Family Medicine Residency Curriculum

PGY1

  • 1 session per week Family Medicine Health Center
  • 3 block rotations Family Medicine in-patient service
  • 3 block rotations Family Medicine MCH service
  • 1 block rotation psych
  • 1 block rotation community medicine
  • 1 block general surgery
  • 1 block ICU

PGY2

  • 3 sessions per week Family Medicine Health Center
  • 3 block rotations Family Medicine in-patient service (1 night float)
  • 1 block rotation Family Medicine MCH service
  • 1 block rotation neurology
  • 1 block rotation geriatrics
  • 1 block rotation dermatology
  • 1 block rotation cardiology
  • 1 block rotation adult ER
  • 2 block rotation electives

PGY3

  • 4 sessions per week Family Medicine Health Center
  • 3 block rotations Family Medicine in-patient service
  • 1 block rotation sports medicine
  • 1 block rotation orthopaedics
  • 1 block rotation Family Medicine MCH
  • 1 block rotation neurology
  • 1 block rotation adult ER
  • 3 block rotation electives

Residents are precepted by board-certified physicians and are given increasing responsibilities for patient care. Throughout the training program, residents care for patients at one of three ambulatory sites: Jorge Prieto Family Health Center, Englewood Health Center, or Near South Health Center. First year residents (PGY I) see patients 1 half day of clinic session per week, second year residents (PGY II) 3 half days of clinic session per week and third year resident (PGY III) 4 half days of clinic sessions per week. The clinical experiences include community service, as well as home and nursing home visits. Over the course of the residency, residents develop patient panels that provide a full range of care from obstetrics to geriatrics.

Seniors add a unique aspect to health care. Residents perform comprehensive geriatric assessment and intervention. Does the patient have too many prescriptions? Is the home safe? Is nutrition adequate? Are physical limitations compensated? Are mental imitations known? Are emotional and social needs being met? What is the role of family support in this person’s life? In the last stages of life, hospice care, home care, family support are key to giving good care to the patient. The art of caring for elderly is fine-tuned during residency, so that no matter how overwhelming the problem list, the patient is cared for expertly by the Family Medicine resident!

The curriculum is organized so the resident is prepared to give comprehensive, full-life cycle care to families in the inner city. Residents learn to care for pregnant women, deliver their babies, conduct newborn care and continue to give postpartum and well infant care. Residents proceed to deliver care to the family throughout these growing years of childhood to adolescence, but include care to the parents with well-women gynecological type care and well-man preventive care.

Residents learn to diagnose and treat severe chronic illnesses. In addition, residents become skilled at conducting comprehensive family assessment and primary care office counseling to help patients back on track with medication adherence. Preventive care is mastered in this residency training program. HIV pre-test and post-test counseling is a routine part of the first year curriculum. Lead screening is not just a blood test, but involves family and community work. Cancer screening training includes learning the right tests and frequency, counseling for life style changes, and learning flexible sigmoidoscopy.