LancasterGeneralHealth Family Medicine Residency Program

Our Program / Curriculum

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: 
  • Academic Medicine
  • Addictions Medicine
  • Adolescent Medicine
  • Genomics
  • Geriatrics
  • Global Health
  • HIV Medicine
  • Integrative Medicine
  • Medical Leadership/ Practice Management
  • Obstetrics
  • Palliative Medicine
  • Population Health
  • Research
  • Rural Health
  • Sports Medicine
  • Urban Underserved
  • Women’s Healthcare

Electives

Residents will have five blocks available for local electives or up to two months of international electives.

International Rotations to work with Underserved Populations

Residents in our program have opportunity to spend one rotation in their second and third year in settings where we have developed a relationship that assures us that our residents will have opportunity to provide clinical service in a supportive, supervised setting. Dr. Cristy Shank, our faculty leader of Global Health, takes three residents with her for a 4-week rotation in the spring of the year to work at the Malamulo Hospital in Malawi where she previously served as medical director for six years. Residents have the option of focusing on the inpatient, ambulatory or maternity portions of the hospital. Similarly, we have an educational/clinical partnership with the Shirati Hospital in northeast Tanzania where our residents can have an extensive opportunity to work in several settings in a hospital that has been extensively supported by the Lancaster Mennonite community since 1935. In the western hemisphere many of our residents spend a four week block working with the Mayan Medical Aid organization on the shore of Lake Atitlan in Guatemala. This is a combined medical service/language immersion experience where our residents received medical Spanish training for half of the day and spend the remainder in direct patient care to an indigenous population.

 

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.


Centering Pregnancy

 

Group prenatal visits
In May 2019, the Lancaster General Hospital Family Medicine Residency Program was just the second family medicine program in the nation to be approved through the Centering Healthcare Institute certification process. Centering Pregnancy is a vital part of our training program. All residents are assigned a prenatal group during their second and third years, and learn group-facilitative skills as well as prenatal care, while working closely with five to eight women and their families. Residents interact with patients on a very personal level while educating and witnessing community building. As the primary provider for each patient, the resident will plan to attend those