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The first year of the Family Medicine Residency
Program focuses on inpatient care and introducing
residents to the concept of a Patient-centered Medical Home.
The inpatient component consists of experiences in family
medicine, cardiology, gastroenterology, pediatrics, obstetrics,
emergency medicine, and intensive care medicine.
The Patient-Centered Medical Home (PCMH) is taught in our Family Medicine
Center/Longitudinal curriculum. First year residents spend two months in
the Family Medicine Center as an introduction to the PCMH in addition to their half-day
per week in the Family Medicine Center that occurs throughout the first year. At least one of the
two months takes place during the first quarter of the academic year to help orient residents to
the PCMH early in their residency training. During these rotations, residents have the opportunity
to work closely with faculty and senior residents in the office. One-to-one precepting sessions
with faculty allow for personalized teaching and time to become comfortable with our electronic
medical record. Residents also work with our Behavioral Scientist on interviewing skills during
this time. Sessions are devoted to evidence based medicine, performance improvement, disease
management, practice management, radiology and laboratory skills, and Community Medicine. Time is
also available to start independent work on computer based courses as well as on long range
research, practice management, and community medicine projects.
The inpatient rotations consist of two months on the Family Medicine Service, two months of
pediatrics, two months of obstetrics, and one month each of cardiology (CCU), gastroenterology,
surgery and emergency medicine. On the Family Medicine Service, residents care for patients admitted
from our Family Medicine Center, including general medicine, pediatrics, gynecology and intensive
care unit patients. This rotation stresses the diagnosis and treatment of common medical problems
using a team approach, with a senior resident and Family Medicine faculty following the patient
through all degrees of illness. During the Cardiology/CCU rotation, residents learn how to care
for common cardiology illnesses such as congestive heart failure and coronary artery disease and
follow critical care unit patients with the private cardiologists and perform procedures related
to these patients. With the gastroenterologists, residents are able to learn GI procedures including
flexible sigmoidoscopy and paracentesis. In emergency medicine, residents work with full-time
attendings to learn how to assess and stabilize acutely ill patients.
The pediatric experience is split between the pediatrics floor at Newark Beth Israel Medical
Center and the pediatrics floor at JFK. Residents spend four weeks on the Beth Israel inpatient
service, which consists of a 40-bed unit with 2,400 admissions per year. Supervision is provided by
the pediatric senior residents and faculty. The Family Medicine resident admits and carries a
caseload of patients together with pediatric residents, participates in daily rounds and attends a
variety of pediatric conferences. The residents also spend four weeks on the JFK pediatrics floor
working with the Pediatric faculty including pediatric intensivists. The residents care for pediatric
patients and learn the fundamentals of inpatient pediatric care through a combination of bedside
teaching and didactics.
Obstetrics training consists of two four-week blocks at JFK. The residents care for our Family
Medicine Center obstetrical patients—managing prenatal care, labor and delivery, post-partum care and
follow-up. The residents are supervised by both Family Medicine faculty and attendings in the Family
Medicine obstetrical group, who provide 24-hour coverage as well as didactic lectures to the
obstetrics resident.
The surgical rotation consists of four weeks under the assignment of JFK general surgery
attending physicians. The residents evaluate and diagnose surgical patients, assist the surgeon
intra-operatively and post-operatively, and learn appropriate surgical referral.
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