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WellSpan Medical Education

Academics & Rotation Structure

WellSpan Good Samaritan Hospital Family Medicine Residency Program employs Longitudinal scheduling which brings innovation to Family Medicine training. Largely, it consists of 6 months of core rotations and 6 months of “Longitudinal Blocks”. This ensures the seamless incorporation of specialty variety that is spread out over the three years of residency.

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Clinic First Model: Patient Centered Continuity Clinic

  • Residents work in 3-2-1 resident teams in their continuity clinics called Family Medicine Practice Sites (FMPs) featuring one PGY-3, PYG-2, and PGY-1 with assigned attending physician and clinical and clerical staff.
  • During core rotations, each resident will have at least one-half day in clinic
  • Each resident is clearly identified as the primary health care provider (PCP) for their continuity patient panel.
    • PGY1: 150 patients, 1 patient per hour, 1 clinic day per week
    • PGY2: 150-250 patients, 1 patient per 30 mins, 2 clinic days per week
    • PGY3: 250-500 plus patients, 1 patient per 15-30 mins, 2-3 clinic days per week
  • Each 3-2-1 team works to provide and maintain quality metrics for their patient panel utilizing the Patient Centered Medical Home (PCMH) model to maintain the site accreditation by the National Committee for Quality Assurance (NCQA).

Core rotations:

  • Inpatient Medicine and ICU (24 weeks)
  • Night Float (24 weeks)
  • Emergency Medicine (8 weeks)
  • Obstetrics (8 weeks)
  • Inpatient Pediatrics (8 weeks)

Longitudinal Curricula offered in blocks throughout training to allow incremental spiral learning:

  • Internal Medicine Subspecialties: Rheumatology, Endocrinology, Infectious Disease, Nephrology, Gastroenterology, Hematology & Oncology, Cardiology
  • Critical Care (open ICU)
  • Addiction & Chronic Pain Management
  • Ambulatory Pediatrics
  • Orthopedics & Primary Care Sports Medicine
  • Gynecology/Women’s Health
  • Health Systems Management, Leadership, and Advocacy
  • General Surgery
  • Surgical Subspecialties (Urology, Vascular Surgery)
  • Community Medicine
  • School Health (school physicals & sporting events)
  • Patient Safety & Quality of Care
  • Research & Scholarship

Didactics:

Residents share a seat on the didactic committee and help to shape the lecture content and structure. Our curriculum is modeled after the ABFM and AOA exam content rubrics where lecture topic frequency patterns topic representation on board exams. Content is redundant over an 18mo cycle to ensure coverage of material. Below is the model we use to construct lecture schedules:

Didactic Rubric

Lecture Schedule

Elective rotations (12 weeks total):

  • PGY2: 4 weeks
  • PGY3: 8 weeks
  • Elective opportunity includes the opportunity to create custom curriculum to fits the educational needs of an individual resident. Some of the unique electives include:
    • Parenting Elective (up to 4 weeks): offers experiential learning from being new parents while providing much needed time for bonding
    • Study Elective (up to 4 weeks): offers focused time to study and fill gaps for board preparation
    • Research Elective (up to 4 weeks): offers focused time to develop skills and complete any scholarly projects
    • Obesity Medicine Elective: training with obesity medicine specialists
    • Neurology, ENT, Ophthalmology, Dermatology Electives: traditional training with increased focus in these areas
    • Health Systems Management, Leadership, and Advocacy Elective: offers innovative and unique learning opportunities
    • Global Health Elective: provides opportunities to work with the WellSpan Health Center of Global Health and complete Global Health Area of Concentration
    • Away Elective: in areas of residents’ interest 

Call Schedule:

  • There is no call taken from home
  • Weekend patient calls are received by the Inpatient team
  • Night patient calls are received by Night Float team
  • Residents will cover approximately three 12-hour long Sunday OB shifts per year to provide a day off for the resident on service

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