Lankenau Medical Associates (LMA) is the continuity practice for our Internal Medicine Residency. It is a resident and faculty co-practice centrally located in Lankenau Medical Center, which serves a complex, diverse mix of patients, predominantly from West Philadelphia and surrounding inner suburbs. Each categorical resident builds a panel of primary care patients over a three-year period.

We place a high priority on the quality of our outpatient experience. To that end, we have invested significant time and resources into in improving LMA over the past few years. Recent improvements have included adding a dedicated Associate Program Director for Ambulatory Medicine, new ancillary staff members, a dedicated medical social worker, and a new practice management team run by Main Line HealthCare. During the COVID pandemic, we overhauled the office layout and schedule in order to maximize safe in-person clinical experiences for our residents.

Other unique features of LMA include a dedicated inpatient team, which prioritizes admitting LMA patients (and is often staffed by LMA internists and program leadership); an on-site psychology team to co-manage mental and physical health; and a community garden at Lankenau that provides fresh produce to our patients.

In addition, we are excited to announce the transition to an "X+Y" scheduling model beginning in the 2021-2022 academic year. This will give categorial residents uninterrupted time to focus on outpatient medicine during their "Y blocks" and a predicable "diastole" after intense inpatient rotations. We anticipate this will result in significant improvements in outpatient continuity, more effective team-based care, and increased resident satisfaction with their outpatient training.

PGY 1

All categorical residents will complete a carefully structured ambulatory block rotation which includes clinical experiences in nephrology, sports medicine, nutrition, diabetes, women's health, along with home visit and practice management experiences.

PGY 2

In addition to their regularly scheduled clinic sessions, residents spend one block working closely with a primary care physician. This immersive primary care experience has proved to be inspiring for several of our trainees who have entered primary care careers.

PGY 3

In addition to their regularly scheduled clinic sessions, residents spend a month in the role of the LMA chief where they become in-practice "air traffic controllers" and develop skills in acute care and telephonic medicine. They additionally complete a geriatrics/education rotation which combines experiences in on-campus rehab facilities and extensive medical student teaching experiences at Lankenau.