Outpatient Rotations

Internal medicine outpatient rotations

GME Scripps Clinic Outpatient Rotation 600×375

Internal medicine outpatient rotations

Half of the Scripps Clinic residency experience takes place in the outpatient setting, which is where most general and subspecialty internists practice medicine once they’ve completed their training.

A majority of the subspecialty rotations also take place in the outpatient setting, which isn’t typical of most other academic medical center residency programs.

The outpatient rotation includes:

  • A continuity clinic experience in a variety of clinical settings, which allows residents to hone their primary care skills while providing ongoing care to a diverse patient population.
  • Taking turns staffing indigent primary care clinics at St. Leo’s Mission and St. Vincent de Paul Homeless Shelter with the the help and support of faculty.
  • Assignments on largely or exclusively outpatient-based units, including allergy, endocrinology, pulmonology, endocrinology, gastroenterology, oncology, neurology, rheumatology and other subspecialties. This helps balance out residents’ large volume of inpatient experiences on the general wards and unit based assignments.
  • Blended rotations that offer a near even mix of inpatient and outpatient responsibility. These units include nephrology, infectious diseases and cardiology, which help ensure residents become skilled at diagnosing and managing disease from initial presentation to chronic states, and through the most severe manifestations.
  • A unique opportunity to participate in a month-long, intensive Ambulatory Medicine Block Assignment. View the complete list of ambulatory medicine block assignments further below.

View a complete list of one-month outpatient rotations (PDF, 210 KB).

Ambulatory medicine block assignments

During ambulatory medicine block rotations, residents spend half of their time within their continuity clinic to build their practice and the other half working in a variety of outpatient subspecialty clinics. Residents are partnered with an attending staff member in non-internal medicine domains to develop clinical skills not often developed by most internists, such as:

  • Becoming skilled at skin biopsy with an attending dermatologist
  • Learning how to do a facile joint exam and injection with a sports medicine attending
  • Learning how to direct non-surgical treatment of back pain with a spine surgery attending
  • Becoming proficient in endometrial biopsy with an attending gynecologist
  • Becoming skilled at managing a wide range of immunosupressants and their complications and interactions with guidance from the transplant team

View a complete list of ambulatory medicine rotations (PDF, 210 KB).