Program Structure

Primary Care Program Structure

UK's primary care residency program and the traditional categorical internal medicine program are fully integrated and as such, many rotations are common to both. These include UK wards, VA wards, Good Samaritan Hospital, medical intensive care unit, coronary care unit, neurology, Morehead offsite for interns, and subspecialty consults. For all other rotations please see the categorical internal medicine program information.

Outpatient Clinical Experience

  • Three years of continuity clinic

  • Two months of rural private practice clinic

  • Three years of individualized subspecialty clinic

    • Internal medicine-based: addiction medicine, allergy and immunology, cardiology, endocrine, gastroenterology, HIV primary care, hematology-oncology, infectious disease, nephrology, pulmonology, and rheumatology

    • Non-medicine-based: dermatology, geriatrics, gynecology, obesity medicine, neurology, physical medicine and rehabilitation, urology, and sports medicine

  • Acute care call-in clinic

  • Resident/uninsured student clinic

  • Longitudinal quality improvement project

Ambulatory Educational Curriculum

  • All ambulatory curriculum is in addition to the education curriculum provided to all categorical residents. This additional curriculum includes:

    • Monthly case conferences

    • High-yield clinical topics, business of medicine, board review, and difficult conversations (e.g. drug contracts, sexual harassment, firing patients)

    • Annual ambulatory care workshops given by our subspecialty colleagues.

    • Monthly primary care grand rounds

Inpatient vs Outpatient Months

PGY1: Same schedule for both programs
PGY2: Clinic time builds to 50%
PGY3: Clinic time builds to 75%
Net result over three years: 50/50 inpatient/outpatient

Sample Master Schedule

PGY 1*

PGY 2**

PGY 3**

UK Ambulatory Clinic457
Off-Site Ambulatory Clinic011
UK Wards211
VA Wards111
Morehead Wards100
Good Samaritan Wards011
Night Float100

Number of months on each rotation
*PGY 1 – 3 vacation weeks
**PGY 2/3 – 4 vacation weeks

Sample Ambulatory Clinic Block Schedule









7:30 – 8:00Morning ReportMorning ReportMorning ReportOffOff
8:15 – 12:00Continuity ClinicSpecialty ClinicContinuity ClinicSpecialty ClinicTask TimeOffOff
12:00 – 1:00Noon ConferenceNoon ConferenceNoon ConferenceNoon ConferenceGrand RoundsOffOff
1:00 – 5:00Specialty ClinicTask TimePrimary Care Weekly ConferenceContinuity ClinicContinuity ClinicOffOff