Year 1

  • Family Medicine Inpatient (3 months)
  • Inpatient Cardiology/CCU
  • Inpatient Surgery
  • Inpatient Pediatrics
  • Obstetrics
  • Newborn Nursery
  • Emergency Department
  • Musculoskeletal/sports medicine
  • Surgical Sub-specialty Clinics
  • Gynecology


Family Medicine Orientation

General:

Two weeks of residency training is dedicated to orienting the PG 1 resident to the philosophy of family medicine, the health sciences campus and the clinic and department. These two weeks run concurrent to the GME orientation.  Special activities include procedural workshops in suturing, ear exam, female and male exam, communication skills, EKG reading, acute cardiac patient, and colposcopy; the ALSO course; team building skills; and social activities such as the departmental & residency picnics. A lecture series on topics basic to family medicine is interspersed with these activities, as well as time in the clinic, the hospital service, and various community activities. ACLS, NRP and PALS are provided as well as Merlin EMR inpatient and outpatient training. The entire experience provides a gentle introduction to the department, the people, the discipline of family medicine, and the way our medical center operates.

Call:

No call is required.

 

Family Medicine In Patient

General:

Residents spend three months at the PGY I level, three months at the PGY II level and three months at the PGY III level on Family Medicine Wards. This busy inpatient service includes obstetric, newborn, pediatric, adult and geriatric care patients from our clinic who require hospital admission. Patients who require surgical or specialized care are seen by consult services or are transferred to the appropriate service. In general, patients with common problems are encountered on this service, but complicated and challenging cases are not uncommon either.

Call:

There is no call for PG 1 residents on family medicine wards. The PG 1 resident will alternate shifts 7 am - 5 pm & 7 am - 7 pm. They will round with the team one weekend day each week and will be responsible for admissions and floor calls until 8 pm on that day.

FMC:

The PG 1 resident will have 1 afternoon clinic session weekly.

Patient Load:

FMC patients requiring admission are cared for by the inpatient team. Each PG 1 resident is expected to manage 5 patients daily on average. Turnover on this service is relatively high. Occasionally, the census gets high, but because patient turnover is high, these busy times are short-lived.

Other Learners:

Teams consist of an attending, senior residents, interns, sub-interns (when scheduled) and third-year medical students who actively participate in patient care. A clinical Doctor of Pharmacy and pharmacy students or residents, the department psychologist, fellow and students also participate in our multidisciplinary wards team.

Supervision:

The attending oversees and supervises all aspects of patient care. The ward senior residents oversee the details of patient care as well as facilitates patient distribution among team members. The clinical Doctor of Pharmacy follows patient care as well and participates in pharmacologic matters of patient care. The behavioral science faculty is available to assist with patients having psychologic issues or stressors.

Pediatric In-Patient

General:

The inpatient pediatric ward service is generally a busy, high-volume rotation. Teaching by upper-level residents and faculty attendings is excellent. Case types are varied, from common problems to oncology patients. A step-down unit is also included in this service, so some more complex patient care is included.

Call:

The PG 1 resident will be scheduled for overnight shifts to cover call. Senior residents provide appropriate supervision depending on the needs of the PG 1 resident. A senior back-up system is in place to provide assistance to the team.

FMC:

PG 1 residents will have 1 half day of clinic per week.

Patient Load:

Numbers can vary between five to ten or more patients per resident. Senior residents distribute patient load among residents and interns equitably.

Other Learners:

Teams consist of attendings, one or more senior residents, and off-service interns. Sub-interns are frequently included and one to three third-year medical students also participate in patient care.

Supervision:

The pediatric inpatient service is supervised by board certified pediatric faculty.

Obstetrics

General:

Interns and second-year residents rotate through the obstetric service. The PG 1 resident does a one month block on the OB team, which involves primarily daytime hours with some weekend call.

Call:

Overnight patient management is provided by the OB Nightfloat pool.

FMC:

PG Y 1 residents on OB have 1 clinic session weekly.

Patient Load:

Inpatient census is manageable. Numbers can vary between two to eight patients, depending on the cases and number of normal deliveries. The family medicine resident participates in postpartum care, OB triage in the ED and L & D as well as deliveries.

Other Learners:

The teams consist of the attending staff, senior resident, midwives, OB interns and off-service interns, including the family medicine interns.

Supervision:

Attendings share inpatient and L&D responsibilities. A board certified OB/Gyn faculty attending is assigned to the L & D 24/7. Supervision by attending faculty and senior residents is available as needed based on the more junior residents abilities.

Newborn Nursery

General:

The newborn nursery rotation provides experience in caring for the normal newborn. The newborn nursery experience is coordinated by nurse practitioners with expertise in care of the normal newborn.

Call:

2-3 night shifts while on rotation with family medicine residents focusing on response to deliveries and initial stabilization will be scheduled.

FMC:

PG 1 residents will have one half day of clinic per week.

Other Learners:

2-3 interns usually cover the newborn nursery service. Pediatric or medicine/pediatrics and family medicine interns rotate in the nursery.

Supervision:

Supervision is provided by neonatologists, pediatricians, nurse practitioners and senior residents and fellows.

Two Months of Surgery

General:

Two surgery rotations are required during the family medicine residency: one month inpatient, one month outpatient.

Call:

Night shifts will be scheduled at WVU. Call involves participation in evaluation and stabilization of trauma patients at WVU's Level 1 trauma center as well as management of preop and postop patients on the wards.

FMC:

PG 1 residents will have one half day clinic during the WVU Surgery rotation.

Patient Load:

Numbers vary depending on the number of residents on service and patient census.

Other Learners:

Teams consist of an attending, a chief resident, one upper level surgery resident, and interns (Surgery, Family Medicine and Emergency Medicine). Sub-interns and third-year medical students participate in patient care as well.

Supervision:

Supevision is by attending as the senior residents at WVU.

Emergency Department

General:

Emergency medicine is a busy, but high-yield, learning experience for family medicine interns. The hours are scheduled 18 to 22 shifts of 10 - 12 hours during the month. Exposure to patient problems is extremely varied, with excellent opportunities for procedures.

Call:

No call

FMC:

PG 1 residents are scheduled two half days per week.

Other Learners:

Emergency medicine residents, physician assistants, on-and off-service interns and medical students staff the WVU Emergency Department.

Supervision:

Supervision is done on a one-on-one basis with faculty attendings as preceptors.

Musculoskeletal/Sports Medicine

General:

Musculoskeletal/sports medicine is an outpatient rotation. This rotation is a blend of clinical and didactic education. The resident will gain expertise in surface anatomy, joint examinations, x-ray interpretation, joint injections, splinting and casting techniques and much more. Clinical experience will be through direct clinic exposure to family medicine sports medicine clinics, as well as clinics with internal and community orthopedists, and physical therapists. Web-based curriculum augments intensive, invigorating month long rotation.

Call:

No call

FMC:

1 session in the FMC.

Supervision:

The rotation is coordinated by the Family Medicine faculty who has a CAQ in Sports Medicine.

Inpatient Cardiology/Cardiac Care Unit (CCU)

General:

Family Medicine residents rotate for one month in the cardiac care unit. Exposure to common and critical care cardiology cases is excellent, and seniors on the service encourage a team approach to facilitate a smooth running service.

Call:

The PG 1 resident is scheduled for 5-6 nights of overnight coverage, usually over 1 week of the rotation.

FMC:

1 session in the FMC

Patient Load:

Patient load varies from 3-7 patients on average depending on acuity and patient census.

Other Learners:

The Cardiology fellow, an internal medicine senior resident and two or three interns make-up the cardiology team. In addition, sub-interns occasionally rotate through the service, and third-year medical students also take an active role in patient care.

Supervision:

Supervision is provided by the cardiology attending, fellows and senior residents.

Gynecology

General:

This rotation is an outpatient experience which takes place in a variety of settings, such as University Health Service (Student Health), the County Heath Department, WVU and Cheat Lake Gyn clinics, WVU Hospitals OR and colposcopy clinics.

Call:

No call is scheduled during this rotation.

Patient Load:

Patients are seen in an ambulatory setting, so patient load depends on the individual clinic schedules. The pace is manageable, which allows informal teaching.

FMC:

PG 1 residents are scheduled two half days per week.

Other Learners:

There is some overlap with the OB/GYN and family medicine rotations, so occasionally the intern shares clinics with OB residents, family medicine residents, sub-interns and third-year medical students rotating through OB/GYN. This is rarely a problem since there are usually enough clinics to spread everyone out so that no one clinic is overcrowded with learners.

Supervision:

In the GYN clinics, supervision is by OB/GYN faculty attendings and senior OB/GYN residents. The Health Department OB/GYN clinic is staffed by rotating family medicine staff, and the colposcopy clinic is staffed by a nurse practitioner and the GYN/ONC staff.