Curriculum: PGY I

Family Medicine Inpatient Service

2 blocks

• Responsibility for inpatient care of FHC and primary care clinic patients
• General medicine patients who represent a typical family physician’s service
• Daily rounds with senior resident and attendings
• Supervised by senior resident and family medicine directors
  

Obstetrics

2 blocks

• Delivery of 25 to 35 obstetrical patients per two months with
  experience in using forceps and vacuum extraction
• Interaction between first, second and third year residents on this service
• Prenatal care experience in high-risk obstetrics clinic
• Fetal monitoring training and certification
• Managing role with maternal-fetal medicine in complex patients
• Deliveries supervised by family physicians and obstetricians
• Continuity of care in OB patients
  

Newborn Nursery/NICU

1 block

• Work with neonatologists in Level II with exception nursery
• Monthly NRP drills for all residents
• Experience in resuscitation of neonates, including C-section deliveries, and preparation for transport
  

Inpatient Pediatrics

1 block

• Regional hospital for inpatient pediatrics
• Hospitalist pediatricians as attending staff
• Curricular focus on infectious and respiratory diseases
  

Ambulatory Pediatrics

1 block

• Extensive outpatient work with University pediatricians
• Curricular focus on immunizations and well child care School-based clinics and community teaching opportunities
• WIC community home visits
  

Surgery

2 blocks

• One-on-one service with a teaching surgeon
• Emphasis on pre-op and post-op diagnosis and care in surgeon's office
• Acquisition of technical skills—suturing, emergency surgical stabilization techniques and management of fluids, electrolytes, nutrition and pain control
• Assist in surgery—moderate, not stressed
• Opportunity for intubation
• Outpatient ambulatory surgery—exposure to outpatient procedures
• Experience in wound care clinic
• Inpatient and outpatient wound care visits
• Develop pre-op evaluation skills
  

Hematology/Chronic Disease Management

1 block

• Responsibility for outpatient adults with emphasis in chronic disease management, potential for geriatric assessment
• Weekly evidence-based DN/HTN—one-on-one case discussion
  

Emergency Medicine /Radiology

1 block

• Application of ATLS and ACLS principles
• Participate in hospital code blues
• Hands-on wound suturing experience
• Evaluate and treat emergency patients including trauma and severe illness
• Supervision by certified emergency physicians
• Review daily hospital imaging studies and monthly conference with a
  radiologist
  

RENAL

1 block

Sports Medicine /Orthopedic Surgery

1 block

• Joint injections, workshops, fracture reduction, splints and casting

University Family Health Center

• First-year residents spend two half-days per week in the office and see four to six patients per session
• Supervision by full-time preceptors and board-certified family medicine preceptors
• Videotaping and case reviews done regularly
• Emphasis on health maintenance and patient-centered care
  

*Curriculum is subject to revision by the American Board of Family Medicine and the Accreditation Council for Graduate Medical Education (ACGME).