Program Structure

Primary Care Program Structure


The 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, MICU, CCU, Neurology, Morehead offsite for interns, and Subspecialty Consults. For all other rotations please see the categorical internal medicine program information.

Outpatient Clinical Experience

  • 3 years of continuity clinic

  • 2 months of rural private practice clinic

  • 3 years of individualized subspecialty clinic

    • Internal Medicine based: Addiction Medicine, Allergy & Immunology, Cardiology, Endocrine, Gastroenterology, HIV Primary Care, Hematology-oncology, Infectious Disease, Nephrology, Pulmonology, Rheumatology

    • Non Medicine based: Dermatology, Geriatrics, Gynecology, Obesity Medicine, Neurology, PMR, Urology, 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 Primary Care Program and Categorical Program
PGY2: PC Program clinic time builds to 50%
PGY3: PC Program 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
MICU111
CCU010
ER010
Neurology100
Cardiology100
Night Float100


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

Sample Ambulatory Clinic Block Schedule


Time

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

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
No