Year 3

  • Family Medicine Inpatient (3 months)
  • Sundale Nursing Home - Geriatrics
  • Medicine Sub-specialty Clinics
  • Community Pediatrics
  • Urgent Care
  • Practice Management
  • Ambulatory Pediatrics 
  • Family Medicine Sub-specialty Clinics
  • Elective (2 months)


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:

The PG 2 & 3 residents will share the night coverage divided equally over the month. The night shift resident may take call from home. They will participate with morning rounds. Weekends are covered as home call 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:

FMC sessions will be scheduled dependent on night shift call and floor coverage.

Patient Load:

The PG 3 residents on the wards service are responsible for supervision of junior residents and students. Day to day coordination of patient care is the primary role of the PG 3 resident. During the days of night coverage, opportunity for advancing independence is provided by management of the patients, admissions and consultations.

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:

Supervision of the service is provided by the faculty attending and senior resident.


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 in the FMC 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:

Residents are supervised by Family Medicine faculty assigned to Sundale Nursing home.


Medicine Sub-specialty Clinics

General:

The Internal Medicine Subspecialties rotation is an outpatient clinical month. Specialists in, infectious disease, rheumatology, and endocrinology provide training during this rotation.

Call:

No call

FMC:

5 sessions in the FMC Weekly

Other Learners:

Residents and fellows from other specialties rotating in the clinics and medical students on specialty rotations.

Supervision:

Residents are supervised by the board certified subspecialty medicine faculty attending the clinics.


Practice Management

General:

This rotation addresses issues of practice management in a progressive manner dependent on year of training.

Call:

There is no call during this rotation.

FMC:

3-4 clinic sessions per week

Other Learners:

The resident may interact with other residents and medical students on this rotation.

Supervision:

Supervision is provided by the  Practice Management faculty responsible for coordinating this experience.


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.

Urgent Care

General:

Call:

FMC:

Other Learners:

Supervision:

Ambulatory Pediatrics

General:

Outpatient pediatric experience is provided in the acute pediatric clinic at WVU.

Call:

No call is involved but residents will be scheduled to cover some Saturday clinics.

FMC:

PG 2 residents are generally scheduled 3 half days in FMC clinic.

Patient Load:

Patients are scheduled with each resident. Volume depends on demand.

Other Learners:

Pediatric residents, medicine/pediatric residents, family medicine residents, sub-interns and 3rd year medical students work in the clinic.

Supervision:

Supervision is provided by pediatric attendings staffing the clinic.

Family Medicine Sub-specialty Clinics

General:

Call:

FMC:

Patient Load:

Other Learners:

Supervision:

Electives

General:

Call:

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

FMC:

PG 3 residents are scheduled for 5 clinic sessions weekly.