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Texas Tech University Health Sciences Center's residency program      provides primary continuity-of-care experience in the ambulatory internal  medicine clinics. All residents spend one half-day per week seeing their own  cadre of patients. A nurse is assigned to each resident. This resident/nurse  team provides for a quality continuity of care experience for the resident's  patients and promotes team building and professionalism. This system  allows the resident to follow the evolution of disorders typically seen by the  internist, to observe the response to outpatient therapy, and to understand  the unique comprehensive health care needs of ambulatory patients.  Experienced full-time attending faculty supervise the ambulatory training and  provide on-site consultation and patient care discussions. There are  computers with internet search access and Up To Date®.

Clinic educational conferences are scheduled during clinic twice a month. Core ambulatory topics will be covered with emphasis on reading recent literature, reviewing practice management and reviewing board questions.

Senior residents rotate at the Lubbock Veterans Affairs (VA) Outpatient Clinic. This rotation is one month and provides a valuable outpatient medical experience in a government run managed care system. Residents perform walk-in evaluations of adult patients with a variety of medical diseases with varying complexity and severity. The VA outpatient clinic in Lubbock is a very new facility that offers state of the art diagnostic equipment and electronic medical records. Residents are supervised by full-time VA physician staff.

Senior residents participate in this one month ambulatory rotation. The rotation is designed to give rotating residents the experience to competently evaluate subspecialty patients under the supervision of a board certified subspecialist. This clinic is scheduled Monday through Friday. The following clinics are include:

• Allergy
• Oncology.Hematology
• Gastroenterology
• Pulmonology
• Cardiology
• Chart Review
• Endocrinology

Senior residents participate in this one month outpatient rotation. The rotation is designed to give rotating residents the experience to competently evaluate and manage ambulatory patients with acute medical problems. This clinic is scheduled each afternoon from Monday through Friday. The resident is supervised by an experienced, full-time faculty member. The morning clinics on this rotation provide the resident with unique outpatient experiences to enhance their medical training, give them a broad medical fund of knowledge, and prepare them for the future practice of internal medicine. The following clinics are include:

• Preoperative Evaluation Clinic
• Pulmonary Hypertension Clinic
• Chart review