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Primary Care and Ambulatory Subspecialty Training Program Curriculum

  • Purpose: To equip residents with the experiences and skills needed to practice medicine in the ambulatory setting, with a focus on office-based general internal medicine and subspecialty training.
  • Oversight: An advisory board consisting of program leaders, chief residents and representation from current residents. The group will approve selection of residents into the primary care track and oversee progress semi-annually.


  • Residents will matriculate into the primary care curriculum after completion of their first year of residency training as an intern, through a selection process overseen by the advisory board. Selection criteria will include satisfactory academic performance during internship, as well as dedication to a career in primary care or ambulatory-based subspecialty training (endocrine, rheumatology, allergy). Each year, current residents will need to re-apply for continued entry into the program


  1. Continuity clinics
    1. Priority will be given to ambulatory track residents’ preferences for selection of their continuity clinic site. Community based sites will be strongly encouraged.
  2. Curriculum percentage
    1. The staffing needs of the program will take preference over scheduled PCAST months. Depending on residency needs, a PCAST resident’s schedule may be adjusted during the academic year.
    2. Entry as a PGY-2
      • 60% inpatient (7-8 blocks); 40% outpatient (5-6 blocks)
    3. Entry as a PGY-3
      • 50% inpatient (6-7 blocks); 50% outpatient (6-7 blocks)
  3. Required curricular elements regardless of entry year
    1. Community Ambulatory
      • KC Free or
      • Sunflower Medical Group or
      • Private Practice Internal Medicine Group (WWIM, KCIM, etc) or
      • Swope Health Services
    2. Sports Medicine
  4. Elective curricular elements
    1. All elective time gets transitioned to PCAST time
    2. Choices for PCAST electives:
      • Dermatology
      • Allergy
      • Endocrinology
      • Rheumatology
      • Advanced Sports Medicine
      • Women’s Health
      • Integrative Medicine
      • Community Ambulatory (second rotation)
      • Research Elective
      • Board Review Elective
  5. Required PCAST scholarly project
    1. Noon conference lecture; General Medicine topic with an Ambulatory Staff as your mentor – counts as resident scholarly project
  6. Second required PCAST scholarly project (one of these choices)
    1. Quality Improvement project in your own continuity clinic site - if presented in scholarly setting (research day, ACP, etc) will count towards resident required scholarly project
    2. Outcomes Assessment project in the ambulatory setting – if presented in scholarly setting (research day, ACP, etc) will count towards resident required scholarly project
    3. Case report of ambulatory based patient to ACP regional conference (Kansas City or Wichita) – counts as resident scholarly project