|
Ambulatory
Medicine |
| Goal & Educational Purpose |
Residents
to be prepared to handle outpatient diagnoses and treatment of adult and
adolescent medical and psychosocial problems. |
| Objectives |
- as for
Internal Medicine Residency
- stimulated
for lifelong learning
- learn to use
resources to solve ambulatory medicine problems differently because of
decreased pressures and urgency
- satisfactory
monthly evaluations for block ambulatory experience
- competency in
outpatient procedures
|
| Educational Content |
R-1 year
- 1 month ambulatory block experience
with:
Acute care medicine
Adolescent clinic
Dermatology clinic
ENT
Health Right clinic
HIV clinic
Neurology clinic
Ophthalmology
Orthopedics
Osteoporosis clinic
Rehabilitation medicine
Rheumatology clinic
Women's consultative medicine
- continuity resident's clinic 1/2 day per
week
- attend collaborative practice meeting
when on ambulatory medicine, first Friday of every month
- develop "care map" type algorithm for
ambulatory problem when on ambulatory block rotation in collaboration
with Drs. Pfister, Rosencrance, and/or Martin
- attend appropriate specialty clinics
when on respective rotation
R-2/R-3 year
- as for R-1
- attend subspecialty clinics on those
rotations, also R-3
- encouragement of "designer" subspecialty
and general medicine rotation
Overall
- competence in pelvic examination, Pap
smear collection, "lump & bump" procedures for dermatology, cryotherapy
and dermatology, shaving dermatological procedures, outpatient stress
tests, outpatient bone marrow's, outpatient paracentesis
- appreciation and strategies for
compliance problems
- diagnosis and treatment of depressive
and affective disorders
- comprehensive geriatric evaluation
|
|
Conferences |
- attend all 8:00 am conferences
- attend medical ethics advisory group
meetings
- collaborative practice the first Friday
of the month
- Friday afternoon case presentations
- Quality improvement by chart peer review
on Friday afternoon
|
| Evaluation |
- evaluation of resident by outpatient
clinic director, Dr. Martin, based on the following:
50% attendance and timeliness
10% staff evaluation
20% attending evaluation
10% case presentations
10% peer review
_________________________
85% required to pass the rotation
- ambulatory medicine quiz on WebCT
|
| Reading List |
- as for general curriculum
- familiarity and use of Principles of
Ambulatory Medicine, 4th ed.
- MKSAP
-
UpToDateŽ
|
