The PGY-3 year consists of 13 blocks. Each resident will rotate through 2 blocks of Medicine with our Family Medicine Service, 1 block of nights with our Family Medicine Service, 2 blocks of pediatrics, 2 blocks of ambulatory, 1 block of Surgery/Ortho, 1 block of outpatient surgery, 1 block of GYN and 3 blocks of electives.
INPATIENT: The third year resident’s responsibilities include overall running of the medicine service with the attending physician, including knowledge of all patients on the service and appropriate planning of testing and timely discharge of patients, as well as teaching and supervision of the junior residents. Residents will assign patients to the first and second year residents. The third year residents are in charge of the entire list. They will maintain an efficient service by ensuring prompt and appropriate ordering of tests and discharge planning. They will pull patient census every morning and make sure all patients are assigned. Third years are in charge of covering FHC answering service and completing billing sheets on a daily basis. During this month, residents will spend 4 half-days at our Family Health Center during 2 of the 4 weeks.
NIGHTS: During this block, third year residents assume the senior role. Residents will answer all answering service calls and review them with the faculty, will work closely with the PGY-2 to supervise PGY-1 residents, will supervise PGY-2 critical care medical decision making, will be responsible for providing didactic sessions with the NF team and will supervise with PGY-2 the pediatric, nursery, ortho/neuro ICU, PRCU, medicine admissions and floor calls with the NF team. Residents will also have one half-day at our Family Health Center per week.
SURGERY/ORTHOPEDICS/ORTHOTICS: This rotation emphasizes experience in the orthopedists office, as well as an orthotics experience. 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 develop the ability to diagnose and treat common orthotic problems, including common musculoskeletal disorders such as wrist pain, and upper extremity injuries and knee and ankle injuries. They will also develop the ability to prescribe the appropriate orthotic device for patients. During this month, residents spend 1 full-day and 1 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. Residents will also spend 2 full and 1 half-days at our Family Health Center during this rotation.
Ambulatory: This month is entirely based at our Family Health Center. Residents will experience full patient loads. Residents will manage chronic conditions as well as acute visits mixed in. Residents will be comfortable seeing all ages, making cost effective management decisions and completing thorough but efficient documentation.
Electives: Residents have the opportunity to select three 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.