Family Medicine Curriculum-OLD - Memorial Graduate Medical Education Program
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Family Medicine Curriculum

Our block schedule is based on the 13 four-week rotations.  This takes into account time for the FMP clinics, didactics and vacation.  All of our rotations are local except for a 4-week pediatric rotation at the University of Mississippi Medical Center in PGY-3 for which housing is provided.  All rotations are unopposed allowing maximal hands on for each family medicine resident. 

PGY-1

  • Orientation (4 weeks)
  • Inpatient Medicine (12 weeks)
  • Emergency Medicine (8 weeks)
  • Surgery (4 weeks)
  • Inpatient Pediatrics (4 weeks)
  • ICU (4 weeks)
  • Outpatient Pediatrics (4 weeks)
  • Radiology (2 weeks)
  • Elective (2 weeks)
  • OB/GYN (4 weeks)
  • Night Float (4 weeks)

PGY-2

  • Inpatient Medicine (8 weeks)
  • OB/GYN (4 weeks)
  • Community Medicine (4 weeks)
  • Emergency Medicine (4 weeks)
  • Endocrinology (2 weeks)
  • Pain Management (2 weeks)
  • Outpatient Pediatrics (4 weeks)
  • Behavioral Health (4 weeks)
  • Infectious Disease (2 weeks)
  • Hematology/Oncology (2 weeks)
  • Orthopedics (4 weeks)
  • ENT (2 weeks)
  • Ophthalmology (2 weeks)
  • Elective (4 weeks)
  • Dermatology (4 weeks)

PGY-3

  • Inpatient Medicine (8 weeks)
  • Sports Medicine (4 weeks)
  • OB/GYN (4 weeks)
  • Geriatrics (4 weeks)
  • Health Systems Management (4 weeks)
  • Pulmonology (2 weeks)
  • Neurology (2 weeks)
  • Urology (2 weeks)
  • NICU (2 weeks)
  • Inpatient Pediatrics (4 weeks)
  • Rural Health (4 weeks)
  • Electives (12 weeks)

Rotations

  • Rotating through community-based clinics, a local FQHC, and the health department for your community health rotation.
  • Conducting home care and hospice visits with geriatric physicians, licensed nurses, and social services staff.
  • Providing high school athletic medical care, as well as, community education through local schools.
  • Completing research projects with financial support for conference attendance and presentation. Assistance with writing manuscripts for publication is available.
  • Collaborating with local researchers such as the National Diabetes Obesity Research Institute (NDORI) or become part of the study team on one of our clinical trials being conducted at Memorial Hospital at Gulfport.
  • Completing projects in Quality Improvement under the guidance our talented QI staff.

Rotation

FMP Clinics

The mission of a successful FMP is to expose each resident to the full spectrum of family medicine. Often one practice maybe heavy with chronic care for example missing adequate pediatric care. This led us to developing the three FMP system. Between the three centers each resident is guaranteed to get their share of the chronic and acute management of neonatal, pediatric, adult and geriatric patients. Each FMP also performs its unique variety of office-based procedures. Residents will rotate through the three FMPs on a regular schedule allowing for the continuity of care for the patents they establish. PGY-1’s will spend 1 ½ day a week providing FMP patient care.  PGY-2’s will spend 2 ½ days and PGY-3’s will spend 3 ½ days.

Orientation (4 weeks PGY-1)

This rotation allows our incoming residents a stress-free transition period into residency. During this month members of our faculty will provide didactic sessions on core medical subjects that will better prepare you for your upcoming rotations. In addition, you will begin to learn about the business of medicine which includes billing, coding, office dynamics, and much more. You will also start seeing patients several half-days throughout the month to familiarize yourself with each FMP setting. This will give you the opportunity to learn how each office operates. We also take this opportunity to introduce you to the surrounding community and to those organizations with whom we interact.

Inpatient Medicine (12 weeks PGY-1, 8 weeks PGY-2 & 3)

The medicine rotation provides the majority of the adult inpatient medical training for our residents.  This service is headed by our family medicine core faculty member Dr. Bill Erwin and includes the support of our internal medicine hospitalist team.  This rotation is run with a team approach including MD and DO students, two lower level residents and at least one upper level resident.  This rotation does not have call as nights are supported by the night float service. 

Night Float (4 weeks PGY-1)

Will occur for 4 weeks during PGY-1 under the supervision of our nocturnist at MHG.  During this rotation, residents hone their independent diagnostic and therapeutic skills and build up their professional confidence in an environment designed to provide ample support and backup.

Inpatient Pediatrics (4 weeks PGY -1, 4 weeks PGY-3)

In PGY-1 rotation will be held at MHG under the supervision of our pediatric hospitalist. This rotation will include the care of all newborns in the well and transitional nursery as well as all hospitalized pediatric patients.   PGY – 3 will be held at UMMC in Jackson, MS under the supervision of the university pediatric service.  This will serve to enhance the pediatric education by exposure to all pediatric subspecialty care.  Housing is provided for the PGY-3 rotation at UMMC.  FMP and didactics will be suspended during this 4-week rotation. 

Outpatient Pediatrics (4 weeks PGY-1 & 2)

PGY-1 rotation will be with one of our Memorial pediatric outpatient clinics for 4 weeks. PGY-2 rotation will include 4 weeks at our local FQHC. The focus will be on direct patient care within two distinct pediatric population settings.

Emergency Medicine (8 weeks PGY-1, 4 weeks PGY-2)

The emergency medicine rotation is a combine pediatric and adult emergency medicine.  This rotation will be headed by our Emergency Medicine team. Residents will be managing the medical care of a variety of patients; from the simple, acute problem patients to the more complicated, life-threatening problems of major trauma patients.

Surgery (4 weeks PGY-1)

During this rotation residents experience “firsthand” the admission, diagnosis, and management of a variety of surgical problems – common (e.g., appendicitis, cholecystitis, pancreatitis), uncommon, and traumatic.  Residents rotate through the outpatient office of surgeon Dr. Scott Blackburn to learn about pre-operative and post-operative care and to assist with various minor, office-based procedures. 

ICU (4 Weeks PGY-1)

This rotation will be headed by MHG’s critical care faculty.  This rotation will allow the resident to become comfortable in managing critical care patients, gain experience in critical care procedures and participate in family meetings under the direct supervision of our ICU physicians. 

OB/GYN (4 weeks PGY-1, 2, & 3)

PGY one and two will be spent in the outpatient setting caring for prenatal patients and providing general gynecology working through our local FQHC (Coastal Family). The goal of this rotation will be not only to learn outpatient obstetrics and gynecology but also to improve the care and continuity in this underserved patient population.

PGY three will be strictly inpatient working with the in-house laborer performing deliveries and caring for hospitalized obstetric patients. This patient population will present from largely from the same FQHC clinic. Lower level outpatient residents will transfer and admit patients to the upper level inpatient resident. Infants born will subsequently be transferred to the resident on the inpatient pediatric service. This will ultimately maintain continuity of care.

Electives (2 weeks PGY-1, 4 Weeks PGY-2, 12 weeks PGY-3)

Available electives currently include gastroenterology, wound care, nephrology, plastic surgery, allergy and immunology, palliative care, and any previously performed rotation that the resident which is to repeat. These are all local rotations that will be performed either in the local outpatient setting or within Memorial Hospital.

Community Medicine (4 weeks PGY-1)

During this rotation residence will be working within the local health departments of Harrison County. There will be exposure to a variety of community health related illnesses such as communicable diseases (STIs, infectious disease outbreaks, Tuberculosis), environmental and travel health, school health and screening, Pediatric and adult immunizations, and occupational health. There will also be opportunities for involvement at the state level.

Health Systems Management (4 weeks PGY-3)

Residents will be immersed in the non-clinical aspect of medicine. They will be working directly with non-clinical staff in the roles of business and administration, management leadership, quality improvement, coding and billing, population health management, and research and development

Orthopedics/Sports Medicine (4weeks PGY-2 & 3)

Both of these blocks will we geared towards the outpatient practice of orthopedics and sports medicine with some limited inpatient work. There will be direct supervision by either memorial Hospital in Gulfport orthopedic facility or community-based orthopedic faculty. There will be involvement with high school athletics (Indirectly supervised via the core faculty) although this may overlap with other blocks as to maintain continuity with one school or athletic program.

Geriatrics (4 weeks PGY-3)

Residents will manage comprehensive geriatric medical care under the indirect supervision of a staff internist or geriatrician. The majority of care will be performed in long-term care facilities associated with Memorial Hospital.

Dermatology (4weeks PGY-2)

This will be an outpatient rotation with direct supervision by a staff dermatologist gaining competencies in the medical and procedural management of the more common dermatological conditions.

Endocrinology (2 weeks PGY-2)

This will be predominantly an outpatient rotation with limited inpatient consult duties. The focus will be on the treatment of more complicated endocrine conditions that may not be routinely evaluated or treated in the FMP clinics. This will be under the supervision of Dr. Borchelt with exposure to research opportunities via NDORI.

Radiology (2 weeks PGY-1)

This will include two weeks of intensive inpatient work with our in-house radiologists. Focus will be on gaining experience with basic radiologic interpretation as well as development and understanding of the indications and limitations of each radiologic study. There will be involvement with interventional radiology.

Behavioral Health (4 weeks PGY-2)

This will be primarily an outpatient rotation working with community board certified psychiatrist and staff with focus on the treatment of the Basic and more challenging psychiatric illnesses. Exposure to crisis care will be obtained via the psychiatric crisis unit in the emergency room during the emergency room blocks.

Otolaryngology (2 weeks PGY-2)

During this two-week rotation, residents will work directly with a board-certified ENT physician developing skills in the outpatient setting caring for common ENT illnesses and procedures.ettings.

Ophthalmology (2 weeks PGY-2)

This is a two-week rotation where residents will work with a board-certified ophthalmologist directly learning how to manage outpatient ophthalmologic conditions both acute and chronic as well as learning minor procedures.

Urology (2 weeks PGY-3)

This will be a mixed outpatient and inpatient rotation working with staff urologist learning the management of common outpatient urologic conditions and involvement with inpatient consults and procedural care.

Neurology (2 weeks PGY-3)

This again will be a mixed outpatient and inpatient rotation learning the basics of inpatient neurologic consults in the management of common outpatient neurologic conditions.

Hematology/Oncology (2 weeks PGY-2)

This will be a 2-week rotation providing hematologic and oncologic consults on an inpatient basis as well as evaluating and treating outpatients under the care of a staff for certified oncologist hematologist.

Infectious Disease (2 weeks PGY-2)

This will be a two-week rotation involving inpatient consults and outpatient management of the more complicated infectious disease illnesses.

Pain Management (2 weeks PGY-2)

This will be a predominately outpatient rotation under the guidance of a staff board-certified pain management physician with emphasis on developing skills in the measurement of chronic pain condition as well as learning various injections and other procedures.

NICU (2 weeks PGY-3)

This is a purely inpatient two-week rotation under the care of a staff certified neonatologist gaining experience in resuscitating infants during deliveries as well as caring for the more ill neonate.

Pulmonary (2 weeks PGY-3)

This will include inpatient consults and outpatient management of more severe pulmonary illnesses under the guidance of a staff board-certified pulmonary physician.

Didactics

Schedule information coming soon

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Family Medicine
gme.family.medicine@mhg.com

Internal Medicine
gme.internal.medicine@mhg.com

Family Medicine
228-867-4968

Internal Medicine
228-822-6512

4500 Thirteenth Street
PO Box 1810
Gulfport, MS 39501

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