The residency program has developed a model didactic curriculum for ambulatory internal medicine, including the following components:

The “+1” Ambulatory Curriculum

The Wednesday morning of every +1 week is devoted to providing comprehensive education in ambulatory medicine and primary care. This is comprised of 3 components:

  • 8-9 AM:  Office-Based Medicine Curriculum – based on the Yale Office-Based Medicine curriculum, this series covers two “bread and butter” primary care topics per morning in an interactive, case-based format, facilitated by general internal medicine faculty who integrate their own experience and expertise into the discussions.
  • 9-10 AM:  Practice-Based Learning & Improvement (PBLI) Hour – Led by Dr. John Voss, general internist and Department of Medicine Vice Chair for Quality and Patient Safety, this longitudinal session is devoted to teaching residents how to integrate principles of team-based quality improvement into their professional lives. Residents identify quality issues in both their clinical and educational experience that are in need of improvement and work with their +1 co-residents, Dr. Voss, and other health professionals to design, implement, and evaluate QI interventions. Residents also complete individual QI projects on their own patient panels, based on data gleaned from our electronic medical record system.
  • 10-11:45 AM:  Ambulatory Seminars – These interactive workshops and seminars provide residents with the knowledge and skills necessary to thrive as a generalist (see full list). They cover the gamut of generalist medicine, including such areas as:
    • Advanced Interviewing Skills
    • Chronic Illness Care
    • Principles of Patient Safety and Quality Improvement
    • Medical Ethics & Professionalism
    • Health Disparities
    • Pain Management
    • Mental Health in Primary Care
    • Substance Abuse
    • Palliative Care
    • Office Procedures
    • Health Policy & Health Economics
    • Billing & Coding
    • Transitions of Care

Outpatient Morning Report

The case-based and resident-led outpatient morning report occurs three mornings per week before UMA Clinic, facilitated by UMA faculty. This provides an opportunity to develop both outpatient knowledge base and small group teaching skills.

Outpatient Journal Club

An article demonstrating an important study design and addressing an important outpatient topic is discussed once per week before UMA Clinic. One resident per week presents and facilitates discussion of the article with faculty discussants. Faculty also help the resident to prepare for the session by reviewing the study design and methodology with them.

Hot Topics in Primary Care

Primary Care Track residents gather monthly after work, in a more informal setting, to discuss hot topics in Primary Care with Dr. Wolf, other generalist faculty, and occasional expert faculty discussants. Recent articles serve as the springboard for discussion.