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Outpatient Training at Carolinas HealthCare System Blue Ridge

Outpatient Internal Medicine comprises a large portion of Internal Medicine training. It is an important part of IM even if you are planning on being a hospitalist or subspecialist. We believe that solid training in outpatient medicine is essential to creating a well-rounded internist. All continuity clinics are done at Mountain Valley Health Clinic, which is located on the CHS Blue Ridge campus. The clinic has a phlebotomy lab, anticoagulation clinic and a pharmacist present at the clinic for part of the week. Additionally, we have a full time patient navigator to help with anything from transportation to paperwork. Given our diverse patient population, we use digital interpreter technology that allows us to have a live interpreter at all times.

FAQs About Continuity Clinic
• Faculty to Resident ratio is 1:2 leaving ample time for bedside teaching
• Nurse to Resident ratio is 1:2
• Fully integrated EMR is used in clinic and the hospital
• Attending physicians see all intern patients for the 1st 6 months
• Patient population is diverse with 45% Medicare patients and 20% privately insured patients
• The clinic also sees a large number of charity patients 
• Patient numbers are: interns 4-5, PGY2s 5-7, PGY3s 7-9 per half day

Ancillary Offerings in the clinic:
• Diabetes Education
• Heart Failure Education
• Nutrition Education
• Clinical Pharmacist
• Patient navigator
• Spirometry, POC testing, EKGs, IV fluids

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