Internal Medicine

HomeResidency Internal Medicine Primary Care Track

Primary Care Track Overview and Curriculum

Thank you for your interest in our Primary Care track of the Internal Medicine residency program. I think you will find that we have a lot to offer. While this program is new, we have been working very hard for many years to continually improve the ambulatory training our residents receive. These efforts have laid the foundation of what I believe will be a wonderful primary care training experience. 

The Internal Medicine Center, our primary teaching clinic received the highest level of certification as a Patient Centered Medical Home, and will serve as an excellent training site. Our program will not only provide strong clinical training. We have designed the primary care program curriculum to also offer diverse experiences in a variety of primary care settings including private practices and rural health clinics. 

Our goal is to not only train excellent primary care physicians, but to train future leaders in primary care and in health care delivery in general. To that end you will be exposed to training in population health, quality improvement, multidisciplinary and team based care models, collaborative care models between primary care and mental health providers, and the importance of community based interventions in improving patient health outcomes.  

The culture of our categorical program has been one of collegiality, commitment to excellence, and teamwork. It is my hope that this will also define the primary care program. We offer candidates the training they are seeking in a great environment, and I hope that you will consider this opportunity. I believe that we can get you started along the career path you are seeking.
Gregg Talente, MD, MS
Program Director Primary Care Internal Medicine Residency
Department of Internal Medicine

The Primary Care Internal Medicine Residency curriculum is designed so that residents spend the majority of their rotations in primary care and subspecialty ambulatory rotations while insuring that residents receive adequate experience in hospital based internal medicine and intensive care training. Our academic year consists of 13 four-week blocks:

Curriculum Schedule

PGY1
Ambulatory: 4 blocks
Other primary care experiences (Private Practice, Rural Health): 1 block
General medicine wards: 4 blocks
Medical intensive care unit: 1 block
Inpatient Cardiology: 1 block
Electives: 2 blocks

PGY 2
Ambulatory: 4 blocks
Other primary care experiences (Private Practice, Rural Health): 2 blocks
Geriatrics: 1 block
General medicine wards: 2 blocks
Medical intensive care unit: 1 block
Electives: 3 blocks

PGY 3
Ambulatory: 4 blocks
Other primary care experiences (Private Practice, Rural Health): 2 blocks
Emergency medicine: 1 block
General medicine wards: 2 blocks
Electives: 4  blocks
 
Curriculum Overview
The goal of the Primary Care Residency Program is to prepare the residents in the program 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 our residents will learn about the delivery of primary care, it’s role in the larger health care system, the economics of primary care practice, and the ways in which primary care delivery is changing. We don’t just want to develop good clinicians, we want to develop individuals to be leaders in primary care and health care delivery. 

Clinically, as outlined above residents will receive a diverse experience in both ambulatory internal medicine, hospital based medicine, subspecialties, emergency medicine, and intensive care medicine. Additional information about our clinical rotations is available here.

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

Quality Improvement
Residents will participate in guided learning about the fundamentals of quality improvement early in their training. In their second year 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
Managing chronic disease, preventive health, and the comprehensive care required of a patient centered medical home requires that primary care be delivered not by one general internist, but by a multidisciplinary team. Residents will deliver their ongoing continuity care to patients as part of such a team. Additionally they will get experience in team based chronic disease management in our multidisciplinary hypertension, diabetes, hospital follow-up, and chronic pain clinics which 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 is making greater effort to use quality improvement and data driven care to improve the health of our city and the surrounding area. Residents will be exposed to this though our quality improvement curriculum, but also 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.