Ambulatory Curriculum
Internship
The intern ambulatory curriculum is delivered in small group sessions during dedicated ambulatory block rotations. We focus on systems of care and on important common medical problems.
Practice System Topics
- Coding and Documentation
- Quality Improvement
- Practice Resources
- Time Management
- Searching the Literature
Core Ambulatory Topics
- Anticoagulation
- Back Pain
- Chronic Cough and Asthma
- Common Infections
- Diabetes Mellitus
- Headache
- Hypertension
- HIV Primary Care
- Periodic Health Exam
- Breast Care
- Pelvic Exams
- STDs
Junior and Senior Years
The junior and senior ambulatory core curriculum is delivered during ambulatory block rotations in a two year cycle to ensure exposure to core concepts. Dominant curricular themes include prevention, evidence-based medicine, women's health, geriatrics, and practice management. Brief clinical review covers a variety of topics with a particular focus on musculoskeletal medicine. General internal medicine faculty members, BIDMC subspecialists, and senior housestaff serve as seminar leaders, lecturers and discussion facilitators.
Preventative Medicine
Conferences focus upon a critical appraisal of the literature as well as analysis of the utility of screening for specific diseases and preventive treatments. Sample topics include:
- Aspirin Prophylaxis
- Behavioral Modification
- Breast Cancer
- Mellitus
- Cervical Cancer
- Cholesterol
- Colon Cancer
- Diabetes
- Fad Diets
- Genetic Screening
- Hemochromatosis
- Immunizations
- Lung Cancer
- Obesity
- Ovarian Cancer
- Prostate Cancer
- Screening for Diabetes Mellitus
- Smoking Cessation
- Stroke Prevention
Behavioral Medicine
Emphasis is placed on learning methods of behavior modification, risk assessment, and risk modification. In addition, medical conditions and problems that raise attitudinal or difficult feelings for providers are presented and explored.
- Advance Directives
- Care of the Dying Patient
- Chronic Pain Management
- Culturally Competent Care
- Dementia
- Disability
- Domestic Violence
- Eating Disorders
- Fibromyalgia/Reflex Sympathetic Dystrophy
- Identification and Management of Depression
- Identification and Treatment of Anxiety
- Managing Chronic Pain: Therapeutics
- Managing Shame and Humiliation in the Office
- Managing the Alcohol Abusing Patient
- Mind/Body Medicine
- Negotiating Narcotic Contract
- Professionalism
- Rape
- Sexual Dysfunction
- Telephone Medicine
Women's Health
Women's health embraces the spectrum of health-related issues for women, from screening and prevention to management of acute and chronic illness.
- Breast Disease
- Contraception
- Domestic Violence
- Menopause
- Menstrual Irregularities
- Medication in Pregnancy
- Osteoporosis
- PAP Smears
- Preconception Counseling
- Pregnancy and Lactation
- Vaginitis/Vulvitis
Brief Clinical Review
The Brief Clinical Review Series was created to address common clinical issues in an evidence-based fashion. A partial list of topics includes:
- Acne
- Cardiac Rehabilitation
- Cholesterol/Cardiac Diet
- Erectile Dysfunction
- Foot Pain and Ankle Injuries
- Fungal Infections
- Group A Strep Pharyngitis
- Heart Murmurs
- Hyperthyroidism
- Irritable Bowel Syndrome
- Knee Pain
- PPD Management
- Skin Neoplasms
- Shoulder Pain
- Thyroid Nodules
- Urinary Tract Infections
- Weight Loss and the Diabetic Diet
- Wound Care
- Wrist and Elbow Pain
Journal Club
The HCA Journal Club Curriculum promotes evidence-based medicine and critical literature review in the resident's practice. The objective of the program is to study how clinical questions (such as diagnosis, prognosis, and treatment) are answered by solid scientific research involving populations or groups of patients. Participants learn to assess the validity of published evidence by understanding basic clinical research strategies, such as study design and statistical measurement, as well as gaining critical literature appraisal skills.
- Case-Control, Odds Ration, Bias
- Confounding, Stratified Analysis
- Critique of Contemporary Literature
- Decision Analysis
- Diagnostic Tests
- Meta-Analysis
- Multivariable Analysis
- P Value, Cohort, Relative Risk
- Randomize Control Trials, Power, Sample Size
- Survival Analysis
