The outpatient hybrid is a one (1) to two (2) week ambulator hybrid which features a wide array of different clinic half day experiences. Each resident will be assigned a clinic ribbon for the week which details which clinics you will attend. Each ribbon has a specific clinical focus (primary care, pre-operative medicine, sports medicine, health justice), however all clinics have a variety of experiences meant to enhance resident education in outpatient medicine. Please see amion for your most up-to-dates as clinic half days are adjusted based on clinic closures and schedules. You may be assigned to Jeopardy time during a half day of your ambulatory hybrid, however you will not be assigned to EROC or any other inpatient clinical duties during this time. The experience is Monday through Friday and there are no weekend requirements.
Outpatient Goals and Objectives
- Assess acute and chronic diseases in the outpatient setting
- PGY-1: Learn the initial assessment of acute and chronic diseases in the outpatient setting
- PGY-2: Learn to assess acute and chronic diseases and develop an advanced understanding of these disorders in the outpatient setting
- PGY-3: Understand the intersections between acute and chronic diseases and subtle variations in presentation
- Competency: Patient care
- Understand the principles of outpatient chronic disease management
- PGY-1: Learn the principles of chronic disease management including the development of problem lists and preventive care principles
- PGY-2: Understand the factors that create competing priorities with chronic diseases.
- PGY-3: Develop and utilize advanced care processes including consultation and interdisciplinary management of chronic diseases
- Competency: Patient care
- Learn pharmacological management of common diseases
- PGY-1: Learn the common medications utilized for the management of various diseases and conditions
- PGY-2: Understand the medications used for various diseases and how to manage complicated health problems and develop specific therapeutic strategies
- PGY-3: Learn how to develop personalized care plans for patients with intersecting clinical problems
- Competency: Medical knowledge
- Understand the differential diagnosis of common clinical scenarios
- PGY-1: Develop a basic differential diagnosis for common clinical scenarios
- PGY-2: Develop an expanded differential diagnosis for common clinical scenarios
- PGY-3: Recognize unusual presentations of common clinical situations
- Competency: Medical knowledge
- Develop and utilize patient dashboards to engage in population management
- PGY-1: Learn how to interpret patient dashboards in the EHR
- PGY-2: Identify noncompliance or patients who are outliers in the patient dashboards
- PGY-3: Develop advanced care plans with the interdisciplinary care team to manage patients not meeting parameters in the patient dashboards
- Competency: Systems-based practice, Practice based learning and improvement
Understand the unique needs of patients seen in the outpatient settingPGY-1: Recognize the unique needs of patients seen in the outpatient settingPGY-2: Recognize and understand the needs and community resources available to outpatientsPGY-3: Learn how to work with an interdisciplinary care team to optimize the availability and utilization of community resources available to patientsCompetency: Patient care and systems-based practice
Please see the Clinic Information Tab for specifics about each clinic. All clinics are mandatory. Any absence from clinic should first be discussed with the clinic director and chief resident. Any emergency absences must be communicated with the chief resident on call to assist in coverage.
Please note that you may be assigned to a clinic called "PCIM" during the Outpatient Hybrid. This is not a regular PCIM block; rather, it's a space reserved for walk-in visits. You will be the designated provider who sees any walk ins or other urgent appointments.