Year 2

  • Family Medicine Inpatient (3 months)
  • Medical Intensive Care Unit (MICU)
  • Musculoskeletal/sports medicine
  • Obstetrics--Night Float
  • Behavioral Medicine
  • Community Pediatrics
  • Sundale Nursing Home
  • Community Family Practice      
  • Inpatient Psychiatry consults (2 weeks)
  • Radiology (2 weeks)
  • Elective (1 month)


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 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:

First year residents will be scheduled with the family medicine night float resident five to six nights during the month. A medical student who takes call as well is backed-up by a senior resident. Second and third year residents provide weekend coverage, as well as obstetric call. Attendings are notified and involved with every admission, so patients admitted to the service get the best care available.

The PG 2 & 3 residents will share the night coverage divided equally over the month. The night shift resident may take call from home. Weekends are covered by the senior residents not on night shift. 7 pm Friday through 7 pm Saturday or 7 pm Saturday through 7 pm Sunday. OB triage is managed by the wards team. Attendings are notified of every admission and coordinate care to provide efficient, evidence-based, cost effective care to our patients.

FMC:

There will be variable continuity clinics on this rotation.

Patient Load:

The PG 2 resident on the wards service has a multifaceted role. At times of high census, they may provide primary management of patients. They will also have the opportunity to supervise junior residents and students during the day and early evening hours. Overnight coverage on assigned days involves coverage for the whole team and offers the opportunity to independently evaluate and manage patients.

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. 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 facilitate patient distribution among team members. The clinical Doctor of Pharmacy follows patient care as well and participates in pharmacologic matters of patient care.


Psychiatry Consults (2 week rotation) 

General: 

Call:

No Call

FMC:

The PG 2 resident typically has 3 half days of clinic during this rotation.

Patient Load:

Other Learners:

Supervision:

Radiology (2 week rotation)

General:

Call:

No call

FMC:

The PG 2 resident typically has 3 half days of clinic during this rotation. 

Patient Load:

Other Learners:

Supervision:
 
 


Medical ICU

General:

This is a busy intensive care unit in a tertiary care teaching hospital. An ICU team, consisting of faculty attendings, residents from different specialties, and medical students make up the service. Arterial lines, ventilation management, and many other procedures are part of this rotation.

Call:

Call is between one-in-three and one-in-four nights, depending on the number of residents on the service

FMC:

PG 2 residents are scheduled 1 half day of clinic per week.

Patient Load:

Patient load averages 3-7 patients per resident, dependent on acuity, patient census and number of residents.

Supervision:

An internal medicine faculty attending, as well as a medicine fellow provide supervision for this busy service.


Obstetrics/ Obstetric Night Float

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. PG 2 residents rotation on the OB Nightfloat rotation.

Call:

Nightfloat is scheduled Sunday and Tuesday through Friday.

FMC:

Family Medicine clinic will be Monday morning.

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 residents, an OB intern and off-service interns, including family medicine interns. Second-year family medicine residents rotate on the OB night float service.

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.


Community Family Medicine

General:

One month in the second year is spent in a rural practice, with or without hospital patients. The purpose is to experience actual practice in a rural setting. Practice management issues are investigated, as well as involvement in the community. A community assessment is completed.

Call:

Call is variable, depending on the practice.

FMC:

Depends on site of rotation. Generally 0-2 sessions in FMC.

Other Learners:

Usually, no other learners are present, and the resident is supervised by the practitioner.

Supervision:

Supervision is provided by the community physician.


Sundale Nursing Home - Geriatrics

General:

All PG II and III residents will be assigned between 7-14 patients at the Sundale Nursing home. Each month 1-2 sessions will be assigned at Sundale, usually in place of two continuity clinics. As the Sundale resident you will be responsible for the following (1) on call during the day for problems (2) responsible for admissions to Sundale (3) responsible for attending to the "acute board" of non emergent patient issues and paperwork (4) you will also be responsible for seeing your own continuity patients as well as some others assigned from away or night float resident lists.

Call:

There is no call for this rotation other than beeper call for Sundale via the specific Sundale pager.

FMC:

4 sessions weekly

Other Learners:

Medical students may be scheduled to spend time at Sundale. Each PG 1 OB-Gyn resident will be assigned to Sundale during the geriatrics month with the Department of Family Medicine.

Supervision:

Family medicine faculty are responsible for supervision at Sundale Nursing home.


Behavioral Medicine

General:

This rotation addresses issues of  Behavioral Medicine in a progressive manner.  Time is spent with the behavioral medicine faculty, exploring the multiple issues of human behavior in health and illness that will face them every day.  One-on-one training in grief management, relaxation techniques and recognition of the depressed and/or anxious patient is provided.  Videotaped clinical visits are critiqued for refinement of the doctor patient relationship.  Time to make home visits on patients from residents continuity panel is also provided. 

Call:

There is no call during this rotation.

FMC:

4 clinic sessions are scheduled weekly.

Other Learners:

The resident may interact with other residents,  medical students, pyschology students and psychology fellows on this rotation.

Supervision:

Supervision is provided by the behavioral medicine physician faculty responsible for coordinating the the rotation.


Community Pediatrics

General:

This month of pediatrics is intended to familiarize the resident with the community practice of pediatrics. The resident is assigned to a community physician who is trained in pediatrics.

Call:

No call during this rotation.

FMC:

Clinic schedule varies.

Supervision:

The Community Pediatric physician supervises residents.

Musculoskeletal / Sport Medicine

General:

Musculoskeletal/sports medicine is an outpatient rotation. This rotation is an exciting 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:

3 sessions in the FMC.

Supervision:

The rotation is coordinated by the family medicine faculty with a CAQ in Sports Medicine.

Electives

General:

Elective rotations are incorporated into the second and third year of residency. This provides an opportunity for the resident to choose an area of interest or an area in need of improvement. . Possible electives include: allergy, endocrine, gastroenterology, hematology/oncology, infectious disease, pulmonary medicine, rheumatology, pediatric subspecialties, podiatry, and sports medicine. Other elective rotations may be arranged to address the resident's area of interest. Away electives require prior approval and the resident must be in good standing with the program and have adequate clinic numbers.

Call:

Generally, no call is scheduled for family medicine. Call may be required with other departments depending on the rotation.

FMC:

PG 2 residents will be scheduled for 3 clinic sessions.