• Curriculum

  • Curriculum

    ROTATION REQUIREMENTS

    YEAR ONE
    Non-Rotational      (2 months total)     
                                                                      1/4 month Night Float OB 
                                                                      1/4 month Medicine Night Float 
                                                                      1/2 month OB/Nursery 
                                                                      1 1/2 months Medicine
    Night Float   (done twice)                      1/2 month       St. Anthony North Health Campus
    Emergency Medicine                             1 month           St. Anthony North Health Campus
    Family/Community Medicine (FCM)    5 weeks           FMC
    Family Med (Inpatient)                           3 months        St. Anthony North Health Campus
    OB/Nursery                                              1 month         St. Anthony North Health Campus
    Pediatrics (outpatient)                           1 month          Lutheran Hospital
    Elective                                                     1 month
     OTHER:
          Vacation                  3 weeks (This is pre-assigned based on individual schedule.)
          "Intern Week"         1 week (June 23 - June 30 without pay)

    YEAR TWO
    Family/Community Medicine (FCM)     1 month            Family Medicine Center (FMC)
    Family Medicine (Inpatient)                    1 month           St. Anthony North Health Campus
    ICU                                                              1/2  month       St Anthony Hospital (SAH)
    Night Float (done twice)                          1/2 month        St. Anthony North Health Campus
    Non-Rotational OB/Med                         1 month           St. Anthony North Health Campus
    OB/Nursery                                               1-2 months        St. Anthony North Health Campus
    Practice Management (COPIC)              1 week              COPIC Insurance Office
    Surgery                                                      1 month           SAH
    Outpatient Pediatrics                              1/2 month
    Required Electives/Electives                  Remainder of Academic Year
    OTHER:
                Vacation                              3 weeks Scheduled during elective time
                Educational Leave (CME)  5 days in second year or third year 

    YEAR THREE
    Emergency Medicine                              1/2 month        St Anthony Hospital (SAH)
    Family Medicine Clinic                             1/2 month        Family Medicine Center (FMC)
    Inpatient Senior                                       1 1/3 month     St. Anthony North Health Campus
    Night Float                                                1/3 month        St. Anthony North Health Campus
    Palliative Care                                           1/2 month         
    Pediatrics (outpatient)                            1 month            Broomfield Children's Urgent Care
    Pediatrics (inpatient)                               1 month            Rocky Mountain Hospital for Children
    Practice Management                             1 week              Family Medicine Center (FMC)
    Required Electives/Electives                 Remainder of Academic Year
    OTHER:
                Vacation:                               3 weeks Scheduled during elective time
                Educational Leave (CME)    5 days in second or third year

    NOTES:

    Non-Rotational Months: The first two months of the intern year are referred to as the "non-rotational months."  The purpose is to provide each intern an opportunity to experience all aspects of his/her training (clinic, ER, OB, night call, etc.) in a short intense period of time, rather than some interns waiting until the following spring, to learn a key skill such as obstetrics.  The end result is a class that knows each other better and who gains greater confidence during their intern year.  Additionally, the interns get a "leg up" on their continuity practices.

    Work Hours:

    • Excluding call from home, the average number of hours on duty for each resident per week is as follows:  PGY I:  70 (while on inpatient rotations); PGY II:  60; PGY III: 50.
    • Excluding call from home, the maximum number of continuous hours worked by any resident is:  PGY I: 24; PGY II: 24; PGY III:  24. 
    • On average, each resident has the following number of days free per month from all educational and clinical responsibilities:  PGY I:  5; PGY II: 6; PGY III:  7. 
    • On average, senior residents have 16 hours off duty between shifts.  PGYI residents have at least 10 hours off between shifts.

    Required Electives: Required specialty rotations in which there is a choice of site.  They must be completed for board eligibility.  Certain electives are recommended for specific years.  All required electives must be completed by the end of the residency.  Required electives are as follows: 
    Orthopedics                             2 months total: 1 month should include some sports medicine - ski resort or other sites
    Dermatology                            One-half month 
    Surgical specialty                     2 months      
    Outpatient GYN                       1 month  
    Rural Medicine                         1 month  
    Cardiology                                 One-half month recommended taken in 2nd year
          

    Obstetrics: Residents all complete approximately 2 months of Obstetrics during their first year. As second year approaches, residents are asked if they prefer continuing on the base curriculum track described above (2 months of Obstetrics), or if they would prefer either adding or subtracting Obstetrical time from their second and third years. Residents can be assigned to a number of Obstetrics months based on their preferences and logistical need. This allows residents interested in additional Obstetrics training to receive that within the residency curriculum, while allowing residents with other interests to opt out of senior Obstetrics months in pursuit of additional electives.

    Call and Work Hours: The program is ACGME compliant, regarding call and overnight responsibilities. Obstetrical call is every fourth night. The remainder of call is a night float system.  Senior back-up call can be taken from home, with residents only having to go into the hospital when a situation demands it.  There are some outside elective rotations that may require call. 

    Night Float: Occurs during all three years of training. During PGY II year, and the rotational part of PGY I year, it is considered an inpatient medicine rotation. Night Float is scheduled as five (5) to (6) consecutive nights. These are considered away rotations, and are usually split into two ½ month blocks. Night Float in the Non-Rotational portion of the PGY I year, and the PGY III year, are 1/4 to 1/2 month blocks.

    Family and Community Medicine Rotations (FCM):   Family Medicine rotations occur in the first and second years of residency.  These rotations have an ambulatory emphasis, and allow time for many components of the longitudinal curricula mentioned above. In addition, they include practice-based research, office management and community medicine.

    Practice Management Requirement (PGY III): Currently consists of a longitudinal curriculum throughout all three years. Curriculum includes leadership training, productivity reports, billing/coding training, regular business meetings and a scholarly project related to quality improvement. PGYIII residents spend 1 week in the fall of their 3rd year learning about financial planning, career development, CV preparation, job shopping and contract negotiation. In addition, residents get exposure to malpractice insurance instruction through COPIC.

    Electives: Available elective rotations include: Allergy and immunology, anesthesiology, behavioral science, colorectal surgery, endocrinology, gastroenterology, infectious disease, neonatology, neurology, obstetrics, occupational medicine,  pediatric specialties, pediatric specialty clinics, plastic surgery, podiatry, psychiatry, pulmonology, radiology, rehabilitation, rheumatology, sports medicine, and others.  Many residents create and arrange his/her own electives that meet his/her career goals or interests.

    Certain areas are primarily taught longitudinally throughout the three years. These include behavioral medicine, practice management, community medicine, geriatrics, health promotion/disease prevention, medical ethics and patient education.

    Away Rotations:   Accreditation rules allows only two (2) months per resident in the each PGY II and PGY III year away from the Family Medicine Center practice.  These months are not allowed to be consecutive. Since night float in the PGY II year is considered an away month, PGY II residents are allowed one (1) additional month. 

    In order to ensure adequate coverage of a team's practice, there may be a limit on the number of residents who may be away from clinic at any time.  This includes vacation, away rotations, educational leave, etc.

    Clinic: Residents are required to be in clinic seeing their patients at least 40 of the 52 weeks during each academic year.
     
    A Parental Home Study: Offered for residents who become new parents during their training.  This is a credited month of study, where residency requirements are reduced, that does not prolong a resident's graduation date.

    Moonlighting:  Second and third year residents who are licensed and purchase their own malpractice insurance may moonlight.  The program expects that moonlighting activities will not interfere with the care of our patients, and with the residents' educational activities or duty hours.  The resident is responsible for submitting a form to the program director for his/her approval for each moonlighting experience.  Moonlighting does count against your duty hours and must be recorded on the duty hours log.

    Intern year begins on June 23rd while the outgoing intern class takes their "Intern Week".  Intern Week is a week off, at no pay, before beginning their second year on July 1st. 

    A mandatory orientation , for which interns are paid, occurs one week prior to beginning residency on June 23rd.  Dates are announced in the spring of each year.

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