The heart of the ambulatory curriculum is each resident's continuity clinic, which consists of one half-day clinic per week throughout residency. Each resident is assigned to the clinic corresponding to their team – Daniels, Powell, or Remmers. Many patients are seen by a resident in the hospital and subsequently followed by the same resident (at that team’s clinic) after discharge. This allows for a smooth transition of care. These patients belong to the residents and are followed by a single resident primary care provider throughout his or her training at UTMB.
In the continuity care clinics, categorical residents will see an average of 5-6 patients per half-day clinic and interns will see an average of 3-4 patients per half-day clinic. The housestaff are also supported in the clinic by general medicine faculty, registered nurses, a social worker, and health care technicians (phlebotomist, medical assistants). Clinic is preceded by a 30-minute clinic conference dedicated to the practice of outpatient medicine.
The continuity clinics are held in three locations. The Primary Care Pavilion is across the street from Jennie Sealy Hospital. Residents may also choose to hold their clinic at Victory Lakes Multispecialty Center in League City. Patients with diverse backgrounds are present at each site giving residents a robust outpatient training experience. At every site, all patient rooms are equipped with necessary medical equipment and individual computer stations. We also have large team rooms at all of the clinic sites that function as a work space for residents to use while awaiting the arrival of their patients, discussing cases with faculty preceptors, placing orders, or completing any necessary documentation.
Categorical interns spend one month of their intern year on a clinic selective rotation. During this month, interns experience an extended continuity clinic with half-days in their team’s clinic. This allows them to become familiar with the flow of the clinic and to boost their patient panel for their future years of residency.
Subspecialty / Non-Medicine Opportunities
UTMB is a large academic institution, with the ability to offer our residents a broad array of medicine, medicine subspecialty, and opportunities outside of Internal Medicine. Residents can rotate with UTMB General Internal Medicine faculty in their personal clinics. Furthermore, medicine outpatient subspecialty elective opportunities include: Cardiology, Endocrinology, Rheumatology, Geriatrics, Gastroenterology, Allergy/Immunology, Pulmonary, Oncology, and Weight Management. Electives outside of Internal Medicine include: Dermatology, Anesthesiology, and Radiology. Residents may also set up their own on-campus and off-campus electives, with approval from our department and the GME office.