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 QGenda 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.
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 setting
PGY-1: Recognize the unique needs of patients seen in the outpatient setting
PGY-2: Recognize and understand the needs and community resources available to outpatients
PGY-3: Learn how to work with an interdisciplinary care team to optimize the availability and utilization of community resources available to patients
Competency: 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.
