Ambulatory Care

The Residency Program places great emphasis on ambulatory medicine training and it provides opportunities to practice general internal medicine and to learn subspecialty ambulatory medicine.

The Firm System lends itself to a group practice with both an inpatient and outpatient arm. Each houseofficer has at least one half-day of general internal medicine clinic. During many months of the second two years of residency, each houseofficer has two half-days of outpatient practice. Wherever possible, the housestaff practice general internal medicine with the Firm. In all of the settings, the housestaff are closely supervised by faculty.

Ambulatory medicine topics are also regularly covered during Noon Conferences. In addition, Professor John Flynn conducts "Tumulty Rounds" monthly. These rounds focus on patients from his general internal medicine practice. He also invites many specialists from within and outside of Medicine to comment on the care of these patients.

Subspecialty skills important to the practice of ambulatory general internal medicine are taught through the "CASE I" rotation. CASE I consists of eight weeks of outpatient time dedicated to Rheumatology, Endocrinology, and Geriatrics. These rotations provide the housestaff with the opportunity to work one-on-one with senior faculty to learn subspecialty skills important to general internal medicine.