Residency Curriculum & Rotational Requirements 2008-2009
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YEAR ONE
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Surgery
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1 month
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St. Anthony Central
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OB/Nursery
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1 month
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St. Anthony North
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Pediatric Urgent Care
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1 month
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Lutheran Hospital
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| Medicine |
3 months |
St. Anthony North |
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Emergency Medicine
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1 month
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St. Anthony North
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Practice Skills
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2 weeks
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Residency Clinic
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| Non-Rotational |
3 months |
St. Anthony North |
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Outpatient Family Medicine
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3 weeks
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Residency Clinic
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Vacation
"Intern Week" UNPAID
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3 weeks
1 week
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| YEAR TWO |
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Family Medicine (outpatient)
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1 month
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Residency Clinic
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Family Medicine (inpatient)
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1 month
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St. Anthony North
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ICU
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1 month
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St. Anthony Central
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OB/Nursery
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2 months
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St. Anthony North
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Night Float
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1 month
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St. Anthony North
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Emergency Med
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1/2 month
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St. Anthony Central
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Rural Family Medicine
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1 month
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Rural Colorado site
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Practice Management |
1 week |
COPIC |
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Non-Rotational |
1 month |
St. Anthony North |
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Required Electives
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Up to 3 months
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Electives
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Up to 3 months
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Vacation
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3 weeks scheduled during required elective/elective time
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Educational Leave
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A total of five days during last two years of residency
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| YEAR THREE |
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Medicine Senior
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1 & 1/3 month
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St. Anthony North
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Pediatric Urgent Care
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1 month
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Broomfield UC
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Outpatient Surgery
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1 month
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Dr. Cross
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| Night Float |
1/3 month |
St. Anthony North |
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Practice Management
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2 weeks
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Residency
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Remaining Required Electives and Electives
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Required Electives
Electives
Teaching Day Presentation
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1 1/2 to 3 months
3-6 months
See Below
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Vacation
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3 weeks scheduled during required elective/elective time
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Educational Leave
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A total of five days during last two years of residency
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PGY I rotations begin on the 23rd of the month and end on the 22nd of the following month. Mid-month switches end on the 7th and begins on the 8th.
PGY II and PGY III rotations begin the 1st of each calendar month, with half month rotations ending on the 15th and beginning on the 16th.
"Intern Week" is a week off, at no pay, for the outgoing intern class, from June 23 through June 30 each year. The group returns on July 1 as second year residents.
"Non-Rotational Months" are the first three months of the intern year. 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 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 clinic practices.
Work Hours: Excluding call from home, the average number of hours on duty per resident per week is as follows:
PGY1: 70 (while on inpatient rotations); PGY2: 60; PGY3: 50
On average, residents are assigned in-house call days per week as follows:
PGY1: 2; PGY2: 1; PGY3: 1. (No resident is scheduled more frequently than every 5th night).
Excluding call from home, the maximum number of continuous hours worked by any resident is as follows:
PGY1: 30; PGY2: 30; PGY3: 30
On average, each resident has the following number of days free per month from all educational and clinical responsibilities:
PGY1: 5, PGY2: 6; PGY3: 7
On average, each resident has the following number of hours off duty between shifts:
PGY1: 16; PGY2: 16; PGY3: 16
Call
The program is committed to a call frequency that does not exceed every fourth or fifth night for the St. Anthony Hospitals rotations during the first year. Obstetrical call is every fourth night, while intern call on Family Medicine is every fifth night. Senior call (during the second and third years) is less frequent and 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 more frequent call.
Night Float
Night Float is considered a month's inpatient medicine rotation. During this time residents do not see patients in their continuity clinic. Night Float is scheduled as five (5) consecutive nights (Monday through Friday) with weekends off.
Family Medicine Rotations
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 school medicine.
Required Electives
Are required specialty rotations in which there is a choice of site. They must be completed for board eligibility. Certain required electives are recommended for specific years. But all Required Electives must be completed by the end of the residency. Required Electives are as follows: (those with an "*" are recommended in the second year)
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* Orthopedics/Sports Med
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2 months
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* Dermatology
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1/2 month
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ENT
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1/2 month
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Ophthalmology
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1/2 month
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Urology
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1/2
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Outpatient GYN
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1 month
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Cardiology
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1/2 month
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Electives
Elective rotations include: behavioral science, radiology, pulmonary medicine, psychiatry, allergy, rehabilitation, sports medicine, occupational medicine, plastic surgery, gastroenterology, neurology, obstetrics, proctology, anesthesiology, health promotion/disease prevention, neonatology, podiatry, rheumatology, infectious disease, behavioral pediatrics, developmental pediatrics, and others. Many residents create and arrange their own electives that meet a particular interest.
Practice Skills
This first year rotation includes spending time in various clinics such as: lactation, ultrasound, Inner City Health Center, and post polio. Time is also scheduled with lab, pharmacology and Rose Allen, our social worker, regarding social welfare issues. In addition, you will discuss your research project with Dr. Miller and spend 1-2 hours with Carrie Baker regarding "Intro to Practice Management".
Practice Management
This third year rotation consists of a two week workshop coordinated by Carrie Baker, Residency Administrator.
Second year residents are required to spend a one week rotation at COPIC.
Certain areas are primarily taught longitudinally throughout the three years. These include behavioral medicine, practice management, community medicine, health promotion/disease prevention, medical ethics, patient education, and the family.
All PGY IIIs plan and conduct a program-wide Thursday Teaching presentation. Dates are chosen at the spring scheduling meeting for the following year. Each team leader is involved in planning and presenting with his/her resident.
Away Rotations
Accreditation rules only allow two (2) months per resident in each of the PGY II and PGY III years away from the Family Medicine Center practice (see Night Float) and not consecutively. Additionally, one (1) month may be spent per year on a rotation where a resident comes back for FMC clinic, but is not available for residency call.
In order to assure adequate coverage of a team’s practice, no more than five residents can be away at any one time for any reason. This includes vacation, away rotations, educational leave etc.
Away rotations, vacation, educational leave and leave for any other reason must be scheduled at least two months in advance.
Moonlighting
Second and third year residents who are licensed and purchase their own malpractice insurance may moonlight. A form must be submitted and signed by the program director prior to starting any moonlighting activities. The program expects that moonlighting activities will not interfere with the care of our patients, and with the residents' educational activities or duty hours.
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