Upper Year Ambulatory Block

Outpatient General Internal Medicine Continuity Practice

Junior and Senior residents continue working in their assigned primary practice sites as a partner in the faculty/resident outpatient practices:
- Edward S. Cooper Internal Medicine
- Penn Internal Medicine University City
- Philadelphia VA Medical Center
There are 3-4 dedicated sessions each week where interns build a panel of patients and see them for visits longitudinally.
Residents build upon skills from intern year to develop more independence with seeing the patients on their panel.
Each block has dedicated administrative sessions designed to learn key aspects of panel management and triage.
Four sessions each block are designated for academic pursuit to allow for meeting with mentors and pursuit of other scholarly work.
For 1-2 blocks of the year, upper year residents 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, residents may choose to have elective enrichment clinic experiences in:
- Addiction Medicine
- Women’s Health / LARC
- Refugee Clinic
- Pre-Operative Evaluation
- Diabetes Clinic (precepted by an endocrinologist embedded in primary care)

Subspecialty clinic-reuniting outpatient with a patient cared for in the hospital

Junior and Senior residents will select a subspecialty of their choice to serve as their subspecialty continuity clinic experience.
Residents are paired with a faculty member of their choosing or matched based on interest and personality with a faculty member in the chosen subspecialty.
Residents are expected to prepare charts, see patients independently, pend orders, and precept with their subspecialty preceptor.
This clinic allows residents to have a truly immersive experience in a subspecialty to solidify career goals.
This experience also allows residents to build a longitudinal relationship with a clinical mentor in their prospective field.
Those who are interested in a career in general internal medicine may choose this experience to explore a subspecialty area -or- choose an outpatient internal medicine longitudinal experience such as addiction medicine, weight management, community medicine clinic, etc.

Residents have protected time for didactics Thursday mornings.
Upper year residents have a curriculum that spans 2 years. 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: