Primary Care/Clinic Week

• Primary Care East is located in OPD, building “B” on the 4th floor in 4p61/81

• For each of the first 4 weeks of the academic year, interns on their +1 block will be expected to attending orientation from 1-1:25PM each weekday afternoon regardless of whether you are scheduled for a different clinic or evidence-based research  

• Clinics are broken up into AM and PM Sessions. Residents are expected to be present at 8AM and 1PM for the start of their clinic session

• AM Huddle starts at 8:10 AM every day for all providers in AM clinic. There is no PM huddle but the Huddle points are always listed on the white board on both sides near the assignments and should be referenced weekly

• Ambulatory Didactics will a part of the Internal Medicine Program didactic series throughout the year prepared by residents using the Yale Ambulatory Medicine Curriculum and overseen by assigned primary care faculty

·         Use the “Admit/Clinic” or “PC Ambulatory” tabs for documenting

• Use Note Type: “Adult Primary Care Outpatient Provider” and Template: “Ambulatory Office Visit Note”

  • Utilize Problem List “Consolidated Problems” for diagnoses addressed in current visit

  • Assign a visit charge to

• Tips/Suggestions:

  • Limit Copying Forward of old/inaccurate information

  • Ensure the accuracy of the problem list in “Consolidated Problems”

  • Utilize the Routine Health Maintenance Dot Phrase. It can be found using the “Auto Text Copy Utility” feature in Orchid and found by searching Bhatia, Jay and typing “..RHM”

·         Clinic notes should be completed by end of day

• Please utilize the bulletin boards in clinic and the “Resident Resources” Team in Microsoft Teams for information on clinic workflows and relevant clinical information

• Please contact the chief residents for any late call-outs

• Utilize the team diagram to find your assigned CMA, LVN, RN and faculty in your “Animal Group”

-          Examination rooms contain otoscope, ophthalmoscope, manual blood pressure cuff, monofilaments, gauze, bandages

-          Patients may bring forms to be filled by their PCP such as DMV Placards, General Relief

-          Preventative health care is an essential service we provide to patients. We provide vaccinations, cervical cancer screening (Pap), Colorectal cancer screening (FIT testing), order Mammograms to be completed among others

-          Procedures – corticosteroid injections (knee, shoulder, carpal tunnel, trigger finger), Cryotherapy

-          POC tests – vaginitis, urine pregnancy test, urine dipstick, glucose, rapid streptococcal antigen

-          In-clinic medication administration – see list of medications available posted on clinic bulletin boards

-          Diabetes – Diabetic Pharmacist, Insulin/Semaglutide teaching nurse visits, DM Nursing Education Sessions

-          Hypertension – Nurse BP visits, nurse directed clinic

-          Health Education – Pre-Diabetes, Diabetes Self-Management, Healthy Eating, Hypertension, High Cholesterol, Weight Management