.
The ambulatory experience
takes place at two sites, the AIM Group Practice (located on VC2), the ACNC Washington
Heights Family
Center at 181st Street.. At each of these sites, house staff continuity clinic is
supervised by one or more faculty attending Physicians In
Charge (PICs), who are physically present in the
suite where patients are cared for. The ratio of supervision is 1 PIC to 4-5
residents. All patients are discussed with the PIC, who may interview and
examine the patient in the room with house staff when indicated, and who
reviews and cosigns the medical record. This form of supervision falls under
the category of Direct Supervision generally, and Personal Supervision when
deemed necessary. For supervision of ambulatory patient care outside of the
regularly scheduled clinic session, e.g. patients calling from home, housestaff should contact their assigned outpatient Firm attending or Firm chief
or clinic preceptors.
Every patient seen by a resident must be
presented to a PIC. Every note must be stamped and signed by the PIC,
documenting that supervision was provided. There are no exceptions - the
clinic secretaries will not discharge a patient without a PIC stamp.