Continuity Clinic and Ambulatory Care

• All residents in the Categorical Program are assigned to faculty mentors who supervise their outpatient ambulatory rotations. Categorical residents are assigned to the Ambulatory Clinic at SVH and Primary Physician Partners.  Our X+Y schedule allows for significant time dedicated to the ambulatory setting with focus on learning the skills necessary for outstanding outpatient medicine performance.
• Residents are assigned a panel of patients, and they care for these particular patients longitudinally over their three years of training.  As they progress through training, residents increase their panel size as well as the number of clinic visits per session with progressive level of responsibility and growth.  By the end of their PGY3 year, residents will be managing their own patient care needs independently with support of their preceptor.
• The ambulatory care and preventive medicine rotation is intended to be an experience where residents focus on chronic disease management, management of acute care issues, assessing and managing patients to preempt hospitalization, identifying and managing patient psychosocial and unique patient characteristics, and progress with a strong focus on preventative medicine.
• During ambulatory blocks, residents are scheduled for an Academic Half Day Session where there are teaching sessions dedicated to topics covering ambulatory medicine, as well as varied topics in professionalism, communication, opioid prescribing, and research.
• During ambulatory blocks, residents are assigned to a Clinical Concentration, which consists of sessions with a subspecialist in the outpatient setting. This allows for ambulatory experience in medical subspecialties, with the subspecialty varying over the course of the year.  Examples include cardiology, urology, dermatology, gastroenterology and geriatrics.
• Residents also audit their own patient panel and care practices, craft solutions to improve their delivery of evidence-based medicine, and re-measure their performance through our Panel Management Initiative.

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