Outpatient Practice

The ambulatory clinic experience based at Providence Medical Group- Northeast plays a central role in the resident’s educational and clinical experience. The clinic is a combined faculty and resident practice. Both the faculty and the residents have their own individual patient panels for which they have primary responsibility. It is certified as a tier 3 patient centered medical home. As the original start of the clinic was as a mission clinic for the Providence system, it has a patient population that is a fascinating mix of diverse ethnic and social backgrounds. Here are some highlights:

  • As a patient-centered medical home, we embrace the multi-disciplinary team. Our resources include a behaviorist, clinical pharmacist, social worker, health resiliency specialist, and clinic nurse.
  • In working on a team, the residents learn how to work with other members of the team such as the medical assistants and clinical care coordinators. The residents have enjoyed working closely with their clinic staff and have felt that it has trained them well for the future in how to optimize their relationship with their support staff to best care for patients.
  • We strive to provide continuity and quality care with the team approach. Team members learn to cover for each other as a group practice. This allows learning on cross-cover skills and interpersonal communication.
  • Some residents opt to do a “shared practice” or “collaborative continuity” experience with a faculty member. In this model, residents see their faculty’s patients and are provided with one-on-one mentoring. This has been a valuable and popular experience for the residents. Residents feel that this balances well with their own continuity experience.
  • The clinic block rotation provided residents with a chance to become an outpatient-focused physician. All residents experience this rotation in both the first year and second year. Residents benefit from concentrating on the outpatient experience without the pressure of having to go back to the hospital and really learn how an outpatient practice runs. This rotation often improves residents’ outpatient efficiency as they learn more about the inner-working of the clinic.
  • Disease registries have been incorporated into the electronic medical record. There is a disease management support team that helps with reminders and calls to patients when they are due for an evidence-based service.
  • All interns experience the Introduction to Outpatient Medicine and Patient-Centered Medical Home rotation at the beginning of internship. It is essentially an outpatient boot camp and allows the interns to learn about the outpatient setting more rapidly and at the beginning so that they have a more optimal continuity clinic experience.