HMC Clinic Block Overview

Welcome to Clinic Block! This letter is intended to serve as your orientation, describing some of the conferences and responsibilities during this rotation. Clinic block is a mixture of continuity clinic and subspecialty and primary care clinics throughout the UW system and the community. In addition, there are many teaching conferences. Your clinic block experience is an opportunity within our residency program to gain exposure to the diverse aspects of outpatient medicine. As we are all aware, a wider swath of medicine—from initial diagnosis to ongoing management—is shifting from the inpatient to the outpatient setting. In fact, inpatient medicine comprises only a small fraction of what the practicing internist does in the "real world." More and more, the outpatient setting assumes the burden of caring for a broader spectrum and higher acuity of illness. We feel confident that you will find your weeks of outpatient medicine and the continuity clinic experience to be a valuable and enjoyable part of your residency training.

Your clinic block schedule can be found on www.amion.com. Descriptions of the clinics can be found on the residency website. Feel free to contact your ambulatory chief residents or the contact person listed below at your continuity clinic if you have questions:

HMC: Jill Watanabe, MD (watanabe@uw.edu 744-6813) & Kris Bakke (kbakke@uw.edu)

PMC: Chris Smith, MD (505-1108) & Tina Martinez (tinam@pacmed.org)

Roosevelt: Deb Greenberg, MD (debbiegr@uw.edu 598-8750)

VAMC: Lea Liviakis, MD (lliviaki@uw.edu) & Veronica Falter (764-2960)

International Clinic: Genji Terasaki, MD (terasaki@uw.edu) & Anita Leake (aleake@uw.edu)

Pioneer Square: Nancy Sugg, MD (sugg@uw.edu) & Catherine Vetter (cvetter@uw.edu)

Belltown: Michelle Despreaux, MD (520-5558) & Linda Wegsteen (520-1550)

To augment the clinic experiences, an ambulatory curriculum has been developed which consists of conferences of various formats and topics as discussed below. These conferences are a mandatory part of the clinic block rotations. The conferences have been organized by the chief residents and the directors of the primary care program for your benefit. Your participation and your feedback are critical to the success of the teaching program. Residents are expected to attend all conferences and to contribute, and to present topics or lead discussions at certain conferences. If there are particular subjects that interest you or faculty from whom you would like to learn, please let your Chiefs know. Following is the list of curricular activities during this block:

  1. Ambulatory Report: Tuesday, 8:30 - 9:30, HMC, Maleng Building 118
    On-the-fly presentations of ambulatory medicine cases by R1s on their 6 week Clinic Block. R2s and R3s are welcome to attend if available.
  2. Evidence Based Medicine Seminar: Tuesday, 9:30 – 11:50, HMC, Maleng Building 118 except the first session of Clinic Block (this will be in the computer lab on the 3rd floor of the Pat Steele Building on Broadway: easiest is to walk over as a group after Ambulatory Report).
    These are designed to be intensive teaching sessions directed toward interns to address in-depth information and skills needed for continued professional development and self-education. R1s on clinic block attend. Each R1 will give two brief journal article presentations during this 6 week seminar. An EBM course website is currently being developed.
  3. Physicians, Patients, and Society: Wednesday, 9:00 - 10:30, Roosevelt Clinic, 4225 Roosevelt Way OR fieldtrips to SNFs, homeless shelters, etc. When at Roosevelt, park in the garage and the chief resident will validate your parking. The conference room is located on the 4th floor of the R1 Building (southern of the 2 Roosevelt buildings). Exit the elevator on the 4th floor, turn right towards Dermatology, and after the first corner enter through the door on your left, then take an immediate left and continue through the (second) door. The conference room is just ahead on the right. If you get lost, ask at the Pain or Dermatology clinics!
    PPS is a mixture of fieldtrips and roundtable forums led by invited speakers to discuss a wide variety of important, but often ignored, aspects of medicine. For more details, see the general syllabus. You will receive weekly emails regarding session locations.
  4. Chart Review: Wednesday, after Physicians, Patients, and Society HMC, 11:00-12:00, Rotating locations.
    UWMC Roosevelt, 11:00-12:00, 3rd Floor GIM Conf Room
    PacMed, 11:00-12:00, 3rd Floor Conf Room 1101 Madison
    VAMC, 11:00-12:00, Rotating locations.
    Belltown residents go with Roosevelt residents.
    An attending and/or chief resident reviews the residents' outpatient charts in an informal setting and offers concrete suggestions regarding charting and medical management in the context of individual patients.
  5. Grand Rounds: Thursday, 8:00 - 9:00, UWMC, T-625
    The list of upcoming topics and speakers is found here: http://depts.washington.edu/medweb/conferences/index.html
  6. Primary Care Conference: Thursday, 9:10 - 10, UWMC, RR-110
    Prepared and led by R2s, this is a case-based group discussion focusing on the clinical management of general medicine issues.
  7. Resident Teaching Conference: Thursday, 10:00 - 11:00, UWMC, RR-110 This conference prepares residents for the internal medicine board examinations, as well as provides information applicable to the clinic and the wards. Lectures are given by attendings in various fields. The conference is telecast to all UWMC sites (Seattle VA, Boise VA, HMC).
  8. General Medicine Conference: Thursday, 11:30 - 12:30, UWMC, RR-110 These are one-hour sessions covering topics related to the clinical practice of outpatient internal medicine presented by faculty members. Lunch is provided.

Occasionally, residents will be assigned a half day of “Admin” during Clinic Block. This time is scheduled to allow residents the opportunity to catch up on clinical responsibilities and to use for self-directed learning.

Clinic and conference responsibilities are considered equal in importance to inpatient responsibilities. If an unexpected emergency arises and you are unable to attend a scheduled clinic or conference, please contact the Ambulatory Program Manager, Chief Resident, or Clinic Coordinator at your continuity clinic. Missing a clinic without first contacting the appropriate individuals is considered failure to show for work, and could result in disciplinary action. In addition, we expect that during weekday working hours (generally 8 a.m. to 5 p.m.), you will leave your pager on, in case your clinic or the residency office needs to reach you.

Again, welcome to clinic block. We hope that you find the experience worthwhile and stimulating. We look forward to working with you!

_____________

Tyra Thorstad, MD
Ambulatory Chief Resident, University of Washington
UW/Roosevelt General Internal Medicine Clinic

Pager: 416-5149
Email: tyrat@uw.edu
Kathleen Volkman, MD
Chief Medical Resident, Ambulatory Services
Harborview Medical Center

Pager: 416-5097
Email: kmckeeg@uw.edu

Additional Clinic Block Information for Residents with Continuity Clinic at: