Family Medicine
Residency Information for Texas Tech School of Medicine
CURRICULUM
Rotation sequence varies, but all first year residents complete the same 12 rotations.
PGY - I ROTATIONS
Family Medicine.Two months are spent on the Family Medicine Inpatient Service at BSA hospital. The residents work with a senior resident and a Family Medicine faculty member, caring for patients admitted to the service. In addition, residents spend time in the Department's clinic, which is the Center For Family Medicine, caring for patients in the ambulatory setting. These months provide a good opportunity for the resident to begin building a panel of patients that he/she will follow for the full three years.
Night Float/Internal Medicine. Two months are spent on night float at BSA Hospital caring for the Family Medicine Inpatient Service from Monday through Thursday. The intern is considered the 1st call physician for all floor calls, ER admissions and is responsible for writing/dictation, all History & Physicals on admissions. This setting creates continuity to the inpatient service and the night float resident acts as a partner to the day Family Medicine residents.
Obstetrics. Two months are spent working in Pre-Natal Care and Labor and Delivery in Northwest Texas Hospital. Residents assume increasing responsibility for the care of OB patients in all aspects of peri-partum care; averaging 25 to 30 deliveries by completion of this rotation.
Surgery. Two months of surgery are split at the Thomas E. Creek Veteran 's Administration Hospital and at Northwest Texas Hospital working with a general surgery group. Residents first or second assist on all operative procedures and are given increasing responsibility as their rotation progresses. Residents can also assist with colonoscopy and sigmoidoscopy procedures.
Pediatrics. Three months of pediatrics inpatient experience are conducted in Northwest Texas Hospital; two of general pediatrics ward and one of New Born/Neonatal Intensive Care. Family Medicine residents are assigned to a team consisting of a pediatric intern and senior pediatric resident, supervised by a faculty member from the Department of Pediatrics. Residents are responsible for the admission, inpatient care, follow-up planning and discharge of assigned patients. In the NICU they learn to resuscitate newborns, to stabilize newborns for transport, and to provide state of the art care of the acutely ill neonate.
Emergency Medicine. One month is spent in the Emergency Department at BSA under direct supervision of the Emergency Medicine Director. This month provides excellent exposure to hospital medicine and enhances the resident's skill dealing with trauma, life support and general medicine.
PGY - II ROTATIONS
Family Medicine.Residents spend two months on the Family Medicine Inpatient Service at BSA Hospital. They are responsible for all patients admitted to the service and are present for direct supervision of the intern and medical students on the service. In addition, they spend several hours each day in the Department's clinic, Center for Family Medicine, caring for their panel of ambulatory patients.
Intensive Care Unit (ICU). On this rotation residents spend one month caring for severely ill patients at Northwest Texas Hospital. Residents work with the Internal Medicine ICU team under the physician in charge and with other medical specialists.
Night Float. One month is spent doing Night Call Monday - Thursday caring for the Family Medicine Inpatient Service and supervising interns on call. This setting creates continuity to the inpatient service and the night float resident acts as a partner to the day Family Medicine residents.
Gynecology. Residents spend one month in the outpatient gynecology clinics at Northwest Texas Hospital. They learn a variety of diagnostic and therapeutic skills related to gynecologic disorders. A portion of this experience includes participation in same day surgery, colposcopy and laser treatment.
Orthopedics. Residents spend one month with an orthopedic group at a nearby ambulatory care clinic. Residents learn physical diagnosis techniques, as well as splinting and casting procedures. Residents spend an additional two weeks with an orthopedic group specializing in sports medicine and physical rehabilitation.
Geriatrics. Residents spend two weeks working with Dr. Dennis Zoller, director of our geriatric fellowship. Residents assume care of three to five of the nursing home patients during their PGY- 2 and PGY-3 years , and Dr. Zoller works closely with residents during this rotation to help them gain confidence in the care of both institutionalized and ambulatory elderly . Routine Supervision is provided by the Family Medicine Faculty.
Cardiology. One month is spent with a cardiology group at a nearby ambulatory care clinic. This very busy month provides an excellent opportunity for residents to learn state of the art acute care of the cardiac patient.
Emergency Medicine. Residents spend one month in the Emergency Department at BSA Hospital under direct supervision of the Emergency Medicine Director. This month provides excellent exposure to emergency medicine and enhances the resident's skills dealing with trauma, life support and general medicine.
Ambulatory Pediatrics. One month is spent in general and specialty pediatric clinics including well child visits, acute illnesses, hospital follow-up or long term treatment. Residents will work with pediatric nurse practitioners under the supervision of a pediatric attending physician.
Community Medicine. During this one month rotation, the resident will be exposed to Occupational Medicine, Public Health Education, Community Resources, School health, Community Health education and Environmental Health.
Elective. Residents are able to choose one month of an elective.
PGY - III ROTATIONS
Family Medicine. Residents spend two months on the Family Medicine Inpatient Service, supervising the junior residents and medical students on the service and assuring a high level of patient care and instruction are maintained. While on this service, residents are also responsible for maintaining contact with the patients' primary physician and for rounding on Family Medicine patients who may be admitted to other hospital services for specialized care. They provide regular mini-conferences, journal articles and case presentations.
Surgery Subspecialty. Urology, Ophthalmology, Radiology, Ear Nose & Throat. A longitudinal experience over a two month period spending time in four different surgery subspecialties, becoming familiar with the diagnosis and treatment of many of the most common conditions known to those subspecialties and in primary care.
Night Float. One month is spent doing Night Call Monday - Thursday caring for the Family Medicine Inpatient Service and supervising interns on call. This setting creates continuity to the inpatient service and the night float resident acts as a partner to the day Family Medicine residents.
GYN. Residents spend two weeks in the outpatient gynecology clinics at Northwest Texas Health Care system increasing their fund-of-knowledge in GYN procedures.
Practice Management. One month is spent working with a Family Medicine faculty learning the structure in practice management and acquiring knowledge and skills necessary to efficiently and effectively manage a physician 's practice.
Sports Medicine. Two weeks is spent working with Family Medicine / Sports Medicine Speciality becoming familiar with sports related injuries / casting and triage of injuries. The resident will also become familiar with the preparticipation sports exam.
Electives. Residents are able to choose five months of electives.
BENEFITS
For all benefits and conditions of employment including information concerning leaves of absences and medical malpractice insurance, please visit www.remedy.ttuhsc.edu/GME/ .
INSTITUTIONAL BENEFITS
SALARIES(Academic Year 2007 - 2008
PGY - I $40,622 PGY - II $41,948 PGY - III $43,272
MAJOR MEDICAL EXPENSE INSURANCE
Coverage for allowed medical expenses incurred, including professional fees: Plan 1, $500 deductible paid at 90%. Dependent coverage available.
LONG TERM DISABILITY
Helps replace lost earnings in the event of an accident or illness. $1,500 monthly benefits, 30-day waiting period
TERM LIFE INSURANCE
A vital segment of any financial protection plan: $100,000 benefits on resident $10,000 benefits on spouse (optional) $5,000 benefits per child (optional)
DENTAL INSURANCE
Allows you to attain and maintain good dental health: $50 deductible dependent coverage available.
DEPARTMENTAL BENEFITS
PROFESSIONAL ORGANIZATIONSYour membership dues for the following organizations will be paid by the Department. Participation in these organizations is strongly encouraged, but not required.
American Academy of Family Physicians and the Texas Academy of Family Physicians
PAID VACATION TIME
PGY-I & PGY-II residents receive (fifteen) 15 days paid vacation: PGY - III residents receive (twenty) 20 days paid vacation. The time off must be approved by the Program Director and coordinated with your current service.
BOOKS/MEMBERSHIP DUES
PGY-I residents are allotted $500 for books and membership dues; book selections must be approved by the Program Director. PGY-II residents are allotted $500 for CME; PGY-III's $750. The department will arrange for interested PGY-III residents to take a board review course prior to graduation in lieu of other CME during the third year. (Mandatory for residents scoring < 50th percentile for PGY-III’s on their final in training exam) CME time is to be approved by the Program Director and coordinated with the affected service.
MOONLIGHTING
Moonlighting opportunities are available in the Amarillo area to PGY-II and PGY-III residents; professional liability insurance coverage not provided by TTUHSC. Participation must be approved by the Program Director.