Ambulatory Continuity Training
Message from the Resident Clinic Site Director
On average, the trainee in internal medicine will average 4 to 7 patients per half-day session in the clinic. However, new trainees will see fewer patients, and the number of patient encounters will increase significantly as trainee skill, knowledge, and autonomy increase. As residents develop their patient panels, they will care for a growing number of patients. This training site provides their primary opportunity to develop knowledge, skills, and competency in the management of outpatient care. They will be supervised and held responsible for:
- Eliciting a chief complaint, history, exam, reconciliation of medications and problem list
- Developing a differential diagnosis
- Formulating a treatment plan using evidence based medicine
- Addressing preventive care at every encounter
- Complete, accurate, timely and legible documentation of patient visits
- Utilization of the concepts of managed care
- Follow up on patients test results as available
Resident requirements in the Ambulatory Continuity Training Site
- Regular, assigned attendance at the one half day session per week
- With the assistance of the clinic staff, develop a panel of patients who identify the resident physician as their primary provider over the three-year period of the training program.
- Participate in formal evaluation of their ambulatory clinic performance with their faculty supervisor at least semi-annually.
- Participate in all staff meetings of the clinic, if appropriate.
- Participate in graduated scheduling of patients per training year:
- First Year: 45 min/visit
- Second Year: 30 min/visit
- Third Year: 30 min/visit
- Maintain ambulatory patient logs including patient case number, initials, diagnosis, and treatment.
- Maintain ambulatory patient procedure logs including those required by the ACGME.
- Arrive on time! If the resident is going to be late or unable to attend, he/she is personally responsible for notifying the faculty supervisor and the office manager. All requests for time off from ambulatory clinic assignments must be approved in writing in advance following the policies of the Medical Education Department, at least 30 days prior to the start of the rotation.
- Residents will review lab, radiology, messages, consults, etc., in a timely manner. Both the resident and the Faculty Preceptor must sign these items.
- Residents must abide by all of the Basic Standards for Residency Training in Internal Medicine provided by the ACGME.
- Residents must abide by all institutional policies and procedures.
Faculty in the Ambulatory Continuity Training Site
Program faculty at the ambulatory clinic must be board certified or eligible in internal medicine. The clinic is currently staffed with four internal medicine board certified faculty. These faculty members supervise program trainees, review key portions of the history and physical, discuss treatment plans and need for follow up. Medical faculty co-signs patient medical records completed by the resident. Faculty evaluates appropriate scope, volume, and variety of patient exposure, and may assign residents to particular patients based on these training needs assessments.
Amitha Aravapally, M.D., Internal Medicine Program Director
Joanna Pease, D.O., HFMH Chief Medical Officer
John Bochenek, D.O., Teaching Faculty
Nagina Aslam, D.O., Teaching Faculty
Katherine Doyle,D.O., Teaching Faculty
Contact for the Clinic
Macomb Internal Medicine Resident Residency Clinic
Medical Office Supervisor
13801 East 15 Mile Road
Sterling Heights, MI 48312
(586) 757-9707 Office
(586) 757-9808 Fax