Browse by Medical Category
Through an innovative theme-based curriculum and two unique outpatient experiences, the Internal Medicine Residency Program delivers clinically robust training in ambulatory care and community medicine.
The Internal Medicine Residency Program at Massachusetts General Hospital is committed to growing residents’ skills and knowledge across the continuum of care. Our curriculum, along with the ambulatory clinical rotations, has adapted to reflect an evolving outpatient care delivery model—becoming more team-based, demanding a broader skill set of providers, and increasingly community-focused.
“Taking care of patients at MGH Chelsea HealthCare Center helps me understand how much of our health is determined outside the hospital. I see mostly Spanish-speaking immigrant patients and have learned from their struggles with health literacy, food insecurity, and legal barriers. I love empowering them to engage in their care and take control of their chronic diseases over time.”
- Rashmi Jasrasaria, MD, Primary Care resident
During morning ambulatory didactics and the ambulatory half-day sessions, nearly all content is delivered via cases with team problem-solving, peer teaching and simulation making up the majority of sessions. View sample schedules of the ambulatory curriculum.
With the help of a team of professionals that includes patient care coordinators, nurses, nurse practitioners and population health managers, residents manage a panel of approximately 70 patients that grows as residents link patients seen on the wards into their panel. Residents work with a dedicated faculty preceptor at their Continuity Clinic for the duration of their residency.
Almost all resident clinics are scheduled during non-inpatient rotations spread throughout the year. To ensure continuity, no primary care resident is away from their clinic for greater than three weeks. Ambulatory time is divided into either Ambulatory Care Rotations (ACRs) or Ambulatory Subspecialty Electives (ASEs).
Ambulatory Care Rotations
Ambulatory Subspecialty Electives
The academic year is divided into six learning blocks, each with a different theme. Residents rotate through every theme over the course of the year, and new themes are in development for the 2018-2019 academic year.
The complexity of residents’ continuity panels demand in-depth, skills-based sessions. For example, in the Substance Use Disorders and Psychiatry Block, all residents receive training to prescribe Suboxone. The Ambulatory Subspecialty Electives (ASEs) provide residents with exposure to unique clinical experiences and one-on-one teaching with subspecialty faculty.
Current Ambulatory Subspecialty Electives (ASEs)
Many residents have their continuity clinic at one of the Mass General continuity practice sites. The Mass General community health centers have strong ties with their local communities and provide residents with opportunities for community-based participatory research and advocacy.
In addition, an advocacy curriculum is being piloted in the 2017-2018 academic year in partnership with the Mass General Department of Medicine Community Council and the resident-led Social Justice Interest Group. Other collaborations include residents teaching and co-precepting at the student-run Crimson Care Collaborative Clinics and residents performing evaluations and developing affidavits through the Asylum Clinic in the Mass General Division of Infectious Diseases
Back to Top