The goals of the ambulatory experience are to provide exposure to out-patient cardiology practice, including both consultative and continuity experiences, to provide a means for clinical follow-up of patients recently discharged from the hospital. The out-patient experience is comprised of the VACT Cardiology Clinic and the YNHH Primary Care Cardiology Clinic.
These longitudinal clinics provide the fellow the opportunity to follow and manage patients in continuity for three years in an out-patient setting. Fellows participate in dedicated continuity clinics and alternate clinic weeks between both sites (the VACT and the YNHH) one-half day every week during their core clinical training. Fellows see on average one new patient and 6-8 return patients on their clinic day, and are directly responsible for care of the patients to which they have been assigned. Fellows then see these patients in follow-up throughout their core years. On each day, attendings are available solely to supervise the fellows in this capacity.
The patient populations in these two clinics provide a diverse experience in terms of gender, socioeconomic status and reason for referral. Routine management of common cardiology problems, pre-operative evaluations prior to noncardiac surgery, evaluations for potential revascularization procedures (surgical and interventional), post-revascularization follow-up, follow-up of recently discharged patients, and referrals for complex cardiology problems are similar in both venues.