Rotations
PGY 1
1-2 clinic sessions per week
Orientation (2wks)
Continuity clinic dedicated time (2wks)
Family medicine inpatient service (8wks)
Night float family medicine service (8wks)
OB (4wks)
Pediatrics inpatient service (4wks)
Pediatrics ambulatory clinic (4wks)
Procedure rotation (4wks)
Cardiology (4wks)
Orthopedics (4wks)
Geriatrics (4wks)
Newborn (4wks)
Rotations
PGY 2
Clinic 2 weeks every month
Family medicine inpatient service (6wks)
Night float family medicine service (4wks)
Emergency Medicine (2wks)
OB (2wks)
MICU (2wks)
Ambulatory Pediatrics (2wks)
Elective (4wks)
Ambulatory Psychiatry (2wks)
Pediatrics Emergency Medicine (2wks)
Optional Conference time (1wk)
Rotations
PGY 3
Clinic 2 weeks every month
Family medicine inpatient service (6wks)
Night float family medicine service (2wks)
Emergency Medicine (4wks)
Pediatric Emergency Medicine (2wks)
Elective (10wks)
*GYN (2wks)
Optional Conference time (1wk)
Since 2018, we have been part of an innovative pilot created to improve the ambulatory learning environment for family medicine residents. This pilot has involved structuring PGY2s and PGY3s’ schedules to emphasize continuity in their clinics. Residents are in the clinic two weeks of each month, then rotate to an offsite learning experience for the remainder of that month (“2+2 mini-block” schedule). As this pilot comes to a close in the 2024-2025 academic year, we have developed a modified schedule which will largely maintain the 2+2 outline, while still adhering to the ACGME requirements. Residents will still have their “clinic block” for half of each month. Then, while on off-site rotations, they will have one clinic session prior to didactics each week. The mini-block schedule minimizes the need for residents to be at multiple sites in one day and provides a more predictable schedule for both patients and residents. Our goal is to continue to see an increase in continuity as well as a better work-life balance for residents.
What does the 2-week clinic block look like for our PGY 2 and 3s? Residents will do an average of 12-14 continuity clinic half-days over the 2 weeks. The rest of the time is spent working directly with faculty in specialized clinics such as procedure, pain management, podiatry, sports medicine, behavioral health, or OB/women’s health clinics. You might be scheduled for population health to manage your patient panel or assigned to work in the high-risk diabetes clinic alongside the pharmacy fellow. We also build in nursing home visits, colposcopy clinic, mobile outreach bus, and practice management opportunities at other clinics into the templates as well.
With the new ACGME changes that went into effect in July 2023, we are continuing to adjust our curriculum to meet the new requirements. We did not decrease any of our time on our family medicine inpatient service as we feel it’s a valuable learning experience and prepares the numerous graduates that have pursued careers as hospitalists. Because of the increased emphasis on electives, we have created several new electives such as integrative medicine, rural medicine, obesity medicine, and more.