Curriculum

DR. BATY'S BOOKMARKS
Links to Evidence-Based websites useful in patient care or researching questions.

Prevention and Clinical Epidemiology (PACE) ‘06-‘07

Intern Year

This year has the most inpatient experience. Most rotations are at Saint Mary’s Health Care. One Obstetrics rotation is at Spectrum Health, Butterworth Campus. The Pediatrics rotations are at Helen DeVos Children’s Hospital.

Rotations:

• Family Medicine Service - 4 Months
• Obstetrics - 2 Months
• Pediatrics - 2 Months
• Surgery - 1 Month
• ICU - 1 Month
• Emergency Medicine - 1 Month
• Night Float - 1 Month

The Family Medicine Service provides the opportunity to work with many community physicians. Interns typically manage 6-8 patients each day during their time on the Family Medicine Service.

Family Medicine call is typically 1 in 4-5 days, with a night-float system in place on the Family Medicine Service (typically starting in November). Once the night float system begins, the on-call intern is usually able to leave the hospital by 9 PM, and the night-float intern takes over until the morning. Family Medicine call is taken during the months on the Family Medicine Service, ICU, and Emergency Medicine. Call on other rotations depends on the individual service.

One half-day per week is spent in the Family Health Center (FHC), typically seeing 4-6 patients. Faculty and community physicians provide preceptorship on a rotating basis.

Second Year

This year begins the transition from inpatient to outpatient medicine. Residents spend more time in the Family Health Center and with ambulatory services such as Orthopedics, Gynecology and Cardiology.

Rotations:

• Family Medicine Service - 3 Months
• Orthopedics - 2 Months
• Outpatient Pediatrics - 1 Month
• Cardiology - 1 Month
• Pediatric Sub-specialties - 1 Month
• Gynecology - 1 Month
• Obstretics - 1 Month
• Underserved Health - 1 Month
• Elective - 1 Month

Two longitudinal rotations begin in the second year, and continue until the completion of the residency program. Residents spend one afternoon per month providing care for geriatric patients at an assisted living/nursing facility. Another afternoon each month is spent providing obstetric care at a clinic for the underserved in our community.

Residents take a more administrative role on the Family Medicine Service, assisting with supervision and education for the interns and medical students on the service.

Most call during the second year is home call, providing support and supervision for the on-call/night-float intern. The second-year resident on call is always available to come back to the hospital to assist as needed. Family Medicine call is taken during all months except during obstetrics and orthopedics, when call is taken for these services, and the underserved health month, when there are no Family Medicine call responsibilities.

Residents interested in expanding their OB experience can choose to use their elective month to do an additional obstetrics rotation, although there are many electives available.

Time in the FHC is increased to 3 half-days per week, typically seeing 6-8 patients per half-day.

Third Year

This year has the most outpatient experience, as well as the opportunity to assume various leadership roles within the program (Conference Coordinator, Recruitment Coordinator, Administrative Chief, etc).

Rotations:

• Dermatology/Neurology - 2 Months
• ENT, Ophthalmology, Urology - 2 Weeks each
• Outpatient Surgery - 1 Month
• Community Preceptorship - 1 Month
• Occupational Medicine - 2 Weeks
• Full Time FHC/Procedures - 6 Weeks
• Family Medicine Service Chief - 4-6 Weeks
• Electives - 3 Months

Each third year resident spends 4-6 weeks as Chief of the Family Medicine Service. Chief responsibilities include coordinating educational sessions for the team, supervision of the medical students, and distribution of patient-care responsibilities to team members.

Call during the third year is taken from home, and the resident on call is responsible for the Family Health Center (FHC) resident patients. Duties may include hospital admissions after hours, managing hospitalized FHC patients, triage of FHC obstetric patients, and answering emergency after-hours phone calls from FHC patients.

Time in the FHC is increased to 5 half-days per week, seeing 10-12 patients per half day.

Didactic Sessions

Each Tuesday morning is set aside for lectures. Residents are excused from their rotations during this time every week.

Topics covered in these sessions are from various categories including (but not limited to)

• Behavioral Science
• Dermatology
• Evidence-Based Medicine
• Geriatrics
• Obstetrics
• Pediatrics
• Pharmacology
• Practice Management
• Procedures
• Sports Medicine
• Women’s Health

Research

The Research Department of GRMEP has developed several tools and resources that will help residents and fellows develop ideas into manageable and realistic research projects. We have found that using these resources saves time and energy while avoiding typical pitfalls and dead ends. For example, the research project outline facilitates the translation of a good idea into a research project, provides the bulk of the narrative portion of IRB application, and serves as the guide for implementing the project. Click here to be directed to the Research Section.