Program Narrative
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 boards 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 ago, 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 Medicine
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 Medicine/ 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.
Top |
