The Curriculum - Descriptions of PGY2
Rotations
 Dermatology
Residents spend four half-days with Dr. Michael Gross in his private
office, four half-days per week at the Ghent Family Medicine Center, one
half-day at our indigent clinic and one half-day at didactics. You will
learn how to do minor surgeries, such as skin biopsy and mole/cyst
removal, and can observe such practices as Botox injections and
sclerotherapy for varicose veins. Dr. Gross has an office in Chesapeake
and at DePaul Hospital, and you will rotate through both. You will take
inpatient call approximately three times during this month.
Orthopedics/Urology
Residents spend four half-days with Dr. Jamali at his orthopedic
practice, one half-day with Dr. Gonzales at his urology practice, and
five half-days at the Ghent Family Medicine Center. At Dr. Jamali's
orthopedic practice, you will become very proficient with aspirations
and injections of joints such as knees, elbows and shoulders. You will
also learn how to do injections for plantar fascitis. Dr. Gonzales will
teach you the art of prostate palpation and management of prostate
cancer and nephrolithiasis. You can observe inoffice ultrasound guided
prostate biopsy and cystoscopy. Both he Dr. Gonzales and Dr. Jamali have
offices in Chesapeake. You will take inpatient call approximately three
times during this month.
Ghent Office Month
You
will be seeing outpatients at the Ghent Family Medicine Center each day
for four weeks. You will be expected to conduct a noon conference on an
outpatient topic of your choosing. During this month, you will rotate
through minor surgery, treadmill stress testing, colposcopy and Coumadin
clinic, and work a few mornings at the clinic for indigent patients. You
will take inpatient call approximately three times during this month.
Family Medicine/Internal
Medicine (Ghent FP Inpatient Service)
You
will have two months on our inpatient service at Sentara Norfolk General
Hospital (SNGH). During these months, you will have daily hospital
rounds, rounding on approximately five patients per resident each day.
You will attend daily morning reports with internal medicine and will
present a case presentation for morning report and also at GFP.
Oftentimes, you will present a case for geriatric grand rounds. You will
take q4 call during these months.
Obstetrics
You
will be completing your third required month of obstetrics at Maryview
Hospital under the guidance of Dr. Obayuwana. You will take labor and
delivery call and will see patients at the Portsmouth Health Department
for prenatal visits. You will be at the Ghent Family Medicine Center for
three half days each week. You will take OB call approximately q4 during
this month.
Family-Centered Longitudinal
Obstetrics
In the
second year, after you have had two months of formal obstetrical
experience, you will have your own panel of longitudinal office
obstetrical patients. This will provide you with the opportunity to
follow a pregnancy seamlessly from prenatal to post-partum. This will
further enhance your neonatal and pediatric experience. You will be
supervised by Family Medicine faculty.
ICU
You
will round with other family medicine, emergency medicine and internal
medicine residents on the ICU service at SNGH for one month. You will
see approximately five ICU patients each day on rounds and will attend
the same morning report/grand rounds presentations that the inpatient
team attends. Your team will also present a case for morning report. You
will take q4 to 5 ICU call during this month.
Cardiology
You
will spend two and a half days per week rounding with the cardiologists
of Lakeview Cardiology at SNGH, and two-and-a-half days at the Ghent
Family Medicine Center. You will round on cardiac patients in the
morning and will have the opportunity to watch cardiac catheterizations
and stress testing in the afternoons. You will make consults and see
patients in the cardiac outpatient office on campus, as well. You will
take inpatient call approximately four times during this month.
Ambulatory Pediatrics
Residents spend one month in Ambulatory Pediatrics. Each week there are
four half-days at the CHKD Children’s Outpatient Clinic (COC) working
directly with full-time faculty physicians seeing primary care pediatric
patients. Two half-days are spent with Dr. Joseph Toland, a community
physician, and his associates at North Shore Pediatrics. Four half-days
are spent at the Ghent Family Medicine Center. The ambulatory rotation
curricular components emphasize routine well child care, physical exams
(school, camp, sports participation), immunizations, normal growth and
development, evaluation and care of common pediatric illnesses (acute
and chronic), evaluation of emotional and behavioral problems and
expectant parent counseling. The age range of patients includes
newborns, infants, toddlers, children and adolescents. Experience in all
aspects of the components in each age group is expected. You will take
inpatient call three or four times during this month.
Emergency Medicine
Residents spend one month in their second postgraduate year at the
Emergency Room of Sentara Leigh Hospital. The experience consists of
fourteen to sixteen eight-hour shifts over the course of the month. The
residents work directly with the emergency medicine attendings during
this rotation. The objective of the rotation is to learn the basics of
acute evaluation/treatment. You will return to the Ghent Family Medicine
Center two full days a week. There is no call during this month.
Geriatrics
Residents have three half-days with Dr. Hovland at DePaul Medical
Center’s Senior Assessment Program, one half-day at Ghent Family
Medicine's Senior Assessment Clinic with Dr. Bluestein, one half-day at
the oceanfront Westminster-Canterbury assisted living facility, one
half-day at Chesapeake Place Assisted Living facility and three
half-days at GFP. You will learn about the care and management of the
elderly population, including the evaluation and management of dementia.
You will take inpatient call three or four times during this month.
Practice Management
Exposure to and experience with family medicine practice management
begins on the first day of residency training. During the Orientation
Month, the residents will be initiated into the Ghent practice. Lectures
and workshops on various areas of practice management will be provided
by Ghent’s administrative team, as well as outside sources. Residents
are able to apply these principles and skills throughout the three years
of residency. As members of the clinical teams, residents have input
into the team functions. At a monthly Providers Meeting, real-life
practice issues are discussed. At these meetings, providers receive
their financial statements so they are aware of billing, coding and
payment issues.
There
is a formal two-week rotation in the third year in which residents work
in various non-clinical areas of the office such as billing and finance,
referrals and medical records. There is a required week-long (40 hours)
practice management seminar sponsored each year by EVMS’ Office of
Graduate Medical Education. This program is conducted by Damsey and
Associates, a well-respected local consulting firm. Residents’ spouses
can participate if desired. Feedback from our Alumni/Graduate survey
regarding their practice management experience while in residency has
been overwhelmingly positive.
Community Medicine
GFP
offers health care for underprivileged and low-income patients and their
families at the free Sentara Ambulatory Care Center (ACC). Residents
will manage a wide variety of illnesses from chronic cardiopulmonary
diseases to HIV and poly-substance abuse. The clinic is equipped with an
onsite X-ray machine and radiology technician. A pharmacist is always
available to help with poly-pharmacy issues and patients receive free
medications. The ACC is very well organized and experienced nursing
staff are ready to assist both patients and physicians. Dr. Martha
Scott, a GFP faculty member, precepts residents if needed. Physician
Assistant students also rotate at the ACC and residents have the
opportunity to teach and supervise them as well. The GFP inpatient
service team provides necessary care for ACC patient when hospitalized
at SNGH. Providing annual sports physicals for local high school varsity
teams is another fun way to pay back the community.
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