Internal Medicine Residency Primary Care Track

The Primary Care Track combines the strengths of the categorical training program with increased training in ambulatory medicine. This way, residents in the program have a strong foundation in inpatient medicine, subspecialty medicine and general internal medicine. Throughout this track, residents gain exposure to the breadth of primary care.

Track Curriculum

The Primary Care Internal Medicine Residency Track (PC Track) at Wake Forest School of Medicine is committed to training experts in the practice of general internal medicine. It was established as a separate training program in 1986. A unique feature of our Primary Care Track is the Strickland Scholars Program which offers residents the opportunity to be paired with a Strickland Scholar mentor.

Networking

  • Quarterly journal club dinner events at a local restaurant with general medicine faculty and Strickland Scholar mentors
  • Quarterly dinner socials at faculty homes

Scholarship

  • Protected time and funding support to attend the National Society of General Medicine (SGIM) meeting along with General Internal Medicine faculty. The spring 2020 meeting will be in Birmingham, Ala.
  • Mentored clinical vignette poster presentation at Internal Medicine Research Day in the spring of intern year
  • Opportunities to submit/present vignettes or research at regional or national meetings in subsequent years

In addition to the planned curriculum, interns and residents in the Primary Care Track are encouraged to identify individual learning objectives and pursue special topics (e.g., health services research, studying decision analysis or examining health policy questions) during their block rotations.

Rotations

Throughout the program, primary care residents gain exposure to the breadth of primary care combined with the strengths of the categorical program. Upon completion of their training, primary care residents have a strong foundation in inpatient medicine with an added focus on ambulatory rotations.

How does the Primary Care schedule differ from the Categorical Residency?

 

Primary Care

Categorical

Intern Ambulatory Months

4

3-4

Continuity Clinic Site

University Internal Medicine
Country Club and Downtown Health Plaza

OPD (Hospital Clinic) or Downtown Health Plaza

Core Internal Medicine Ambulatory Subspecialty Rotation

2

No

Community-Based Outpatient General Medicine

1

No

Additional Ambulatory Medicine Rotation

2

No

Subspeciality Selective Months

3

5

Primary Care Seminar Series

Yes

No

Primary Care and General Internal Medicine Faculty Joint Conference

Yes

No

Continuity Clinic Model

PC Track residents rotate through two different clinic sites during their training to get a broad exposure to the practice of outpatient general internal medicine. The two clinic sites are the Downtown Health Plaza Clinic (underserved patients) and the University Internal Medicine Clinic (community practice). By caring for patients at both sites, residents experience the breadth of primary care with exposure to a variety of patient populations. Upon completion of training, our residents are prepared to care for patients in any clinical settings.

PC Track residents have a slightly different continuity clinic model than the categorical residents. They rotate through two different clinic sites during their training to get a broad exposure to the practice of outpatient general internal medicine.

Caring for patients at both sites gives them exposure to all patient populations, so when they leave our program they’re prepared to see patients in different clinical settings.

The two clinic sites include:

Intern Year (PGY1):

The PGY1 year follows the same X+Y scheduling as interns in the Categorical Track. Please refer to the X +Y scheduling guide under the Categorical Curriculum. During the Y week, interns in the Primary Care track will have two half-days of continuity clinic at the Downtown Health Plaza—which is an under-served clinic—and one half-day of clinic at the University Internal Medicine at Country Club Road practice. They will participate in the Primary Care conference series detailed below. 

Residency (PGY2 and PGY3):

After getting a strong foundation in the intern year, residents in the PC Track gain additional exposure to ambulatory medicine, with five main ambulatory PC Track requirements to complete. During their non-ward blocks, residents will have a fixed half-day of their continuity practice at Downtown Health Plaza and a fixed half-day at the University Internal Medicine at Country Club Road practice. They will have the same faculty mentor at University Internal Medicine and at Country Club for all three years to strengthen and build the one-to-one mentoring relationship.

Ambulatory Experiences

PC Track residents can choose from a wide variety of ambulatory experiences as they craft a curriculum to meet their educational needs. In the schedule, “PC*” indicates rotation options. Residents complete one community medicine month, two ambulatory consult months in subspecialty core medicine rotations and two additional ambulatory experiences. This complements their inpatient ward rotations and inpatient consult rotations.

Conferences and Didactics

PC Track residents attend the same conferences offered to the categorical residents, but a few conferences have been developed specifically for them.

Monthly Primary Care Track Conference Series

The first Friday of every month at noon, this conference focuses on topics useful for practicing ambulatory medicine. Speakers consist of subspecialty faculty, pharmacists or, occasionally, general internal medicine faculty. Past conference topics have included:

  • Care of ICU Survivors in the Clinic
  • Smoking Cessation Counseling
  • The Dizzy Patient
  • Headache Management

Joint General Internal Medicine/PC Track Conference

Occuring the third Wednesday of every month at 12:15 pm, this is part of the General Internal Medicine Faculty Conference Series. In this conference, PC Track residents co-present with a general internal medicine faculty member on bread-and-butter issues that are typically seen in the clinic. They pick a case and discuss three to four clinical questions, searching the literature for evidence-based practices. It’s a rich discussion among physicians from different practice sites and a great learning opportunity for the residents.

Quarterly Journal Club

Once per quarter, the residents and providers from the University Internal Medicine practice come together to discuss issues that are faced by primary care providers in the community. Topics such as communication skills, job search, agenda setting and personal finance are addressed at this unique conference.