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2010-2011 Teaching Program
Rotations:
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PGY 1 |
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CURRICULUM COMPONENT |
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DURATION OF TRAINING |
Family Medicine |
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2 months |
Pediatrics-Outpatient |
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1 month |
Elective |
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1 month |
Obstetrics |
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1 month |
WBN or NICU/Anesthesia |
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½ month + ½ month |
Endocrinology |
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1 month |
Psychiatry/Neurology |
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½ month + ½ month |
General Surgery |
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1 month |
Emergency Medicine |
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1 month |
OB/ Emergency Medicine |
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1 month |
Gastroenterology |
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1 month |
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PGY 2 |
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| Pediatrics-Children's Hospital | 1 month | |
Family Medicine |
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1 month |
Nephrology |
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1 month |
Cardiology |
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1 month |
Night Float/Elective |
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½ month + ½ month |
Pediatrics |
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1 month |
Infectious Diseases |
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1 month |
Pulmonary/ICU |
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1 month |
Dermatology |
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1 month |
Elective |
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1 month |
Community Medicine |
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1 month |
Night Float/ ENT |
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½ month + ½ month |
Night Float/ Urology |
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½ month + ½ month |
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PGY 3 |
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Family Medicine |
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2 months |
Orthopedic Surgery |
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1 month |
General Surgery |
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1 month |
Pediatrics |
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1 month |
Gynecology |
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1 month |
Practice Management/Radiology/ |
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2 months |
Electives |
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2 months |
Night Float / Sports Medicine |
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½ month + ½ month |
Night Float/Rheumatology |
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½ month + ½ month |
Conferences:
There are modular, Friday afternoon, didactic conferences designed to complement and reinforce the practical clinical experience. Some curricular elements such as practice management, EKG interpretation and certain office procedures are taught in special longer sessions.
Workshop training:
ACLS, ATLS, ALSO, PALS, and NALS training is provided for each resident.
Call:
PGY-1’s take call in-house Q 5 nights. This experience is used for the development of evaluation skills and acute decision making, development of communication skills and professionalism particularly in the ED and on the telephone, and training to the point of competence in managing cardiopulmonary arrest and pre-arrest situations.
PGY-2 and PGY-3’s have a night float curriculum with two 2 week blocks in each year and minimal additional call. This experience is used to further develop the skills formed during the PGY-1 experience as well as the skills necessary for teaching, supervising, and evaluating junior residents, and the development of practice based learning utilizing EBM in on-call management decisions.
Teaching opportunities:
As a PGY-2 and 3 there are daily opportunities to teach and interact with PGY-1 residents, 3rd and 4th year medical students and senior PharmD students. All residents will produce several presentations for small group didactic sessions and one case presentation for the hospital’s general medical staff. Research projects are on-going and resident participation is solicited.
Relevance of training:
Following are common practice patterns and services provided by active family physicians according to current AAFP surveys
Services
ICU Care ED Care Newborn Nursery Care Surgical Assistance Skin Biopsy Joint or Trigger Point Injection EKG Interpretation GXT Colposcopy Flex Sigmoidoscopy |
Percent of Physicians Providing 80% 40% 45% 60% 23% 84% 89% 40% 13% 34% 20%
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Experience of Our Residents
2 month experience 40-60 cases/resident 2 months experience >25/resident 10-25/resident >100/resident Option for >25 cases 5-15/resident >10/resident, option for more |
Our training program provides ample opportunity for development of competency in these practices as well as office procedures such as spirometry, cryosurgery of the skin, casting and splinting, other minor skin surgery and repairs, toenail surgery and endometrial biopsy. Minimal OB experience includes 40 deliveries and over 200 hours of prenatal care.
