The continuity program provides a special experience for residents to foster the physical, intellectual and emotional growth of children, as well as to observe and manage the course of certain diseases and therapies over an extended period of time. Residents can choose from various clinics throughout the city of Boston that each serve a different cultural and socio-economic population. Each resident carries a panel of patients specially designed to ensure broad exposure to multiple-age groups and diverse medical problems.
Continuity sites are available in both hospital and community settings. In addition to typical primary care clinic experiences, there are a number of other clinic opportunities including an International Health Clinic at Boston Medical Center, primarily Spanish speaking clinics at Martha Elliot Health Center and East Boston Health Care Center, a young parent continuity clinic at Boston Medical Center and Children's Hospital, as well as several other multi-cultural, community-based health clinics.
Residents in the Categorical track devote one afternoon each week throughout the three years to their continuity practice. Residents are relieved of other clinical responsibilities during their scheduled continuity clinic time. Residents' clinics are rescheduled for an alternate day when the resident is post-call for their regular clinic day
In the first year, Urban Health and Advocacy track (UHAT) residents spend one-half day each week in their continuity sites. Beginning with the PL-2 year, UHAT residents select an additional half-day experience to augment their training. They have the option of choosing a second continuity clinic (residents have sometimes used this to obtain outpatient experience in specialty practices like GI or adolescent clinics) or may select a project in urban health, advocacy, global health or public policy. In selecting a project, the UHAT resident is coupled with a faculty mentor throughout the PL-2 and PL-3 years.