Ambulatory Rotations

COMPONENTS OF FIRST YEAR AMBULATORY ROTATION:

This is a required component of your categorical Internal Medicine training. The focus of the first year ambulatory rotation is for you to understand how your practice works, increase your patient panel, and learn the basics of population management and quality improvement. 

  • Complete PEAC Ambulatory On line Modules by the end of the month: Ophthalmology, Adolescent Medicine, Asthma Diagnosis and Management (2 modules).

  • Complete the IHI module QI 102 on Quality Improvement in the first week. See tabs and instructions below. 

  • Participate & write up as a group the Quality Improvement project for the month (PDSA). Review your own patient panel and work to improve their care.

Click here for ambulatory QI project worksheet 

Click here for IHI module QI 102 on Quality Improvement

COMPONENTS OF SECOND YEAR AMBULATORY ROTATION:

This is a required component of your categorical Internal Medicine training. The focus of the second year ambulatory rotation is to improve your own patient population management and to understand social determinants of heath.  

  • Complete Ambulatory On line Modules by the end of the month: Preoperative Evaluation, Systems Based Practice: Medicare 2019, Disparities: Introduction and Definitions 2019.

  • Plan or participate in a Shared Medical Visit to be held during this month (Diabetes or VA CHF) if possible

  • Review your own patient panel and work to improve their care.

  • Choose two areas to improve your patient population care

  • Choose one of your patients to do a home visit – needs to be scheduled with an attending/chief and possibly social worker if available  (complete form)and send to Dr. Peterson for review and learn how to document and bill for those services or

Orientation

COMPONENTS OF THIRD YEAR AMBULATORY SELECTIVE:

This is a required component of your categorical Internal Medicine training. The focus of the third year ambulatory rotation is for you to explore another outpatient experience. 

  • During your third year, you do an ambulatory SELECTIVE, meaning you can chose from the following rotations:  Cigna Urgent Care, St. Vincent de Paul Ambulatory Clinic, Wesley Community Center, Adelante, VA Community Based Outpatient Centers (CBOC), private outpatient office, or Business of Medicine.

  • During that selective, you will complete a minimum of THREE continuity clinics per week, back on BUMCP or VA campus.