Family Medicine Clinic

Rotation Goals and Objectives

  1. General Description
    1. Family Physicians care for patients with many common and uncommon illnesses and in many settings. At the core of the knowledge and skills of board certified family physicians is providing ongoing care for chronic and acute illnesses in the outpatient setting to a population of patients with which physician has an ongoing continuity relationship. This rotation is to enhance the longitudinal FMC experience undertaken throughout residency by providing daily continual experience in this setting.
    2. Residents are expected to follow their patients in the Family Medicine Center during this rotation unless otherwise notified.
    3. Level: PGY 1, 2, 3 and 4years
    4. Location: Family Medicine Center
    5. Duration: two to four week blocks, one to three times per year
    6. Work hour form submission is required at the completion of this rotation.
    7. Evaluation of Rotation
      1. The evaluation of the resident on this rotation will be done by the completion of an evaluation form by the attending physician at the end of the rotation.
      2. The resident will fill out a rotation evaluation for at the end of the rotation.
      3. The resident's performance on the American Board of Family Medicine In-Training examination will also be used to assess knowledge in this area.
  2. Patient Care skills to be mastered
    1. Performance of complete history taking
    2. Performance of complete physical examination
    3. The evaluation and treatment for common disorders for which children, pregnant women and adults present
    4. Recognition of the role of the family and other psychosocial factors in the care of these patients
    5. Develop an understanding of what consultative services are useful managing such patients
  3. Medical Knowledge skills to be mastered
    1. An increasing knoledge base to care for the breadth of patients that Family Physicians care for
      1. Specific medical topics should be reviewed and learned on a daily basis based on the diagnoses disorders of the patients currently being seen
  4. Practice Based Learning and Improvement
    1. This competency is addressed longitudinally throughout the rotation.
      1. Scientific evidence will be reviewed by the resident and attending physician in the context of their patients.
      2. The practical implementation of evidence-based medicine will be discussed as the medical decision making is reviewed.
      3. Information technology will be utilized by the resident as he or she is required to research topics as directed by the attending physician.
      4. Information technology will be utilized as the practice implements their electronic health records.
      5. The resident will also be evaluated on the steps they took during the rotation to improve their shortcomings.
  5. Interpersonal and Communication Skills
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will observe and be observed, taught and evaluated in the performance of obtaining patient histories, documenting histories, writing prescriptions, educating patients about treatment plans and prognosis, teaching medical students and other learners, and interactions with patients, families, office staff and physicians.
  6. Professionalism
    1. This competency is addressed longitudinally throughout the rotation.
      1. The attending physician will observe and assess the resident's sense of personal responsibility including attendance, promptness, motivation, completion of duties, and appropriate dress.
      2. Ethical and legal practice skills will be taught
      3. Respect for cultural, age and gender differences will be taught, observed and evaluated.
      4. The resident is expected to treat patients, families and colleagues with respect, understanding, sympathy and honesty
  7. Systems Based Practice
    1. This competency is addressed longitudinally throughout the rotation.
      1. The resident will learn to become aware of available resources and the cost effectiveness of testing and therapeutic options.
      2. The resident will gain an increasing understanding of the role of the patient, physician, support staff, and insurer in the health care environment
      3. The resident will gain an increasing understanding in the role of the hospital in the health care environment
      4. Through the coordination of care for the hospitalized patients, the resident will become aware of the breadth of available resources in our community as well as to the limitations of the resources in our community. In this regard, the resident will be expected to work very closely with social workers and hsopital case coordinators to assist in providing the best care available to our patients.

Updated: May 2, 2018 by Richard D. Williams, MD