One of the great strengths of our program is training in primary care. Ambulatory education is an integral part of the training program. All of our residents have their continuity clinic in a community based health center. Our clinic site is located within and provides services to an underserved community with ethnic and socioeconomic diversity, including many immigrants and non-English speaking patients. All residents manage their own outpatient panel of patients of all ages under the supervision of faculty preceptors. Residents attend clinic weekly and provide care to adults and children in the same session. Several times a year, residents have concentrated outpatient block experiences where they spend additional sessions at clinic each week and also have the opportunity to supplement their rotation with multidisciplinary experiences such as shadowing the diabetes nurse educator, the infant/child mental health outreach workers, a psychologist focused on motivational interviewing, and the childhood obesity team program. Residents are involved in clinic improvement projects, health fairs, and quality improvement projects looking critically at their own practice patterns and identifying areas for personal and systems improvements.
Residents create and revise the outpatient teaching curriculum each year based on resident need and feedback. The backbone of this curriculum is the pre or post clinic teaching session, which provides a time for group discussion of cases and common ambulatory problems. Residents also have the opportunity to supplement their primary care education with electives such as medical management and outpatient specialty electives such as dermatology, rheumatology, orthopedics, and diabetes care. Residents can also take advantage of primary care electives where they visit other Med-Peds clinic sites to see a variety of clinic practices and models.
Many of our graduates have pursued careers in primary care in locations as varied as Boston, Philadelphia, Washington, New Hampshire, and several Indian Health Service locations. Several of our graduates have pursued leadership careers in primary care, such as Soma Stout, a Med-Peds physician who also serves as the Medical Staff President at Cambridge Health Alliance and Co-Medical Director at Revere Family Health (featured on CNN discussing the crisis in primary care). Graduates have also pursued General Academic Medicine and Pediatrics Fellowships, Robert Wood Johnson Clinical Scholars Program, Global Women's Health Fellowship, and Primary Care Fellowships.