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Midland Family Medicine Residency: 4-Year Curriculum 

The Future of Family Medicine Training 

In today’s medical environment, family physicians are expected to be the stewards of the healthcare system, coordinators of chronic disease management and leaders in the Patient Centered Medical Home. However, training time has slowly been eroded through changes in duty hour rules. Although this is certainly beneficial for the well-being of residents, it has also resulted in the inability to accomplish as much during training as prior graduates. In addition, the medical scope of today’s family practitioners is ever-increasing. 

Residency Learning OpportunitiesGiven this new environment, the family medicine residency here in Midland, Michigan is excited and grateful to have been chosen as a pilot program for a 4-year model of training. In four years, our family medicine residents will graduate with a robust medical knowledge base and ample clinical experiences. This will enable them to become not only excellent family physicians for their patients, but also leaders in their communities and health systems. Furthermore, including the concept of an “area of concentration” (AOC) will allow residents to further refine their training to fit their specific future needs. All of us at the residency are excited to begin this new journey in becoming leaders in the new vision of family medicine training.

Rotations

First Year (PGY 1) Second Year (PGY 2)
Orientation 1 block Cardiology 1 block
Family Medicine Service 3 blocks Clinical Seminars 2 blocks
Psychiatry 1 block Pediatrics 1 block
Orthopaedics/PM&R 1 block Night FMS 2 blocks
Pediatrics 2 blocks Obstetrics 1 block
General Surgery 1 block Gynecology 1 block
Obstetrics 1 block Family Medicine Service 1 block
Neurology 1 block Office Block 1 block
Dermatology 1 block PCMH 1 block
Emergency Medicine 1 block General Surgery 1 block
Intensive Care 1 block
Third Year (PGY 3) Fourth Year (PGY 4)
PCMH 1 block Nephrology/Urology 1 block
Office Block 1 block Night FMS 1 block
Clinical Seminars 2 blocks Obstetrics 1 block
Elective 3 blocks Pediatrics 1 block
Family Medicine Service 1 block Orthopaedics 1 block
Hematology/Oncology 1 block Family Medicine Service 1 block
Obstetrics 1 block Elective 1 block
ENT/Ophthalmology 1 block Area of Concentration 6 blocks
Night FMS 1 block
Occ. Medicine/Urgent Care 1 block

Longitudinal Curriculum

Dr. Andrew Wolford & Dr. Michael WillBehavioral Medicine
Geriatrics
Office Procedures

Research Opportunities

Our residents are active in research and scholarly pursuits, through an ongoing research curriculum, under the direction Lynn E. Simons, Psy.D.. Residents often present regionally and usually a group of residents present their work nationally each year. Faculty are active as well as being selected as a ACGME Demonstration Grant for a four year training model in Family Medicine.

Call Responsibility

Intern Year
Call shifts include: Saturday 7:30 a.m. - 8 p.m., Saturday, 8:00 p.m. - Sunday 7:30 a.m., Sunday 7:30 a.m. - 8 p.m. (and on Holidays that fall during the week the intern works 7:30 a.m. - 8:00 p.m.). There is no night float rotation in the intern year of training. Four of six first years participate in the call pool each month (FMS and OB residents cannot participate due to duty hour rules) so each intern would take call 3 shifts per 4-week block (12 total shifts to cover, 4 interns --> 3 shifts/intern).

PGY 2, PGY3, PGY4
Call shifts include: Saturday 7:30 a.m. - Sunday 7:30 a.m., Sunday 7:30 a.m. - 8:00 p.m., and Holidays (that fall on weekdays) 7:30 a.m. - 8:00 p.m.. Upper level residents also cover weekend shifts in the ER (Saturday 9:00 a.m. - 9:00 p.m., Sunday 9:00 a.m. - 9:00 p.m.). There are 2 blocks (one block is 4 weeks) of night float second year. All second, third and fourth year residents participate in the call pool unless they are rotating on FMS, OB, or night float. Each resident takes roughly 1-2 call shifts per 4-week block (12-13 residents can participate in call pool each rotation, leading to an average of 1-2 call shifts per 4-week block as 16 shifts needs to be covered).

1st Year - 1hr/day Office
2nd Year - 2hrs/day Office
3rd & 4th Years - 3hrs/day Office

Blocks are 4 weeks in duration
2 hours per day of office or equivalent (may group office into full days instead)
3 hours per day of office or equivalent (may group office into full days instead)