Reinventing healthcare one patient at a time

Family Medicine Residency Curriculum

1st Year                 2nd Year 3rd Year
Family Medicine - 2 blocks Family Medicine - 2 blocks Maternal/Child Health - 1.5 blocks
Pediatrics (inpatient) - 1 block Outpatient Pediatrics - 2 blocks Family Medicine - 1.5 blocks
Orthopedics - 1 block PICU (inpatient) - 1 block ENT/Urology - 1 block
NICU - 1 block Elective - 1 block Electives - 3 blocks
Surgery - 1 block ICU - 1 block Practice Management - 1 block
ICU - 1 block Ob/Gyn - 1 block Gyn (outpatient) - 1 block
Hematology/Oncology/GI - 1 block Community Medicine - 1 block Dermatology - 1 block
Ob/Gyn - 2 blocks Sports Medicine/ER - 1 block Ophthalmology - 1 block
Orientation Medicine - 1 block Geriatrics - 1 block Orthopedics - 1 block
ER - 1 block Liason Psychiatry - 1 block Neurology/Rheumatology - 1 block
Elective - 1 block Cardiology - 1 block  
Family Health Center 2 half days/week Family Health Center 2 half days/week Family Health Center 3 half days/week

1 block = 4 weeks
*Practice management, behavioral science, gerontology and community medicine programs are active throughout all three years.

The 39 four-week blocks of prescribed training are shown in the diagram on page 5. Most of these rotations are at Ellis Medicine's three campuses (Ellis Hospital, Ellis Health Center and Bellevue Woman's Center). One rotation in Pediatric ICU is at Albany Medical Center in nearby Albany. Electives are available in all medical specialties to meet the needs of the individual resident preparing for practice.

Geriatric, sports and community medicine are longitudinal (over three years) as well as block elements of the curriculum involving home care, extended care and participation with community organizations.

OB/GYN

This training involves both ambulatory and inpatient care with specific attention to routine office procedures and to vaginal deliveries.

Objectives of this teaching program include:

  • the diagnosis and management of gynecological problems;
  • geriatric gynecology;
  • management of uncomplicated pregnancy, labor, delivery and post-partum care;
  • family planning and fertility counseling;
  • and detection of high-risk patients and life threatening emergencies.

Behavioral Science and Psychiatry

Training focuses on establishing practical knowledge of human behavior and its effect on patients and their families, as well as on patient/physician relationships.

The curriculum is both longitudinal (over three years) and block (4 week increments) in design. There are ongoing consultations for Primary Care-Schenectady patients and organized didactic sessions on specific topics.

Objectives include:

  • the diagnosis and treatment of psychological aspects of illness;
  • the recognition of the major psychiatric disorders and treatments;
  • and the understanding of the elements of psychotherapy and pharmacology. 

The behavioral science faculty also provides ongoing support for residents and their families through group meetings and individual sessions.

Pediatrics

Residents serve as primary house officers under the direction of a pediatric coordinator, attending pediatricians and family physicians. In addition, experience in neonatal problems is provided in the neonatal intensive care unit (NICU) at St. Peter's Hospital.

The objectives of this program are:

  • to provide each resident with an understanding of normal and abnormal growth and development, with emphasis on early intervention and prevention;
  • to develop a thorough understanding of common neonatal problems;
  • and to establish competence in the management of common pediatric disorders in the ambulatory and in-hospital settings.

Family Medicine/Internal Medicine

The diagnostic and therapeutic management of patients is the cornerstone of a family physicians practice. Our objective in this area is to equip each resident with the fundamentals of specific disease entities with particular focus on the subspecialties of cardiology, endocrinology, hematology, oncology, gastroenterology, pulmonary, infectious disease, rheumatology and neurology.

Specific attention is give to the development of radiological and laboratory skills, as well as the interpretation of diagnostic examinations. Supervision for this rotation is provided by the internal medicine coordinator, faculty members and senior residents. Teaching rounds, morning report, lectures and conferences are regularly scheduled.

Critical Care Medicine

The objectives of training in critical care medicine are directed toward pathophysiology of disease process and acute interventions. Residents utilize Ellis 36 bed intensive care unit (Ellis Hospital) and are trained under supervision in the management of acute medical and surgical disorders. Skills and procedures necessary for modern invasive monitoring and supportive care are taught.

Emergency Medicine

Ellis Hospital sees more than 76,000 emergency room cases annually at its two full service 24/7 Emergency Departments (at Ellis Hospital and Ellis Health Center). Residents in this rotation gain considerable experience in responding to acute medical problems, pediatric, surgical and ob/gyn emergencies and other life-threatening situations.

This required rotation is supervised by hospital based full-time emergency room physicians.

Surgery

The basic objectives of the surgical teaching program include:

  • pre-and post-operative care of surgical patients;
  • the fundamental techniques of incision, excision, suturing and first assisting on major surgery;
  • and competent diagnosis and treatment of surgical emergencies and post-operative care are emphasized.

Faculty for this program include a surgical coordinator, general surgeons, anesthesiologists and subspecialists in the areas of ophthalmology, orthopedics, plastic and reconstructive surgery, otolaryngology and vascular surgery.