Training in the Ambulatory Setting
The ambulatory care program is an environment in which the House Staff serve as the primary provider of all aspects of a patient's care. House Staff follow their patients throughout their residency experience, maximizing continuity of care. The patients strongly identify the House Staff as their doctors. House Staff become proficient in managing all aspects of outpatient decision-making including triage, telephone communication, and the transition between inpatient and outpatient care. The House Staff's role is that of the practicing clinician.
Incoming interns have the option of practicing at one of the three clinical practices:
- Weill Cornell Internal Medicine Associates, in the Helmsley Medical Tower (located across the street from NewYork-Presbyterian Hospital), is a large hospital-based practice with 17 attendings and 95 medical residents. WCIMA is an academic general medicine practice that integrates the faculty and resident systems of care into a single large primary care center.
- WCIMA Wright Center is a smaller practice on First Avenue and 77th Street. This practice is near identical to the Helmsley Tower practice with the exception of its size and its ability to draw patients more locally from the Upper East Side. There are three attending physicians and 17 residents in practice at that site.
- Long Island City Health Center is a federally qualified health center located in the northwest section of Queens. The practice is a multidisciplinary practice that offers adult medicine, pediatrics, and obstetric/gynecology services to an ethnically diverse and medically underserved patient population. As a community health center, LICHC is committed to improving the health of its surrounding community. Residents on ambulatory block lead health education sessions in one of the local housing developments twice a month and as well perform a home visit on a patient from their continuity panel. LICHC is approximately 15 minutes from the main hospital campus and residents are provided transportation. There are three attending physicians and 17 residents in practice at that site.
The outpatient block rotation consists of eight weeks each year. House Staff serve as the physician for their patients and develop a robust outpatient practice over the three years of training. Each resident trainee is partnered with a faculty member who serves as an advisor and primary supervisor in the clinical setting. House Staff are expected to take the lead in all decision-making and serve as the patient's primary healthcare provider under the supervision of the attending physician.
While on ambulatory block residents participate in:
PGY1
Educational Conferences
Daily Psychosocial Rounds
Weekly Medical Spanish
Weekly Pap Smear Clinic
Weekly Subspecialty Electives
Patient Education Sessions
PGY2
Educational Conferences
Daily Psychosocial Rounds
Weekly Patient Education Sessions
Outpatient Subspecialty Electives
Quality Improvement Curriculum
PGY3
Educational Conferences
Daily Patient Education Sessions
Scholarly Project
