# FHC Sessions
4 Weeks/2 Weeks (simultaneous)
* Residents will have evening clinic during these rotations.
The purpose of the R3 year is to polish the skills necessary to prepare our graduates to become competent and satisfied family doctors. Now that they think, question and learn as doctors who are about to embark on a career in family practice, their rotations are selected to provide ideal curricular opportunities for meeting their needs and expanding the scope of their knowledge and skills.
Residents see three patients an hour including prompt care. They are more facile now and are teaching the medical students and interns. They are also learning about systems and practice improvement issues because the volume, flow, process and time management issues challenge them to do so. (It's why we train them in a model Family Health Center...the learning is not just about the patients, it's about mentoring staff, working in committees, making changes, tracking data and learning financial aspects of running a practice and an office). When our residents graduate, they hit the ground running.
Another month of FMI along with two weeks of Night Float means more medicine, pediatrics, OB, teaching and supervising.
We allow five months of elective time in the R3 year. The residents often take them in two-week blocks. Options include Renal, Endocrine, Rheumatology, ID, ER , adolescent medicine, rural electives, Sports Medicine, OB and Neurology...almost anything is possible in Baltimore and beyond.
The residents spend two weeks in each of these rotations with private attendings, in their offices and in the OR. Remember, they learn urology and ophthalmology in the FHC, on the FMI, and in the ED. This time is set aside for the senior residents to refine their understanding of these areas, getting a more in-depth sense of how the specialists might treat patients that the residents are referring to them.
Our residents spend four weeks with private GYN attendings, but again we view this experience as "the icing on the cake.". Note that the family medicine residents really learn GYN in the family health center, and this rotation helps them to further refine their understanding of GYN. In fact, the OB interns, who spend three months with us in the FHC, covet the GYN experience that our busy practice provides. For two weeks of this same four-week GYN block, the resident also is on his or her OB Continuity rotation, in which he/she should expect to deliver several of the patients for whom he/she has been longitudinally providing prenatal care in the FHC. Visit Women's Services at MedStar Franklin Square.
Flexibility is given to each resident to choose among several Medicine specialty area rotations for these 1 1/2 four-week blocks, to allow the resident to further explore areas of interest or areas in which more experience would be beneficial.
This surgical rotation consists of two weeks with a general surgeon whose office is right down the hall from ours, as well as a week of Podiatry and a week of Vascular Surgery. The surgeons with whom our residents work during all components of this rotation are praised every year by our residents for their ability to teach and their enthusiasm for working with our residents, and we have the added benefit of these same surgeons seeing our patients in the hospital when they require surgical consultation.