GBMC is located in a rich environment of world class academic institutions. Our formal affiliation is with Johns Hopkins School of Medicine, and this affiliation was further expanded several years ago with the new direction of cardiovascular services by Johns Hopkins at GBMC. Our PGY2 residents all rotate through neurology at Johns Hopkins and Cardiology Consults at Johns Hopkins Bayview Medical Center, and many others do research and clinical electives with faculty there. Most of the faculty and specialists have academic appointments as well. Each year, Johns Hopkins medical students rotate through our department for various elective medical rotations. The close proximity of such sophisticated medical resources allows the residents to experience an intimate community setting while gaining competitive skills usually only acquired in a larger institution.
The outpatient continuity clinic experience at GBMC provides a wonderful opportunity to learn chronic disease management and preventive health care. It also gives the residents opportunity to manage acute urgent care type visits as well. Since 2009 the program has introduced a model where the residents spend one week of dedicated time in the outpatient setting every three months without any other clinical duties. There are three residents, one from each year of training, who form a team for that week. They are supervised by a dedicated attending throughout the whole year to ensure continuity of care and better supervision and monitoring of the residents' progress. The residents have the opportunity to see their patients as needed in between their regular scheduled week of block clinic.
In addition to didactic teaching within the group, the residents have access to the internet-based Johns Hopkins Ambulatory Module as part of their learning curriculum.
The residents are also exposed to management and business aspects of primary care practice. Topics on billing, coding, legal issues, finances are taught during the clinic rotation. The residents are also involved in practiced based learning quality improvement projects to promote the quality of care being delivered by all the residents in the outpatient setting.
Comprehensive, fully-staffed, ancillary support services include 24-hour phlebotomy and IV line placement teams, respiratory therapy, EKG and portable x-ray.
Although a majority of our graduates go on to fellowship, we do not lose sight of the fact that they all will eventually have a practice of their own. Therefore, we augment our medicine curriculum with subjects that pertain to the business side of medicine: contract negotiation, quality assurance, coding and efficiency, and administration of a busy practice. After quality assurance techniques are introduced, the residents are encouraged to use them to devise and initiate improvements to the residency and hospital systems. All senior residents participate in a month long independent study dedicated to exploring the various roles that physicians are often asked to assume, the business of medicine, and the hospital quality improvement system.
Resident to Faculty ratio is 4:1. Each resident is paired with a faculty member who serves as an advisor and mentor throughout the program. Advisors meet with their advisees formally twice a year and informally as requested for advice or support. Our core internal medicine faculty are committed to the education of our residents.
While some urban teaching hospitals treat a narrow range of disorders, our residents encounter and learn from patients whose illnesses represent the broad range of disorders seen in the community. Many of these patients present in the outpatient setting. Such broad experience provides the residents with the necessary competence for a successful clinical career, regardless of the practice setting.