University of Wisconsin
School of Medicine and Public Health

Continuity Clinic Experience and Curriculum

Drs Quinn and Anderson-WhitePrimary care residents obtain intensive training in ambulatory general internal medicine with an emphasis on preventive care and the management of acute and chronic illness. All primary care track residents conduct their continuity clinic at University Station, which is within walking distance of the UW hospital. University Station features a team of carefully selected practicing physicians, who have been recognized as outstanding clinical teachers. Residents have their own panel of patients in collaboration with an attending physician with whom they work for all 3 years of their residency. The attending works with a group of three to four residents in a half day session and is available to residents on days they are not in clinic. Residents spend one half-day per week in clinic during their first year. During their second and third year, residents spend an additional half day per week at their general medicine clinic. This ensures long term relationships with their patients and enables the residents to see sick patients back during that same week.

Resident clinics include a comprehensive, on-line, case-based, and well-referenced curriculum that begins each week with a case presentation on a specific topic designed to strengthen residents' competencies in medical knowledge and medical decision-making in outpatient care. Residents in the primary care track participate in all aspects of the categorical curriculum.

Residents practice within an interdisciplinary health care team that includes staff physicians, two psychologists, a social worker, residents, nurse practitioners, pharmacists, medical assistants, students, and support staff. They also work on performance improvement teams to attain skills and develop the knowledge and technical skills necessary to provide their patients with comprehensive and compassionate care. Primary care residents strengthen their understanding of managed care, shared medical decision-making, and cost-effective care as they seek to address performance obstacles in their quality of work life and master the intricacies of a complex health care system.

Particular areas of curricular emphasis and experience include: