Primary Care TrackIn July 1985, in recognition of the increasing need for broadly trained primary care internists, the Department of Medicine implemented a Primary Care Track under the direction of the Division of General Internal Medicine. The goal is to train physicians in comprehensive care of the adult patient. To enhance the acquisition of skills in out-patient medicine, the Primary Care Track provides more ambulatory training than is offered in the Categorical Track. Primary Care Track residents will have continuity clinics at both the Kirklin Clinic and the VA as opposed to categorical residents who have clinic at only one site. In continuity clinic sites, the resident is regarded as the primary physician with the attending physician serving as consultant and teacher. The attending to resident ratio is low, typically 1 attending working with 3-4 residents, to assure opportunity for close instruction and optimal teaching. The core training includes in-patient and intensive care medicine, an experience essentially identical to that provided in the Categorical Track. Graduates of the Primary Care Track describe themselves as well prepared to practice primary, consultative, and critical care medicine. They have performed as well as graduates of the Categorical Track on the ABIM certifying examination. Many have done fellowships in more office-based subspecialties such as endocrinology, geriatrics, hematology-oncology, nephrology, and rheumatology.
The Ambulatory Care Block Month is a major distinguishing feature of the Primary Care Track. The purpose is to allow concentrated time in ambulatory medicine without in-patient responsibilities. As opposed to categorical track residents who have one block month each year, primary care track residents have two block months during each of the 3 years of training. During a typical month, approximately 20% of the time is devoted to the continuity practice of general internal medicine. The remainder is devoted to areas such as geriatrics, office gynecology, otolaryngology, ophthalmology, dermatology, sexually transmitted diseases, sports medicine, and subspecialty internal medicine clinics. The specialty clinics are selected by the individual resident in the R-2 and R-3 years to suit their needs and interests. The resident has the opportunity to work one-on-one with attending physicians in diverse specialties.
Typical R-1 Primary Care Block Month
Typical R-2 or R-3 Primary Care Block Month
Community PreceptorshipIn their R-2 or R-3 year, residents have the opportunity to do a Community Preceptorship – to spend a month in the private practice of their choice to better understand the rewards and challenges of medical practice.
Women's Health TrackThe Women’s Health Track is a post-match option for residents interested in more exposure to women’s healthcare. Residents will participate in all activities available to traditional categorical residents, as well as more gender specific training as outlined below.
- VA Women’s Clinic: R2-3 residents will participate in the VA Women’s Primary care clinic alternating with one of their traditional medicine continuity clinics. This clinic allows residents to offer complete healthcare services to their female patients, including office gynecology and traditional internal medicine care of chronic illness. There is a series of short didactic lectures on Women’s Health topics given at the beginning of each clinic session.
- Ambulatory block months: Women’s health track residents are traditionally also participants in the primary care track, offering extra ambulatory block month experiences. We have a strong relationship with several OB/Gyn clinics and are able to offer the women’s health track residents experiences in colposcopy clinic, high risk OB clinic, breast clinic, continence clinic, and others.
MentoringThe women’s health track faculty are a dedicated group of general internal medicine faculty members. They are eager to provide one-on-one mentoring for any of the Women’s health track residents along with the planned interactions noted below.
- Journal Club: WHT journal club is a bimonthly gathering of residents and faculty, usually for dinner at a faculty home. Residents present journal articles pertinent to women’s health issues and all participants discuss the relative merits and practice implications of the topic. This also offers a less formal opportunity to interact with faculty.
- Research Projects: The women’s health residents have a history of presenting research projects at regional and national meetings. These projects are often related to women’s health education, but faculty are excited about mentoring any project that a resident is interested in.
- Resident Projects: Additionally, each WH resident is required to develop a project during their 3 years in the track. The goal of this project is to leave the track with some tangible product that we can use in education for residents in the future.
Beyond ResidencyWomen’s health track residents uniformly feel well prepared to move beyond residency training into a variety of career pathways. Recent graduates of the track have entered cardiology, endocrinology, geriatrics, palliative care, and academic general internal medicine. The subspecialty and inpatient experience does not differ from the categorical residency track. The Women’s Health track experience simply provides more exposure to the care of female patients from a broad perspective. We believe this is invaluable training for any physician. In addition, interested residents may become certified to perform office gynecology procedures such as endometrial biopsy, IUD placement, or colposcopy. Certification post residency for any of these procedures can be quite costly to obtain.
Interested?The Women's Health Track at UAB a post-match option for interested residents. Residents will not officially join the track until their second year. Interns interested in the Women's Heath Track will be invited to participate in mentoring activities during their first year. Space is limited in the VA Women's Clinic experience that begins during the R2 year. In the event of more interest than there is space available, there will be a selection process that occurs during the second half of the intern year to award full membership in the track.
Please contact faculty and residents listed below for more information. Applicants who are selected for interview are encouraged to notify the residency program that they are considering the Women’s Health Track. We will make every attempt for those residents to interview with Women’s Health faculty and meet with the residents.
Erin Snyder, MD
Assistant Professor, General Internal Medicine
Erin Contratto, MD
Assitant Professor, General Internal Medicine
Other Key Faculty
Lisa Willett, MD
Andrea Cherrington, MD
Teri Bryan, MD
Ellen Weber, MD
PGY2: Amanda Brito
PGY2: Ramey Marshall
PGY2: Rob Smola
PGY2: Katie Chitwood
PGY3: Kristin Cotney
PGY3: Brittany Payne
PGY3: Thao Tran
PGY3: Ginnie Prater
PGY3: Sarah French (WHT Chief Resident)
Global Health Track
The Global Health Track is an exciting opportunity for residents interested in international health. This track involves meetings every 6 weeks to discuss important topics regarding global health including the identification and treatment of tropical diseases and ethical issues related to practicing medicine in other cultures. One of the most exciting features of the Global Health Track is the ability to partake in an international rotation during the final year of residency. During the final year of residency, two residents are chosen for one-month rotation in an international site of their choosing. Additionally, one resident is selected to attend the Gorgas Course in Tropical Medicine and Hygiene, which is a nine week diploma course in Lima, Peru. Our residents have visited Cameroon, Honduras, Peru, and Zambia since the Global Health Track was created in 2013. The Global Health Track is providing unique opportunities for residents that will hopefully nurture a life-long interest in serving people of the developing world.
Local Clinical Opportunities:
- Outpatient Medicine: During our outpatient clinic, or Block, month, Global Health residents have the opportunity to work in a variety of specialized clinics including TB Clinic, Travel Clinic, and HIV Clinic.
- International Rounds: Global Health residents are invited to participate in case-based discussions with our colleagues in Peru every 6 weeks. Please see this article in Letters to Tinsley for more information.
Global Health Track Director
Martin Rodriguez, MD, FACP, FIDSA
Associate Professor of Medicine Division of Infectious Diseases
Health Disparities TrackBirmingham has an unfortunate history of racial turmoil and civil rights unrest known to many. The Health Disparities Track is a two-year curriculum for PGY2 and PGY3 residents created to develop culturally competent physicians aware of the impact that social and environmental determinants can have on the health of an individual or community. This program consists of quarterly didactics with faculty interested in care of the Birmingham underserved. As part of this track, residents also have a primary care experience in a local clinic for the uninsured to provide hands-on learning within the community.
Health Disparities Clinic:Working in a multi-disciplinary clinic with few resources allows our residents to better understand the challenges of caring for underserved patients. It also gives the patients who lack insurance that we serve as inpatients the opportunity to have an invested primary care physician, social worker, and case manager at their disposal. This clinic offers a vastly different clinical experience than the resident’s continuity clinic and has been a wonderful opportunity for trainees to have exposure to a different kind of outpatient medicine.
Rebekah Weil (email@example.com)
Patient Safety and Quality Improvement (Drs. Winn, Steinhilber and Russ)
Clinician Educator TrackThe clinician educator track aims to give interested residents the knowledge and skills to begin their careers as clinician educators. Clinician educator track residents gain an understanding of adult learning principles and keys for successful teaching. They are able to practice their teaching and improve through feedback from other track residents and faculty mentors. The key elements of the program are
- Quarterly meetings for career preparation
- A one month intensive rotation in medical education during the PGY2 or PGY3 year
- Monthly workshops on practical teaching skills, as part of the Creating Effective Resident Teachers Program (CERT)
- Creating an Effective Learning Climate
- Orienting Learners to Their Rotation
- Teaching While Admitting
- Giving Feedback
- Giving Effective Chalk Talks
- Teaching Procedures
- 5 Microskills of Clinical Teaching
- Learning styles
- The Cognitive Science of Learning
- Teaching Practice Session
- Teaching the Physical Exam
- Being a Teacher Coach
- Teaching Clinical Reasoning
- Teaching Panel Discussion
- Dysfunctional Team and Learners
- Being an Effective Role Model and Team Leader
- Giving an Effective Lecture