Rotations By Discipline

Internal Medicine

• Adult inpatient medicine service, staffed by a full-time Family Medicine faculty member, a third-year service chief and a first-year resident
• Direct contact with attendings representing the full spectrum of medical specialties (cardiology, gastroenterology, endocrinology, immunology/allergy, pulmonary medicine, rheumatology, infectious disease, oncology, nephrology)
• Informal discussions around current patient problems and areas of interest to family practice
• Family Medicine Service accepts admissions from outlying primary care physicians, and provides consults and preoperative risk assessments

Obstetrics (Labor & Delivery)

• Area obstetricians very supportive of family physicians doing deliveries
• Family medicine residents are the only residents on OB service
• Participate in all labors and deliveries
• Average more than 30 deliveries/month/resident 
• Obstetricians and family physician attendings
• First assist at Caesarian Sections, opportunity to do them in third year

Pediatrics

• Inpatient and outpatient experience, emphasizing primary care medical problems
• Daily newborn nursery and pediatric unit rounds
• “Mini-lectures” on core content of pediatrics for the family physician, offered 2-3 times per week by Family Medicine faculty
• Initial management, stabilization and transport of high-risk infants
• Work with all family physicians and pediatricians admitting to medical center
• Outpatient experience in busy pediatricians’ offices

Surgical Areas

• One-on-one opportunities with attending surgeons
• Board-certified surgical specialists in subspecialties (colorectal, vascular, breast, urological, gynecological)
• Varied inpatient/outpatient experience
• Outpatient experiences in private physician offices rather than “clinics”
• Focus on diagnostic pre- and postoperative care
• Develop first-assist surgical skills

Psychiatry

• Four psychiatrists and full mental health team
• Integrated experience in mental health inpatient unit, acute care medical center, outpatient mental health clinics, and community agencies designed to individual resident’s needs
• Coordination with longitudinal behavioral science curriculum
• Psychopharmacology for the family physician
• Psychiatric assessments
• Psychiatric consultation
• Medical needs of the psychiatric patient

Dermatology

• Election of sites in various academic, group practice or private practice settings
• Complements variety of longitudinal experiences

Neurology

• Inpatient consultation service
• Outpatient clinics in general neurology and special diseases
• Neurology teaching conferences
• Emphasis on family physician’s role

Respiratory Medicine

• Inpatient and outpatient pulmonary medicine
• ENT and allergy
• Customized to your prior experience and future needs

Occupational Medicine

• Diagnosis and treatment of acute injury
• Workers’ compensation
• Disability evaluation of occupational injury and return to work

Emergency Medicine

• 2 months experience provides a spectrum of seasonal variations in emergency room problems
• Taught by dedicated emergency medicine physicians, who also provide frequent mini-lectures
• Work with attendings and consultants
• Exposure to trauma, acute medical emergencies, surgical crises, psychiatric problems, procedures (lacerations, splinting, lumbar punctures) and routine care

Clinical Seminars

• Explore curricular areas of family medicine not often included in traditional month-long rotations or elective experiences
• Small group of second- or third-year residents meets mornings, Monday through Friday
• Different faculty member each day helps facilitate collaborative discussions or experiential curriculum
• Curriculum includes:
  • Medical ethics
  • Evidence-based medicine
  • Prevention and community medicine
  • Research
  • Patient education
  • Practice management
  • Geriatrics
  • Hospice and home visits
  • Sports medicine
  • ENT
  • Ethnic diversity