The Curriculum - Descriptions of PGY1
Rotations
Orientation
 First-year residents spend the initial month at the Ghent
Family Medicine Center and Sentara Norfolk General Hospital (SNGH), becoming
familiar with the clinical surroundings as well as with the faculty and
staff of the EVMS Department of Family and Community Medicine. During
this period, residents attend didactics and clinical lectures and work
together with their faculty adviser to build their professional
profiles. Residents are also introduced to their panel of patients and
begin participating in patient care in their clinical teams. In
addition, first-year residents attend courses including Advanced Life
Support Obstetrics, Pediatric Advanced Life Support, Neonatal Advanced
Life Support, Advanced Cardiac Life Support, and the summer Virginia
Academy of Family Physicians meeting at Virginia Beach.
Ghent Office Month
An office
month is scheduled during the PGY-1 year. During this month, you will
spend most of your time at the Ghent Family Medicine Center, where you
will build your panel of continuity patients; rotate through minor
surgery, treadmill stress testing, colposcopy and Coumadin clinic; and
work with our Behavioral Medicine faculty both in the office and on
community site visits. You will be expected to conduct a noon conference
on an outpatient topic of your choosing. There is no call during the
interns' Ghent Office Month rotation.
 Family
Medicine/Internal Medicine
(Ghent FP Inpatient Service)
Each
resident serves two or three months of Family Medicine hospital service
at Sentara Norfolk General Hospital. The patient population ranges from
those with a single acute problem to those with multiple complex
diseases. The great support from other EVMS faculty and community
consultants makes this rotation a unique and exciting educational
experience. Most of the patients admitted to the family medicine service
are Ghent Family Medicine patients, giving the residents the opportunity
to practice continuity of care across inpatient and outpatient settings.
Access to the Ghent Family Medicine Center's electronic medical records
while at the hospital makes data gathering very easy, especially during
the busy night calls. During this month, each first-year resident takes
seven calls under the supervision of a senior Family Medicine resident.
Each month, the inpatient team will present a case both at Ghent Family
Medicine and at the general medicine morning report.
Inpatient Pediatrics
This
one-month rotation is based at the Children's Hospital of The King's
Daughters with pediatric interns and other family medicine interns from
different programs in the region under the supervision of EVMS'
Department of Pediatrics faculty. During this month, interns are
assigned to different teams taking care of wide variety of pediatric
patients with the support of subspecialty consultants. Calls are every
four to five days.
 Pediatric Emergency Medicine
The
one-month rotation in the Emergency Department of the Children’s
Hospital of The King’s Daughters is a challenging yet very rewarding
experience. During this month, you will provide care to seriously ill
and injured children, as well as handle problems more common to the
practice of general pediatrics. You will be responsible for the initial
assessment and stabilization of the patient, rendering treatment under
the supervision of the attending physician. Although it is required that
all patients be discussed with an attending, it is expected that the
resident will take “ownership” of his/her patients, utilizing the
attending for guidance and education.
Nursery
First-year residents spend one month at SNGH's level I and II nursery.
During this rotation, residents take care of both full-term and preterm
babies from the delivery room to the time of discharge. The residents
will be comfortable examining neonates, screening for any congenital
abnormalities, educating parents and taking care of common ailments such
as jaundice and feeding problems. Residents directly work under
supervision of EVMS' neonatalogy faculty.
Obstetrics
Each
resident spends two months during the first year and one month during
the second year in the newly reconstructed, well-equipped Family Birth
Center at Maryview Hospital, taking care of longitudinal obstetric
patients of Ghent Family Medicine and the Portsmouth Health Department.
The obstetrics/family medicine team consists exclusively of EVMS family
medicine residents under the supervision of EVMS Department of Family
Medicine faculty. During this rotation, residents learn multiple common
OB procedures including bedside ultrasound skills, vaginal tear repair,
skull electrode placement, IUP catheter placement and assisting in
C-sections. After this rotation, residents are allowed to carry
longitudinal OB patients and follow them from their first prenatal visit
at Ghent Family Medicine to delivery at the Family Birth Center.
Surgery
During
this two-month rotation at the Hampton Veterans Affairs Medical Center,
residents learn outpatient surgical procedures, colonoscopy and
endoscopy, and see patients in ambulatory surgical clinic. There are no
surgery calls and residents interact directly with VA surgery faculty.
This rotation has been designed exclusively for Ghent Family Medicine
residents with no other residents rotating at that site. Residents also
have the opportunity to respond to surgery consults and to assist
surgeons in the operating room during common laparoscopic or surgical
operations, including cholecystectomy, appendectomy, PEG tube
placements, hernia repairs, hemorrhoid excision, banding and so on.
Residents also learn semi-urgent procedures like chest tube and central
line placements under the direct supervision of surgery faculty.
Internal Medicine
Interns
spend one or two months during the first year at the Hampton Veterans
Affairs Medical Center under EVMS' Department of Internal Medicine.
During this month, interns take care of patients admitted to the general
internal medicine service as well as the Medical ICU. Interns have
autonomy as they participate in patient care under the supervision of
senior residents and faculty. Daily morning reports, as well as telecast
weekly grand rounds, are part of scholarly activity in this rotation.
This rotation provides a unique opportunity for interns to improve their
skills in central line placement, thoracocentesis, abdominal tap, lumbar
puncture and so on.
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