Outpatient Teaching Service

Primary and specialty care clinical experiences

Ambulatory Rotations That Enrich Your Residency Training

The outpatient teaching service for categorical residents includes ambulatory care rotations and the continuity clinic experience during each year of residency. These take place during ambulatory “Y” weeks in the resident schedule, occurring every fifth week.

In addition, the internal medicine residency offers a Primary Care Training Pathway for categorical residents interested in pursuing primary care or other primarily ambulatory-based subspecialty fellowships.

Ambulatory Training

The ambulatory “Y” weeks offer dedicated ambulatory training with continuity clinic sessions, formal didactics and ambulatory specialty medicine experiences.   

The Ambulatory “Y” weeks include: 

  • Five sessions of continuity clinic sessions.
  • One administrative/flexible session.
  • Three sessions of ambulatory specialty experiences, such as: 
    • PGY-1: Endocrinology, gynecology, physiatry, rheumatology, and quality and safety.
    • PGY-2: Geriatrics, hematology/oncology and hospice/palliative care.
    • PGY-3: Cardiology, gastroenterology, pulmonology, nephrology, neurology.
  • Friday morning ambulatory conference: These primary care and communication-focused sessions take place most Fridays and include the Art ad Medicine series of field trips to local museums.     
  • Quality and Safety Curriculum: Features topics facilitated by the chair of the department of quality and safety at Mount Auburn Hospital. 
  • Ambulatory report led by faculty experts in general medicine, infectious diseases, neurology and psychiatry.

The following table outlines the general schedule for a typical Ambulatory Y week.

  Monday Tuesday Wednesday Thursday Friday
Morning Ambulatory specialty clinic Ambulatory specialty clinic Admin/flex time Ambulatory specialty clinic Ambulatory conference
Afternoon Preclinic conference Preclinic conference Preclinic conference Preclinic conference Preclinic conference
Continuity clinic Continuity clinic Continuity clinic Continuity clinic Continuity clinic

Continuity Clinics

Continuity clinic sessions take place largely during ambulatory Y weeks. Most residents have continuity clinic in the Primary Care Center (PCC) at Mount Auburn, located on the first floor of the hospital. In addition to faculty preceptors, the PCC has the support of nursing staff, a pharmacist, and frequent pharmacy residents, social work, and case management.

Eight residents do their training at two other local community practices, Reservoir Medical Associates and Beth Israel Lahey Health – Trapelo Road. These clinics boast excellent precepting continuity, with 1:1 or 1:2 attending-to-resident ratios.

Get Started

Visit the Electronic Residency Application Service (ERAS) to apply for the Internal Medicine Residency Program at Mount Auburn Hospital.