Clinic Rules and Guidelines

The rules that govern when housestaff attend clinic are developed by the chief residents and the clinic administration. They incorporate regulations (from the ACGME), educational objectives and common sense: Continuity Clinic Rules.

Through the year, adjustments may be made to your own individual scheduling template to adjust for your clinic activity. Usually this means,

· Patients you have seen in clinic before are given 30-minute appointments.

· New patients are given 60-minute appointments.

· Morning sessions are three hours long (9am-noon).

· Regular afternoon sessions are four hours long (1pm-5pm)

· “Short clinic” ( in the ICUs, etc.) is three hours long (2-5pm).

· Please make sure to arrive on time, check with your PIC and patient reps before leaving clinic early.

Previously the ACGME resident volume/clinic session expectations were:

PGY I- “The number of patients seen by a first-year resident, when averaged over the year, must not be less than 3 or greater than 5 per scheduled 1/2-day session.”

PGY II- “The number of patients seen by a second-year resident, when averaged over the year, must not be less than 4 or greater than 6 per scheduled 1/2-day session.”

PGY III- “The number of patients seen by a third-year resident, when averaged over the year, must not be less than 4 per scheduled 1/2-day session.”

These regulations are no longer mandated- however these numbers are good numbers to aim for to ensure that you have adequate outpt clinical encounters to develop outstanding ambulatory skills, attitude, and knowledge.