Medicine Inpatient Service (8 months)
First year residents spend 5 months and second year residents spend 3 months on this inpatient service. Call is every fourth night. Residents work with the McKay-Dee hospitalists as well as internists, sub-specialists and family physicians, caring for patients admitted to McKay-Dee Hospital Center. The patient mix extends from general medical problems to acutely ill intensive care and coronary care patients. Residents respond to and help the hospitalists direct all codes.

Obstetrics (longitudinal)

The obstetrical training occurs both during family medicine service rotations and while caring for the resident's private obstetrical patients who are part of the resident's continuity clinic. The residency serves as primary obstetrical provider for a large community agency serving low-income populations. Through this affiliation, and through the residency clinic, there is the opportunity to follow a large number of women through the entire course of pregnancy and delivery under the supervision of family physicians, obstetricians, perinatologists, and midwives.

There is extensive training in the use of ultrasound, intrapartum monitoring, and in the management of delivery. The average resident cares for and delivers approximately 60 continuity patients during his or her three years. In addition, residents participate in over 100 other deliveries with community obstetricians, Family Medicine and midwife attendings. Residents also have the opportunity to learn Caesarean section skills.

Pediatrics (longitudinal)
The resident's pediatric training encompasses a full range of pediatric care. Inpatient experience occurs within the hospital pediatric unit while on the Family Medicine inpatient service. A formal NICU rotation is also required. While on the Family Medicine Service the first year residents spend 6 half-days a month with local pediatricians--this is the core of their outpatient pediatric training. Ongoing acute and well-child care training is gained through the resident's continuity clinic at the Porter Family Medicine Residency Clinic. All residents continue to follow the majority of the newborns they deliver and this provides every resident with a large pediatric population within their continuity clinics.

Orthopedics/Sports Medicine (2 months and longitudinal)
There are three residency run Sports Medicine clinics a week, attended by Dr. Scharmann, our assistant residency director. All residents participate in these clinics throughout their residency. Additionally, there is a formal one-month rotation in both the 2nd and 3rd year of residency. During these rotations, residents work with orthopedists, physical therapists and various other specialists learning advanced musculoskeletal medicine. All residents are assigned to a local high school football team during the Fall of their second year and attend all games to provide coverage on the field and sidelines. A sports medicine bag is provided to each resident. Residents feel the sports medicine training at McKay is one of the best in the country and enjoy not having to compete with any fellows.