Jarita Hagans, M.D., PGY-2, shows us how it's done at the splinting workshop.

Curriculum

• 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.

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.

One half day per week in Family Medicine Office

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.

Three to four half days per week in Family Medicine Office

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.

Three to four half days per week in Family Medicine Office

Additional Requirements in the Third Year

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.

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