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Curriculum

Family medicine faculty meeting with a resident

Rotation schedule

These are typical training schedules in the Family Medicine Residency.

PGY-1

RotationLength
Family medicine service 8 weeks
Emergency medicine 8 weeks
Community medicine/occupational health 4 weeks
General surgery 4 weeks
Intensive care unit 4 weeks
Night float 8 weeks
Obstetrics 8 weeks
Orthopedics 4 weeks
Pediatrics (outpatient) 4 weks

PGY-2

RotationLength
Cardiology 4 weeks
Clinic 4 weeks
Family medicine service 8 weeks
Night float 4 weeks
Obstetrics 4 weeks
Pediatrics (inpatient) 4 weeks
Rural rotation 4 weeks

PGY-3

RotationLength
Clinic 4 weeks
Family medicine service 8 weeks
Night float 4 weeks
Enhanced obstetrics or inpatient/outpatient medicine 4 weeks
Pediatrics 4 weeks
Health systems management 4 weeks

Other requirements (during year two or three)

RotationLength
Family medicine service 2 weeks
Musculoskeletal/sports medicine 8 weeks
Dermatology 4 weeks
Endocrinology 4 weeks
Gynecology 4 weeks
Geriatrics 4 weeks

On-call frequency

We use a mini night float rotation the first block to orient new residents to our night float system.  We then transition to a night float rotation that covers the remaining 12 blocks of the year. Outside of night float, first-year residents are on duty eight to nine Saturdays during their first year; second and third-year residents are on duty four to five Saturdays.

Moonlighting policy

Opportunities also exist for "moonlighting" for residents in good standing during second and third years.

Procedures

Our program offers a Procedure Day on a monthly basis during which procedures are taught in a workshop (hands-on) format. Some procedures you will experience include: GYN procedures (e.g., colposcopy, IUD’s, etc.), vasectomies, paracentesis/thoracentesis, hemorrhoidal banding, wound care, central lines, intubation, joint injections, IV insertions, splinting and casting, and newborn circumcision. Competency can be achieved in many of these procedures by the end of residency. Procedure Day also contains a segment for resident support and personal/professional development. Two of these are annual events: a pontoon outing that includes spouses and families, and a repetitive obstacle performance evaluation system (ROPES) challenge course for team building.

Specialized curriculum

Hospital medicine

We have an excellent inpatient family medicine service that is run by a first-, second-, and third-year resident, who are supervised by one of our full-time faculty. We work in tandem with our hospitalist program.

Obstetrics

We offer two options when it comes to obstetrical training. The required curriculum consists of three months of obstetrical training, and combines experience working on labor and delivery along with some continuity obstetrical experiences. For those wishing to further develop their skills and obtain sufficient competence in order to include obstetrics in their future practice, we also offer an enhanced OB curriculum that is designed to assure competence in low-medium risk obstetrics and develop one’s skills in a variety of obstetrical procedures.

The majority of our faculty continue to see OB continuity patients and have expertise in breast feeding, colposcopy, IUDs and endometrial biopsies, and other women’s health procedures. Perinatologists from Mayo Clinic in Rochester work directly with you on your high-risk patients. Nearly 60% of our graduates, especially those in rural areas, include OB in their practices.

Sports medicine

We offer a sports medicine rotation for interested second- and third-year residents who wish to enhance their knowledge and skill in this field. We also offer a sports medicine track for those wanting additional training. There are many local experts in sports medicine, and there is an internationally recognized exercise physiology/human performance program at the University of Wisconsin – La Crosse. Dr. Mark McEleney’s recent hire as a sports medicine-trained Family Medicine physician will help to enhance this aspect of our program.