Internal Medicine

HomeResidency Internal Medicine Primary Care Track

Primary Care Track Overview and Curriculum

Thank you for your interest in our primary care track for this internal medicine residency program.

Primary care general internists are vital for improving the general health of our adult population. As they cultivate longitudinal relationships with patients, they can help prevent chronic medical conditions, as well as treat both acute and chronic diagnoses. They improve access to high quality care and positively impact local communities via advocacy and collaboration with multiple disciplines. We are excited you are contemplating pursuing primary care, which can lead to a variety of career choices!

While our program is new, with the input of our organization, faculty and staff, and trainees, we have grown our resident ambulatory experience over the past several years and believe we have much to offer.
The Internal Medicine Center, which is our 1801 Internal Medicine Resident Clinic, serves as the primary ambulatory teaching site and is certified as a NCQA Patient Centered Medical Home. Residents have the opportunity to rotate through other primary care sites, as well as a diverse set of sub-specialty outpatient practices, which are listed in the schedule section.

We strive to train excellent primary care internists and future leaders. To that end, you will be exposed to training in population health, quality improvement, social determinants of health, multidisciplinary and team-based care models, collaborative care models between primary care and mental health providers, and the importance of community-based interventions for improving patient health outcomes.  

The culture of our categorical program has been one of collegiality, commitment to excellence, and teamwork. It is our hope that this will also define the primary care track. We offer candidates the training they are seeking in a great, supportive environment, with our mentorship program that purposefully connects each trainee with a community-based primary care general internist. We hope that you will consider this opportunity for your career development!

Suchita Pancholi, MD, FACP
Primary Care Track Director for Internal Medicine Residency

Gregg Talente, MD, MS, FACP
Internal Medicine Resident Clinic Director
General Internal Medicine Division Chief

Curriculum Overview
The goal of the Primary Care Track is to prepare the residents for a career as a primary care general internist. Our desire is to develop clinically strong general internists ready to practice in any primary care setting – rural or urban, academic or private. In addition, our hope is that residents will learn about the delivery of primary care, its role in the larger health care system, the economics of primary care practice, and the ways in which primary care delivery is changing. We not only strive to develop good clinicians, but we also want to develop individuals to be leaders in primary care and health care delivery. 

Clinically, residents will receive a diverse experience in ambulatory internal medicine, hospital-based medicine, subspecialties, emergency medicine, geriatrics, and intensive care medicine.

Additionally, the Primary Care Track will provide experiences and training in a number of areas critical for future primary care physicians including the following:

Quality Improvement
Residents will participate in guided learning about the fundamentals of quality improvement early in their training. In their senior years, all residents will complete their own quality improvement project in the clinic with support from the faculty and clinic team. Additionally, residents will participate along with clinic leadership and clinic staff in the continual ongoing quality improvements efforts within the Internal Medicine Center.

Team-Based Care
The comprehensive care required of a patient centered medical home necessitates primary care be delivered not by one general internist, but by a multidisciplinary team. Residents deliver their ongoing continuity care, including chronic pain management, to patients as part of such a team. They get experience in team-based chronic disease management in our multidisciplinary hypertension, diabetes, and hospital follow-up clinics that we have integrated into our primary care practice. 

Population Health
As primary care doctors, we are not just responsible for individuals. We are now being asked to be responsible for the health of our communities. Our clinic and our institution as a whole are making greater efforts to use quality improvement and data-driven care to improve the health of our city and the surrounding area. Residents will be exposed to population health via our quality improvement curriculum and through involvement with community-based programs supported by our institution to impact social determinants of health, improve health education, and health behaviors of our patients.

Social Determinants of Health
While we learn about disease pathophysiology and risk factors as physicians, we recognize that other social components can also significantly impact the health of patients and families. Residents will learn about these social factors via a longitudinal curriculum that not only incorporates didactics, but also includes multi-disciplinary events and rotation through a local free clinic. Also, they will collaborate with community-based organizations to better understand and assist with management of these social factors.