PGY1

  • Orientation: 4 weeks
  • Family medicine inpatient services (Sentara Norfolk General Hospital): 12 weeks
  • Ghent Office Month/Behavioral Health: 4 weeks*
  • Cardiology: 4 weeks*
  • Community obstetrics: 4 weeks**
  • Intensive care unit (Sentara Norfolk General Hospital): 4 weeks
  • Obstetrics (Sentara Norfolk General Hospital): 4 weeks*
  • Pediatric Inpatient & Nursery: 8 weeks
  • Psychiatry (Hampton Veterans Affairs Medical Center): 4 weeks*
  • Surgery (Hampton Veterans Affairs Medical Center): 4 weeks*

PGY2

  • Family Medicine Inpatient Service (Sentara Norfolk General Hospital): 8 weeks
  • Ghent Office**/Night Float: 8 weeks
  • Ambulatory Pediatrics: 4 weeks**
  • Emergency Medicine: 4 weeks
  • Elective: 4 weeks**
  • Geriatrics: 4 weeks**
  • Gynecology: 4 weeks**
  • Pediatric emergency medicine: 4 weeks
  • Cross Cover/Ghent: 4 weeks**
  • Orthopedics/Urology: 4 weeks**
  • Research/Practice Management: 4 weeks**

Some rotations can be taken in the PGY3 year if a tailored experience is desired to allow for more electives in the PGY2 year. Rotations will not appear on a PGY2 resident's schedule in this order. This is a list of rotations that generally occur in the PGY2 year.

PGY3

  • Family Medicine Inpatient Service: 8 weeks
  • Ghent Month**/Night Float: 8 weeks
  • Emergency Medicine: 4 weeks**
  • Practice Management/Research: 4 weeks**
  • Cross Cover/Ghent: 4 weeks**
  • Electives: 24 weeks**

Some rotations can be taken in the PG2 year if a tailored experience is desired to allow division of electives between the PGY2 and PGY3 years. Rotations will not appear on a PGY3 resident's schedule in this order. This is a list of rotations that generally occur in the PGY2 year. Each resident will have a minimum of one session per week in the practice center.

*Rotations will have a minimum of one half-day per week in the Ghent Family Medicine practice.

**Rotations allow vacation.

Community clinics 

Residents work with the Western Tidewater Free Clinic during all three years of residency under the guidance of faculty member Dr. Keith Claussen. Located in Suffolk, this clinic provides adult medical care to uninsured patients in rural areas of Hampton Roads.

During PGY1, residents participate in Professionals Accelerating Clinical and Educational Redesign (PACER). This three-year nationwide program is aimed to improve primary care practices and patient outcomes in high-performing, patient-centered medical homes. 

During their PGY3 year, residents spend Thursday evenings at the Health Outreach Partnership of EVMS Students (HOPES) clinic, the first and only student-run free clinic in Virginia. At HOPES, residents help medical students serve the uninsured residents of Norfolk.

Tailored experiences

Ghent Family Medicine Residency offers residents the opportunity to develop their chosen Family Medicine interests with groupings of electives. Many of these tailored experiences have more electives than the available elective months given to residents; this enables the resident to choose which ones will best suit their academic needs.

For more information about tailored experiences, please email us at ghent@evms.edu

The Ghent Family Medicine academic tailored experience is aimed toward the resident with an interest in a future faculty position. Residents gain a better understanding of the environment of an academic medical career. The program is customized to the needs, goals and capacity of the individual learner. Topics for study include:

  • Basic macroeconomics and microeconomics
  • Medical finance and graduate medical education funding
  • Basic contract and medical law
  • Strategic planning and change management
  • Hospital leadership design
  • Public speaking and didactics
  • Evaluation design and implementation
  • Research design and medical statistics
  • Longitudinal curriculum design and implementation
  • Learner motivation
  • Outpatient office precepting

By the end of the track, the resident will be able to:

  • Develop high quality education objectives and curricular plans
  • Deliver effective clinical precepting in both small and large group teaching
  • Understand the fundamentals of budgets and the inner workings of financing medical education
  • Mange projects longitudinally
  • Provide effective, efficient and skilled feedback and evaluations
  • Lead an efficient and effective meeting
  • Apply the fundamentals of leadership in daily activities

**The academic track can only be taken with approval from the medical director. It is recommended to apply for this track no later than February of the PGY1 year.

The Ghent Family Medicine community medicine experience allows residents to gain experience in providing care for underserved and vulnerable patient populations. Residents in this track are encouraged to choose a research topic pertaining to care of diverse patient populations that have significant health disparities.

Electives

  • Community Health I and II
  • Women's Community Health
  • Infectious Disease
  • Psychiatry
  • Wound care (partial month)
  • Dermatology
  • Public health (partial month)
  • Behavioral medicine (partial month)
  • Research month
  • Ambulatory pediatrics
  • Emergency room
  • Urgent care

The Ghent Family Medicine geriatrics and palliative care tailored experience provides residents with additional knowledge and skills related to caring for the elderly in community, home and long-term care settings, as well as those in hospice. Residents who choose this option will be encouraged to choose a research topic pertaining to geriatrics and/or palliative for their quality improvement or research activity. 

Residents interested in geriatrics and palliative care should meet with the program director within the first six months of their residency to help establish goals. If a resident knows they have interest in geriatrics or palliative care before beginning their residency, it is recommended to express this as soon as match is finished. This way, the new resident can be matched with a geriatrics/palliative care family physician adviser. If a resident has future interest in a geriatrics or palliative care fellowship program after residency, this should also be expressed as soon as possible.

Residents who complete the geriatrics tailored experience will be able to:

  • Provide exceptional clinical care to the older adult patient by integrating knowledge from various disciplines, diagnostic tests and clinical dates in developing care plans
  • Express competent knowledge and skills needed by geriatric family physician to provide optimal care of the geriatric patient
  • Provide advocacy for geriatric care in the current health care delivery system
  • Plan and coordinate outpatient follow-ups

Residents who complete the palliative care tailored experience will be able to:

  • Provide exceptional and compassionate care to patients at the end of life
  • Understand the pathophysiology of common symptoms in advanced disease including pain, fatigue, depression, dyspnea, delirium and cachexia
  • Engage in and support a multidisciplinary approach to the geriatric and palliative care patient
  • Provide advocacy for geriatric care and end-of-life care in our current healthcare delivery system
  • Develop and implement a care plan for patients who require specialist-level palliative care in either a hospice or non-hospice setting
  • Provide advanced symptom control
  • Engage in decision-making and conflict resolution related to end-of-life care

Residents who complete the geriatrics and palliative care tailored experience will be able to:

  • Conduct a comprehensive history and physical/neurological examination
  • Educate and communicate with patients and families
  • Function as a member of an interdisciplinary team in inpatient and home care settings
  • Understand the pathophysiology of common symptoms in advanced disease, including pain, fatigue, depression, dyspnea, delirium and cachexia
  • Discuss advance directives and goals of care
  • Understand the ethical considerations involved in end-of-life care, including do not resuscitate orders, nutrition and hydration and the withholding and withdrawal of life-sustaining therapy
  • Make appropriate referrals to other disciplines and specialists
  • Understand the structure, functioning and regulatory aspects of hospice

Electives

  • Ghent Geriatrics
  • Glennan Center Geriatrics
  • Sentara Norfolk General Hospital Palliative Care
  • Palliative care
  • Wound care
  • Physical Medicine and Rehabilitation
  • Nephrology
  • Endocrinology
  • Rheumatology

If a resident has an interest in sports medicine, they should meet with the program director within the first 6 months of their residency to help establish goals. If the resident knows they have interest in a sports medicine track before beginning their residency, it is recommended to express this as soon as match is finished. This way, the new resident can be matched with a sports medicine family physician adviser. If a resident has future interest in a sports medicine fellowship program after residency, this too should be expressed as soon as possible.

 Objectives for the sports medicine tailored experience include:

  • Complete both a sports medicine and orthopedics rotation as part of a normal curriculum.  
  • Spend as many or all of their electives gaining additional experience
  • Engage in longitudinal experiences
  • Design and complete a scholarly project relevant to sports medicine (original research, clinical quality improvement project, educational improvement project)
  • Appraise and present at least one journal club article related to sports medicine
  • Present a project on a regional or national forum
  • Attend at least one national sports medicine CME conference or an Advanced Team Physician Course

Electives

  • Rheumatology
  • Orthopedics (3 additional sites)
  • Pediatric Sports Medicine (partial month)
  • Sports Medicine (2 additional sites)
  • Chiropractic Medicine
  • Radiology
  • Podiatry
  • Physical Medicine & Rehabilitation

The Ghent Family Medicine women’s health tailored experience is designed to provide residents with additional knowledge and skills related to women's health. Residents who choose this opportunity will be encouraged to choose a research topic pertaining to women’s health and its subspecialties for their quality improvement and/or research activity. 

If a resident has an interest in women’s health, they should meet with the program director within the first six months of their residency to help establish goals for their residency. If the resident knows they have interest in women’s health before beginning their residency, it is recommended to express this as soon as the match is finished. This way, the new resident can be matched with a women’s healthcare family physician adviser. If a resident has future interest in a women’s health (or its subspecialties) fellowship program after residency, this too should be expressed as soon as possible.

Conferences

Curriculum at Ghent Family Medicine includes a variety of learning opportunities including:

  • Grand rounds once a month
  • Academic forums once a month
  • Lectures every Wednesday covering the following topics:
    • Pediatrics
    • Obstetrics and Gynecology
    • Dermatology
    • Journal Club
    • Geriatrics
    • Practice management
    • Quality improvement and more

Resident life

Intern year2016Picnic

The internship is the hardest year among the three, but you will have tons of fun. Every day is a learning day. Interns attend survival lectures in the first few days of their internship, in addition to one month of orientation to prepare to be more self-sufficient and comfortable conducting daily tasks. Faculty and senior residents are always available and friendly. We offer a monthly resident support group with our behavioral medicine faculty, which provides a secure and supportive environment to commiserate about stressors, both in the hospital and outside of it.

Second and third years

Senior residents will have more responsibility in supervising interns and teaching medical students. Hours are more flexible and residents spend three or four half-days at Ghent Family Medicine seeing their continuity patients. Residents have more spare time to enjoy the Hampton Roads area.