First Year Curriculum
The first year curriculum is divided into thirteen 4-week blocks. All interns take CORE 1 in July and then proceed through individualized schedules for the remainder of the year.
Orientation and CORE 1 provide an introduction to the clinical activities, knowledge, and skills that interns need to successfully start residency. Interns spend one week in the outpatient setting and one week in the inpatient setting working one-on-one with attendings and upper-level residents. The other two weeks consist of educational seminars, skill training, and certification courses, including:
- Cadaver Lab
- Resident Retreat
- Hospital Systems Training (Inpatient/Outpatient)
- GME Orientation
- Compliance and Documentation
- Using Interpreters
- ALSO Certification
- ACLS/BLS Certification
- PALS Certification
- NRP Certification
CORE 2 is an outpatient-clinic focused rotation based at our FMC that offers interns the opportunity to enhance their chronic disease management, communication, counseling, and procedural skills through interdisciplinary work with attendings, behavioral science faculty, and on-site PharmDs. In addition, residents create patient education videos which are not only housed on a YouTube channel, but are also played on the closed circuit television system in the Family Medicine Center. Below are a few examples.
Residents have their EM experience at IU Health Methodist Hospital, a Level 1 trauma center. The residents are scheduled as an integral resident member of the emergency room and rotate through sections of the ED alongside EM residents. Residents are required to staff patients with EM faculty prior to the patient's discharge.
Family M edicine Inpatient
The three FMI rotations during the PGY 1 year are completed at IU Health Methodist Hospital, with 783 available beds, where the residency has its own inpatient service. Many patients admitted to the service meet the Inter-Qual criteria for critical illness but are not necessarily admitted to the ICU. The FM Service regularly admits and retains primary management of their non-ventilator critically ill patients in the PCU. There is close supervision on the inpatient rotation by upper level FM residents.
General Surgery Inpatient
On this rotation, the resident joins a general surgery inpatient team. This team is led by a senior staff surgeon and includes one senior surgery resident and one PGY1 FM resident. The Family Medicine resident is a full and equal member of the team performing such duties as patient evaluation in the emergency room, diagnostic workup after admission, attendance during surgical operations, performance of indicated procedures, and active involvement in pre- and post-op care. This rotation is completed primarily at IU Health West Hospital but may have some exposure at IU Health Methodist Hospital.
There are two obstetric rotations during the PGY 1 year. This rotation consists of coverage in the obstetric area of IU Health Methodist Hospital, OB ultrasound experience in the Residency's Family Medicine Center, and outpatient prenatal care experience at an Indianapolis FQHC with one-on-one faculty teaching. This rotation is a night float rotation and is typically very busy. When the family medicine service is quiet, residents are expected to work with the midwives in the hospital which allows for consistent opportunities to obtain high volume experiences.
The two Pediatrics Inpatient rotations during the PGY 1 year are completed at Indiana University Riley Hospital for Children, IU Health Methodist Hospital (Newborn), and/or IU Health West. The Riley pediatric ward patient population consists of both private and service patients. A pediatric faculty member staffs inpatient pediatric wards for all service patients, rotating on a monthly basis. On Newborn, residents work with the pediatric faculty caring for all newborns that do not have a private pediatrician. Rounds are done daily with a pediatric faculty member.
The renal rotation is a combination of inpatient/outpatient experience one-on-one with a nephrologist.
Time is dedicated to joint examination, injury care, rehabilitation, injection technique, and exercise prescriptions. Additional time is spent with certified casting technicians. Musculoskeletal radiologists also teach clinically oriented radiography. Physical therapists aid in the teaching of exercise prescriptions, therapeutic rehabilitation, and use of modalities in the treatment and recovery from injury. Throughout residency, all residents have the opportunity to participate with sports teams and sports physicals.