The MedStar Health—Franklin Square Residency Program in Family Medicine
Family Medicine Residency program is demanding and stressful at times. It is hard work to become a well-trained, well-rounded family physician. What you will find at MedStar Franklin Square is a faculty dedicated to helping and supporting you through this challenging (and exceptionally rewarding) period of your life.
You will come in as a novice and leave with the skills and confidence to provide comprehensive patient centered care in any setting you choose.
Pediatric ED rotation at Johns Hopkins Children’s Center and pediatric inpatient rotation at Sinai Children’s Hospital.
Great procedure training with weekly procedure, sports medicine, dermatology and gynecology clinics.
Incredible opportunity to perform a large number of outpatient procedures in subspecialty rotations (for example: each resident will perform dozens of joint injections during their orthopedics experience).
Two months in a top ICU
Consistent mentorship in scholarly activities with many grant, scholarship, conference and publication opportunities.
The upper-level resident on Night Float serves as the nighttime continuity member of the FMI team. Night float runs from Sunday night through Thursday night. Responsibilities include admissions to the service, covering L&D until the continuity provider arrives for the delivery, and managing problems on the floor. It is during Night Float that residents typically truly become confident and independent.
Geriatrics training with supervised home visits and nursing home, rehabilitation experience.
Encouraged international medicine experiences either independently or with faculty.
Ambulatory continuity starts in the intern year with six full blocks of dedicated outpatient time throughout the residency.
Continuity obstetrics with our OB faculty
Curriculum for MAT
The Family Health Center offers outpatient substance use treatment though a Medication Assisted Treatment specialty clinic. Residents learn to treat substance use disorders through both hands-on and didactic learning. There is an emphasis on opiate use disorder and alcohol use disorder based upon community need. The MAT clinic uses a harm-reduction model with a goal of keeping care patient-centered and evidence based.
The Family Health Department supports a robust Global Health curriculum, with local and international experiences. Residents and attendings are offered training by Physicians for Human Rights to perform Asylum Evaluations, forensic exams that support an asylee’s claim of physical or mental harm. Our annual Global Health Symposium highlights resident research and welcomes international speakers. Residents may elect to participate in the MedStar Global Health Track where they participate in monthly Global Health didactics and additional experiences, such as a 2 week Global Health boot camp rotation.
ACGME Core Competencies
- A commitment to carrying out professional responsibilities
- Adherence to ethical principles
- Sensitivity to a diverse patient population
Communication and interpersonal skills
- Effective information exchange
- Teaming with patients and their families, other health professionals, and the community
- Compassionate, appropriate and effective care
- For the treatment of health problems and the promotion of health
Practice-based learning and improvement
- Investigation and evaluation of one's own patient care
- Appraisal and assimilation of scientific evidence
- Improvements in systems of care and outcomes
- Actions that demonstrate an awareness of and responsiveness to the larger context and system of healthcare
- The ability to effectively call on system resources to provide care that is of optimal value
Adult Inpatient Medicine
The Family Medicine department uses its own inpatient service at the Family Health Center at MedStar Franklin Square Medical Center. It is staffed by our residents and faculty attendings and maintains a daily census of 8-12 patients.
We utilize a Night Float system, which means residents on the inpatient service do not take night call during the week. Interns gain invaluable experience in managing medically complex patients as well as invasive procedures such as intubation and central lines after their rotation through the ICU.
The CM objectives are met through a variety of activities including home visits, nursing home visits, health fairs, and collaborative experiences throughout the community. Community Medicine sites include:
- Franklin Woods Nursing Home
- Alliance Inc
- Healthcare for the Homeless
- Infants and Toddlers
- Central YMCA of Maryland
- Aberdeen Proving Grounds
- Department of Aging
- Department of Health & Mental Hygiene
- Turnaround Inc.
- Baltimore County Public School
Family Medicine Electives
There sometimes seems to be an impossible amount of training to fit into a family medicine residency, despite our department's commitment to making it as flexible as possible. There is flexibility in many of the set rotations, but more than that, residents have six elective months completely open to any experience they would like to create.
Geriatrics, Behavioral Sciences, and Ethics
This curriculum includes a block rotation in year one plus longitudinal experiences including:
- Didactic lecture series the third Monday morning of each block.
- Residents will be assigned two nursing home patients whom they will see at a minimum one Thursday morning per semester, during their Family Health Center rotations.
- Residents will be assigned one home visit patient whom they will try to see during each Family Health Center rotation. This home visit patient may need to be seen on the resident's regular patient care schedule as well, depending on the patient's medical needs.
This curriculum follows a three-year cycle that is implemented through the Behavioral Science Conference series (2nd and 3rd Wednesdays), direct observation of resident-patient encounters in the Family Health Center, small group teaching, case-based discussion, videotaping and feedback, on-site behavior health clinic, home visits, research, and precepting.
Ethics conferences are mainly case-based discussions focused on topics pertinent to primary care physicians, such as informed consent, decision-making capacity, treatment refusal, treatment of minors, medical mistakes and disclosure, and advance care planning and end-of-life issues.
Obstetrics and GynecologyDuring the first year, interns work directly with a team of OB hospitalists and midwives. This experience helps interns learn the basics of obstetrics including triaging common pregnancy conditions, managing labor, spontaneous vaginal deliveries, circumcisions and post-partum care. These months spent during the intern year prepare residents for their continuity obstetrics experience in the second and third year, which involves managing and delivering their personal Family Health Center patients. Unlike the intern rotation, the upper-level experience is supervised by our Family Medicine Obstetrics (FMOB) faculty. Residents, with one-on-one supervision from an FMOB attending, learn how to independently manage labor and certain high-risk conditions such as pre-eclampsia and gestational diabetes. The second and third year residents also spend time with maternal fetal medicine, antepartum testing and lactation specialists.
A unique aspect to our residency is that the family medicine inpatient service admits all pregnant patients with non-obstetric medical problems. In many hospitals these acutely ill patients would be admitted by a maternal fetal medicine specialist. In our institution residents get the opportunity to learn management of these high-risk patients with close supervision from family medicine attendings and collaboration with obstetric providers.
Our department continues to grow our OB service, with the goal of all residents graduating feeling not only competent but confident in their ability to practice obstetrics. We have regular simulations using MedStar's Simulation Center to help achieve this goal. Our graduates have been successful at getting privileges to practice obstetrics directly out of residency and obtaining spots in obstetrics fellowships.
Over the course of their 3 years, residents learn to manage an array of benign gynecologic conditions and perform women’s health procedures. During time spent on the Family Health Center block, residents rotate through procedure clinics and perform colposcopies, endometrial biopsies, Nexplanon and IUD insertions. During the third year, the resident will spend 4 weeks rotating in a private OB/GYN office to further develop his/her understanding and management of more complex women's health issues.
Osteopathic Medicine is highly regarded as a beneficial and integral part of our curriculum and patient care. Osteopathic Manipulative Therapy (OMT) is taught through precepting during regular patient office visits and during our weekly OMT clinics. We have didactic lectures covering principles of osteopathic medicine.
- Allopathic and Osteopathic residents rotate through our weekly OMT clinics at least twice a year.
- Osteopathic residents are encouraged to utilize their osteopathic skills and knowledge to diagnose and treat patients in a variety of locations, including inpatient and outpatient settings.
- Residents are taught how to bill for OMT.
- OMT tables are available in the Family Health Center for integrating OMT into the residents’ own continuity clinic.
Nearly four months of unopposed inpatient pediatrics is the foundation of our pediatric experience, however in addition to this, our residents will also cover the pediatric service during several Night Float rotations, which only adds to the overall experience. Time is spent in the newborn nursery and the pediatric floor, which is exclusively staffed by our residents, as well as the NICU, pediatric emergency room and inpatient pediatric psychiatry service.
The Practice Management curriculum at the Family Health Center encompasses core tenets to prepare for proficiency in joining a practice after residency training. You will have many opportunities for hands-on experiences to impact clinical care and safety.
The core tenets of our practice management curriculum are:
–Patient centered care
–Billing & coding
–Patient quality and safety
This longitudinal curriculum spans the course of your 3 years here at the Family Health Center at MedSTAR Franklin Square. Whether it is through our billing and coding didactic sessions, completing a PDSA cycle during your Family Health Center blocks or participation in our twice monthly PCMH meetings, you will be immersed in the daily workings of a medical practice with opportunities to transform clinical care and office logistics. Residents will have an opportunity to create new curricula, update or create new clinical processes for providers and/or staff. There may be many opportunities to utilize your skills or interests to create a more effective, team based practice prepared for the 21st century. The bulk of the curriculum is self-directed with appropriate guidance as needed, however, there are didactics that serve as a foundation for better understanding of these tenets.
Our formal practice management curriculum includes:
- Monthly 8 am conferences
- Thursday afternoon conferences
- Performance improvement
- OPS meetings
- Annual practice management seminars
- Subspecialty ambulatory rotations
- Required institutional seminars
During the course of the three years of training, residents will rotate through Urology, Ophthalmology, ENT, Gynecology, and Geriatrics. The specialists with whom our residents work have long standing relationships with the department and often give residents freedom to adjust their experience based on interest.
Surgery and Orthopedics
Residents spend a total of four months working with hospital surgeons, including general surgeons and surgical oncologists, and orthopedists, and these rotations and attendings are rated highly by our residents year after year.
These experiences involve both the outpatient and inpatient evaluation and management of surgical issues, as well as management of postoperative patients in the hospital setting.
Interested in applying?
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