Intern Ambulatory Block - Penn Medicine

In intern year, each year there are 12 weeks of ambulatory rotations divided into 2-week ambulatory blocks.

Outpatient General Internal Medicine Continuity Practice

Each intern is assigned a primary practice site:
- Edward S. Cooper Internal Medicine
- Penn Internal Medicine University City
- Philadelphia VA Medical Center
Interns work as a partner in the faculty/resident outpatient practice.
There are 3 dedicated sessions each week where interns build a panel of patients and see them for visits longitudinally.
Interns will also have opportunities for direct observation and feedback as it related to physical exam skills, time management, and counseling.
Each block has dedicated administrative sessions designed to learn key aspects of panel management and triage.
2 blocks of the year, interns participate in a primary care immersion rotation, in which they assist with triage of acute concerns via telephone and secure portal messaging and provide cross-coverage for colleagues who are out of the office. During these rotations, interns may choose to have elective enrichment clinic experiences in:
- Addiction Medicine
- Women’s Health / LARC
- Refugee Clinic
- Pre-Operative Evaluation

Interns will take a deeper dive into the more ambulatory focused subspecialties that have less exposure while on the inpatient wards and select a longitudinal clinic within a subspecialty. Options for this experience include:
- Infectious Disease
- Endocrinology
- Nephrology
- Rheumatology
- Allergy and Immunology
- Sleep Medicine
Interns will spend 1-2 sessions/week in their chosen specialty during the second half of the year.
Asynchronous curriculum will support this experience

Interns have protected time for didactics Wednesday and Friday mornings.
Each block has an outpatient theme. This structure allows interns to focus their learning on specific, high-yield topics that are led by faculty experts in diverse areas of medicine. Teaching is case based: