Ambulatory Curriculum

We provide a comprehensive ambulatory curriculum to all medical residents across the three years of residency. Content is delivered across  ambulatory blocks as well as weekly grand rounds presentations and noon conferences.  This broad curriculum equips generalists  to manage the full spectrum of ambulatory sensitive conditions, care for patients across care transitions, and learn the skills necessary to delivery efficient, high quality outpatient care regardless of future specialty.  Content is delivered by skilled clinician educators through a variety of formats, including lectures, case conferences, clinical and procedural skills workshops, and seminars. Primary Care Track residents receive additional curriculum with a focus on areas of individual interest.  

Content Areas

Provides training on the evaluation and management of common psychiatric and substance use disorders that are generally managed by internists. Content is delivered by experts in addiction medicine and psychiatry. Examples include:

  • Anxiety disorders
  • Depression
  • Domestic violence
  • Eating disorders
  • Alcohol, opioid and other substance use disorders
  • Somatization
  • Suicide

Provides training on the evaluation and management of common urgent care issues encountered in ambulatory medicine. Examples include:

  • Abdominal pain and GI illness
  • Anemia
  • Chest pain
  • Dermatologic conditions
  • Dizziness and syncope
  • Gynecologic conditions
  • Headache
  • Musculoskeletal complaints
  • Upper respiratory infections
  • Urologic complaints

Covers nuanced topics relating to primary prevention in primary care through examination of the latest literature and screening guidelines. Each year begins with an overview of any new topics addressed or updated by the United States Preventive Services Task Force. Examples include:

  • Cancer screening
  • Cardiovascular disease screening and prevention
  • Contraception and perinatal care
  • Fracture prevention
  • Immunizations
  • Perioperative care

Provides training on the management and primary care needs for patients with common chronic diseases. Each lecture is designed with the help of selected experts in the field. Examples include:

  • ​​​​Asthma and chronic obstructive pulmonary disease 
  • Diabetes mellitus 
  • Anticoagulation 
  • Chronic kidney disease 
  • Congestive heart failure 
  • Coronary artery disease 
  • Hypertension 
  • Hyperlipidemia 
  • Metabolic dysfunction-associated steatotic liver disease 
  • Osteoporosis 
  • Primary care of the cancer survivor 
  • Primary care of the post-transplant patient 
  • Viral hepatitides

 

Workshops delivered by content area experts on various components of the diagnostic physical exam. Examples include:

  • Breast exam
  • Fundoscopic exam
  • Gynecologic exam
  • Lymph node exam
  • Male genitourinary exam
  • Mental status exam
  • Musculoskeletal exams (shoulder, knee, hip, back, foot/ankle)
  • Skin exam
  • Thyroid exam

A resident-led journal club with a faculty facilitator takes place weekly during ambulatory medicine rotations. Residents learn about clinical research design and a variety of analytic methods, including how to interpret measures of risk and significance, in order to equip them to apply medical literature to  everyday practice.  

Residents are led through conferences on core topics in ambulatory care. This time also serves as an opportunity for residents to discuss their own interesting and challenging ambulatory cases with the group.  

  • Population health team meetings
  • High value care curriculum
  • Trauma informed care curriculum
  • Social justice curriculum

An online learning tool that is used to supplement didactic sessions is available to all residents. Suggested modules are provided for each teaching block.