Date Issued: 05/21/2003
Prior Revision Date: 01/09/2008
Date Reviewed and Revised: 03/02/2009

General Internal Medicine Outpatient/Private Practice Curriculum

Department: Internal Medicine

Faculty Coordinator: Sonya Merrill, M.D., Ph.D.

Hospital: Texas Health Presbyterian Hospital Dallas

Periods offered: All

Length: 4 weeks

Max no. of residents for IM Outpatient: 2 or 3

First Day Contact: As arranged with Private Practice Internist

First Day Time: As arranged with Private Practice Internist

First Day Place: As arranged with Private Practice Internist

Requirements: 8:00 a.m. to 5:00 p.m. Monday through Friday

Weekends: None

  1. Course Description:
  2. A course designed to expose Internal Medicine Residents to outpatient internal medicine in the private practice setting. Residents will work one-on-one with a general internist in a private practice, seeing adult patients in the out-patient setting. If the supervising internist admits patients to the hospital, the resident will participate in the management of hospitalized patients as well. This course is designed to teach residents how to manage patients with actue and chronice disease as out-patients, how to evaluate patients for possible hospital admission from the out-patient setting, how to work the out-patient hospital and community resources, and some aspects of managing a private practice. The resident will be evaluated at the end of the rotation by the supervising physician based on the core competencies outlined below in Section II.

    Hours: Monday through Friday, 8:00 a.m. to 5:00 p.m. (or as dictated by office hours and hospital rounds)

    Phone contacts:

    Texas Internal Medicine Assoicates: (214) 368-7787

    Dr. Jeffrey Phillips, Dr. Mark Fleschler and Dr. Robert Harris

HealthCore Physicians Group: (972) 284-7000

Dr. Dorothy Sherwood, Dr. Paul Cary, Dr. Jacqueline Hubbard, Dr. Shamim Khambati, Dr. Young Lee, Dr. Susan McKinney, Dr. Andrew Phan and Dr. Randall Wooley

Jackson Internal Medicine Clinic (214) 345-8000

    Dr. Mitch Carroll and Dr. Shounak Das

Private Practice:

Dr. Phillip Aronoff (214) 692-5229

Dr. Jamal Lone (214) 346-0602

Dr. Marilyn Horton (214) 239-1938

Dr. Kim Allen (214) 345-5999

II. Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care:

Residents are expected to provide care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and at the end of life.


Medical Knowledge:

Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.


Practice-Based Learning and Improvement:

Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices.


Interpersonal and Communication Skills:

Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams.



Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession, and society.


Systems-Based Practice:

Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.


III. Methods of instruction: Rounds, patient involvement, reading conferences, and computer research.

    1. Didactic (schedule, topic, faculty)

      Daily residents conference (M, T, Th, F) 12:00-1:00 p.m. - IM Training Room
      Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds - IM Training Room
      Wednesday afternoons 12:15-1:00 p.m. - Internal Medicine Update - Haggar Hall
      Friday mornings 7:30 - 8:00 a.m. - Coffee with Cardiology - IM Training Room

    2. Clinical

Residents are expected to work one-on-one with a private practice internist during office hours and for hospital rounds. Residents are expected to attend the conferences listed above.

Patient-based education should include use of literature seraches (using PubMed or Ovid) and UpToDate, in order to access recent literature and continually updated information regarding the practice of internal medicine. Clinical guidelines formulated by national experts are posted on the Internal Medicine Residency Homepage (Go to "curriculum", "Subspecialty Didactic Curricula", and Guidelines@PHD").