Curriculum

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)

intern class

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)

PGY 2

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)

Didactics

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 except for one dedicated 2-week clinic block. 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 the need for residents to be at multiple sites in one day and provides a more predictable schedule for both patients and residents. Our goals is to continue 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, mobile outreach bus, 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.   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 very valuable learning experience, and we continue to have graduates pursue careers as hospitalists. We did scale back or eliminate rotations no longer required to make space for new requirements, although residents can still choose to do those rotations as electives. New rotations in 2023 include geriatrics, ambulatory psychiatry, elective opportunities, and significant updates to the procedure/surgery rotation. We are still in the process of creating a GYN rotation as well as another ambulatory pediatrics rotation that we anticipate will begin in July 2024. We also continue to create new electives for residents to explore.