Primary Care Track

Primary Care Track

wolf.jpgThe Primary Care Track is designed for individuals seeking a career in general internal medicine in either academia or clinical practice. The UVA Primary Care Track is one of longest running programs of its type in the country, having been established in the late 1970's.

This track offers a comprehensive training experience that prepares the trainee to be as comfortable in a rural office as in the ICU. Throughout the three years of residency, primary care residents spend an increasing proportion of their time in the ambulatory setting, designing their elective experiences to meet their individual training needs and interests. Residents may transfer to the Categorical Track at any time during their trainiing should they decide to pursue a subspecialty fellowship.

(Pictured: Dr. Andrew Wolf, Director of the Primary Care Track and Firm Attending at University Medical Associates, with Dr. Andrew Parsons, PGY3)

Clinical Rotations

PGY-1 Year

Model Community Practice:  This 1-month block at Northridge Internal Medicine, a model faculty practice in Charlottesville, allows for an intensive 1:1 learning experience with faculty mentors.

Office Gynecology: This 1-month rotation in the Primary Care Gynecology Clinic provides in-depth training in common gynecologic and women's preventive health services.

Geriatrics: This 1-month rotation features primary care geriatrics, academic nursing home and rehabilitative medicine rounds, interdisciplinary team care, and home visits. Residnts work 1:1 with geriatrics faculty, and participate in a formal geriatrics didactic curriculum. This rotation is required for both primary care and categorical track residents.

PGY-2 Year

orange.jpgRural Community Practice: This 2-month block is at our University Physicians-Orange practice in nearby Orange, Virginia, a rural, sociodemographically-diverse community. This practice was established in the mid-1970’s as a dedicated faculty-resident teaching practice, making it one of the longest running community-based internal medicine teaching practices in the country. Staffed by six UVA general internist clinician-educators, this rotation offers a true immersion experience in community-based primary care.

(Pictured: Attendings Drs. Tabor Flickinger, Lien Dame, Blake Garmon, and Mary Preston, with PGY2 residents Drs. Kacie Saulters and Lauren Bevins, at the Orange Internal Medicine practice)

Self-Tailored Ambulatory Curriculum:  The resident has 5 elective blocks to tailor an individualized ambulatory and primary care curriculum appropriate to the resident's future career plans. Electives include:

  • University Physicians-Charlottesville (general internal medicine faculty practice on UVA medical campus)
  • Primary Care rotation on a Navajo Reservation (Arizona)
  • Primary Care rotation on the Eastern Shore of Virginia (migrant and rural health)
  • Sports Medicine-Musculoskeletal rotation
  • Interdisciplinary Women’s Health rotation
  • International electives
  • Full array of internal medicine subspecialty electives
  • Full array of non-internal medicine electives relevant to primary care, such as dermatology and otolaryngology
PGY-3 Year

Community Health Center: This 1-month block is at the Central Virginia Community Health Center, a nationally recognized health center serving the rural poor of Buckingham County, Virginia. As PGY-3’s, residents enjoy the greater autonomy of seeing patients under the guidance of superb clinician-educators, and get hands-on experience with an array of office-based procedures.

Electives: There are 7 other elective blocks, as outlined above. In addition, residents complete their required research project in spring of the PGY-3 year.

Distinctive Features of Our Program

Comprehensive Longitudinal Curriculum: Our nationally-recognized curriculum spans the three years of training. Delivered during the residents’ ambulatory rotations, the curriculum includes seminars and workshops in systems- and practice-based learning, advanced interviewing skills, substance abuse, ethics and professionalism, and practice management (coding and billing). Primary Care Track residents also participate in a hands-on office procedures workshop covering dermatologic and minor surgical procedures and joint injections.

Firm Continuity Practice:  The UVA residents' continuity practice is based at University Medical Associates (UMA), nationally recognized for its firm system and capacity to care for the underserved, while providing the highest quality training experience. Primary Care Track residents are assigned to the firm of Dr. Andrew Wolf, Primary Care Track Director, for patient-resident-attending continuity within the track.

Primary Care Journal Club: Residents and faculty meet monthly, informally over dinner, to discuss articles and topics germane to general internal medicine practice.

Noon Lecture Series:  A weekly ambulatory medicine lecture series covers the core topics in primary care internal medicine.

Global Health Curriculum:  There is opportunity to apply to our optional Global Health Curriculum.

Research Opportunities:  All residents complete a research project in general internal medicine or a related field during the course of their residency. UVA offers the opportunity for close mentoring relationships with faculty in all of these areas of concentration: quality and patient safety, care of the underserved, global health, chronic illness care, health policy, clinical prevention, geriatrics, palliative care, medical genetics, and mindfulness in medicine.

For further information about the Primary Care Track, please write, call, or e-mail:

Andrew M. D. Wolf, M.D.
Associate Professor and Director, Primary Care Training Track
Division of General Medicine and Geriatrics
P.O. Box 800744, UVA Health System
Charlottesville, VA 22908-0744