Ambulatory training occurs both in the Ambulatory Care Clinics, located on site at MMC, and in community-based practice sites. The Combined Internal Medicine-Pediatric Continuity Clinic is conveniently located across from the Pediatric Clinic and one floor above the Internal Medicine Clinic. Radiology, laboratory and other support services are also close by. During their ambulatory training residents are precepted by Internists, Pediatricians, and Internist-Pediatricians, and are supported by nurse practitioners, nurses and secretarial staff. Full technical support is provided for dictation, word processing, and resident use of personal computers, including a fully integrated electronic medical record system.
The clinic patients include an ethnically diverse group-from Southeast Asia, Africa, the Middle East, and Eastern Europe, as well as the indigent and those with special needs. Ambulatory care rotations allow residents to participate in a variety of specialty clinics such as dermatology, geriatrics, international medicine, college health, STD clinic, ophthalmology, and women's health.
During elective time, residents may participate in a variety of specialty clinical programs such as the AIDS Consultation Clinic, the Center for Diabetes, the Center for Lipid and Cardiovascular Diseases, Sports Medicine, Health Care for the Homeless, and Child Abuse to name a few.
Community-Based Continuity Practice Site
In addition to the Combined Internal Medicine-Pediatric Continuity Clinic at the hospital, a continuity experience has been developed at an Internal Medicine-Pediatric practice site. Lakes Region Primary Care is a comprehensive Internal Medicine-Pediatric primary care practice located in Windham, Maine, 20 miles northwest of Portland. It is located at the entrance to the beautiful Sebago Lakes region, a popular summer destination and home to a growing community of young families. This practice consists of five Internist-Pediatricians as well as a Pediatrician, a Nurse Practitioner, and a Physician Assistant, all working to keep a vibrant community healthy. This site integrates teaching and patient care with both residents and medical students.
Maine Practice Network Rural Health
The Maine Practice Network (MPN) provides training sites for Internal Medicine and Med-Peds residents at MMC as well as for students from area medical schools. Rural practice sites and interested preceptors have been selected with great care. All faculties who work with Med-Peds residents are Internist-Pediatricians with considerable practice experience. The goal of the Med-Peds Rural Rotation is for residents to acquire practice skills in both ambulatory and hospital settings in communities away from the subspecialty environment of a tertiary hospital. Each resident spends two months at an MPN site, at which housing is provided if the location is not within driving distance of Portland.