UTSW IM housestaff maintain their continuity primary care clinic and follow a panel of patients their entire three years at either the Parkland Clinic for Internal Medicine (PCIM), which serves the patients in the Parkland Health system, or the Dallas VA Medical Center Primary Care Clinic (PRIME).
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Parkland Center for Internal Medicine (PCIM)
The Parkland Center for Internal Medicine is one of The University of Texas Southwestern Medical Center’s two resident continuity clinics. It is a diverse primary care continuity clinic that serves Dallas County residents via this Parkland Memorial Hospital ambulatory clinic. The clinic serves the Dallas County community and is a multidisciplinary clinic designed to cater to the underserved and uninsured populations of the County.
This resident continuity practice provides the opportunity for residents to manage a panel of primary care of internal medicine patients through their three years of training. They often will assume the care of post-discharge hospital patients and urgent care patients.
The residents of our clinic will attend clinic one half day per week and 2-3 times during their urgent care rotation.
To facilitate the residents' learning about ambulatory medicine, we have an evidence-based 18 month ambulatory curriculum which includes ambulatory morning report led by residents using teaching material prepared to emphasize board review. Preclinical Conferences are held daily before patient care begins and stress ambulatory care issues.
Our PCIM attendings and mid level providers encompass a wide range of interests and expertise including interests and backgrounds in research, performance improvement, Geriatrics, Dermatology, Psychiatry, Palliative Care, Adolescent Diseases, Pain, HIV, Musculoskeletal complaints, Female problems, Exercise counseling, Nutrition and Obesity/ Bariatrics.
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Residents must demonstrate knowledge of established and evolving biomedical, clinical, epidemiological, and social-behavioral sciences, as well as the application of subspecialty medicine knowledge to patient care. By graduation, residents will know how to manage a primary care patient panel, how toutilize referrals and subspecialty assets and perfect their skills; and refine their management skills, differential diagnoses, pathophysiology and treatment of complex medical conditions. We also focus on common management of primary care problems.
Residents will be evaluated by the attending physicians on their skill in obtaining the history and physical examination as well in their ability to assimilate this information to render a diagnosis and a plan. Resident Review Committee clinical competencies guide the content of these evaluations. These evaluations will be performed by an evaluation in the New Innovations System and be available to the resident for review.
Residents must demonstrate interpersonal and communication skills that result in the effective exchange of information and teaming with patients, their families, and professional associates. This will be performed by showing effective communication in the following circumstances:
- Demonstrate effective information exchange with patients and their families
- Communicate the treatment plan to supervising and consulting physicians
- Answer questions and provide information in a clear and respectful manner
- Convey respect for others and display an appropriate degree of confidence
The resident will be evaluated by the attending physician at the end of the rotation in the New Innovations System specifically regarding their interpersonal and communication skills.
Residents must demonstrate the ability to investigate and evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously improve patient care based on constant self-evaluation and life-long learning. This will be demonstrated by the following:
- Demonstrate evidence-based decision making
- Show appropriate use of education resources
- Review and discuss current literature as appropriate to patient care.
The resident will be evaluated by the attending physician at the end of the rotation in the New Innovations System specifically regarding their practice based learning skills.
Residents must demonstrate an awareness of and responsiveness to the larger context and system of health care, as well as the ability to call effectively on other resources in the system to provide optimal health care. The resident will demonstrate these skills by:
- Utilization of consultation process appropriately
- Practice cost-effective health care delivery and resource allocation that does not compromise quality of care
- Work effectively with other members of the health care delivery team to improve health care delivery systems
- Explore the appropriateness guidelines set forth by the American College of Radiology, especially in regards to patient care rendered in the ambulatory care setting.
Educational resources include the ACR Appropriateness Criteria, which can be found at http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspx
The resident will be evaluated by the attending physician at the end of the rotation in the New Innovations System specifically regarding systems-based practice.
Residents must demonstrate a commitment to carrying out professional responsibilities and an adherence to ethical principles. Residents are expected to demonstrate:
- Appropriate ethical practice to patient care
- Maintain patient privacy and confidentiality
- Demonstrate sensitivity and responsiveness to the culture, age, gender and disabilities of patients and their caregivers/family
- Arrive on time and complete assigned duties
- Maintain an appearance appropriate for a physician
The resident will be evaluated by the attending physician at the end of the rotation in the New Innovations System specifically regarding their professionalism.
- Sessions are designed to supplement ambulatory education using small group interactive sessions.
- Responsible faculty will supervise/mentor resident groups for case-based primary care/ambulatory sessions.
- Resident leaders are co-facilitators of discussions and teaching. Faculty are subject matter experts.
- Subspecialties and surgical specialties may participate.
- Areas such as obesity management, exercise prescriptions, pre-operative evaluations, anticoagulation, pulmonary pre-operative evaluation, primary care dermatology, management of peripheral vascular disease, and primary care management of musculoskeletal complaints (back pain, knee pain, shoulder pain) are included.
- PCIM is the housestaff continuity clinic
- PCIM attendings encompass a wide range of interests and expertise including:
- Geriatrics
- Dermatology
- Psychiatry
- Palliative care
- Adolescent diseases
- Pain
- HIV
- Musculoskeletal complaints
- Attendings are responsible for staffing interns and resident ambulatory continuity patients and urgent care patients
- Attending also help with our PCIM Pain Management program
- All attendings are volunteers and have a strong desire to teach; they enjoy working in this clinic in addition to their other duties.
VAMC Primary Care Clinic
The Dallas Veterans Administration Medical Center (DVAMC) Prime Clinic #3, part of the Veterans Administration North Texas Health Care System (VANTHCS), is one of two resident continuity clinic sites for the University of Texas Southwestern Internal Medicine residency program. The clinic is one of several primary care clinics within DVAMC, a referral center for veterans in 38 counties in northern Texas and two counties in southern Oklahoma.
Residents assigned to this continuity clinic serve as the primary care providers for their panel of veterans throughout their three years of training and will take care for patients with diverse chronic medical conditions on a longitudinal basis, as well as for post-discharge follow up and urgent care needs. In addition, the residents will see patients on a short-term basis for preoperative assessment and management. Read more...
