In intern year, there are 12 weeks of ambulatory rotations divided into six 2-week ambulatory blocks.
Outpatient General Internal Medicine Continuity Practice
- Each intern is assigned a primary practice site:
- Edward S. Cooper Internal Medicine
- Penn Internal Medicine University City
- Philadelphia VA Medical Center
- Interns work as a partner in the blended faculty/resident outpatient practice.
- Over 3 half-day sessions each week, interns build a panel of patients and see them for visits longitudinally .
- Interns will also have opportunities for direct observation and feedback related to physical examination skills, agenda setting, motivational interviewing, and counseling.
- Each block has dedicated administrative sessions designed to learn key aspects of panel management, outpatient triage, intervisit care, and inbox management.
- For 2 blocks of the year, interns participate in a primary care immersion rotation (Firm Rotation), in which they assist with triage of acute concerns via telephone and secure portal messaging, and provide cross-coverage for colleagues who are out of the office. During these rotations, interns may choose to have elective enrichment clinic experiences in:
- Addiction Medicine
- Women’s Health / LARC
- Refugee Clinic
- Pre-Operative Evaluation
Outpatient Subspecialty Care
- Interns will take a deeper dive into the more ambulatory focused subspecialties that have less exposure while on the inpatient wards and select a longitudinal clinic within a subspecialty. Options for this experience include:
- Infectious Disease
- Endocrinology
- Nephrology
- Rheumatology
- Allergy and Immunology
- Sleep Medicine
- Interns will spend 1-2 sessions/week in their chosen specialty during the second half of the year.
- An asynchronous curriculum will support this experience
Outpatient Didactics
- Interns have protected time for didactic half-days on protected time for didactics Wednesday and Friday mornings.
- Each block has an outpatient theme. This structure allows interns to focus their learning on specific, high-yield topics that are led by faculty experts in diverse areas of medicine. Teaching is case based:
- In addition, core curriculum content is delivered that is appropriate for interns:
- Communication and Professionalism
- Evidence Based Medicine
- Academic and Personal Development
- Arts and Medicine at the Philadelphia Museum of Art
- Transitions of Care
- Outpatient Didactics
- Simulation Center Experiences for procedures and acute care scenarios