Family Medicine Residency Program

Family Medicine Residency Program

Curriculum

Each year is divided into ten, 5-week rotations. This allows every resident to take one week off around the holidays during our special break-out schedule. Each resident has a panel of patients they care for in their outpatient continuity clinic. The clinics contain a great deal of variety and include the management of chronic diseases, acute care, pediatrics, office procedures and obstetrics/gynecology. In the second and third year, residents assume care for inpatients at St. Catherine Labouré Manor nursing home.
PGY – 1
  • Continuity Clinic: two clinics per week throughout the year
  • Inpatient Medicine: 10 weeks
  • Obstetrics: 10 weeks
  • Emergency Medicine: 5 weeks
  • Inpatient Pediatrics: 5 weeks
  • Nursery: 5 weeks
  • General Surgery: 5 weeks
  • Night Float: 5 weeks
  • Community Medicine:5 weeks

 

PGY – 2

  • Continuity Clinic three clinics per week throughout the year
  • Behavioral Science: 4 weeks
  • Elective/Away Elective: 9 weeks
  • Emergency Medicine: 4 weeks
  • Geriatrics: 4 weeks
  • Gynecology: 5 weeks
  • Inpatient Medicine: 5 weeks
  • Medicine/Inpatient Selective: 5 weeks
  • Night Float: 5 weeks, non-consecutive
  • Orthopedics: 4 weeks
  • Pediatric Emergency Medicine: 5 weeks

 

PGY – 3

  • Continuity clinic four clinics per week throughout the year  
  • Inpatient Medicine Chief: 5 weeks
  • Family Medicine Inpatient Service Chief: 5 weeks
  • Pediatrics Chief: 5 weeks
  • Outpatient Pediatrics: 5 weeks
  • Medicine/Outpatient Selective: 5 weeks
  • Orthopedics: 5 weeks
  • Community Health Outreach: 5 weeks
  • Practice Management: 5 weeks
  • Elective/Away Elective: 10 weeks

Rotation Descriptions

  • Inpatient Medicine
    This service is comprised of patients who normally see our faculty or residents as well as patients assigned to us through the Emergency Department. The team consists of a faculty member, PharmD, one third year resident who acts as chief, a second year resident and two first year residents. First year residents are responsible for the admission of patients through the Emergency Department and the continued care of patients on the floor and in the ICU. They are always paired with a second or third year resident who is there for assistance and teaching. Additional teaching occurs during daily rounds with the entire team. The inpatient team is also responsible for leading the hospital code team.

    PGY – 1
    • Continuity Clinic: two clinics per week throughout the year
    • Inpatient Medicine: 10 weeks
    • Obstetrics: 10 weeks
    • Emergency Medicine: 5 weeks
    • Inpatient Pediatrics: 5 weeks
    • Nursery: 5 weeks
    • General Surgery: 5 weeks
    • Night Float: 5 weeks
    • Community Medicine:5 weeks

     

    PGY – 2

    • Continuity Clinic three clinics per week throughout the year
    • Behavioral Science: 4 weeks
    • Elective/Away Elective: 9 weeks
    • Emergency Medicine: 4 weeks
    • Geriatrics: 4 weeks
    • Gynecology: 5 weeks
    • Inpatient Medicine: 5 weeks
    • Medicine/Inpatient Selective: 5 weeks
    • Night Float: 5 weeks, non-consecutive
    • Orthopedics: 4 weeks
    • Pediatric Emergency Medicine: 5 weeks

     

    PGY – 3

    • Continuity clinic four clinics per week throughout the year  
    • Inpatient Medicine Chief: 5 weeks
    • Family Medicine Inpatient Service Chief: 5 weeks
    • Pediatrics Chief: 5 weeks
    • Outpatient Pediatrics: 5 weeks
    • Medicine/Outpatient Selective: 5 weeks
    • Orthopedics: 5 weeks
    • Community Health Outreach: 5 weeks
    • Practice Management: 5 weeks
    • Elective/Away Elective: 10 weeks
  • Family Medicine Inpatient Medicine
    In order to maintain continuity, patients requiring hospital admission are managed by their resident physician if they are available.  A third year resident acts as chief of the service and assists in patient management. A faculty physician is assigned to provide instruction and guidance in how family physicians serve as the patient's primary physician in the inpatient setting. Residents learn how to organize care, serve as a patient advocate and code/bill in the inpatient setting.
  • Night Float
    The night float Team is made up of a first and second year resident. The team cares for inpatients and completes admissions for the inpatient medicine team overnight. Both participate with the hospital code team as well, usually with an intensivist. The first year resident has the additional responsibility of answering floor pages. The second year resident is also responsible for OB triage and laboring patients overnight.
  • Gynecology
    Second year residents are trained in outpatient gynecology and procedures including colposcopy, endometrial biopsy and IUD insertion both in our office and in private offices. The residents also participate in the management of inpatient gynecological consults, manage inpatient gynecological admissions, as well as participate in surgical cases. The resident on this service will also be responsible for the pre-operative and post-operative management of patients undergoing GYN surgeries.
  • Obstetrics
    First year residents provide prenatal care for patients under faculty supervision in the Women’s Health Clinic at the Family Medicine Center. They also care for obstetric patients during their antepartum, intrapartum and postpartum admissions at the St. Vincent’s Family Birth Place. Here they gain experience in fetal monitoring, OB triage, normal and operative vaginal deliveries, laceration repair, cesarean deliveries and routine postpartum care. Residents continue to obtain obstetrics experience into the second and third year through prenatal care, delivery and postpartum care of their continuity patients.
  • Obstetrics Track
    The Obstetrics track is designed to meet the needs of a select group of residents who desire to gain experience with high risk pregnancy management and gain competency in ultrasonography and operative OB procedures.
  • Inpatient Pediatrics
    First year residents complete a rotation at Wolfson Children’s Hospital, the only dedicated children's hospital in Northeast Florida. Here, residents act as part of a pediatric inpatient team where they work side by side with University of Florida pediatric residents, area hospitalists and specialists in the care of pediatric patients. The immersion in the pediatric specialty, as well as the variety of pathology makes this an invaluable part of training at St Vincent's.
  • Medicine Subspecialty
    During the second year, residents have the opportunity to work with a variety of subspecialists, both in and outside the hospital.  Residents may work with Pulmonary/Critical Care, Intensivists, Nephrology, Endocrinology, Hospitalists or Neurology.  The rotation can be tailored to meet the resident's training needs.
  • Nursery
    First year residents also complete a rotation in the newborn nursery at St. Vincent’s Medical Center Riverside.  They are paired with a senior resident and the faculty pediatrician who will teach basic newborn care, parental counseling and circumcision.  NALS certification is completed at the beginning of your first year so residents are capable to perform newborn resuscitation after deliveries if needed. Additional training is provided through daily didactics and teaching clinic with our faculty pediatrician.