Internal medicine residents receive comprehensive training in ambulatory care. A variety of sites and experiences is offered, and residents have ample opportunity to develop expertise in the care of outpatients.

Community Practice Center

The heart of ambulatory care training takes place in the office practice of Einstein Internal Medicine Associates (EIMA). The EIMA practice is located in the Community Practice Center, a modern ambulatory care facility that opened in 1998.

The EIMA practice is organized by firm and structured to ensure continuity in patient care and teaching. Every resident has a panel of patients referred from the Department of Emergency Medicine, inpatient services and other outpatient practices. Residents share responsibility for their firms? outpatients and provide coverage for their firm colleagues. Full-time faculty members of the Division of General Internal Medicine supervise patient care in EIMA and conduct daily outpatient teaching rounds.

Office Practice Preceptorship

The Department of Medicine’s network of community-based teaching practices offers an outstanding opportunity for medical residents to gain first-hand experience in the practice of primary care or a subspecialty of internal medicine. As clinical practice associates, medical residents participate in a full spectrum of activities in these busy offices. The office practice preceptorship ensures that residents develop the clinical, interpersonal and managerial skills essential for success in outpatient practice.

Ambulatory Geriatrics

The geriatrics rotation includes experience in office practice, home care, nursing home rounds and hospice care. Residents work closely with full-time faculty and participate in the geriatric assessment team. Additional sites include Golden Slipper Uptown Home and Willowcrest Center for Subacute Care.

Ambulatory Cardiology

In the ambulatory cardiology preceptorship, residents evaluate patients with the full spectrum of heart disease and refine their skills in history-taking, physical diagnosis and clinical decision-making. Residents learn to manage and triage patients with stable coronary artery disease, chronic congestive heart failure, valvular heart disease, hypertension and peripheral vascular disease.

Specialty Ambulatory Care Rotations

The specialty ambulatory care rotation includes a defined curriculum, selected readings and clinical experience in ambulatory care. The rotation encompasses endocrinology, ophthalmology, ENT and women’s health. Experience in office procedures including flexible sigmoidoscopy and spirometry also is included.

Senior residents are encouraged to elect additional ambulatory care experiences to meet their learning objectives. Medical residents can achieve added competence in a variety of specific skills, including exercise stress testing, women’s health, travel medicine and office orthopaedics.

Dermatology

A month-long experience in dermatology is offered as an elective.  Residents have the opportunity to evaluate and treat patients with a variety of skin disorders.  Residents work directly under the supervision of Board certified dermatologists.