{"id":222,"date":"2009-10-13T23:28:04","date_gmt":"2009-10-14T03:28:04","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/im-residency\/?page_id=222"},"modified":"2015-08-06T16:31:16","modified_gmt":"2015-08-06T20:31:16","slug":"ambulatory","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/im-residency\/why-bmc\/ambulatory\/","title":{"rendered":"The Ambulatory Experience"},"content":{"rendered":"<p>In July 2010, the residency program moved to a 3+1 block scheme. This innovative change was created to provide an outstanding outpatient experience without interruption by inpatient duties and to provide a dedicated core curriculum in ambulatory medicine. In this model, residents have an ambulatory week every 4<sup>th<\/sup> week throughout the 3 years of residency. The clinical component of the ambulatory week comprises a mix of continuity clinics and subspecialty clinics. The educational component of the ambulatory week consists of core curriculum topics, case discussions, subspecialty conferences and an academic half day. The academic half day focuses on important areas of clinical medicine that require skills practice in an interactive format. In 2010, the EBM \u201cboot camp\u201d kick-started the academic half days covering key topics to enable residents to apply evidence efficiently in patient care. This will be followed by \u201cboot camps\u201d in patient safety and quality and physician-patient communication.<\/p>\n<p><img loading=\"lazy\" style=\"margin-top: 14px; margin-bottom: 0px;\" class=\"size-medium wp-image-551 alignright\" alt=\"auscultate2\" src=\"\/im-residency\/files\/2009\/10\/auscultate2.jpg\" width=\"225\" height=\"269\" \/><\/p>\n<p style=\"text-align: left;\"><strong>Continuity Practices<\/strong><br \/>\nResidents are active participants in the primary care practices at BMC and affiliated <a href=\"https:\/\/www.bumc.bu.edu\/im-residency\/hospitals\/health-centers\/\" target=\"_self\">Neighborhood Health Centers<\/a> and the VA.\u00a0\u00a0Our residents function as the primary care physicians for a panel of patients and provide comprehensive care for an extraordinarily diverse patient mix in a supportive environment, supervised and mentored by faculty preceptors.<strong> <\/strong>Throughout residency, the residents\u2019 patient panel will grow in size and complexity as their skills mature. In addition to direct referrals from the community, residents may self-refer patients whom they care for on the wards and the emergency department to their own practice. In Spring 2010 the ambulatory clinics at Boston medical Center moved into the new Shapiro Ambulatory Care Center.\u00a0 The Shapiro Center is Boston\u2019s newest outpatient care facility, is patient-centered is design, and\u00a0its\u00a0friendly environment is designed to maximize comfort and privacy while also providing a setting for our ambulatory education teaching.<\/p>\n<p><strong>Subspecialty clinics<\/strong><br \/>\nNine subspecialties have been designated as the core subspecialties of Internal Medicine: cardiology, pulmonary, gastroenterology, geriatrics, hematology-oncology, nephrology, rheumatology, endocrinology and infectious diseases. Through the course of 3 years, residents will have exposure to all nine specialties leaving them with a well-rounded, all-encompassing educational and clinical experience.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In July 2010, the residency program moved to a 3+1 block scheme. This innovative change was created to provide an outstanding outpatient experience without interruption by inpatient duties and to provide a dedicated core curriculum in ambulatory medicine. In this model, residents have an ambulatory week every 4th week throughout the 3 years of residency. [&hellip;]<\/p>\n","protected":false},"author":1836,"featured_media":0,"parent":1012,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/222"}],"collection":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/users\/1836"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/comments?post=222"}],"version-history":[{"count":25,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/222\/revisions"}],"predecessor-version":[{"id":8181,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/222\/revisions\/8181"}],"up":[{"embeddable":true,"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/pages\/1012"}],"wp:attachment":[{"href":"https:\/\/www.bumc.bu.edu\/im-residency\/wp-json\/wp\/v2\/media?parent=222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}