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R1 Year

R1 Year | R2 Year | R3 Year

Rotation

Length

# FHC Sessions

FHC*

4 weeks

10

OB

4 weeks

1

OB

4 weeks

1

ICU

4 weeks

1

ICU

4 weeks

1

Night Float

4 weeks

1

Geriatrics

4 weeks

1

FHC*

4 weeks

10

Peds Ward*

4 weeks

1

NSY-NICU*

4 weeks

1

FMI*

4 weeks

1

FMI*

4 weeks

1

 

* Family medicine interns are supervised by family medicine residents during these rotations.

Purpose

The first year of our residency allows the resident to learn the fundamentals of patient care as a family doctor. It should not be experienced as a fifth year of medical school or a rotating internship. To achieve this purpose we have dedicated two months of the R1 year to full-time Family Health Center and our Ambulatory Curriculum. These two months, combined with our longitudinal curriculum and weekly continuity sessions throughout the year, provide the context for learning while on the other services.

Family Health Center

Each semester, every intern (every resident) spends an entire month in the Family Health Center. Once interns do their first Family Health Center month, it's as if they have been here forever. We spend a great deal of time together in group activities with attendings, upper levels and patients. These activities include OB chart audits, Sports Medicine, Skin and Procedure clinics, and Community Medicine. For interns, it is a wonderful break from the wards.

OB

The R1-OB requirement consists of two months at our hospital, in which we work with MedStar Franklin Square OB residents and attendings, as well as University of Maryland students. One of the two months is a Night Float experience with the OB team. In previous years, the interns averaged 30 deliveries during their R1-OB rotations.

ICU

The R1-ICU experience consists of two separate months on the ICU caring for critically ill patients. The intern works with internal medicine residents, critical care PAs, critical care attendings and cardiologists. The MedStar Franklin Square ICU has been named a "Top 100 ICU." Visit the Intensive Care Unit and Cardiology Services at MedStar Franklin Square.

Family Medicine Inpatient

The Family Medicine Inpatient service providers are a team which includes students, interns, upper-levels and the attending. We feel that it is important that the required internal medicine experience be with family physicians because our goals and objectives are so different. Our focus includes inpatient medicine, continuity of care, family, the role of the consultant, patient education and systems of care. The inpatient team manages patients from the Family Health Center and from community family physicians, who are also graduates of this program. They are also responsible for the Tuesday morning reports.

Pediatrics Ward & Nursery

The intern spends four weeks on the ward and four weeks in the nursery, also covering the floor and nursery during the Night Float rotation. During the day they are supervised by the upperlevel on the Peds Ward. When the interns are on call, they are supervised by our Night Float resident. We have a dedicated pediatric faculty with a detailed curriculum, resident talks and case evaluations. Neonatal Resuscitation (NRP) certification is mandatory and allows the intern to accompany the NICU nurse practitioners to L&D for resuscitations.   Learn more about Pediatrics at MedStar Franklin Square

Geriatrics

The Family Medicine R1 works with IM and FP geriatricians and geriatric fellows from the University of Maryland in three settings: the Franklin Woods Nursing Home, the MedStar Union Memorial Hospital geriatric assessment clinic, and in the home (home visits). The residents note that they love the structure, curriculum and supervision, and it is a benefit to the residents to have a concentrated geriatric experience in the R1 year, as they begin to grow their patient panels in the Family Health Center.

Night Float

The Night Float team, of which the interns are integral components, serves as the nighttime continuity member of the FPI, Nursery and Pediatric teams. 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 truly become confident and independent.

Elective

We allow the flexibility for residents to do an elective four-week Block in the R1 year, often by moving a Musculoskeletal rotation to the R2 year. This is often particularly attractive to residents who have a particular track or niche in mind and who wish to start working toward this as early as possible in their residency. Options include Sports Medicine, OB, rural electives, Renal, Endocrine, Rheumatology, ID, adolescent medicine, and ER...almost anything is possible in Baltimore and beyond.


Learn more about the Family Practice Curriculum