Our dedication to providing the finest education possible for our residents extends to didactic sessions. These include the following:
Drs. Baumgarten, Bolans and Jones present their poster at the Medical Society of Virginia annual meeting.
- Wednesday afternoon required lectures
- Grand Rounds
- Morning Report
- Intern presentations at ICU rounds
- Resident presentations at Cancer Conference
- Journal Club
- Nursing Home Rounds
While research is not a requirement at our program, ample opportunities exist to participate in these endeavors.
Behavioral Medicine is taught longitudinally with the assistance of an LCSW on staff. Community Medicine is also longitudinal.
Year
The majority of the internship year is spent in the inpatient setting. Family Medicine, Internal Medicine, Emergency Medicine, and Neonatology are primarily hospital-based experiences. Residents become comfortable running codes and working in all areas of the hospital. One half day a week is spent in the family practice center, beginning to build a panel of patients and bonding with the staff at the office.
Family Medicine (Inpatient) 4 months
Internal Medicine (ICU) 1 month
Ob/Gyn 2 months
Pediatrics (Inpatient) 1 month
Surgery 1 month
Emergency Department/Radiology 1 month
Neonatology 1 month
Outpatient Pediatrics 1 month
One half day per week in Family Medicine Office
Year
Second year begins the transition to a more outpatient clinical focus. Although some rotations are hospital based, residents now act more in the role of teachers and supervisors for interns and medical students.
Family Medicine (Inpatient) 1 month
Intensive Care Unit 1 month
Ob/Gyn 1 month
Pediatrics (ER) 1 month
Pediatrics (Outpatient) 1 month
Surgery 1 month
Office/Behavioral Medicine (longitudinal) 1 month
Orthopedics 1 month
Cardiology 1 month
Emergency Department 2 weeks
Elective 1 month 2 weeks
Night Float x 2 (2 weeks) 2 weeks
Three to four half days per week in Family Medicine Office
Year
Third year completes the shift of emphasis to outpatient care with residents spending more time in the family practice center, in specialist's offices, and in community rotations such as rural health and community medicine. Our senior residents keep up in their acute and intensive care skills with continued inpatient supervisory experiences.
Family Medicine (Inpatient) 1 month
Neurology 1 month
ENT 1 month
Dermatology 1 month
Ophthalmology/Urology 1 month
Office Gynecology 1 month
Electives 3.5 months
Sports Medicine/Orthopedics 1 month
Practice Management 2 weeks
Night Float x 2 (2 weeks) 1 month
Three to four half days per week in Family Medicine Office
Additional Requirements in the Third Year
Practice Management 1 week
Family Medicine Board Review 1 week
Schedule
New guidelines effective for the academic year 2003-2004 have mandated changes in working hours for residents. This has had a major impact on the residency call system.
Year 1 – In order to adequately prepare our first-year residents for additional responsibilities in subsequent years, intern calls are 24 hours long, the maximum work day allowed under the new guidelines. On post-call days, interns complete certain tasks and then are excused from their rotations. All calls are in-house. Interns average six calls per month on most rotations. When rotating on OB, inpatient pediatrics, and neonatology, the average number of calls is slightly higher. There is a different call system for these latter rotations.
Year 2 and Year 3 – We have implemented a night float system for upper level residents. Each second- and third-year resident will have, on average, two two-week blocks per year on night float. During this time, the designated resident’s only clinical responsibility is to take in-house call from 6 p.m. to 7 a.m., Sunday through Thursday. This represents the bulk of a resident’s calls for the year. In months not assigned to night float, residents take one to two weekend calls per month to cover times when the night float resident is off.
- Adolescent Medicine
- Cardiology
- Dermatology
- Endocrinology
- Gastroenterology
- Gynecology
- Infectious Diseases
- Nephrology
- Occupational Medicine
- Pain Management
- Plastic Surgery
- Podiatry
- Rheumatology
- Rural Medicine
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