Clinical Experiences

Med-Peds Continuity Clinics
We are very proud of our outpatient resident clinic sites, all of which are staffed by Med-Peds-trained faculty. Located close to the hospitals, the local populations represent all walks of life. The community-based clinics offer state-of-the-art facilities. The clinics offer a true balance of adult and pediatric patients.
Over the course of four years, residents develop their own patient panels and many doctor-patient relationships. The resident serves as the primary care physician, and is often able to continue following with familiar patients from the inpatient services.
Our residents attend outpatient clinic one or two half-days per week, depending on the rotation. Med-Peds residents are exposed to a great variety of preventive care, acute sick visits and outpatient procedures. We have a focused Med-Peds ambulatory curriculum taught through clinic conferences.The Med-Peds attendings are experienced, involved and supportive of resident autonomy. They serve as great academic role models for developing physicians.
Ambulatory Experiences
We have developed a Med-Peds ambulatory curriculum consisting of two rotations to complement the ambulatory experiences offered in Internal Medicine and Pediatrics. Through collaboration with sites outside of UMHS, we are able to offer a number of opportunities to work with underserved populations and the community, including experiences with school-based clinics and migrant farm workers. Our curriculum design is flexible such that our residents are able to tailor ambulatory experiences to meet longer-term career goals. Residents on ambulatory rotations are provided with additional learning opportunities through a dedicated ambulatory morning report.
In addition, we have combined elective experiences in Rheumatology, Gastroenterology, Sports Medicine, and Allergy/Immunology. All of our subspecialty electives are balanced between inpatient consults and ambulatory clinics.

International/Individual Experiences
Residents also have the opportunity to develop individual away electives. Residents in our program have spent a month at NASA to learn about aerospace medicine; worked in Alaska and New Mexico for the Indian Health Service; and gained international experiences in Brazil, Bolivia, Haiti, Honduras, Peru and Kenya, just to name a few!
Patient Safety
The University of Michigan is a nationally recognized leader in its efforts to provide outstanding and safe patient care. Given the complexities of our patients and health care environment, we feel it is essential that our residents are involved in the process to provide the highest quality of care. During their training, residents participate in a robust patient safety seminar series that is reinforced through monthly resident-based patient safety and quality improvement conferences. Experience is gained through participation in team-based patient safety improvement projects during the 2nd through 4th years of training -- the results of which are shared with the program and institutional leaders during our Annual Patient Safety Symposium.

