The Outpatient Center (Clinic)
Modeled after a private primary care practice where the residents are the primary care provider under the supervision of full-time faculty. Administrative and nursing staff support teams of the three to four residents on rotation. Residents will also rotate with varying sub-specialists during this rotation. Four wellness half days will also be assigned during the year.
Patients
The Outpatient Center serves a diverse population of residents from Greenwich and the surrounding areas. 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. The Center is currently transitioning to a Federally Qualified Health Center under which the patient panel will expand to serve neighboring residents including those from New York.
Faculty
Resident to faculty ratio is 4:1.
Outpatient Medicine Block Schedule
For PGY II/III residents: For every six weeks of inpatient, elective and/or vacation time, you will have two weeks of dedicated blocks in the Outpatient Center (six + two). Yale medical students may also rotate in the Outpatient Center and are supervised directly by faculty.
Outpatient Conferences
Daily curriculum-based conferences including electrocardiogram (ECG conference), computed tomography (CT) scan reading/general surgery lectures; geriatrics, palliative care, pulmonary medicine, women’s health and general internal medicine. Senior residents are also involved in giving ambulatory conference lectures during their clinic block.
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 and Yale New Haven Hospital utilize 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 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 6 weeks 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.
Ambulatory-Research Rotation
To allow for more outpatient experiences, an ambulatory-research elective has been added for PGY-II/III. There will be two (2) two-week blocks, one in each half of the year where residents will do an outpatient elective in a desired subspecialty. With program director approval, this rotation can also be utilized for research and academic purposes to work on posters and publications.
