title: Comprehensive ambulatory medicine training for categorical internal medicine residents.
abstract: It is challenging to create an educational and satisfying experience in the outpatient setting. We developed a 3-year ambulatory curriculum that addresses the special needs of our categorical medicine residents with distinct learning objectives for each year of training and clinical experiences and didactic sessions to meet these goals. All PGY1 residents spend 1 month on a general medicine ambulatory care rotation. PGY2 residents spend 3 months on an ambulatory block focusing on 8 core medicine subspecialties. Third-year residents spend 2 months on an advanced ambulatory rotation. The curriculum was started in July 2000 and has been highly regarded by the house staff, with statistically significant improvements in the PGY2 and PGY3 evaluation scores. By enhancing outpatient clinical teaching and didactics with an emphasis on the specific needs of our residents, we have been able to reframe the thinking and attitudes of a group of inpatient-oriented residents.
authors.affiliation: Received from the University of California-San Francisco, San Francisco, Calif. 94121, USA.
authors.forename: Monica
authors.initials: M
authors.lastname: Bharel
authors.forename: Sharad
authors.initials: S
authors.lastname: Jain
authors.forename: Harry
authors.initials: H
authors.lastname: Hollander
mesh_terms: D000553:Ambulatory Care; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003479:Curriculum / Q000592:standards; D004503:Education, Medical, Graduate / Q000458:organization & administration*; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000458:organization & administration*; D008505:Medical Staff, Hospital / Q000193:education; D015397:Program Evaluation; D012495:San Francisco