PCAST: Primary Care and Ambulatory Subspecialty Training Curriculum

Purpose: To equip residents with the experience and skills needed to practice medicine in the ambulatory setting, with a focus on office-based general internal medicine and subspecialty training.
Oversight: An advisory board consisting of program leaders, chief residents and current resident representatives. The group will approve selection of residents into the primary care track and oversee progress semi-annually.

Curriculum elements

Residents will matriculate into the primary care curriculum after completing their first year of residency training as an intern, through a selection process overseen by the advisory board. Selection criteria will include satisfactory academic performance during internship, as well as dedication to a career in primary care or ambulatory-based subspecialty training (endocrinology, rheumatology, allergy). Each year, current residents will need to reapply for continued entry into the program.

Continuity clinics

  • Priority will be given to ambulatory track residents' preferences for selection of their continuity clinic site. Community based sites will be strongly encouraged.

Curriculum percentage

  • The staffing needs of the program will take preference over scheduled PCAST months. Depending on residency needs, a PCAST resident's schedule may be adjusted during the academic year.
  • Entry as a PGY2:
    • 60% inpatient (7-8 blocks); 40% outpatient (5-6 blocks)
  • Entry as a PGY3:
    • 50% inpatient (6-7 blocks); 50% outpatient (6-7 blocks)

Required curriculum elements regardless of entry year

  • Community Ambulatory
    • KC Free or
    • Sunflower Medical Group or
    • Private Practice Internal Medicine Group (WWIM, KCIM, etc.) or
    • Swope Health Services
  • Sports Medicine

Elective curricular elements

  • All elective time gets transitioned to PCAST time
  • Choices for PCAST electives:
    • Dermatology
    • Allergy
    • Endocrinology
    • Rheumatology
    • Advanced Sports Medicine
    • Women's Health
    • Integrative Medicine
    • Community Ambulatory (second rotation)
    • Research Elective
    • Board Review Elective

Required PCAST scholarly project

  • Noon conference lecture; General Medicine topic with an Ambulatory staff member as your mentor — counts as resident scholarly project.

Second required PCAST scholarly project (one of these choices)

  • Quality Improvement project in your own continuity clinic site — if presented in scholarly setting (research day, ACP, etc.), will count toward required resident scholarly project.
  • Outcomes Assessment project in the ambulatory setting — if presented in scholarly setting (research day, ACP, etc.), will count toward required resident scholarly project.
  • Case report of ambulatory-based patient at ACP regional conference (Kansas City or Wichita) counts as resident scholarly project.

Last modified: Apr 05, 2013