Family Centers – Residents’ Continuity Clinic
Our residents provide continuity primary care under the supervision of full-time faculty at Family Centers Federally Qualified Health Clinic located at 75 Holly Hill Lane (a 5-minute drive from the Hospital). The clinic is an integral part of “Family Centers;” a nonprofit organization that offers education, health, and human services to children, adults, and families in Fairfield and neighboring counties, regardless of ability to pay. As such, our patients have access to the Family Centers’ comprehensive network of behavioral health, dental, and human services. The clinic is a newly renovated, fully equipped modern facility that also houses Geriatric and Pediatric practices, as well as providers with special training in Women’s and Reproductive health, HIV, Hepatitis and Tuberculosis Care, and Immigrant and Refugee Health. Yale-affiliated Internal Medicine sub-specialists also come to the health Center. During their 2-week ambulatory block, residents spend two or three half-days in the Women’s Health clinic and in sub-specialty clinics.
"Under one roof" our residents are exposed to a wide range of patients and all aspects of ambulatory care – and, along with the clinic staff and all of the center’s providers, serve both an academic mission and a mission to help those in need.
Additionally, residents have the opportunity to spend half-days at other physicians' practices including Neurology, Wound Care, Concierge Medicine, Pulmonary Medicine, Podiatry, PM&R, etc.
Outpatient Medicine Block Schedule
For PGY II/III residents: For every 6 weeks of inpatient, elective, and/or vacation time, residents have a dedicated 2-week block in the Outpatient Center (6+2). Yale medical and PA students also rotate in the Outpatient Center and are supervised by residents and faculty.
Prelims and Categorial Interns will rotate into the clinic on 2-week blocks as well, but less frequently than 6+2.
Outpatient Conferences
On their 2-week clinic block, residents attend daily 30-minute morning conferences prior to the start of clinic. These conferences cover the following topics: ECG Review, Palliative Care, Women's Health, Reproductive Health, Palliative Care, Quality and Best Practices, HIV/Hepatitis/TB, and other General Medicine topics. Senior residents are also involved in giving ambulatory conference lectures during their clinic block.
Weekly 2-hour Small-Group Didactic/Discussion Sessions are held every Wednesday afternoon and are dedicated to an outpatient topic; pre-session reading and listening (“Curbsiders” podcast) are provided in advance.
Electronic Medical Records
Family Centers, Greenwich Hospital, and Yale New Haven Hospital essentially use the same Epic electronic medical record system for all inpatient and outpatient rotations.
Evaluation and Feedback
Clinical examinations, patient interviews, bedside interactions, and chart notes are evaluated by faculty with continuous feedback.
Outpatient Center meets program requirements.
Ambulatory-Research Rotation
In an effort to allow for more outpatient experiences and provide protected research time, an Ambulatory-Research elective has been added for PGY-II/IIIs (AMB/RES). These are two-week blocks, one in each half of the year, where residents have 2 full days per week to dedicate to scholarly activity.
