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JacobiAmbulatory Care Service
Jacobi Primary Care Internal Medicine Track
Steven R. Hahn, MDDirector
JacobiAmbulatory Care Service
Primary Care Internal Medicine Track
• Formed in 1982
• Directed by Dr. Steven Hahn ([email protected])
• Intensive focus on ambulatory medicine & principles of primary care medicine
• Focused training especially useful for:– Primary care medicine– Continuity of care specialties– Health outcomes research, health policy & administration
JacobiAmbulatory Care Service
Primary Care Program Perspective
• Psycho-social factors influencing adaptation to chronic disease
• Advanced doctor-patient communication skills• Mental disorders and behavioral dimension of
disease including– Depression & anxiety– Substance abuse– Cognitive disorders– Adherence to medication and lifestyle management
• Emphasis on a learning community
JacobiAmbulatory Care Service
Primary Care Ambulatory Block Curriculum
• Behavioral sciences seminars – four 8-week courses, one per semester in a two-year rotation
– Epidemiology and management of psychopathology (psychopharmacology)– Counseling and behavior change in primary care– Family-systems medicine in primary care– Healthcare systems and the determinants of health
• Team meeting – weekly block-time lunch meeting– Moral support and camaraderie– Case discussion and mini-didactics– LUNCH
• “Balint” case discussion group – weekly block time activity– Facilitated peer discussion of emotionally and professionally challenging
cases• Ambulatory Morning Report – case discussion and self-learning
session • Outpatient specialty rotations
JacobiAmbulatory Care Service
Primary Care Block Schedule: All Primary Care Residents Scheduled Concurrently
Year Summer/Fall Winter/Spring
PGY 1 1 contiguous month:2 weeks ambulatory
2 weeks primary care elective
1 contiguous month:2 weeks ambulatory
2 weeks primary care elective
PGY 2 2 contiguous months:1 month ambulatory
1 month primary care elective
2 contiguous months:1 month ambulatory
1 month primary care elective
PGY 3 2 contiguous months:1 month ambulatory
1 month primary care elective
3 contiguous months:1 month ambulatory
2 months primary care elective
JacobiAmbulatory Care Service
Primary Care Special Features
• Gero-Med-Psychology and Medicine-Psychology clinic– Available to all residents, but integrated into PC curriculum– Patients evaluated in collaboration with 2-3 graduate
psychologists participating in a gero-psychology externship
• Hazelden substance abuse training program– Available to all residents, integrated into PC curriculum– World-famous substance abuse treatment center in
Manhattan with structured week-long training program
• Opportunity to do relevant research during each of the six Primary Care Blocks
• Collaborative research projects – this year, a study of cycle-time in our medical clinic
