The Ambulatory Block is a one-month required rotation during each year for all residents. Some residents will have additional Ambulatory labelled Ambulatory Supplement. This month is designed to provide teaching in outpatient medicine and medicine-sub-specialty services. The Ambulatory Block includes rotations in Urgent Care, Preop/Consult Clinic, Transition Care Management Clinic, Equal Access Clinic, Street Medicine, Oncology, Hematology, Nephrology, Neurology, Pulmonology, Rheumatology, GI/Hepatology and/ or Cardiology. At the start of the rotation, each resident will have received a one-month schedule with a calendar for the month showing a daily listing of the scheduled rotations. Please review, using the navigation tab on the right, a list of clinic assignments and clinic information including a description of each clinic rotation with directions. In addition to the unique clinics, you will also have a series of interactive didactic sessions and workshops focusing on patient safety, quality improvement, resilience, and reproductive health.
Residents have full-day continuity clinics during ambulatory block.
AM clinics start at 8am and PM clinics at 1pm unless otherwise specified. You must be in the clinics at these times.
You can look up UF Health clinic schedules ahead of time on Epic.
VA PC0 Clinic and TCM Clinic is at the VA outpatient clinic site at 5469 SW 34th Street, Gainesville
For PIV access to the clinic or issues with this, please email shawn.balenske@va.gov
SMP Urgent Care
VA Transgender Clinic
Shands Women's Health Clinic - 1
Shands Women's Health Clinic - 2
Pelvic Exam - 2
SMP Pre-op clinic
Pre-op clinic assessment
TCM clinic
Shands GI/Liver Clinics
Where: 1535 Gale Lemerand Drive, Third Floor, Gainesville, Florida 32610
Hepatology & IBD
Epic context: UFGV MED SPEC HEP DCP, UFGV MED SPEC IBD DCP
Shands Oncology Clinic
Where: 1549 Gale Lemerand Drive, Gainesville FL 32608
Epic context: UFGP MEDONC DCP
Senior Care Clinic
Where: 1535 Gale Lemerand Drive, Third Floor, Gainesville, Florida 32610
Epic context: UFGP SENIOR CARE DCP
Urgent Care at SMP – READ PRIOR TO GOING TO URGENT CARE
Who: You staff this clinic, the cases will be precepted by the attendings working that day.
When: 1:00pm sharp! Last patient scheduled for 3:30 PM. You should not leave clinic prior to 4 PM. Please show up even if there are no patients scheduled as they can be scheduled last minute prior to appointment time.
Where: 4th floor at the Medical Plaza, internal medicine clinic, physician work room (ask the nurse where this room is if you are lost).
How: EPIC outpatient is slightly different than inpatient. In particular, make sure NOT to open the encounter for a patient ahead of time. This is done by “double-clicking” the specific encounter for the future appointment. If you open the encounter before they arrive, they will “disappear” from the schedule and an empty spot will appear allowing you to be double-booked. When this happens, both patients will need to be seen. If you desire to review a patient ahead of time then you can use the “Chart Review” function. Thus, you cannot pend your notes ahead of time, please wait until they have actually checked in to do so. Please review the required reading assignments "Urgent Care at Internal Medicine at Med Plaza" and "Workflow..." prior to your clinic. If you don't have continuity clinic or yours isn't at Med Plaza, you will need to have your preceptor move the patient to their schedule after you've seen them or the encounter won't close properly. Please ask your attending if you're not sure what this means.
Epic context: UFGP IM MP and then the urgent clinic is under GP IM URG MP
Pre-op/Consult Clinic
Located in the same space as general IM continuity clinic at Med Plaza. Dr. Meenrajan will precept this clinic. Please arrive by 8AM and meet with your preceptor at that time to discuss the patients prior to clinic beginning. The template for documentation is: “.eirpreopconsult" which can be obtained from Eric Rosenberg's smart phrases.
There are two reading assignments that are helpful. They are also available above in the documents sections (Named "PreSurgRiskAssessment" and "PreOp")
Epic context: UFGP IM MP under Dr. Meenrajan
Endocrinology Clinic
Epic context: UFGP MED SPEC ENDO SUF, UFGP WOMENS ENDO MP
Pulmonology Clinic
Epic context: UFGV MED SPEC PULM MP -> For subspecialties, under this context look for: UF PULM CF ADULT MP, UF PULM ILD MP (or under ILD provider - Harden, Gomez, Faruqi)
Rheumatology Clinics
Epic context: UFGV MED SPEC RH/IMM MP
Nephrology Clinics
Epic context: UFGV MED SPEC NEPHRO MP
Hematology Clinic
Epic context: UFGV MED SPEC HEM MP
1st Floor
East Tower Cardiology Clinic
Cardiology and Advanced Heart Failure/Heart Transplant located on the first floor of the East Tower of Shands on the right side
Epic context: UFGP MED CARDIOLOGY HVH, UFGP MED CARD TX HVH
Care One Clinic - 1st floor, stop #13 by Nephrology
You will be working in a multi-disciplinary team including a hospitalist, pharmacist, and social worker to see patients in clinic for follow up after discharge from the hospital. These patients are often uninsured and/or have low access to care. The goal is trying to ensure adequate post-hospitalization follow up.
Dr. Kiran Lukrose can be your point of contact if you have further questions.
EPIC context: UFGP MED CARE ONE SUF
GI Digestive Disease Clinics - 1st floor past the lab and pharmacy
Epic context: UFGP MED GI SUF
Nephrology Clinic - 1st floor, stop #13
You may be assigned to general nephrology clinics or with an attending that does a more specialized nephrology clinic
Epic context: UFGP MED NEPHROLOGY SUF
BMT Clinic - South Tower 7East
Epic context: UF BONE MARROW TRANSPLANT
Building 1
Location: 4037 NW 86th Terrace, Gainesville, FL 32606
Cardiology Clinic - 2nd or 3rd floor
Epic context: UFGP CARD 2ND FLOOR SH1, UFGP CARD 3RD FLOOR SH1
Building 2
Location: 4197 NW 86th Terrace, Gainesville, FL 32606
Obesity Clinic- 1st floor
Epic context: UFGP IM SH2 under the respective attending (Dr. Sheer), UFGP IM WEIGHT MANAGEMENT SH2
Geriatrics Clinic (SH2)
Epic context: UFGP SENIOR CARE SH2
Cardiology Clinic - 1st floor
Epic context: UFGP CARD KANAPAHA
Endocrinology Clinic - 1st floor
Epic context: UFGP MED SPEC ENDO KANAPAHA
VA PC0 Clinic
Location: 5469 SW 34th Street, Gainesville, 32608
This is similar to the VA version of an urgent care, patients with acute complaints. However, you can have a follow up visit.
Clinic run time is 8:00 -10 a.m. AND 1:30 - 3:30 p.m.
CPRS Provider List: GNVQL F2F PACT RES 0
VA TCM Clinic
Location: 5469 SW 34th Street, Gainesville, 32608
This is for patients recently discharged from the hospital/emergency room for follow up.
Clinic run time is 1:30 - 3:30 p.m.
CPRS Provider List: GNVQL F2F PACT RES TCM
VA Cardiology Clinic
Location: 4th floor of old bed tower, Med 2, room 12
CPRS Provider List: GNV MED2 CARD IM RES
VA Cardiology Heart Failure Clinic
Location: 4th floor of old bed tower, Med 2, room 12
VA Transgender Clinic with Dr. Ashok Srihari
The clinic is located on the 4th floor of the VA. The best way to reach it is to take elevator B to the 4th floor. Please meet with Dr. Srihari in his office, E-469-1, on arrival to the clinic. The best way to reach it is to take elevator B and his office will be just across from Med2 clinic.
Clinic run time is 11:00 a.m. - 3:30 p.m.
CPRS Provider List: GNV Med2 Endo Tg, GNV VVC Med2 Endo Tg (virtual)
VA Neurology Clinic - VA 4C Medical Clinic
Location: 4th floor of old bed tower between A and B elevators. A450-1 is the room number for check-in. A460C-1 is the room that patients are presented in. Access to the room is “460”. Clinic start times vary, depending on earliest appointment, earliest is 8:30A. Check with the front desk staff or nursing staff to find the listing for neurology new clinics.
CPRS provider list: GNV NEURO CON NEW
VA Pulmonology Clinic
Location: 2nd floor past the VA MICU.
Wednesday afternoon this clinic is located in the same place, but you will be with Dr. Gomez in her ILD clinic.
VA ID Clinic
4th floor near Elevator C.
Other VA specialty clinics (including Rheumatology, Nephrology, GI, Allergy)
These clinics are also located on the 4th floor of the old bed tower.
Eastside Family Medicine with Dr. Mulani
Location: 410 NE Waldo Road, Gainesville
When you get there, ask for Dr. Mulani, he works in primary care here and is a recent graduate from our program and great to work with
Mornings are 8-12 and afternoons are 1-5pm, mixture of TCM clinic visits, follow up visits, and urgent care visits
Epic context: UFGP CHFM EASTSIDE
Equal Access Clinic TUESDAYS - Eastside
This is a free clinic run by medical students in which we have the opportunity to rotate. Residents essentially act as supervisors at this clinic; the medical students will present patients to you and you will see them together. This clinic serves the indigent population of Gainesville. They rely on you and can’t run the clinic without our residents. Please be there on time. It is at 6 PM on Tuesday Evening at: 410 NE Waldo Road, Gainesville, 32601
Equal Access Clinic THURSDAYS - Main Street
This is a free clinic run by medical students in which we have the opportunity to rotate. Residents essentially act as supervisors at this clinic; the medical students will present patients to you and you will see them together. This clinic serves the indigent population of Gainesville. They rely on you and can’t run the clinic without our residents. Please be there on time. It is at 6 PM on Thursday evenings and is located at: 1707 N. Main Street, Gainesville, 32609
Mobile Outreach Clinic THURSDAYs AM-Grace Marketplace
This is a free clinic set up in a bus that has various stations around Gainesville on certain days/times. On Thursday mornings, it is at Grace Marketplace seeing very serious chronically and acutely ill patients. The shift is problem-specific so while they may have many chronic issues, you may want to focus on 1-2. It is busy and the clinic strives to make every effort to meet the needs of this vulnerable population. The clinic is first come, first serve and starts promptly at 8am so please arrive by 7:45am. You will also be writing paper scripts. It is located at: 3055 NE 28th Drive, Gainesville, 32609
https://docs.google.com/document/d/1soA0tCJpNwVGU9FIgJrNE7aiwLvROJMb/edit?usp=sharing&ouid=111950647622454876397&rtpof=true&sd=true
Street Medicine THURSDAYs PM
The street medicine shift is from 2-4pm. The location changes weekly. Ambulatory residents scheduled for this will receive an email from our Street Medicine liaisons prior to the session with logistics on where to meet and expectations. If you do not receive an email, email Trinity Cromwell at tcromwell@ufl.edu. If you get lost, her phone number is 352-434-2824.
https://drive.google.com/file/d/1pweaHQIASQ6wlPH0u9eAwooiter0JL_7/view?usp=sharing
Gyn Clinic WEDNESDAYs AM or PM
The gyn AM clinic starts at 9 a.m. The PM clinic starts at 1 p.m. The contact for clinic is Mrs. Michelle Nall, Michelle.Nall@medicine.ufl.edu. It is located at: Gainesville Community Ministries at 238 SW 4th Ave, Gainesville, FL 32601.
You will have a mixture of different didactic sessions and you may not have all of the below sessions. Please refer to the email we sent for locations and your individual schedule but a short description of each is below.
Shands In-Basket Workshop: This is a two part workshop where we will review Intervisit Care. We will review common cases of In-basket Workshop and how to approach replying in your in-basket. This will take place from 8:30 - 11:00 in the Medicine Library.
Resiliency Workshop: This is a workshop where you will learn tools on how to become a more resilient resident. This workshop is under restructuring so please give your feedback! This will take place from 8:30-11:30 in the Medicine Library.
QI/Patient Safety Workshop: Lead by a faculty member from the hospitalist department, you will go through cases and a lecture highlighting quality improvement and patient safety in an inpatient setting.
Mock RCA: This will be an interactive session with the QI Chief and Dr. Winchester where we go through a case where an error was made and perform a root cause analysis. Please read the attached materials prior to the case so we can get everyone out as quickly as possible. This is a mandatory workshop for graducation. This will take place from 10:00-11:30 in the VA H217.
VA Reproductive Health Workshop: This workshop is aimed to train house staff on the examination of breasts, female pelvis, and the male prostate. It will be held at a conference room at the VA (old building, 2nd floor) on models/simulators under the direction of gynecology faculty, staff. This will take place at 9 AM.
VA Substance Use Disorder Online Module: This is a self-directed module designed to increase knowledge surrounding diagnosis and management of alcohol and opioid use disorders. Please complete the entirety of the below modules, and send a screenshot of your certificate of completion for parts 3, 4 and 6. You will need to create a log-in with PCSSS to complete these modules (follow below links).
Alcohol use disorder resources: Review and complete resources 1a-c below.
Module 3: Evidence for and Management of Opioids for Chronic Pain. https://pcssnow.org/courses/3-evidence-for-and-management-of-opioids-for-chronic-pain/
Module 4: Optimizing Acute Pain Care: Implementing Multimodal Treatments Across Clinical Settings. https://pcssnow.org/courses/4-optimizing-acute-pain-care-implementing-multimodal-treatments-across-clinical-settings/
Module 6: Understanding and Assessing Opioid Use Disorder in Patients with Chronic Pain. https://pcssnow.org/courses/6-understanding-and-assessing-opioid-use-disorder-in-patients-with-chronic-pain/
1a. ETOH Abuse: PPt
1b. ETOH Abuse: Summary
1c. ETOH: Patient Cases