We value primary care at Tufts Medical Center and prioritize primary care education for our residents. Each resident has a continuity clinic consisting of their own panel of patients. They work collaboratively with an assigned faculty member who is their dedicated facilitator for all three years of residency.
Ambulatory training
All clinics are at Tufts Medical Center Primary Care Boston, which is our on-site primary care practice at the hospital. Each resident has one dedicated primary care preceptor for all 3 years.
Clinic Services
Our clinic is a large practice serving a very diverse patient population with access to services including nursing, case management, addiction psychiatry, social work, pharmacy, and community health workers.
Structure
Interns have 6 weeks a year of concentrated primary care under the 3+1 model. Second- and third-year residents have a dedicated three-week primary care block each semester in addition to continuity clinics during elective rotations. Residents do not have clinics during ward rotations.
Curriculum
We have a robust primary care curriculum, consisting of core primary care topics, pharmacy teaching, online learning modules, Resident as Teacher workshops, and quality improvement (QI):
- Primary care lectures: Faculty led high yield primary care topics once or twice weekly
- Online learning modules: Developed by the Johns Hopkins Hospital, PEAC modules cover core primary care topics
- Resident as Teacher curriculum: Faculty led workshops aimed at improving residents’ teaching skills
- Quality Improvement (QI) curriculum: Learn patient panel management and how to conduct PDSA cycles to improve targeted quality metrics.
Quality Incentive
Residents are eligible for a yearly quality incentive payment based on collective performance on the resident panel quality metrics.
We have a satellite practice in Quincy, MA where second- and third-year residents are able to do a three-week rotation to learn how primary care is delivered in a community-based clinic. Residents in the Primary Care Track also get additional primary care electives and subspecialty rotations to amplify their primary care training.
Subspecialty ambulatory clinics
Subspecialty clinics that residents rotate through (based on interest and career goals) include:
- Nephrology
- Hematology-Oncology
- Infectious diseases
- Gastroenterology
- Pulmonology
- Cardiology
- Endocrinology*
- Rheumatology*
- Neurology*
- Addiction medicine
- Palliative care
- Adolescent + Young Adult Cancer Survivorship clinic
*Required rotations for all residents