Family Medicine Residency

Residents learn how to care for patients in a complex healthcare system and are able to coordinate their patient's care across the continuum from the newborn nursery to the nursing home.

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Family Medicine Curriculum

Baylor Family Medicine Residency at Garland program curriculum includes didactic, block rotation and longitudinal formats. Residents learn to care for patients in a complex health care system and coordinate patient’s care from the newborn nursery to the nursing home. Training is comprehensive yet flexible, allowing for emphasis on special areas of resident interest.

  

   

Post-Graduate Year-1 (PGY1)

 

The majority of PGY-1 curriculum is comprised of inpatient hospital rotations with an introduction to ambulatory medicine. First-year residents spend at least one half day per week in continuity clinic during all rotations. First-year residents spend two, two-week blocks on night float, which is an extension of the inpatient medicine service. There are no calls on Obstetric/Gynecology rotations and only two 12-hour shifts per month on other rotations, no other calls. When first-year residents are on rotation at Baylor Medical Center at Garland, they take call with the inpatient medicine team.

 

During the orientation month, all PGY-1 residents will be offered courses in Pediatric Advanced Life Support (PALS), Neonatal Resuscitation program (NRP) and Advanced Learning Support in Obstetrics (ALSO).

    

Inpatient Medicine 3 months
Family and Community Medicine 1 month
Obstetrics (Baylor University Medical Center at Dallas)  1 month
Private Pediatrics 1 month
Pediatric Emergency Medicine (Children's Medical Center) 1 month
General Surgery 1 month 
Orthopedics 1 month 
Night Float 1 month
Neonatology/NICU (Baylor University Medical Center at Dallas) 1 month
Emergency Medicine 1 month

 

 

Post-Graduate Year-2 (PGY2) 

 

The PGY2 curriculum is designed to enhance inpatient learning while devoting more time to outpatient skills. Residents are in continuity clinic two to three half days per week. Second year residents spend two, two-week blocks on night float, which is an extension of the inpatient medicine service. In addition to night float, second year residents take approximately one call per month.  

 

Inpatient Medicine 2 months
Night Float  1 month
ICU 1 month
Cardiology  1 month
Neurology 1/2 month
Behavioral Medicine 1/2 month
Gastroenterology 1 month
Pediatric Inpatient (Children's Medical Center) 1 month
Gynecology 1 month
Private Pediatrics 1 month
Emergency Room  1 month
Dermatology  1 month

 

 

Post-Graduate Year-3 (PGY 3) 

 

The primary focus of the PGY3 curriculum is outpatient medicine. Residents are in continuity clinic three to four half days per week. In addition to two, two-week blocks of night float, third year residents take five in-hospital calls during the year. Third year residents are also given the opportunity to rotate at the wound care clinic for half a day in a six week period. ACLS, PALS, NRP renewal is offered during the third year.  

 

Inpatient Medicine  1 month
Night Float 2 months
Urology 1 month
Geriatrics 1 month
Radiology 1/2 month
Orthopaedics 1/2 month
Rheumatology 1/2 month
Sports Medicine 1/2 month
Electives 2 months
Family Medicine Private Practice 1/2 month
Family Medicine Residency Clinic 1 month
Pediatric Cardiology 1/2 month
ENT 1/2 month
Ophthalmology 1/2 month

 

 

Longitudinal Curricula 

 

Many of our curricula are longitudinal, meaning that their content is presented throughout the 3 years of residency and intertwined into didactics and throughout the clinic and hospital settings.

 

Behavioral Medicine: Residents receive regular lectures on behavioral medicine topics and rotate two weeks with a psychologist and psychiatric group. 

 

Procedures: Opportunities are presented to perform procedures, which are then logged in a web-based residency management system (New Innovations). Required procedures include, but are not limited to, central lines, circumcisions, intubations, laceration repair and skin biopsy. 

 

Pharmacotherapy: Residents receive didactic pharmacotherapy instruction as well as real-time instruction in the hospital and clinic settings. The residency provides a subscription to the Prescriber’s Newsletter for each resident. 

 

Health Systems Management (previously known as Practice Management): Instruction in practice management is presented through didactics, one-on-one sessions, guidance sessions on career planning, resident-led quality improvement projects, participation in Clinical Leadership Committee, and direct clinic exposure. 

 

Population Health:  Structured curriculum addressing population health, including evaluation of health problems of the community.

 

Wound Care: Residents have the opportunity to rotate at the Wound Care Clinic during their elective blocks. Here they are exposed to a multi-modality approach to wound care management with a variety of specialists collaborating to speed healing and providing comprehensive and advanced treatments for chronic, non-healing wounds. Residents work with faculty on the medical staff at Baylor performing a variety of procedures, including bedside debridement and application of biological tissue treatments.

 

Night Float 

 

The resident on night float works Friday through Tuesday. They are scheduled in the continuity clinic Thursday morning and attend Thursday afternoon conferences.  

 

On-Call Duties/Responsibilities: 

  • Admit clinic patients through the emergency department
  • Admit patients without primary care physicians at Baylor Garland through the emergency department
  • Respond to codes throughout the hospital
  • Perform needed procedures for patients on inpatient service


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