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Ambulatory Care Service

Dr. Rachel Ramirez

Rachel Ramirez, MD
Director, Ambulatory
Medicine

General internal medicine training is not complete without robust instruction in outpatient medicine. The ambulatory clinic, called Hartnett Health Services (HHS), is a multidisciplinary outpatient clinic. Abington-Jefferson’s schedule is in the “X +Y” format, consisting of 2 weeks of ambulatory medicine and 6 weeks of inpatient or other rotations. The benefits of this shift from the traditional “half-day” clinic experience are two-fold.

Doctors

First, the residents are fully immersed in the ambulatory setting for two full weeks. During these two weeks, residents will work closely with nurses, staff and preceptors to care for their patients in the ambulatory setting. The immersion enables the residents to fully grasp the importance and learning opportunities that outpatient medicine offers. Faculty members are able to spend more time observing and teaching the residents as well. Resident hours are less strenuous and they have more weekends off. Second, while they are on inpatient rotations, they do not have to balance the demands of a busy inpatient service with their clinic patients’ needs.

Residents

The schedule affords more time dedicated to education with formal modules and team-based learning. We have a robust online curriculum comprised of material from the “NEJM Resident 360” platform, Johns Hopkins Ambulatory Medicine Modules, and “NEJM Interactive Cases”. The curriculum is delivered during our weekly academic half-day sessions. 

Nurse Practitioners

ASU Nurse Practitioners

The HHS clinic rotation is a favored rotation for multiple reasons. The first reason is that the residents are assigned to a team upon arrival at Abington in intern year. They remain a part of that team for the rest of their time in residency. That team quickly becomes their “family” within the larger residency “family”.

Doctors

The teams frequently go out for meals, play sports, and gather for other social events. They form very close relationships with each other that are long lasting. Second, the individual teams are further divided into “pods” for patient continuity purposes. The pod system allows for close follow up with their own panel of patients and streamlines care as the residents rotate in and out of HHS clinic. There is always a pod member in clinic and this also allows work to be evenly distributed. 

ASU Clinical Staff

The Clinic Staff of Hartnett Health Services

To Apply

Electronic Residency Application Service (ERAS)

Margot I. Boigon, M.D., Program Director

Johnna Stieber, Residency Program Coordinator