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The Outpatient Center (Clinic)

Modeled after a private primary care practice where the residents are the primary care provider under supervision of full-time faculty. Administrative and nursing staff support teams of six or seven residents. Most specialty services offered with opportunity for housestaff to participate.

Patients

Diverse patient population living in Greenwich and surrounding Connecticut area and inclusive of ages ranging from adolescence to geriatrics. The Outpatient Center’s mission is to help the medically underserved, so only patients with Medicaid, Medicare, high-deductible insurance plans, or no insurance coverage are accepted.

Faculty

Resident to faculty ratio of 4 to 1.

Outpatient Medicine Block Schedule

For PGY-II/III residents: For every 6-weeks of inpatient, elective and/or vacation time, you will have 2 weeks of dedicated blocks in the Outpatient Center (6+2). Yale medical students also rotate in the Outpatient Center and are supervised directly by faculty. 

Conferences

Daily curriculum-based conferences including Diversity, Equity, Inclusion (DEI); Electrocardiogram (ECG Conference), Diabetes care, Computed Tomography (CT) Scan Reading, Geriatrics, Electronic Health Records (Epic) training, and population health. 

Outpatient Medicine Experience

Emphasis on ambulatory primary care. Rotations at a broad range of specialty clinics and opportunity to train at private physician offices. The resident is the primary care provider.

Electronic Medical Records

Greenwich Hospital utilizes the same Epic electronic medical record system for both inpatient and outpatient rotations. 

Evaluation and Feedback

Clinical examinations, patient interviews, bedside interactions and chart notes are evaluated by faculty with continuous feedback.

Schedule

The Outpatient Center (Clinic) schedule is set by the Senior Associate Program Director/Director of Ambulatory Care, who will grant requests for time off for important events on a case-by-case basis, typically requiring advance notice before the absence and “payback” after the absence to the Outpatient Center during a residents’ elective blocks to ensure the total time spent training in the Outpatient Center meets program requirements.