Procedures Curriculum Family Medicine

Last Updated on August 28, 2023

What is the procedures curriculum family medicine? Find out here! Learn how to become a physician specialising in family medicine.

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Procedures Curriculum Family Medicine

Clinical training

Clinical training emphasizes the most common problems seen and procedures performed by family physicians. You gain extensive experience in both inpatient and outpatient settings. Home visits to patients also are part of your training. 

Outpatient: Mayo Family Clinic Kasson

Throughout the program, you provide continuing care for families at Mayo Family Clinic Kasson, which is located in the town of Kasson, Minnesota, about 14 miles west of Rochester. This clinic serves Kasson, with a population of approximately 6,000, and rural Dodge County, which has a population of more than 20,000.

You spend about two half-days a week at the Kasson clinic during your first year, three half-days a week during your second year, and four to five half-days a week during your third year. This allows you to develop a continuity practice of your own. You are also encouraged to become an active member of the Kasson community. 

At Mayo Family Clinic Kasson, families are assigned to you with the expectation that you provide most of their care during your residency. Patient records are maintained in an electronic medical record, and computer access is provided from each exam room. You are assigned to one of three co-located teams that include residents, faculty, nurses, a secretary, and ancillary staff. 

Outpatient specialties: Mayo Clinic and surrounding communities

One strength of our program is outpatient specialty training. During outpatient rotations, you have the opportunity for one-on-one training with many of the nation’s leading experts in subspecialty fields.

You spend time in Mayo Clinic Health System during dermatology, ophthalmology, and orthopedics training. While at these sites, you work one-on-one with the specialist and receive individualized training in his or her field. 

You have the opportunity to see patients and perform or assist with procedures, making for an outstanding training opportunity.

Outpatient: Procedure clinic

You spend two weeks each year focused on outpatient procedures. The procedure clinic is a referral clinic for all primary care at Mayo Clinic. 

Inpatient: Mayo Clinic Hospital — Rochester

The inpatient component of the Family Medicine Residency is spent primarily on the family medicine adult inpatient service at Mayo Clinic Hospital — Rochester, Saint Marys Campus, and the newborn nursery service at Mayo Clinic Hospital — Rochester, Methodist Campus.

The adult Family Medicine Inpatient service admits and cares for patients needing hospital care from any of the family medicine clinics. As the admitting resident, you are in charge of the patient’s care during the hospital stay. Specialty consulting services are available 24 hours a day and contribute excellent teaching when they are consulted.

The Family Medicine Newborn Service cares for all newborns born at Mayo Clinic Hospital — Rochester, Methodist Campus. As the resident on call, you respond to newborn resuscitations as part of a multidisciplinary team and deliver routine care to newborns. Other inpatient training includes rotations in critical care and pediatrics.

While these rotations are supervised by other departments, you are treated as an equal and have duties and responsibilities identical to the other residents on the service.

Additional information about the communities we serve can be found on our community health information sheet.

Rotation schedule

These are typical training schedules in the Family Medicine Residency.

  • PGY-1
  • PGY-2
  • PGY-3
RotationLength
Introduction to Kasson Clinic2 weeks
Obstetrics boot camp2 weeks
Mayo Family Clinic Kasson14 weeks
Adult family medicine inpatient service (shifts)10 weeks
Cardiology (outpatient)1 month
Emergency medicine1 month
General surgery (inpatient)1 month
Midwife obstetrics1 month
Outpatient procedure clinic2 weeks
Pediatrics (inpatient)1 month
Women’s health2 weeks

Electives

Your elective options are nearly unlimited here at Mayo Clinic. Elective rotations last from one to four weeks, depending on the elective. You may also choose to take an elective rotation at Mayo Clinic’s campus in either Jacksonville, Florida, or Phoenix/Scottsdale, Arizona, with program director approval. A rotation to Florida or Arizona must be four weeks minimum in length.

Didactic training

Clinical conferences, journal club, and one-on-one instruction are integral parts of the Family Medicine Residency. Behavioral medicine is integrated throughout all three years of training.

Weekly conferences cover primary care topics, including discussion of ethical dilemmas faced by physicians in training. Second- and third-year residents participate in a group quality-improvement project and practice management seminars.

Hands-on training

Each PGY class has dedicated monthly seminars known as core seminars. These four-hour seminars, which are facilitated by residency core faculty, include simulation, standardized patients, and small-group problem-based learning experiences.

Research training

Your research opportunities at Mayo Clinic are outstanding. You are encouraged but not required to participate in research activities. Opportunities exist for both clinical studies and laboratory-based projects. Many faculty members are actively involved in research projects and can serve as research mentors. 

Call frequency

Your call schedule is different for each rotation. Mayo Clinic follows the recommendations of the Accreditation Council for Graduate Medical Education (ACGME).

Moonlighting

Moonlighting is permitted for licensed residents beyond the PGY-1 level. Moonlighting activities may be scheduled during those times when you are assigned to consultative or outpatient rotations with the prior approval of the program director. Moonlighting should not interfere with the required learning and must not violate the work-hour rules of the Accreditation Council for Graduate Medical Education (ACGME) or visa regulations. 

Teaching opportunities

You have the opportunity to teach Mayo Clinic Alix School of Medicine students, residents from other subspecialties, and visiting students from other medical schools through bedside instruction and formal didactic lectures. 

Practice examinations and reviews

In preparation for board examinations, you take the In-Training Examination provided by the American Board of Family Medicine once a year.

Evaluation

To ensure that you acquire adequate knowledge and develop the appropriate technical skills to meet program expectations, your performance is monitored carefully during the Family Medicine Residency. You are formally evaluated by supervising faculty members on a regular basis and meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to confirm that your educational needs are being met.

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internal medicine residency curriculum

Curriculum

The Internal Medicine Residency at Mayo Clinic is among the best programs in the world for post-graduate medical training. Join us for an inside look at a typical day on the wards and life in Rochester, Minnesota.5:24A day in the life of the Internal Medicine Residency program

Clinical training and practice exams

Residency education at Mayo is based on a foundation of general internal medicine. The program includes rotations in all internal medicine subspecialties, intensive care, neurology, and emergency medicine. Most rotations allocate separate blocks of time in the inpatient, outpatient, and consultative settings.

Excellence in medical education is a requirement of our faculty members, who are selected for hospital service and outpatient education clinics based on the effectiveness of their teaching. Faculty members have dedicated, protected time to provide teaching to the residents with whom they work.

You’ll also receive comprehensive board review materials as well as electronic access via iPad (provided by the program) or computer systems and an extensive collection of electronic resources. Scheduling is flexible, and preferred rotations can be scheduled to facilitate planning a subspecialty career.

Rochester campus

Downtown campus

At the heart of downtown stands the focal point of Mayo Clinic. The historical mixes with the modern in the 30+ downtown buildings dedicated to specialty care, primary care, clinical laboratories, research, medical education, and administration.Downtown campus 360 tour

Mayo Clinic Hospital, Saint Marys campus

The Saint Marys Hospital campus is located 10 blocks west of downtown. It houses numerous surgical specialties, a Level 1 Trauma Center, Mayo Eugenio Litta Children’s Hospital, and Mayo Clinic Psychiatric Hospital. The campus has 1,287 beds, 55 operating rooms, and 10 intensive care units.Saint Marys campus 360 tour

Customizable schedule and learning tracks

The Internal Medicine Residency offers an unlimited number of customizable tracks that you can alter as you progress through training via elective and selective time. You may choose to focus your schedule on areas including, but not limited to, the following:

  • Education
  • Geriatrics
  • Global health
  • Hospital medicine
  • Primary care
  • Women’s health

See the personalized sample schedules.

See the sample three-year curriculum.

We offer a formal Clinician-Investigator Training Program with six months of dedicated research time during residency. Unlike the above schedule examples, which do not require applications, this research track is a separate application (NRMP 1328140C1) during the match or can be pursued through a PGY-2 application process.

Mayo Clinic internal medicine residents

Procedures

Ample training and experience are provided to gain expertise in procedures such as paracentesis, central line insertions, arthrocentesis and lumbar punctures. You’ll complete a procedure skills workshop before starting residency, and additional training throughout residency to refine these skills.

Early in your training, you will rotate on a Hospital Internal Medicine Procedure Service. You may also elect to rotate on the pleural procedure team to gain experience in thoracentesis as well as in the ambulatory procedure clinic for additional experience performing outpatient procedures. Finally, you will also have scheduled learning experiences in the Multidisciplinary Simulation Center.

Ambulatory clinics

Approximately half of the three-year program is spent in outpatient assignments. Experience includes the Department of Medicine Primary Care Clinic for residents as well as outpatient clinics that are embedded in some subspecialty rotations. You’ll learn to practice high-quality, cost-effective outpatient medicine during your ambulatory care experiences. Residents uniformly cite these ambulatory clinic experiences as an invaluable part of their training.

Continuity clinics

To enhance both experiences, continuity clinics are only during outpatient training months, not during inpatient months. You will follow your own patients in the newly designed and integrated Department of Medicine Primary Care Clinic of Excellence for residents. The resident continuity has been equipped with a high-tech observation system to allow trainees to have regularly observed clinical encounters, equipment to facilitate in-office procedures, and integrated services to optimize patients’ access to health care resources.

Call frequency

Interns work no more than 16 hours each duty period during inpatient rotations. Call structure for second- and third-year residents varies from rotation to rotation with a mix of night float, home call, 28-hour shifts, and routine day call. All schedules are fully compliant with ACGME requirements.

unc internal medicine residency curriculum

At UNC, residents gain tremendous exposure to a wide breadth of clinical diseases in both inpatient and outpatient settings. UNC holds the distinct position as the state hospital of North Carolina, and we take pride in caring for our local community. At the same time, UNC is also recognized as a major academic center and attracts patients from widespread regions, many of whom seek the expertise of our renowned faculty. Our unique subspecialty ward structure offers residents the chance to work with and learn directly from those experts in subspecialty fields. It also provides residents appropriate autonomy when managing general medicine conditions.

In addition to their time at UNC, residents spend time at WakeMed Hospital. This rotation exposes residents to a distinct patient population, including the uninsured and underserved. Residents see a high volume of “bread and butter” medicine cases as well as many undifferentiated diagnostic challenges.

Our outpatient clinical experience is designed to train outstanding general internists. We seek to empower residents to take on the role of primary care physician starting from the first day of intern year. Residents care for patients with complex medical histories, and throughout their time, residents gain the skill set necessary to not only manage chronic medical conditions but also deliver preventative medicine.

Finally, our educational conferences provide a more formalized teaching experience for our residents. One of the highlights includes our interactive morning report conferences, which centers around a diagnostic or management dilemma. Faculty routinely attend these conferences and share clinical pearls that our residents take back with them to the wards. With all of our educational conferences, the goal is to reaffirm the principles that residents learn during their clinical experiences.

The mission of the Department of Medicine Residency Program is to foster the development of outstanding internists. Under the guidance of dedicated faculty who value resident autonomy, residents become skilled in the care of patients in both the inpatient and ambulatory settings. Residents learn compassionate team-based care, always mindful of the best evidence to support clinical decisions. Guided by a strong sense of altruism, our residents embrace the concepts of life-long learning and teaching.

The UNC Way…more than collegiality

A message from the Program Director

Collegiality – “the cooperative relationship of colleagues”. Many programs boast of their collegial atmosphere. Their collegial spirit. Collegiality and camaraderie.

At UNC, we value but expect more than collegiality. We believe that collegiality must be coupled with a respect for one another that is more important than hierarchy. We believe that collegiality must exist within an open community that emphasizes the importance of resident autonomy, shared values, and a common mission. Collegiality brings us together, but it is the culture of UNC that keeps us here.

Shared respect and open community, not hierarchy: The Department of Medicine at the University of North Carolina at Chapel Hill has a distinguished reputation among the top departments in the country – excelling in research, academic scholarship, education, and patient care. Although many of our faculty have leadership positions in national and international organizations and are broadly recognized for their outstanding accomplishments, they work alongside our residents- side by side – with shared goals in the outpatient and inpatient settings.

Resident autonomy: Our strengths include a philosophy that resident autonomy grows in a clinically challenging yet supportive environment, an emphasis on producing internists who have a solid general foundation via the breadth of clinical expertise, mentoring, and research opportunities provided by our unique subspecialty training experiences, and a culture of respect for resident opinion and involvement.

Shared values: Many programs speak of “collegiality” – but being collegial is not merely enough in today’s world. We strongly believe that collegiality is important but is only the foundation for creating a strong and supportive community. A supportive community in which every person can be comfortable in being their individual selves and each person can feel empowered to speak up and contribute is essential to creating a safe and effective learning environment.

Common mission: Our program and its people value diversity and inclusion, respect for each individual, and the importance of fairness and justice. We are privileged to work at a proud, public institution, and are brought together by our shared mission and values.

Culture: Collegiality is often a talking point. It is only when you move beyond mere collegiality and find doctors who bring not only a collegial attitude but a kind heart, a sense for justice, a dedication to their peers and patients, and a humble spirit that you have the “UNC Way”. Collegiality brings us together, culture keeps us here.

We encourage you to learn more about our program and understand what makes UNC and Chapel Hill a truly special place.

Debra L. Bynum, MD, MMEL, FACP
Director, Internal Medicine Residency Program

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