Metropolitan Hospital CenterProgram DescriptionAcademic ProgramMajor RotationsPrimary CareFaculty
Primary Care Commitment
One of our main objectives is to train physicians who truly understand and employ the principles of primary care medicine and who will be able to function as effective primary care practitioners when they leave our program. We believe this type of training will become increasingly essential for all internists in the coming years, especially with recent health care reforms sweeping the country. Annually, a significant percentage of our trainees pursue careers in primary care. We strongly believe that even those who pursue career opportunities in the medical subspecialties and/or research will benefit greatly and acquire important perspectives from the extensive primary care experience that we provide.
To accomplish our goal, all trainees participate in the hospital's Continuity Care Medical Clinic, enabling them to manage their own patient panels over extended periods of time. Clinic assignments are progressively increased during the three-year training period. Trainees are assigned to a Housestaff team, with clinic hours on a particular day each week, all year long. Each team has designated attending physician preceptors, who also get to know the patients well. Furthermore, the team concept allows for "cross-coverage" if a trainee is on vacation or otherwise unavailable. In addition, each trainee has some clinic sessions scheduled during the morning and the late afternoon or early evening. This provides more scheduling flexibility for patients and greater access to their own physician, especially in cases of unanticipated or urgent problems.
All of the clinic preceptors are full-time attending physicians and faculty members in the Department of Medicine and have extensive direct patient care responsibilities (apart from their Housestaff supervision) in a managed care mode of practice. As a result, we believe that they are ideal role models for the house staff trainees. We expect the trainees to learn and follow the principles of the managed care mode of practice for their own patients.
To supplement the continuity care clinic experience; we have a structured curriculum in ambulatory care medicine. Didactic topics are covered periodically in the noontime house staff lectures, in which there is a great deal of emphasis on health maintenance and disease prevention as well as the treatment of active disease processes. We have also developed a curriculum for the psychosocial aspects of patient care. This is intended to assist trainees with their medical interviewing skills, physician-patient communication, and patient counseling/education techniques. In addition, there is a one-month Ambulatory Care Block rotation during both the PGY-2 and PGY-3 years. These rotations include clinic experience in specialties such as Dermatology, Gynecology, Ophthalmology, and Otolaryngology, and are designed to further enhance the trainee's capability to provide comprehensive primary care.
Both Metropolitan Hospital Center and New York Medical College enthusiastically support the Department of Medicine’s primary care endeavors. The New York City Health & Hospitals Corporation and Metropolitan's administrative leadership recognize the importance of this type of program in preparing future physicians to provide primary care for underserved inner city populations.
New York Medical College has an impressive record in primary care education initiatives and has been the recipient of a large, multi-year grant from the Robert Wood Johnson Foundation to develop new initiatives for both students and house staff. The Department of Medicine faculty at Metropolitan Hospital Center is actively involved in several medical student education programs, and we continue to play a key role in many clinical, educational, and research initiatives of the college.