Community Based Medicine

Chemical Dependency/Mental Health This one-month rotation occurs in the PGY2 year in a variety of locations which cover mental health issues, from crisis intervention and evaluation to half-way house care for the chronically, mentally ill to chemical dependency (both detoxification and treatment). It includes a segment with our on-site psychologist evaluating patients from a psychologist's perspective, including testing. Two half days of ambulatory care clinic at the family practice center are included.

Dermatology, Ear, Nose, and Throat, Ophthalmology, Urology
These components are all one-half month, off-site location, core-required rotations in PGY2 year, in which the resident works in a one-on-one basis with a consultant in the given area. Goals and objectives are geared toward recognition and treatment of common problems in each of the areas. During the half months of training, the rotations are supplemented with additional educational materials such as videotapes.

Geriatric Medicine
This rotation is a PGY3 one-month block which includes working in a seniors’ clinic with a CAQ geriatricians /internist, as well as in our own family practice center. There are on-going longitudinal nursing home rounds with our family physicians and internists, which occur in the third year. Two of our faculty have Certificates of Added Qualification (CAQ).

Gynecology
Occurring in the second year, this rotation is largely outpatient, and includes family planning, as well as infertility evaluation/treatment, colposcopy, LEEP and other women’s health issues from menarche through menopause.

Neurology
This one-month block occurs in the PGY3 year with a neurologist who practices both pediatrics and adult neurology. This component occurs at an outside clinic site and allows for discussion, evaluation, diagnosis, and treatment modality discussion of multiple common patient presentations. The neurologist is keenly aware of the types of problems that family physicians see within multiple one-on-one teaching sessions, with the opportunity to do consults in the hospital as time and pertinent diagnoses allows.

Orthopedic Medicine
This one-month block occurs in the PGY1 year largely in an outpatient setting with a group of orthopedics in a one-on-one relationship with the resident. Emphasis is placed on ambulatory problems, including musculoskeletal inflammation, overuse, fracture, sprain, and allowing for hands-on evaluation, casting, and injection experience. A supplement to this rotation is an every fourth evening four-hour block in the emergency room to become familiar with as much ER presentation of orthopedic problems, as well as other ER problems. One-half day per week residents participate in continuity of care clinic.

Sports Medicine
This one-month PGY3 rotation occurs at an outside clinic site with two family physicians who are CAQ in sports medicine, exercise physiologists, physical therapists, and nutritionists. There also are opportunities to participate at school athletic events.