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Ambulatory Electives

Overview

An extensive array of outpatient electives is available during medical residency training to meet individual educational needs and career interests.  Categorical and HIV Primary Care Track residents have electives during practice weeks, while Primary Care Track residents have most of their electives incorporated into the ambulatory long block.  Geriatrics, neurology, and quality improvement (QI) are mandatory for all medical residents.  Dermatology, endocrinology, and musculoskeletal medicine electives are mandatory for Primary Care Track residents and encouraged for all others.  In addition to the opportunities listed below, mixed electives (outpatient and inpatient) are available in all of the medical subspecialties.

Mandatory for All Medical Residents 

Geriatrics

At the Hebrew Rehabilitation Center for the Aged, local area nursing homes, elder housing, and with BI Extended Care, a well-established practice integrating geriatric and primary care.

Neurology

Sessions in outpatient and inpatient neurology, focusing on general neurology, behavioral neurology, sleep medicine, and HIV neurology.

Quality Improvement

The Stoneman Center elective introduces residents to key concepts in quality improvement (QI) and allows them the opportunity to participate in an ongoing QI project within the hospital firms or clinics.

Mandatory for Primary Care Track and HIV Primary Care Track Residents

Dermatology

General dermatology sessions at BIDMC.

Endocrinology 

Includes outpatient general endocrinology and diabetes mellitus session at BIDMC and at Joslin Diabetes Center, along with time on inpatient endocrine consult service.

Musculoskeletal Medicine 

Includes orthopedics, rheumatology, and physical and occupational therapy.

Examples of Other Ambulatory Electives

Adolescent Medicine

At Children's Hospital adolescent medicine practice; available for residents who are strongly considering a career in adolescent medicine.

Allergy and ENT

At BIDMC and Massachusetts Eye & Ear Infirmary; common ENT and allergy issues.

Behavioral Health and Addiction Medicine

At Dimock Community Health Center; general counseling services, addictions, and eating disorders.

College Health

Sessions at local colleges in the Boston area; women's health, preventive medicine, musculoskeletal medicine, and patient education.

Complementary and Alternative Medicine

At Marino Center in Wellesley; includes acupuncture, massage therapy, and the use of herbal medicines

Healthcare for the Homeless Program

Experiences in shelters, outpatient clinics, a women's homeless program, and respite care.

Infectious Diseases

At BIDMC; includes HIV, general outpatient ID, and travel medicine.

Occupational Medicine

At Cambridge Health Alliance; includes occupational illness, disability, and toxicology.

Ophthalmology

At BIDMC, Massachusetts Eye & Ear Infirmary, and Joslin Diabetes Center; includes common ocular problems and ocular manifestations of systemic diseases.

Planned Parenthood

In-depth exposure to contraception and women's health.

Primary Care Reform Elective

Designed to introduce residents to core concepts in the patient-centered medical home and other new primary care delivery models.  They visit sites that are highly innovative and meet with thought leaders both within and outside of the institution.  With these experiences, they develop a project that will improve care delivery in HCA or another local health care site.  Strongly encouraged for Primary Care Track residents.

Private Practice

Sample a variety of practices around the area to see different styles of practice and care delivery systems.

Public Health

At Boston Medical Center tuberculosis clinic; includes experience in infectious disease clinics and independent project work under the guidance of elective director.

Renal

At BIDMC and Joslin Diabetes Center seeing patients with a variety of chronic renal problems.

Senior Teacher

Teaching of interns and medical students in didactic sessions with feedback; also includes opportunity to do apprentice outpatient precepting.

Urology

At BIDMC; includes general urology, incontinence, and sexual dysfunction.

Women's Health

At BIDMC; includes sessions in HCA women's health practice, gynecology, and breast clinic.

Contact Information

Residency Training Program
Internal Medicine
Beth Israel Deaconess Medical Center
West Campus, Deaconess Building, Suite 306
One Deaconess Road
Boston, MA 02215
617-632-8273
617-632-8261
primarycare@bidmc.harvard.edu