Ambulatory Medicine
Educational Goals & Overview
The Ambulatory Medicine rotation trains physicians to provide comprehensive care in the outpatient setting, with particular emphasis on providing Primary Care for a panel of continuity patients, with the ultimate goal of acquiring proficiency to independently practice outpatient general internal medicine. Residents are expected to develop clinical skills to diagnose and treat general medical diseases, including common acute medical problems and common chronic diseases, and manage patient populations through the Patient Centered Medical Home (PCMH).
Residents provide Primary Care to their continuity panel at two sites: Clinic A at Olive View-UCLA Medical Center and the Adult Primary Care Clinic at Mid-Valley Comprehensive Health Center. Clinical experience is supplemented by the didactic series across the three-year residency for categorical residents. The Ambulatory Medicine week also includes outpatient subspecialty clinics, which will allow residents to expand knowledge into the medical subspecialties and understand appropriate referral to medical subspecialties.
The Ambulatory Medicine curriculum is a longitudinal, progressive educational program across the three-year residency. A portion of the curriculum is delivered during the +1 Week, across a 5-week cycle. During intern year, the Profession of Medicine (POM) series, Wellness & Resiliency, and Quality Improvement (PI) Project are integrated with the Ambulatory Medicine curriculum.
Olive View Primary Care Clinic
Supervision is provided by faculty in the division of General Internal Medicine at Olive View. For PGY-2/3’s and categorical PGY-1’s, 100% of primary care continuity will be provided in this clinic. For preliminary PGY-1’s, about 60% of primary care continuity will be provided in Clinic A.
Goals & Objectives
Orientation
Review the orientation materials on MS Teams:
Primary Care Resources on MS Teams
Adult Primary Care Resources > Files > Clinic O2 Primary Care Resources
Before You Start
- Look at your patient schedule ahead of time: Do this in ORCHID by adding your clinic resource (Last name, First name) and then searching for the date of your clinic.
- Pre-chart (“scrub the chart”): Review the last primary care note, including your follow-up plan, along with any interval events and new labs/study results. You can begin to pre-chart your note in ORCHID by using the Provider View > Clinic tab and updating the Consolidated Problem List and writing your preliminary findings in the Assessment & Plan section.
- For phone visits, the telehealth workstation is located in 2B172. The door code is located in your Welcome to Ambulatory Block emails but you can also reach out to the chiefs for the door code.
MS Teams Channel for Tele-Preceptorship
For telework for video clinic sessions, be ready to connect to your preceptor using MS Teams. Use the OV IM Preceptorship team > Primary Care @OV channel.
When You Start
- For the door code to the exam area, ask the Chief Residents. Please keep this code secure!
- Huddle and cuddle with your clinic team: Identify patient needs including vaccination and routine screening ahead of time to get orders and referrals going.
- Identify your exam room, workstation, and medical assistant assignment on the board to the back-right of clinic.
Important Information
Mid-Valley Adult Primary Care Clinic
Supervision is provided by faculty boarded in Internal medicine at Mid-Valley Comprehensive Health Care Center. For PGY-2/3’s and categorical PGY-1’s assigned to Mid-Valley, 100% of primary care continuity will be provided in this clinic. For preliminary PGY-1’s, about 40% of primary care continuity will be provided at Mid-Valley.
Goals & Objectives
Orientation
Review the orientation materials on MS Teams:
Adult Primary Care Resources on MS Teams
Adult Primary Care Resources > Files > Mid-Valley Primary Care Resources
Before You Start
ORCHID Clinic Resources:
- Resident Last name, First name
(use for primary care at both Olive View and Mid-Valley)
MS Teams Channel for Tele-Preceptorship
For telework for video clinic sessions, be ready to connect to your preceptor using MS Teams. Use the OV IM Preceptorship team > Primary Care @MV channel.
Important Information
Mid-Valley Clinic POD FIRM Message Workflow Proxy 2021-2022
Mid-Valley Resources
Directions, Parking & Entrance:
- Mid-Valley Comprehensive Health Center
7515 Van Nuys Blvd
Van Nuys, CA 91405 - Directions from OVMC:
(approximate travel time 20 minutes without traffic)
Google Directions
- Take the Roxford St entrance to the 210 North toward Sacramento.
- Stay right to merge onto the 5 South toward Los Angeles.
- Stay middle-right to merge onto the 405 South toward Santa Monica, and continue about 6 miles.
- Take the Sherman Way/Reseda exit.
- At the freeway exit, turn right onto Haskell Ave.
- Turn right onto Saticoy St and continue 1.5 miles.
- Turn right onto Van Nuys Blvd. Mid-Valley CHC is immediately on the right.
- Turn right into the driveway and parking structure, where you can park.
- Employee Entrance
- Wear your Olive View ID badge through the main entrance.
- Take the employee stairwell to the 2nd Floor.
Pre-operative Medicine Clinic
Pre-operative Medicine Clinic provides general medicine services for patients seeking elective surgery. Providers evaluate peri-operative risk and manage chronic medical problems for these patients.
When You Start
ORCHID Clinic Resources:
- OVM Med Pre Op
For Rotators
Women’s Health Clinic
Women’s Health Clinic is held in Clinic A on Thursday afternoons, and focuses on Women’s Health issues, including cervical cancer screening and bone health.
When You Start
ORCHID Clinic Resources
- OVM Womens Health MD
Bridge Clinic
Bridge Clinic is designed for patients with opioid use disorder, offering them a chance to follow-up with a provider to prescribe medication-assisted therapy in order to manage opioid dependence.
Residents will be assigned to Bridge Clinic during the Urgent Care rotation. The clinic is currently located in the Urgent Care Clinic and held on Tuesday and Friday mornings. Residents are supervised by faculty trained in opioid use disorder and licensed with the X-waiver for prescriptions (e.g. of buprenorphine).
Primary Care Elective
Advisor: Dr. Gezman Abdullahi
Women’s Health Elective
You can expand your clinical training in Women’s Health with additional experience in women’s health and gynecology clinics. If you are interested in this elective, please contact the chief residents or Dr. Suthar to arrange your elective rotation.
Procedure Service Elective
The Procedure Service is available for bedside procedures for inpatients and scheduled outpatient appointments during weekday business hours. Residents on the rotation are expected to reach the level of competency for procedures, including understanding the indications and demonstrating proper technique, under the supervision of a proceduralist attending.
Common bedside procedures:
- Paracentesis
- Lumbar Puncture
- Thoracentesis
- Skin biopsy
- Central venous catheter insertion
- Dialysis/Leukapheresis catheter insertion
- Ultrasound-guided peripheral IV insertion
- Midline peripheral IV insertion
To request a procedure during business hours, page the Procedure Service pager through amion.com.
To request an elective rotation on this service, contact Dr. Vincent Chan to confirm availability and submit an Elective Request form.
Goals & Objectives
Procedure Service Elective Curriculum
Director: Vincent Chan, M.D.
When You Start
- Add yourself to this Care Team in ORCHID:
- Medicine | OVMC Procedure Service