Each academic year is structured by 13 rotations, four weeks in length.
1Truman Medical Center - Hospital Hill OrientationThe entire first block is orientation month for all RES1. You will be completing certification courses, receiving instruction on hospital procedures, participating in teambuilding activities with fellow residents, but mostly gaining hands-on experience. You will also begin establishing your continuity patients during this time. The first week of July, is typically an 8 a.m. to 5 p.m. schedule; more variability follows throughout the remainder of the block as you work as part of the Maternity Care and Family Medicine Inpatient services. Your First YearAccess Based Care - Generally there are two residents—one RES1 and one RES3. Patient centered care is at the forefront of this rotation where the focus is closed loop communication and improved handoffs. During this rotation you will help close the communication gap between in- and –out patient, work in concert with the Family Medicine Inpatient Team on acute care patients, work in the pulmonary clinic, help with medication refills, patient follow up and complete a small quality improvement project. Residents will participate in a home call schedule during this rotation. Behavioral Health - You will spend time in clinic with the psychiatrist as well as see psychiatric consults on the Family Medicine Inpatient service or Long Term Care Center. You are also responsible for medicine consults from the psychiatric floors during this rotation. You will find that you have time to read and prepare for your presentation of a Behavioral Health topic at Noon Conference during this rotation as the clinic and consult numbers vary significantly. ED - Generally there are two residents - one RES1 and one RES3. Hours are usually scheduled so that shifts do not overlap with the other resident. Shifts vary from 5 to 12 hours. Total ED hours will meet or exceed the 100 hours required for Emergency Medicine. Geriatrics - During this rotation, you will work in the Long Term Care Center here at Lakewood. Hours are generally 8 a.m. - 5 pm. Residents will see patients alongside the geriatric fellows and address any acute issues that need attention. You will also have geriatric assessment clinic, lectures, journal club, or help with whatever admissions might occur during the day. Family Med Inpatient (3 rotations) - Inpatient Medicine is similar to Maternity Care in that the call is divided between all of the RES1s and RES2s on the service. Two RES3s serve as RICs (resident in charge) while RES1s and RES2s divide call. You will have one continuity clinic scheduled per week. The duty hours on this service are compliant with new ACGME regulations. Maternity Care (2 rotations) - Two rotations are spent covering labor and delivery. The Maternity Care team manages the patients who present to labor and delivery and delivers those patients who do not have a "panel" doctor (a resident who has been following them for continuity care throughout their pregnancy). You will have at the most one continuity clinic scheduled per week. The hours vary depending on how often you are on call (depending on LDRP patient census). The duty hours on this service are compliant with the new ACGME regulations. Peds Outpatient (Newborn Nursery and Clinic) - Residents see all of the babies in the nursery that do not have a "panel" doctor (a resident who has been following the mom for continuity care throughout her pregnancy). Babies need to be seen by 9 a.m. The remainder of the morning is spent in the pediatric outpatient clinic which involves seeing the newborn babies for one-week checks and weight checks. Most afternoons in the outpatient pediatrics clinic tend to be well child checks and sick visits for children of any age. During the day, you admit any babies that need admitted to the nursery and perform circumcisions if parents choose this procedure. If any infant becomes ill in the nursery during the day, you respond. There is no call on this rotation and you typically work two of four weekends. |