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The second year of the Family Medicine
residency is as challenging as the first, but
much more varied, as time is divided between
inpatient work at the hospital and outpatient care in
both the Family Medicine Center and other ambulatory sites.
A large part of the second-year outpatient medicine
experience takes place during the Family Medicine Center/Longitudinal
Curriculum rotations. The rotations include time seeing continuity
patients in the Family Medicine Center, longitudinal medical subspecialties
(including endocrinology, hematology/oncology, infectious disease, nephrology, neurology and
rheumatology), and dermatology spread over three one-month rotations. Also during this time,
residents will continue to build their knowledge and experience in the Patient-centered
Medical Home.
Residents spend one month as Chief of the JFK Family Medicine Service, caring for patients
admitted from our Family Medicine Center. This involves daily patient management, teaching rounds,
and supervising the PGY-I resident and medical student on service along with the Family Medicine
faculty.
The second-year residents spend one month in the pediatric emergency room at JFK Medical
Center to learn such skills as caring for the febrile child, managing acute minor illnesses and
injuries, and suturing techniques. They also spend one month in the main JFK ER where they care
for a wide variety of medical, surgical, and trauma conditions in adult patients.
Residents study Intensive Care medicine during a one month Pulmonary/ICU rotation with a
private pulmonary medicine group. The resident admits patients during the day and participates in
the daily care of ICU patients, as well as interacts with intensive medicine specialists who staff
the critical care units 24 hours a day. This enables residents to learn how to evaluate and manage
acute critical patients and to perform appropriate procedures, including arterial lines, central
lines, and code management.
A unique aspect of our second-year curriculum is our Family Systems Medicine rotation. With
our Behavioral Scientist – a family therapist with expertise in family systems – residents conduct
joint interviews with patients and their families in order to facilitate a more sophisticated
understanding of the complex interactions between family and illness. During this rotation,
residents also spend time in the Family Medicine Center enhancing their ambulatory care skills.
Other four-week rotations include orthopedics/sports medicine, geriatrics and one elective
block. Our strong geriatrics curriculum includes a concentrated four-week rotation learning
the principles of geriatric medicine and multidisciplinary geriatric assessment. Residents also
start to provide longitudinal care for their own panel of patients in a long-term care facility for
the latter two years of the program.
Orthopedics and sports medicine is divided between a large, local orthopedic group and our
own sports medicine faculty in the Family Medicine Center. Learning opportunities include x-ray
interpretation, casting and splinting, tendon and joint injections, and the potential for sporting events coverage.
During the second year, time in the Family Medicine Center increases from one half-day per
week to an average of three half-days per week. As a second-year resident’s panel of patients grows,
residents become more skilled in the management of a wide variety of health problems such as
hypertension, diabetes mellitus, asthma, depression and anxiety. Also at this time, second-year
residents begin to care for obstetric patients whom they will follow through the full course of prenatal care, delivery and post-partum care.
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