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Curriculum

FIRST YEAR

SECOND YEAR

THIRD YEAR

FPC

Clinic Every Day

FPC

Clinic Every Day

FPC

Clinic Every Day

1 hr/day x 5 days/wk

2 hr/day x 5 days/wk

3 hr/day x 5 days/wk

Rotations

Rotations

Rotations

Family Med inpatient Service - 3 months (includes ICU and well baby nursery patients)

Family Med inpatient Service - 2 months

Family Med inpatient Service - 1 month

Surgery - 1 month

OB/Women's Health - 1 month

Diabetes/Endocrinology - 1 month

OB - 2 months

NICU/Peds outpatient - 1 month

GI - 1 month

ER - 1 month

Peds ER - 1 month

Geriatrics - 1 month

Peds Inpatient - 1 month

ICU/Pulm - 1 month

Sports Medicine- 1 month

Peds Outpatient - 1 month

Cardiology - 1 month

FP Preceptorship - 1 month

Dermatology - 1 month

Community Medicine - 1 month

Practice management - 1 month

Behavioral Medicine - 1 month

Sports medicine - 1 month

Ophthalmology - 1/2 month

Gyn - 1 month

ER - 1 month

Nephrology - 1/2 month

 

Electives - 2 months

Urology - 1/2 month

 


Electives - 3 months

FAMILY MEDICINE CENTER

 

At the heart of Family Practice is continuity in taking care of your own panel of patients. Most residencies start out with minimal clinic exposure and a lot of time in the hospital. Our program puts a major emphasis on your personal clinic experience, the foundation of a successful Family Practitioner. Our program is called Clinic Every Day . During all three years of the residency you will see patients in the Family Practice Center 5 days per week, even when you are on call - just like when you are out in practice. Being in clinic on a daily basis means: 1) when your patients call, the receptionist will tell them that you'll be in today or tomorrow, not next week like a traditional program, 2) when lab results come back, you'll review them immediately and take appropriate action, and 3) when you see a really sick patient who needs follow-up tomorrow, you'll do the follow-up visit on your patient, not your "teammate" who the patient hasn't even met. Our FPC, the St. Mark's Family Medicine Center, is based right out in the community where the patients are. We see approximately 15,000 patients per year.

 

ROTATIONS

 

Family Practice Hospital Service

Patients are admitted to the hospital from our Family Practice Clinic (FPC) and from the community.

Rotation length: First year - 3 months; Second year - 2 months; First year - 1 month.

Details:

    R1 patient load ranges from 5-8 patients/day, including well babies from the nursery and ICU patients
    R1 attends case management rounds every Wednesday morning at 11 AM to review patient discharge plans
    Pharmacy rounds with our team every day
    Patients are admitted to the hospital from our clinic and from the community
    Rotation length: First year - 3 months; Second year - 2 months; First year - 1 month

General schedule:
⦁    R1s from 7 AM - 9PM Monday (for general hospital admits); 7 AM – 7 PM Tuesday – Thursday, Saturday morning rounds
⦁    Interns manage the service independently under the attending on Monday mornings and Tuesday afternoons
⦁    Attendings and senior residents who not on service are always available for guidance
⦁    R2/R3s 12 PM Monday – 12 PM Tuesday (overnight), 7 AM – 7 PM Tuesday – Thursday, Sunday rounds

Call Schedule: First year - no overnight call; Second year & Third year - on call from home for our inpatients, admissions of any of our clinic patients, phone calls from patients at our clinic and at the skilled nursing facility that we oversee.

Obstetrics/Gynecology:
⦁    Residents complete 3 months of OB care over 3 years.
⦁    Minimum delivery requirements: 30 non-continuity patients, 10 continuity patients
⦁    Residents have no trouble meeting their numbers and delivering many more babies should they wish to pursue an OB fellowship
⦁    We deliver at St. Mark’s Hospital with an OB attending. We also work with the OB hospitalists and nurse midwives
⦁    Time is split between OB clinic with a family medicine-trained obstetrician, L&D deck, and our continuity clinic
⦁    Advanced Life Support in Obstetrics (ALSO) training provided in first year
⦁    Residents work one on one with attendings in the community ranging from general gynecology practices, gyn-onc clinic, and the pelvic pain clinic

Surgery:
⦁    Residents work the general surgeons, orthopedic surgeons, urologists, anesthesiologists etc when on their surgery rotation.
⦁    Experience developed in preoperative diagnosis, placing IVs, intubation, suturing, surgical assisting, postoperative management, and ambulatory surgical procedures. You can spend time in surgery clinics or with the wound care team.

Behavioral Medicine:
⦁    Residents work with psychiatrists and APRNs in the community
⦁    Opportunities to attend pediatric behavioral health clinic, ADHD clinic, forensic psychiatry, substance use clinic, and equestrian therapy sessions
⦁    Residents perform a reflective session annually during noon conference, and behavioral medicine is addressed 2-3 times per month in noon conference

Dermatology:
⦁    Residents work with clinicians in the community, including those performing Moh’s surgery

Sports Medicine/Orthopedics:
⦁    Residents work with clinicians at St. Mark’s and in the community.
⦁    Winter ski clinic during second year seeing many patients with sports injuries
⦁    Gain experience in casting, splinting, and joint aspirations and injections.
⦁    Opportunities to complete pre-sports evaluations and be the team doctor in various venues

Cardiology:
⦁    Residents work with Cardiologists at St. Mark’s hospital in clinic and on the inpatient service.
⦁    Residents can also work at the Chest Pain Clinic

Emergency Department:
⦁    Residents work at St. Mark’s ER a total of 2 months (200 hours)
⦁    Residents also work at the Primary Children’s Emergency Department for a dedicated pediatric emergency rotation
⦁    The St. Mark's Hospital ER has 40,000 visits per year, and is a Level II Trauma Center.
⦁    Certification in ACLS and ATLS in the first year

Pediatrics:
⦁    Residents work on a Family Medicine inpatient team at Primary Children’s Hospital during the busy winter months
⦁    Residents see well babies in the nursery while on the family medicine service
⦁    First year - One month of outpatient pediatrics with one of many community general or specialist pediatricians, and one month of inpatient pediatrics at Primary Children's Medical Center (PCMC) during the busy winter months
⦁    Second year - one month of pediatrics ER at Primary Children's Hospital, and one month of outpatient pediatrics or NICU at St. Mark's Hospital under the supervision of the staff neonatologists.
⦁    PALS and NRP are provided in the first year

ICU
⦁    One month in the second year with one on one training with the intensivist physicians at St. Mark's Hospital
⦁    Opportunity learning many aspects of critical care, including intubation, ventilator and pressor settings, arterial and central line placement, and pulmonology procedures

Community Medicine/Population Health:
⦁    Residents explore community resources, such as the county health department, an HIV clinic, AA meetings, and an occupational medicine facility.
⦁    Residents may also work on their research and QI projects during this month

Geriatrics:    
⦁    Residents work at our faculty-run senior center and hospice company
⦁    Residents also follow two long-term nursing facility patients throughout residency
⦁    Home visits completed during this rotation

Preceptorship
⦁    This very important rotation gives the resident a chance to experience potential future practice opportunities. Options available include rural, suburban, and academic practices.

Practice Management:
⦁    Residents spend a month honing their business in medicine skills
⦁    Residents need to learn the business side of medicine, and this is the rotation to do it.
⦁    Residents also attend a hospital committee through residency to further their understanding of hospital management
⦁    Coding and billing is taught throughout residency, including didactics from our in-house coding staff

Radiology
⦁    The radiologists at St. Mark's Hospital teach our residents about plain films, CT, MRI, mammography, ultrasound, and nuclear medicine.
⦁    Residents read the X-rays in the FPC on their own patients, and then the films are over-read by a radiologist for teaching and quality control.

Neuro, Rheum, GI, ENT, Heme/Onc, Urology, ID
⦁    Each of these rotations is done with board certified specialists. They include both inpatient and outpatient experiences. These specialists love to teach and the residents learn skills pertinent to their family practice needs.

Elective Rotations
⦁    Some of the options available include: plastic surgery, a procedures clinic, podiatry, endocrinology, rheumatology, allergy, sports medicine, and numerous pediatric subspecialties or best yet, set up a rotation abroad.

Global Health
⦁    Set up an elective rotation anywhere in the world. If it's reasonable, you can do it. The residency regularly sets up group trips

 

 

NOON CONFERENCE SERIES

Every weekday there is a noon conference with lunch provided. The topics covered are diverse from an EKG course to Balint Group, where residents discuss how they feel about certain patient interactions (without the faculty present). The speakers include the residency faculty, rotation directors, resident presentations, and many outside speakers too.  Residents are in charge of scheduling the lectures, so we get the lectures we want.

 

ANNUAL RETREAT

Part of our curriculum is having fun. Each year our program has an annual retreat in an out of town location. For example, the residents and faculty went on an exciting white water river rafting trip near Moab, Utah.