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The Eastern Virginia Medical School's
Combined Family Medicine/Internal Medicine Residency Program began in
July of 1995. The combined residency incorporates the strengths of
family and internal medicine training and prepares trainees to manage
the medically complex patient and treat a wide spectrum of ambulatory
and hospitalized patients.
Program Overview
The program is four years in duration
and we are approved to offer four positions in each training year. As of
July 1, 2006, 24 Combined Family Medicine/Internal Medicine residents
have completed training. Successful completion of the training program
confers board eligibility in both disciplines. Our graduates have
performed well on both board examinations.
Over 50 percent of the training takes
place in an ambulatory setting, and ambulatory continuity training makes
up over 30 percent of the training experience. Longitudinal continuity
ambulatory experience, supervised by Family Practice and Internal
Medicine faculty, takes place in the offices of Ghent Family Medicine on
the Eastern Virginia Medical School's main campus. The Department of
Family Medicine's Ghent Family Medicine Residency and the Department
of Internal Medicine's Categorical Internal Medicine Residency, both
fully accredited and in existence for 25 years, provide support for
the Combined Residency.
Block Rotation Schedule
By taking advantage of overlapping
rotations and available elective time, it has been possible to design a
four-year block rotation schedule that satisfies the requirements of
board certification in Family Practice and Internal Medicine.
Inpatient adult medicine training takes
place on general internal medicine ward teams and internal medicine
subspecialty consultative services. Combined residents spend six months
during their second and third program years as senior medicine inpatient
residents responsible for supervising first year Categorical Internal
Medicine and Combined Family Practice/ Internal Medicine residents, and
M-III medicine clerks. PGY-4 combined residents spend one month on the
Family Medicine inpatient team. Obstetric training is obtained under the
direction of the Department of Family Medicine and takes place at nearby
Maryview Hospital, a community hospital whose new women's health center
is focused on uncomplicated deliveries.
Each resident has three months of "tailoring experience" which can be
utilized during Program years 3 & 4. This affords residents the
opportunity to acquire additional skills required for their chosen
practice. These experiences might include rotating with a hospitalist
group, acquiring additional obstetric experience, garnering additional
procedural skills, practicing medicine abroad or cultivating expertise
in managed care systems. Pediatric training takes place in conjunction
with the Department of Pediatrics at community sites and in the modern
Children's Hospital of the King's Daughters on the Eastern Virginia
Medical School's main campus.
Please note that ambulatory training takes place during all block
rotations. In addition to their weekly continuity ambulatory experience,
combined residents spend five months in block ambulatory continuity
training in the family practice center.
Ambulatory Training
Consistent with family medicine's
long-standing emphasis on training in an ambulatory setting and internal
medicine's recognition that greater emphasis on ambulatory and
community-based training is needed, over 30% of the combined residents'
training is longitudinal ambulatory training. This is achieved by a
combination of weekly ambulatory half-days and five block ambulatory
months. Additional ambulatory training, which takes place on rotations
such as Gynecology, Dermatology, Rheumatology, Geriatrics, Cardiology,
Pediatrics, Endocrinology, Obstetrics, and the office based surgical
subspecialties results in approximately 50 percent of the combined
resident's training takes place in an ambulatory setting.
For more information about the Combined Family Medicine/
Internal Medicine Residency Program, contact
brennalm@evms.edu .
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