1-2 clinic sessions per week Orientation (2wks) Family medicine inpatient service (12wks) Night float family medicine service (4wks) OB (4wks) Pediatrics inpatient service (4wks) Pediatrics ambulatory clinic General surgery (4wks) Procedure rotation (4wks) Cardiology (4wks) Orthopedics (4wks) Elective (2wks)
Clinic 2 weeks every month Family medicine inpatient service (6wks) Night float family medicine service (4wks) Emergency Medicine (2wks) OB (2wks) Newborn Nursery (4wks) MICU (2wks) Orthopedics (2wks) Elective (4wks) Conference time (1wk)
Clinic 2 weeks every month Family medicine inpatient service (6wks) Night float family medicine service (2wks) Emergency Medicine (4wks) Derm/ENT (2wks) Pediatric Emergency Medicine (4wks) MICU (2wks) Elective (6wks) Conference time (1wk)
We are proud to be part of an innovative pilot program since 2018 to improve the ambulatory learning environment for family medicine residents! Clinic is where the majority of family medicine graduates practice, so it makes sense to make that a priority of residency training. Our intern curriculum is primarily composed of 4-week rotations with clinic dispersed throughout the month. Our PGY 2 and 3 schedules are on a 2+2 mini-block schedule. This means residents spend 2 weeks in the family medicine center and then 2 weeks on their other rotations (ED, inpatient, MICU, ortho, elective, etc). Then they are back in clinic for 2 weeks and it goes back and forth like this for the year. The mini-block schedule drastically minimizes residents from having to be at multiple sites in one day and also provides a more predictable schedule for patients. Our goals are to see an increase in patient and physician continuity as well as a better work-life balance for residents.
What does 2 weeks in clinic look like for our PGY 2 and 3s? We have 4 templates that residents rotate on throughout the year. Each template includes an average of 12-14 continuity clinic half-days or sessions 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 time 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, and practice management opportunities at other clinics into the templates as well. So the 2 weeks of clinic includes longitudinal learning opportunities on top of caring for your continuity patients.