Resident Continuity Clinic

 

  • The resident continuity clinic is an opportunity for our residents to refine their skills in the longitudinal management of the ambulatory general medicine patient.
  • Goals for these two years are include competent management of complex multisystem disease, an approach to the problem patient, doctor to doctor communication and phone medicine.
  • The Resident Continuity Clinic is structured as a half day clinic occurring during the ambulatory block, usually 4 half-days of clinic over a 2-week block, which occurs with frequency of about every 6 weeks in the 4+2 model.
  • Residents build and follow their own patient panel with the assistance of assigned faculty preceptors.  These preceptors are immediately available for discussion and, if necessary, interview and examination of the each patient during the resident’s clinic.  Each preceptor will be responsible for advising no more than 4 residents at a time. Preceptors will have no other clinical responsibilities outside of resident precepting during the half day session.
  • Residents are expected to present each clinic encounter to their preceptors and discuss appropriate management.  Depending on the complexity of the case, the resident will either return to the examination room to complete the interaction alone or be accompanied by the attending for further clinical evaluation.  Residents are encouraged to ask their preceptors to interview and examine patients if they are uncertain about aspects of the history and examination.
  • Residents are not responsible for completing the encounter’s billing form.  The attending will complete the billing sheet and perform appropriate documentation as required by HCFA.
  • Throughout the remainder of the week (when not in clinic), residents are expected to be available to their clinic patients by pager and through PCG support services.  In the event that issues arise which require attending advice, the resident should contact either their assigned clinic preceptor or the PCG Faculty member on call.  Residents are free to make use of the PCG Urgent Care clinics where appropriate.

The knowledge areas for the Intern and Resident Continuity Clinic Curriculum are below.

  • Preventative Health Care: The residents should be familiar with the current recommendations for health promotion and preventive health care.  Residents need to know how to perform common preventive services including screening examinations of the breast and prostate.  Residents need to be proficient in performing pelvic examinations and pap smears.
  • Common complaints
    • Fatigue
    • Dizziness and Vertigo
    • Weakness and Muscle weakness
    • Unexplained Weight Loss
    • Sleep Disorder
    • Hematuria
    • Dyspepsia and Abdominal Pain
    • SOB
    • Cough
    • Headaches
    • Back pain
    • Joint pains
    • Diarrhea
  • Common chronic health conditions
    • Hypertension
    • Diabetes Mellitus
    • Congestive Heart Failure
    • Coronary Artery Disease
    • Atrial fibrillation
    • Hyperlipidemia
    • Asthma and COPD
    • Cerebrovascular Disease
    • Peptic Ulcer Disease
    • Irritable Bowel Disease
    • Gastroesophageal Reflux Disease
    • Alcoholic Liver Disease
    • HIV
    • Osteoarthritis
    • Osteoporosis
    • Anxiety and Depression
    • Seasonal Allergic Rhinitis
    • Sinusitis
    • Benign Prostatic Hypertrophy
    • Erectile Dysfunction
    • Common Lung Infections
    • Urinary Tract Infections
    • Chronic Pain Syndrome
  • Women’s health:
    • Atypical Uterine Bleeding
    • Benign Breast Disease
    • Breast Lumps
    • Birth Control and Family Planning
    • Oral Contraceptives
    • Hormone Replacement
    • Abnormal Pap Smear
  • Psychosocial conditions and circumstances
    • Alcohol and Substance Abuse
    • Domestic Violence
    • Disability
    • Economics of Drug Therapy
    • Advanced Directives
    • Death and Dying
    • Living Will