LancasterGeneralHealth Family Medicine Residency Program

Curriculum


First Year Rotations


The first year curriculum provides comprehensive in-hospital training combined with an introduction to ambulatory care and one-half day per week continuity experience in the Downtown Family Medicine urban health center. There is a night float system in place for coverage on our inpatient services. Our academic year is divided into 13 4-week blocks.

       
  • 8 weeks (2 blocks) Family Medicine Inpatient Service
  • 8 weeks Obstetrics (2 blocks) (2 weeks of days and 2 weeks of night float during each block)
  • 8 weeks Inpatient Pediatrics
  • 8 weeks Emergency Medicine (2 weeks of night float during each block)
  • 3 weeks of Internal Medicine
  • 4 weeks Cardiology (includes inpatient and outpatient; one week of night float during block)
  • 4 weeks General Surgery
  • 3 weeks Behavioral Medicine
  • 2 weeks of Inpatient Critical Care
  • 4 weeks of Community Medicine

Second and Third Year Rotations


The second and third years provide a continuum of training experiences designed to sharpen and expand inpatient and outpatient skills while focusing on the healthcare team. Continuity experiences are maintained and enhanced in both the Family Medicine Downtown Practice and at the Walter L. Aument Center in Quarryville. More emphasis is placed on the personal responsibility of the resident in the care of his or her own patients, including diagnostic procedures (colposcopy, dermatology, treadmill stress testing, etc). Four of the 13 blocks in the second and third year have an inpatient focus. Residents may choose to spend one block per year doing an away and/or international elective. We have 5 elective rotations during the last two years of training. Residents may elect to do an Area of Concentration either in their second or third year of training.

Required Second/Third Year Rotations  
 
  • Family Practice Inpatient (II and III)
  • Ambulatory Pediatrics (II)
  • Inpatient Pediatrics (III) (PGY II-Nursery/Lactation/NICU)
  • Internal Medicine III
  • Geriatrics II
  • Emergency Medicine II
  • GI II
  • Women’s Health II
  • OB II, III
  • Orthopedics/Sports Medicine II, III
  • Ophthalmology/ENT III
  • Surgery/Plastic Surgery III
  • Psychiatry/Behavioral Medicine III
  • Neurology III
  • Ambulatory Surgery/urology III
  • Practice Management II
  • Geriatrics II
  • Practice Management II
Longitudinal Training
  • Community Medicine (Refugee Health)
  • Alcohol & Drug
  • Allergy/Immunology
  • Dermatology
  • Rheumatology
  • Sports Medicine (Sporting Events)
  • Neurology
  • Women's Health
  • Centering Pregnancy (group prenatal care)
  • Elective Time

Areas of Concentration (AOC)


AOC’s are geared to allow the resident to alter the residency within certain bounds to explore specific interests and prepare for the career after residency. Residents tailor their project, protocols, conferences, and clinical time in these areas. AOC’s are currently established at our program in the current content areas: 

  • Geriatrics
  • Global Health
  • HIV
  • Hospice and Palliative Care
  • Maternity Care
  • Research
  • Sports Medicine
  • Women’s Health
  • Urban Underserved
  • Palliative Medicine
  • Rural Health
  • Integrative Medicine
  • Addictions Medicine

Electives

  • Academics
  • Practice efficiency

Didactics


Lancaster General Health has a long history of commitment to ongoing education. Conferences incorporate a variety of medical topics of interest to the family practice physicians and other specialists, and are presented by faculty members, local attending physicians, guest lecturers and residents. Morning report is held from 7:30-8 a.m. Monday-Friday.


Block Curriculum


Our block curriculum emphasizes individual knowledge sets for each residency class. Each Wednesday afternoon, residents of a different class (R-1, R-2, R-3) meet to address knowledge and clinical skills sets that are relevant to their needs. Once a month this block session is expanded to include all years, when we can address topics of interest for all of our residents. The first year resident block conferences address the knowledge and skill sets deemed essential for a successful transition to residency. The second year block curriculum has a major emphasis on procedural training and associated practice management. The third year curriculum includes a major emphasis on practice management, career planning and development, as well as becoming a forum for contemporary clinical topics and controversies.


We are now Centering Pregnancy Certified!


As of November 2013, we are excited to be Centering Pregnancy Certified and to offer Centering to all women who get their prenatal care at Downtown Family Medicine!

Centering is a unique opportunity to get prenatal care and connect with others who are due at similar times, to spend two hours during each of ten prenatal visits with the provider who will attend the delivery and to more richly prepare for this exciting time!


We now practice in a Baby Friendly Hospital!

As of May, 2014 our Women & Babies Hospital received notification of it having become the first hosptial in Pennsylvania to achieve Baby Friendly status. This designation means that we have employed a series of evidence-based practices to optimize support of breast feeding practices in our practices and greater Lancaster community.


For questions or more information about the Lancaster General Health Family Medicine Residency Program, please contact our Residency Coordinator.