Department of Internal Medicine
Ambulatory Medicine
According to the Clerkship Directors in Internal Medicine and Federated Council for Internal Medicine, patient care is largely moving into the ambulatory setting. To reflect this reality, the Medicine clerkship has established a separate two-week outpatient rotation during the course of the Medicine Clerkship. This site is intended to provide the clerkship student with basic information about the ambulatory portion of the medicine clerkship including learning objectives for the rotation, evaluation during the rotation, and how this part of the clerkship contributes to the overall clerkship grade. If you have questions or concerns during the ambulatory portion of the clerkship, feel free to talk with your preceptor, Dr. Holley, Dr. Jokela, Kirsten Lawhead, or Toni Kerney. You may reach Dr. Holley, Dr. Jokela or Kirsten at 383-3211. You may reach Toni at 326-2827, Lower Level Forum. The ever increasing proportion of care being delivered in the ambulatory setting and the nation's growing need for physicians with well developed generalist competencies necessitate that the traditional core clerkship be revised to better prepare students to function effectively in a rapidly emerging new health care environment. (Clerkship Directors in Internal Medicine, 1998) The emergence of managed care and the role of the primary care physician led to a reduction in hospital care, which has [resulted in] an increase in ambulatory care. Office-based primary care became the focus of most general internists . . . Patients are seldom admitted to the hospital to establish a diagnosis. Better imaging technology and procedure units for ambulatory patients have shifted the focus of most diagnostic workups to the ambulatory setting. . . Most internists have a large panel of patients whose medical problems they can usually manage in the ambulatory setting.(Federated Council of Internal Medicine Report, 2002)
Ambulatory Resources
Sample Ambulatory Schedule Ambulatory Block Preceptors Student Involvement with Patients Learning Goals for the Ambulatory Rotation Student Learning Objectives Description of the "RIME" Evaluation Grading in the Ambulatory Rotation Calculating the Final Clerkship Grade Appendix A: The Medical History (pdf document) Appendix B: Review of Systems(pdf document) Appendix C: The Physical Examination (pdf document)Appendix D: Sample SOAP Note (pdf document)
Appendix E: Student Evaluation RIME Form (pdf document)
