Curriculum

Our curriculum is designed to develop our residents’ knowledge, skills, and attitudes needed to work effectively as physicians in a variety of settings. To achieve these goals, our curriculum committee meets monthly to evaluate and refine the educational experience of residents. In addition, each rotation’s curriculum is thoroughly evaluated on a 3 year cycle in order to continuously improve the training we provide.

First Year

Goal: Provide residents with a solid foundation in the principles and practice of family medicine.

Rotation	Time Spent
Residency Orientation Introduction to patient care, various workshops and didactics, team building. This month consistently gets great reviews and is beneficial for “easing” residents into residency. Introduction to caring for patients with homelessness, and the concept of relationship-before-role at Preble Street Learning Collaborative Introduction to tools and strategies to ensure patient safety and improve quality of care	1 Block
Clinic Month Outpatient care of continuity clinic patients Daily ambulatory teaching at lunch	2 Blocks
Family Medicine Inpatient Service Admit and manage adults, children, and newborns Triage obstetric patients	2 Blocks
Inpatient Pediatrics Admit and manage a variety of acute pediatric disorders at the Barbara Bush Children’s Hospital	2 Blocks
Inpatient Obstetrics Admit, manage, deliver, and perform postpartum rounding on pregnant patients Average 30-40 deliveries over 2 months	2 Blocks
Inpatient Cardiology Admit and manage patients admitted to the cardiology floor and the cardiac intensive care unit	1 Block
Sports Medicine Outpatient experience in our busy sports medicine clinic Urgent care experience seeing orthopedic complaints Optional sideline coverage at athletic events	1 Block
Emergency Medicine Shift work at MMC’s Emergency department seeing adults and children Procedural experience	1 Block

During first year rotations, residents spend 1-2 half days per week in their outpatient clinic.
Inpatient calls varies by rotation.
Each inpatient month (except for cardiology) includes 1 week of night float.

Second Year

Goal: Increase residents' exposure to the community, with a greater focus on outpatient medicine.

Rotation	Time Spent
Clinic Month Outpatient care of continuity clinic patients Daily ambulatory teaching at lunch Procedure clinics (colposcopy, skin procedures, etc) Hospital 2 Home transitional visits	2 Blocks
Family Medicine Inpatient Service Admit and manage adults, children, and newborns Triage obstetric patients Teach first year residents and medical students	3 Blocks
Night Float Admit and manage adults, children, and newborns Manage floor calls and outpatient pager calls	Three 2-week Blocks
Community and Integrative Medicine Second year residents spend a month together learning about our local community, cross-cultural care, and integrative and alternative medicine practices	1 Block
Pediatrics Outpatient care of pediatric patients at both family medicine and community pediatrics clinics	1 Block
Gynecology Variety of outpatient experiences with community obstetricians/gynecologists Procedural experience – colposcopy, endometrial biopsy, IUD insertion, Nexplanon insertion	1 Block
Geriatrics Care of elderly patients through inpatient geriatric consults, nursing home visits, home visits, and outpatient experience at the geriatric center	1 Block
Elective Choose an experience that interests you or will improve your clinical skills	1 Block
Newborn Nursery Caring for newborns on the Newborn teaching service, supervised by pediatricians	2 Weeks
Urology Outpatient urology clinic with local urologists	1 Week
Addictions Medicine Varied addictions medicine experiences in different settings	1 Week

During second year rotations, residents spend 2-3 half days per week in their outpatient clinic.
Inpatient call is one weekend monthly for outpatient rotations, two weekends monthly while on inpatient service.
Second year residents are on OB back-up call (home call) 18 nights over the course of the year.
Second year residents share backup call (home call) responsibilities with a 3rd year resident.

Third Year

Goal: Round out resident education while taking on more leadership and teaching responsibilities. Prepare for graduation and employment.

Rotation	Time Spent
Clinic Month Outpatient care of continuity clinic patients Daily ambulatory teaching at lunch Procedure clinics (colposcopy, skin procedures, etc) Hospital 2 Home transitional visits	2 Blocks
Family Medicine Inpatient Service Serve as inpatient teaching resident Admit and manage adults, children, and newborns Triage obstetric patients	2 Blocks
Night Float Admit and manage adults, children, and newborns Manage floor calls and outpatient pager calls	Two 2-week Blocks
Emergency Medicine Shift work at MMC’s Emergency Department and Urgent Care seeing adults and children Procedural experience	1 Block
Pediatrics Outpatient care of pediatric patients at both family medicine and community pediatrics clinics	1 Block
Sports Medicine Outpatient experience in our busy sports medicine clinic Urgent care experience seeing orthopedic complaints Procedural experience (splinting, joint injections, etc)	1 Block
Surgery Variety of outpatient surgical experiences with community surgeons Procedural experience	1 Block
Dermatology Outpatient experience with community dermatologists and in family medicine dermatology clinic	1 Block
Elective Choose experiences that interest you or will improve your clinical skills before graduation	2 Blocks

During third year rotations, residents spend 2-4 half days per week in their outpatient clinic.
Inpatient call is one weekend monthly for outpatient rotations, two weekends monthly while on impatient service.
Third year residents are on OB back-up call (home call) 18 nights over the course of the year. Third year residents share backup call (home call) responsibilities with a 2nd year resident.