Medicine-Pediatrics residents receive comprehensive training in ambulatory care. A variety of ambulatory settings and an ample number of outpatients provide for a rich educational experience for residents.

At the beginning of the PGY-1 year, Medicine-Pediatrics residents assume responsibility for a panel of patients. These patients form the core of the resident's four-year practice which continues to expand throughout residency. During the four years of training, the combined Medicine-Pediatrics outpatient clinic is scheduled one half-day per week and takes place in the Community Practice Center.

Community Practice Center

The Community Practice Center (CPC) is a modern ambulatory care facility that opened in 1998. It houses the Department of Pediatrics, the Pediatric Ambulatory Care Center, the Division of General Internal Medicine, the Immunodeficiency Center, the Medicine Outpatient Clinic, and the Medicine-Pediatrics Outpatient Clinic.

The Pediatric Ambulatory Care Center is the cornerstone of the pediatric outpatient experience. Full-time and voluntary faculty from the Department of Pediatrics are available at all times to supervise residents and students. A full conference series especially designed to address ambulatory pediatric issues makes this rotation a valued educational experience. The clinic structure is organized to foster the development of resident skills in general outpatient pediatrics.

The Medicine Outpatient Clinic is the site of the primary ambulatory continuity experience in the Internal Medicine program. Full-time faculty in the Division of General Internal Medicine supervise patient care and conduct a daily lecture before each clinic session.

The Medicine-Pediatrics outpatient clinic is structured and staffed to provide care to adults and children, with special emphasis on the needs of family units. Residents are encouraged to enlist both adult and pediatric patients discharged from their inpatient services into their panels. In addition, patients are referred to the Medicine-Pediatrics outpatient clinic from the emergency department, the newborn nursery, the surgical and the obstetrics services. The Medicine-Pediatrics faculty, in conjunction with the full-time faculty of the Division of General Internal Medicine and the Department of Pediatrics, supervise patient care activities in the Med-Peds Clinic. An ambulatory lecture series on common adult and pediatric outpatient topics is held before the start of each clinic session to provide further didactic experience.

Office Practice Preceptorships

Albert Einstein Medical Center's network of community-based teaching practices offers a unique opportunity for Medicine-Pediatrics residents to gain first-hand experience in the practice of primary care. As clinical practice associates, Medicine–Pediatrics residents participate in the full spectrum of activities of these busy primary care offices. Office practice preceptorships ensure that residents develop the clinical, interpersonal and managerial skills needed to succeed in primary care practice today.

Adolescent Medicine

The Adolescent Medicine Clinic provides a full array of medical and psychosocial services for teens. Issues regarding reproductive health, family planning, sexually transmitted diseases, risky behaviors and substance abuse, are addressed in this setting. In this context, residents develop expertise in the skills and knowledge essential to the effective care of teenagers during this one month rotation.

Internal Medicine Specialties

The medical 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 are also included.

Senior residents are encouraged to elect additional ambulatory care experiences to meet their learning objectives. Medicine-Pediatrics residents can achieve added competence in a variety of specific skills, including exercise stress testing, Women's Health, travel medicine and office orthopaedics.

Developmental Pediatrics

The Kaiserman Center for Developmental Medicine and Genetics is the setting of a one-month core rotation emphasizing all aspects of child development and behavior. This rotation encompasses clinical experience and didactic instruction in the evaluation and management of children with developmental delay, attention deficit disorders, physical disabilities and other developmental problems. Special educational objectives for this rotation include the understanding of normal development, observation and interpretation of formal psychological testing techniques, proficiency in the use of developmental screening tools and development of advanced interpersonal and communication skills.