PGY 2 2017-02-21T10:12:43+00:00

Curriculum: PGY II

Cardiology — 1 block
Teaching by cardiologists in both an inpatient and outpatient setting with a wide spectrum of cardiac cases.
Focus on cardiac history and physicals, presenting symptoms, risk factor assessment, and acute cardiac emergencies
Training in EKG interpretation

ICU — 1 block
Learn to manage broad range of critical care problems
Mechanical ventilator management
Potential procedural skills including intubation, thoracentesis and placement of central and arterial lines

Ambulatory Medicine — 2 blocks
One-on-one setting with a clinical pharmacist focusing on diabetes, dyslipidemia, hypertension, and anticoagulation management
Responsible for impatient care of FHC and primary care clinic patients including obstetrics patients
General medicine patients who represent a typical family physician’s service
Daily rounds with attendings

Obstetrics — 2 blocks
Weekly morning report OB conference with all residents
Increased OB responsibilites, teaching M3 students on OB rotation, R1 residents

Fetal heart training
Intrauterine pressure cathater

Ambulatory Gynecology — 1 block
Opportunity to certify in colposcopy curriculum – longitudinal
Outpatient gynecology work with community teaching attendings
Gynecologist based at FHC to teach gynecological procedures including LEEP, US and Essure (coming soon)

Inpatient Pediatrics — 1 block
Assume a more supervisory role for first-year residents and M3s on pediatric rotation
Curricular focus on GI, neurology and cardiology topics
Online learning for pediatric radiographs

Infectious Disease — 1 block
Full management of critically ill patients acting as consultant with specialist support
Sharpen skills of diagnosis of infectious disease including use of microbiology laboratory
One-on-one discussions with ID faculty
Weekly ID resident/student presentations

Gastroenterology — 1 block
Assessment and management of GI problems; observe at colonoscopy, eduoscopic procedures ie ERCP, E&D

Ambulatory Pediatrics — 1 block
Extensive outpatient pediatric work with pediatricians from Crusader Clinic, a federally funded community health center
A valuable experience in the office management of pediatric problems
Curricular focus on adolescent health and pediatric behavior disorders including eating disorders, adolescent depression and ADHD

Behavioral Medicine — 2 weeks
Behavioral medicine has both longitudinal and block components. The longitudinal component takes place throughout the three years of residency training. The goals include development of effective patient centered communication skills, competency in screening and treating psychiatric disorders commonly seen in family medicine, motivational interviewing, participatory guidance, meeting the health needs of difficult patients, and understanding and applying the biopsychosocial model to patient care. These areas are included in the didactic lectures, videotape reviews of patients, OSCEs, readings, and consultations.

In PGY 2, there is a two-week block rotation that includes outpatient psychiatry and observing psychotherapy with the FHC behavioral health team. This rotation further hones the skills of medication management of mental health disorders and provides exposure to psychotherapy.

Practice Management – 2 weeks
Expertise coding – highly rated opportunity for learning a variety of billing and Medicare compliance issues
Exposure to new model of family medicine
Opportunity to focus experience in areas of resident interest

Elective — 2 weeks 
Opportunity to cater to own special interestsDevoted to specific interests of residents

Com Med — 2 weeks
A variety of experiences available, including rural practice, home health care, and school-based health clinic
Participation in management of hospice patients
Exposure to community homeless shelter medical care and STD clinic in jail setting
Occupational medicine—weekly urgent care exposure to occupational medical cases
Opportunity to give community education lectures

University Family Health Center
Second-year residents generally spend three half-days per week in clinic, further developing a panel of clinic patients
Increased office procedures
Videotaping and case reviews done regularly

*Curriculum is subject to revision by the American Board of Family Medicine and the Accreditation Council for Graduate Medical Education (ACGME).