health, geriatrics, rehabilitative medicine, women's health and psychiatry.

Training in Procedural Skills and Practice Management

Since the addition of a Chief Resident in Primary Care in 1998, a wide spectrum of new educational opportunities is offered to the residents. The Primary Care Chief Resident runs a variety of workshops and seminars to teach residents skills important for general internal medicine.

Primary Care Procedure Workshops:

Practice Management Seminars

Episodic Ambulatory Care Experiences

Through the Emergency Room at University Hospital and the Emergency Care Services (ECS) at the VA, residents receive additional training in outpatient medicine. The Emergency Room experience is described under the University of Maryland Hospital. The rotation in ECS at the VA provides different experiences for residents. In this high volume center, upper level residents manage patients with acute illnesses that often require immediate intervention or admission to the hospital.


This page was last updated on: September 11, 2008.