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 family practice center. Night call is every fourth night during 9 of the 13 blocks during the year. We adhere to an 80-hour work week rule.
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3 months of medicine, including 1 month of cardiology
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2 months family practice inpatient service
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2 months pediatrics
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2 months obstetrics
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1 month ambulatory family medicine
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1 month general surgery
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1 month emergency medicine
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1 month behavioral medicine
Second and Third Year Rotations
The second and third years provide a continuum designed to sharpen and expand inpatient and outpatient skills, focusing on the healthcare team. Continuity experiences are maintained and enhanced in both the downtown family practice center and at the Walter 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, sigmoidoscopy, treadmill stress testing). Second and third-year residents average every tenth night call and every ninth to tenth evening in the Family Practice Center. Second and third-year residents are assigned to a community agency to gain experience in attending board meetings and providing professional advice to service agencies. This complements our longitudinal community medicine experience.
Required Second/Third Year Rotations
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Family Practice Inpatient (II and III)
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Inpatient Pediatrics (III) (PGY II-Nursery/Lactation/NICU)
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Internal Medicine III
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Geriatrics II
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Emergency Medicine II
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GI II
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Ambulatory Family Practice
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Womens Health II
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OB II, III
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Orthopedics/Sports Medicine II, III
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Ophthalmology/ENT II
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Surgery/Plastic Surgery III
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Psychiatry/Behavioral Medicine III
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Neurology III
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Ambulatory Surgery/urology III
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Practice Management II
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Longitudinal Rotations
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Community Medicine
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Alcohol & Drug
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Allergy/Immunology
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Dermatology
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Geriatrics
Elective Time
Although specific requirements exist, flexibility is built in to the second and third year schedules to allow a choice of four months elective time which may include away obstetrics rotations (Monroe, Louisiana), Indian Health Service (Arizona and New Mexico), adolescent/college medicine, or a choice of many other elective experiences in the US and abroad. Residents may spend up to 2 blocks (one per year for R2 and R3) away from the residency program.
Urban Track
This optional training track allows up to 25% of a resident class to designate the Family Health Service in Lancaster as their primary ambulatory site. These residents still spend a portion of their time at the Walter L. Aument Family Health Center in Quarryville by sharing a panel of patients so that they can experience a rural setting as well.
Didactics
Lancaster General has a long history of commitment to ongoing education. Didactic conferences for residents are held from 12:45-1:15 p.m. on Mondays, Tuesdays, and Thursdays. 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 succesful 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.
For questions or more information about the
Lancaster General Family Medicine Residency Program,
please contact our Residency Coordinator.