Medicine-Pediatrics Residency Ambulatory and Outpatient Training

Continuity Clinic

Ambulatory education is an integral part of the training program at Harvard BWH/BCH Med-Peds. Weekly resident clinics take place at our med-peds clinic where residents see adults and children in the same session. Outpatient training begins during internship and accelerates through junior and senior residency. All residents manage their own outpatient panel of patients under the supervision of faculty preceptors. The clinic patient populations offer ethnic and socioeconomic diversity, serving a large Spanish-speaking population. Residents work with the same preceptors for four years and all preceptors are available throughout the week to help with concerns and questions about patients. Teaching conferences at the end of each clinic session provide a time for group discussion of cases and common ambulatory problems.

Brigham and Women's Family Care Associates

The Brigham and Women's Family Care Associates opened its doors on July 1, 2013. It is a clinic founded, precepted, and staffed entirely by residents and faculty from our program the Brigham and Women’s/Boston Children’s Hospital Internal Medicine-Pediatrics Residency Program. Residents build their own panel of continuity patients and have a combined session of adult and pediatric patients during their weekly continuity clinic and have additional sessions during ambulatory rotations.

The Brigham and Women's Family Care Associates is a primary care clinic that offers comprehensive, compassionate care to patients of all ages. We take care of babies, their siblings, parents, aunts, uncles, grandparents and great-grandparents and neighbors. Our mission is to provide culturally sensitive, patient centered care of the highest quality to patients of all backgrounds and income levels. Many of our physicians are bilingual in Spanish and English and have years of experience working with patients from the surrounding communities. We have particular expertise in caring for patients with complex medical needs, young adults transitioning from pediatric to adult care, and immigrants.

We are committed to training the next generation of committed, caring, clinically excellent primary care providers. Together we strive to serve our patients and families in working to be leaders in creating the highest quality and most effective medical home. We believe that patients and their health care team can work best by working together as partners to reach optimal health. We are partnering with the Center for Primary Care/Harvard Medical School as part of an academic collaborative focused on primary care innovation. Our residents actively participate in Quality Improvement projects, team meetings, and primary care redesign activities. Brigham and Women's Family Care Associates

Outpatient Training

Concentrated outpatient block time offers extensive didactic curricula encompassing the principal topics in general internal medicine as well as special seminars focusing on the patient-doctor relationship, clinical epidemiology, ethics, health policy, and teaching skills. During outpatient block rotations residents’ schedules are devoted to primary care clinics and electives. The electives include subspecialty clinics, home visits, and opportunities for community service. Residents interested in community service can work with homeless adults and adolescents, provide health education to middle school students and the elderly, provide care at a school-based clinic, and work with community activists to improve the health of their community. During medicine time, outpatient subspecialty clinics are integrated into ambulatory medicine block rotations so that all residents are exposed to a broad spectrum of disease processes. PGY-2-4 residents plan the curriculum for their ambulatory blocks in order to fulfill their personal learning goals.

The pediatric component of training offers a broad array of ambulatory experiences ranging from the outpatient portion of subspecialty rotations (e.g. allergy/immunology, endocrinology, neurology, gastroenterology, rheumatology, and pulmonary) to rotations with an primary ambulatory focus such as the child development and adolescent medicine blocks. In addition, there are ambulatory general pediatric experiences through continuity clinic and international rotations. This rich array of ambulatory rotations includes a focus on advocacy training. In the past, residents have worked with the Massachusetts state legislature, Boston Public School system, and neighborhood health centers. Ambulatory exposure occurs throughout all 4 years of the program at sites at Boston Children's Hospital, Boston Medical Center, and community and school sites. Those with a particular interest in primary care and practice management are able to concentrate on ambulatory experiences during their 2-month research/ elective block in their 4th year of training.

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