Our curriculum consists of thirteen 4 week blocks.

The primary goal for the first year is to master the fundamentals of hospital-based medicine through rotations in internal medicine, critical care, pediatrics, obstetrics, gynecology, emergency medicine and surgery.

Resident input is crucial to the successful development of our curriculum. We strive to maximize the individual needs of residents while preparing them for practice in an evolving healthcare environment.

Rick Worshtil, M.D. Assistant Director, Retired, Class of 1976

The first-year resident, supervised by appropriate specialists, is responsible for managing the patients admitted to the teaching services. Outpatient clinics in several of these disciplines complement inpatient care, providing a well-rounded experience. Family Medicine faculty and internists supervise the medical service team, which includes residents from all three years. Family physicians and staff specialists supervise residents on obstetrics and gynecology, pediatrics, and surgery rotations. First-year residents spend one-half to two days per week in the Family Medicine Center caring for their patients.

Second and third-year residents spend increasing amounts of time in the Family Medicine Center. Emphasis is placed on strengthening the skills required to manage patients in an office setting. A wide variety of elective experiences is available to pursue areas of special interest during the last two years, some of which time is spent working with staff Behavioral Science Specialists.

Block(s)PGY1PGY2PGY3
1Med ServiceMed Service/OfficeMed Service/Office
2Med ServiceMed Service/OfficeMed Service/Office
3Med ServiceMed Service/Women’s HealthMed Service/Women’s Health
4OBMed Service/Women’s HealthOB-Peds/Urology
5OBOB-PedsSurgery
6OB-PedsCardiology*Allergy+Ortho*
7ED^Outpatient Peds*Ambulatory Peds*
8ED^Peds Hospitalists#Peds Hospitalists#
9Children’sGeriatrics or Palliative*+Geriatrics or Palliative*+
10Surgery^Ortho*Ortho*
11Elective^Dermatology*Ortho/Elective
12Night FloatCCU+Pulm/ElectiveSelective
13Night Float /Elective^Elective*Elective* (elective and 2 weeks vacation in June)

PGY-3 Community Med and Practice management are longitudinal experiences.

*Rotations will be in the Clinic First 2+2 format, where residents will spend 2 weeks with the specialists and then 2 weeks in the office. There will be one half day of continuity clinic each week during the time with the specialists to comply with ABFM Regulations.

^Rotations will be in a modified Clinic First format where interns will spend approximately half the time on an assigned rotation and the other half in the office with Clinic First responsibilities.

#The PGY2/3 on Peds Hospitalist (during the second half of the year) will spend several half days per week at medical subspecialty offices

Nephrology is a required elective during second year

+Residents will choose to complete either Geriatrics or Palliative in the second year and then will have the other rotation third year.

Palliative Medicine includes 3 half days per week of time with Ortho/Neuro/Endo/ENT subspecialties.

Geriatrics includes 3-5 half days per week of time with Ortho/Neuro/Endo/ENT subspecialties

Revised May 1, 2019

Elective Rotation

  • Anesthesiology
  • Cardiology
  • Critical Care
  • Diagnostic Imaging
  • Endocrinology
  • Family Medicine
  • Gastroenterology
  • General Surgery
  • Gerontology
  • Hematology/Oncology
  • Internal Medicine
  • International Medicine
  • Nephrology
  • Obstetrics
  • Occupational Medicine
  • Oral Surgery
  • Orthopedics
  • Palliative Medicine
  • Pediatrics
  • Pediatric Emergency
  • Physical Medicine
  • Plastic Surgery
  • Practice Management
  • Psychiatry/Behavioral Science
  • Pulmonary Medicine
  • Research
  • Rural Medicine
  • Sports Medicine
  • Women’s Health

Programs

Conferences & Continuing Education
In addition to the clinical experience, there is an active didactic schedule, including:

  • Daily morning and noon conferences presented by hospital staff members or guest lecturers
  • Weekly Obstetrics/Gynecology conferences
  • Monthly Neonatology case review conference
  • Weekly Continuing Medical Education Conference, presented by a guest speaker or attending staff member
  • Intern Report
  • Evidenced-based Journal Club
  • A practice management course given by outside experts, family practitioners, local attorneys, accountants, and investment counselors

Residents are encouraged to attend regional and national educational conferences during the second and third years. The hospital pays a generous portion of the expenses. The hospital’s medical staff library includes a full-time librarian and staff who assist residents with journals, texts, computerized medical literature searches, and other needed medical resource material.

Night call is an important part of the training program. For the first two months, the first-year resident takes first call every fifth night. For the next eight months, each resident takes turns in a two week night float rotation where the resident covers night call from 7pm until 7am Sunday through Thursday. In May and June of the first year, first year residents return to an every fifth night call rotation.

Call is designed for the resident to assume responsibilities in a graduated fashion. Initially the second-call resident directly supervises the first-year resident. By the end of the first year, the resident will be able to manage a wide variety of medical problems.

Several duties are assumed by the first call resident. In-house emergencies are managed in consultation with the attending physician and senior resident. Under the supervision of the second-call resident, the first-call resident evaluates and provides initial treatment for medical or pediatric patients admitted to the teaching service. The first-year resident performs all clinic deliveries under the supervision of the second-call resident and attending family practitioner or obstetrician. Residents also assist with emergency surgery. Call responsibilities do not include starting IVs, venipuncture, or drawing routine blood gases.

Senior residents are responsible for second and third call. Second call admits patients to the teaching services, supervises the first-call resident, and answers telephone calls from family medicine patients. Second call occurs on an average of two to three times per month. A senior resident is also on third call to provide additional support as necessary. Third call occurs two to three times per month (taken from home). Call is concluded by morning report with a senior faculty member who reviews the important learning experiences encountered.

Night call is designed for a resident to experience the entire spectrum of clinical problems encountered in family medicine. Because of the graduated and comprehensive nature of night call it is a critical component of the educational experience.