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Primary Care in Internal Medicine Track

Each academic year is comprised of 13 four-week blocks. PCIM training includes formal didactics, quality improvement, continuity clinic, outpatient rotations and electives. The time spent in PCIM increases each year: interns have 3 blocks (14 weeks), PGY-2s have 6 blocks (24 weeks) and PGY-3s have 8 blocks (32 weeks).


The highlight of all three years is a four-week Community Ambulatory Elective for Residents (CAER) rotation which allows individualized mentorship of the resident by a board certified faculty internist. For PGY-2’s and PGY-3’s, this relationship continues during the continuity clinic blocks when residents spend ½ day per week with their CAER mentors. Additionally, all residents spend approximately eight weeks each year in their continuity clinic. There are multiple sites PCIM residents can request for their longitudinal continuity clinic experience including the Saint Louis VA Primary Care Clinic, Affinia Healthcare (a FQHC), or the West County faculty clinic.


Scholarly activities are strongly encouraged and supported, including writing chapters for the Washington Manual of Outpatient Medicine. All PCIM residents will participate in clinical case vignette writing, quality improvement training and evidence based medicine didactics. They also have the opportunity of presenting their work at national conferences including the American College of Physicians and Society of General Internal Medicine annual meetings.


Our curriculum has developed unique primary care focused grand rounds, journal club and an annual professional development day in addition to the traditional academic activities offered to the categorical residents.


Please contact Katie Sidler with questions:

2018-2019 Curriculum

PGY-1 (12 WEEKS)

  • CAER: (4w)
  • Continuity Clinic:

(~45 sessions = 8w)

  • Ambulatory Care Rotation: (2w)

PGY-2 (24 WEEKS)

Core Block (Summer): 12 Weeks

  • CAER (4w)
  • Women's Health: office
  • Gynecology: (2w)
  • Orthopedics: (2w)
  • Urgent Care: (2w)
  • Allergy/ENT: (2w)


Ambulatory Block(s): 12 Weeks

  • Continuity Clinic:

(~45 sessions = 8w)

  • Underserved Medicine: (2w)
  • Outpatient Elective: (2w)

PGY-3 (32 WEEKS)

Core Block (Summer): 12 Weeks

  • CAER: (4w)
  • Women’s Health: family planning,

menopause, osteoporosis and oncology: (2w)

  • Dermatology: (4w)
  • Musculoskeletal: (2w)


Ambulatory Block(s): 20 Weeks

  • Continuity Clinic:

(~45 sessions = 8w)

  • Neurology: (4w)
  • Geriatrics: (4w)
  • Outpatient Elective: (4w)

Washington University School of Medicine

Division of Medical Education

Campus Box 8121

660 S. Euclid Ave., St. Louis, MO 63110

p: (314) 362-8065    f: (314) 747-1080