The PGY-2 year consists of 13 blocks. Each resident will rotate through 2 blocks of Inpatient with our FM service, 1 block of Nights with our FM service, 1 block of Cardiology, 2 blocks of Electives, 1 block of Uro/Optho, 3 blocks of Pediatrics, 1 block Ambulatory, 1 block of Surgery/Ortho and 1 block of GYN.
INPATIENT: During the second year, residents will assume a senior role on inpatient. They will supervise junior residents and review their admission and orders. They will round on their own patients and write daily progress notes. Assigned patients will be of higher acuity than those of junior residents, typically ICU patients. Residents will also be able to perform procedures with appropriate supervision. During this month, residents will also be at our Family Health Center for eight total half-days.
NIGHTS: During this month during second year, residents will assume the senior role. Residents take calls from the ED for admissions. Residents will manage the first year residents by assigning patient admissions, directly supervising patient admissions and directly supervising floor calls. The second year resident will be in charge of ICU transfers during the night. During this month, residents will be at our Family Health Center 1 half-day per week.
CARDIOLOGY: Residents will be assigned to Genesys Heart Institute (GHI) or Regional Cardiology Associates (RCA) which are two of the leading cardiology teams at Ascension Genesys Hospital. A large part of any family physician’s practice involves prevention, diagnosis and management of acute and chronic heart disease. A thorough understanding of preventive, ambulatory and inpatient cardiology will provide the ability for the family physician to provide continuous care to patients with major heart diseases. During this rotation, residents are responsible for diagnosing and managing the major acute illnesses that affect the heart. Residents will experience Out-Patient Cardiology including consultation, long-term management of cardiac conditions, stress testing, exposure to echocardiography, EKG and Holter monitor evaluation. Residents will also spend one full-day and one half-day per week at our Family Health center.
PEDS: This is a 4-week outpatient rotation. Residents will be able to recognize and manage common pediatric problems encountered in a typical outpatient pediatric setting. Residents will be able to recognize pediatric conditions and presentations which require urgent or emergent evaluation and treatment. By the end of the rotation, residents will demonstrate familiarity with appropriate pediatric doses for common medications. During this month, residents will spend one full-day and one half-day at our Family Health Center.
PEDS ER: Pediatric Emergency Medicine is a 4-week rotation at the Peds ER at Hurley Medical Center. The overall goal of the rotation is to provide you with four weeks of acute pediatric care experience preparing you for possible pediatric emergencies that may enter your practice at any time. By the end of the rotation, each resident should feel comfortable caring for common pediatric emergencies. Residents will also spend one full-day per week at our Family Health Center.
PEDS WBN: This rotation is done inpatient with one of our pediatricians at the hospital. Residents will get the opportunity to exam and admit newborn infants. Residents will be comfortable with routine newborn care as well as common pathology such as jaundice, respiratory distress, rsv etc. During this month, residents will spend 4 half-days at our Family Health Center.
URO/OPTHO: During this rotation, residents will spend two weeks on Urology and two weeks on Ophthalmology. Residents will spend ample amounts of time in our Family Health Center as well.
SURGERY/ORTHO: Orthopedic training during this rotation emphasizes experience in the orthopedists office, the orthopedic clinic, as well as a Sports Medicine experience with a lesser emphasis on surgery. By the end of the rotation, residents will be able to read bone radiographs and accurately describe all fractures. They will be able to diagnose and treat common orthopedic problems, including common musculoskeletal disorders such as back pain and injuries incurred while participating in sporting events. Residents will be able to stabilize fractures until the patient can see an orthopedist, i.e. casting and/or wrapping. Residents will be able to perform appropriate pre-participation evaluations and counseling of athletes. Residents will build the knowledge and skills necessary to evaluate, treat and counsel patients involved with common exercise related injuries. Residents will also build the knowledge and skills necessary to function as a team or sporting event physician. During this month, residents will spend two full-days and one half-day at our Family Health Center.
GYN: Family physicians will need to be able to provide the basic gynecological services for their patients as well as to be able to refer gynecological problems when appropriate. While on gynecology, the resident works closely with a group of gynecologists, Women’s Specialty Associates. The resident will see patients in their office. Residents will develop a thorough understanding of the common gynecologic disorders, their time course and appropriate treatment. Residents will also have the ability to perform common office gynecologic procedures. By the end of the rotation, residents will be comfortable in obtaining vaginal and cervical cytology, performing colposcopies, cervical biopsies and endometrial biopsies. Residents will also be comfortable in family planning, oral contraceptive counseling, IUD counseling, IUD insertion and removal, and injectable long-term contraceptives and counseling. During this month, residents will spend 2 full-days at our Family Health Center.
ELECTIVES: Residents have the opportunity to select two electives that best align with their educational and professional goals. Commonly selected electives include nephrology, pain management, dermatology, palliative, radiology and private practice family medicine.