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Curriculum

Schedule and Ambulatory Rotations

Our residency program is structured on a “3+2” schedule. With rare exceptions, residents have 3 weeks of a required service (Wards, ICU, Night Float) or elective rotation, followed by 2 weeks in the ambulatory setting.

Curriculum Page Ambulatory.jpg

Between ambulatory clinic weeks and required ambulatory rotations, our Primary Care residents will spend between 50-60% of their total training time in ambulatory settings.

Sample Schedule:Curriculum Graph 1.JPG

*Elective/Core: includes required core ambulatory rotations, electives, backup, and Jeopardy. Residents have 4 weeks of vacation each year.

Required/Core Rotations: Geriatrics, Veteran Health, Medical Education, Behavioral Health, Musculoskeletal Health, Women’s Health, Neurology, Palliative Care.

Electives: In addition to subspecialty internal medicine electives offered through the categorical program, electives include Ophthalmology, Travel Clinic, Endocrinology/Diabetes, Dermatology, HIV, Preoperative Medicine, ENT, and Addiction Medicine.

Clinics

  CurriculmPage Clinic.jpg         Curriculum Page clinic.jpg

Benedict Adult Primary Care

Located on our University Campus site, the Benedict Clinic is our flagship academic ambulatory clinic and serves as the primary training site for our primary care residents. The clinic serves over 18,000 patients and provides nearly 45,000 visits annually, and serves a socioeconomically, racially, culturally and linguistically diverse group of patients. We offer consultative psychiatric services, health psychology, and consultative dermatology immediately onsite. Our co-location with the hospital also provides access to urgent imaging and full laboratory services.

We are completing a transition to a fully-integrated team-based model of care that directly links our physicians to Medical Office Assistants (MOAs), nurses, administrative assistants, and advanced practitioners. Our residents will also be integrated into this model and will have 1:1 support from a MOA during their continuity clinics.

All primary care residents, as well as about a third of our categorical residents, train at this site. Residents are paired with a primary faculty preceptor with whom they develop a longitudinal teaching and mentoring relationship, but additionally precept with primary care core faculty and other experienced clinician-educators.

Second Sites

Primary care residents will have the opportunity to have longitudinal clinical experience at a second site. Second site clinics will be in a variety of settings, offering residents the chance to experience different primary care settings. Second sites may include, but are not limited to, private practice sites, Tri-River Family Health Center, UMass HIV clinic, and VA Central Western Massachusetts (Worcester location).

A sample schedule for the 2 weeks of ambulatory time is below. Starred clinic sessions indicate sessions in which the resident works with their primary faculty preceptor. “Green Blocks” are typically used for Independent Learning assignments and completion of clinic documentation/results review.

Curriculum Graph 2.JPG

Inpatient

We are strongly linked with the categorical Internal Medicine Residency Program which has provided rigorous training in clinical excellence to our residents for over 45 years. Residents in our program train at multiple sites. Our University Campus site is an academic tertiary care center with inpatient ward teams in general and subspecialty care, two medical intensive care units (MICU), a coronary care unit (CCU), cardiac stepdown unit, and a high-volume emergency department. Residents also train at the nearby Memorial Campus and Milford Regional Medical Center for community hospital experience. In all these rotations, residents work closely with faculty, allied health professionals, and medical students. While well prepared for a career with a primary care focus, our residents are also fully equipped to care for patients across the spectrum of illness.