Second and Third Year Residents Curriculum

Continuity Clinic - 3 to 4 half-days per week
Vacation - 2 two-week blocks

Family Medicine Inpatient Block (FMIB) - 4 months
The family medicine inpatient block (FMIB) provides care for our Columbia practice and satellite clinic patients who require hospitalization. There are two seniors for each of the two FMIB teams. Senior residents on FMIB are responsible for supervising their team.

Family Maternity Care (FMC) - 1 month
The month-long night float rotation is designed to enhance residents' training in family-centered perinatal care. This rotation is supervised and taught by family medicine attendings. During FMC, residents benefit from working one-on-one with faculty members and from supervising the family medicine obstetrical service.

Behavioral Science - 2 weeks
This rotation allows residents to work with various providers in mental health and behavioral modification clinics. This is a multifaceted rotation, allowing the residents to work with a psychiatrist, a psychologist, a family medicine provider who focuses on behavior modification issues.

Working on Wellness (WOW) - 2 weeks
Residents participate in seminars on the behavioral aspects of medicine. Management of depression and anxiety, behavior modification, smoking cessation, and counseling patients on health lifestyle are a few of the topics covered in this block. This rotation provides opportunities for residents to meet and interact as a class.

Rural Inpatient Service - 1 month
The goal of this rotation is to provide residents with a significant and direct experience in patient care at a small community hospital.

Rural Surgery - 1 month
This rotation is designed to give residents experience working with private general surgeons in rural inpatient and outpatient settings. Emphasis is focused on operating room experience, where residents first-assist on all surgeries, but residents are also given ample time with surgeons providing preoperative evaluations in clinic and postoperative evaluations in the hospital.

Medical Intensive Care Unit (MICU) - 1 month
The MICU is a month-long rotation in the University Hospital's ICU and involves cooperative efforts with the critical care division of the Internal Medicine Department. Residents care for patients who are admitted to the ICU from hospital inpatient teams, outside transfers from other hospitals, and the emergency room. Residents learn vent management, ICU medications and have the opportunity for lots of procedures.

Cardiology/Intensive Care Unit (CICU) - 1 month
During this month, our residents work with the Internal Medicine Department to manage patients in the CICU. Responsibilities include ventilator management, management of arrhythmias, acute myocardial infarction (MI), pulmonary edema, codes, hypotension, and complications of anticoagulation/thrombolytic therapy. This is a non-call month.

Community Health and Geriatric Medicine - 1 month
The goals of this combined rotation include identifying and evaluating community health care needs and resources, understanding principles of public health and clinical epidemiology, and learning how to care for elderly patients at family medicine clinics, in hospice, and in local nursing homes. Residents work with medical and administrative staff members at the City Health Department and Boone County Family Health Center and at the Department of Family and Community Medicine's Senior Assessment Geriatric Evaluation Clinic. Family medicine geriatricians present tutorials on topics of special interest to residents during this rotation.

Orthopaedics/Sports Medicine - 2 months
Residents are exposed to common problems seen in outpatient orthopaedics during this month. A focus of this rotation is to help residents become proficient at examining the musculoskeletal system. The orthopaedic rotation is directed by two family physicians who are certified with added qualification in Sports Medicine. Residents also may participate in training room and sideline activities.

Surgical Subspecialties - 1 month
This rotation is split, with equal time given to urology, ENT, and ophthalmology. The goal of the urology rotation is to help residents gain skills at providing care for most urologic disorders and for competent referral of uncommon/complex disorders. Residents work at the University urology clinic. During the ENT rotation, residents gain a thorough understanding of ENT anatomy, physiology, and pathology, and they work at the University ENT clinic. In Ophthalmology, residents learn how to use instruments designed to examine the eye and how to recognize and treat common eye problems. Residents work at the University ophthalmology clinic.

Dermatology - 1 month
The focus of this rotation is to help residents recognize basic skin reactions, identify related diseases, and understand basic and alternative treatment methods. Residents work at the Dermatology Clinic both at UMHC and the VA Hospital.

Ambulatory Surgery - 1 month
Residents on this rotation work with a group of private physicians in Columbia to learn common surgical procedures, indications for referral, and perioperative management.

Women's Health - 1 month
During this rotation, residents work with the University's gynecology service to gain experience treating gynecologic, urodynamic, infertility, and breast problems. Residents also participate in a family medicine gynecologic clinic, attended by one of the University gynecologists and previous Family Medicine Teacher of the Year winner, Dr. Jack Gay.

Electives - 3-6 months
Our program is very flexible about allowing family medicine residents to pursue professional interests. Residents can choose from many established electives, or if they have a special interest we are glad to discuss how we can help them pursue this area of interest.