The first-year curriculum provides comprehensive in-hospital training in a supportive team environment.
Inpatient teams include upper-year residents and supervision by attending physicians. There is a night float system in place for coverage on our inpatient services, and an introduction to ambulatory care and one-half day per week continuity experience in the Downtown Family Medicine urban health center.
Our academic year is divided into 13, 4-week blocks. First year residents have protected time—no Friday overnights—each week.
First Year Required Rotations
- 2 blocks Family Medicine Inpatient Service (FHS Ward)
- 2 blocks Maternal Child Health/Obstetrics (each block includes 2 weeks of night float )
- 1 block Inpatient Pediatrics
- 1 block Outpatient Pediatrics
- 2 blocks Emergency Medicine (each block includes 2 weeks of night float)
- 1 block Outpatient Orthopedics
- 1 block Internal Medicine Teaching Service
- 1 block Outpatient Medicine/Practice Management
- 1 block Behavioral Medicine
- 1 block Community Medicine
| PGY-1: Rotating in this order, 9 weeks total Night Float, no Friday overnights, 3 weeks vacation | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Week | Block 1 | Block 2 | Block 3 | Block 4 | Block 5 | Block 6 | Block 7 | Block 8 | Block 9 | Block 10 | Block 11 | Block 12 | Block 13 |
| Week 1 | FHS Ward | Ortho | Ward NF | Peds Inpt. | OB | Outpatient/PM | FHS Ward | ED | Amb Peds 1 | Internal Med (IMTS) | OB NF | Community Med | |
| Week 2 | Peds/IMTS NF | ||||||||||||
| Week 3 | ED | OB NF | Peds/IMTS NF | Psych | OB | ||||||||
| Week 4 | |||||||||||||
| Longitudinal Clinic at Downtown Family Medicine (DFM) | |||||||||||||
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Community Medicine Rotation
First-year residents spend an entire block rotation exploring the concept and practice of community medicine and solidifying their interests in a particular area of the discipline. During this block you have the chance to develop, expand and implement your own ideas about community medicine, service, and population health as you:
- Care for new immigrants to Lancaster County
- Interact with disability providers
- Visit the city health department
- Engage in a comprehensive home visit assessment
Our residency is closely affiliated with the LGHP Street Medicine practice which is a mobile practice serving patients experiencing homelessness. Street medicine takes a collaborative approach with outreach workers and homelessness service providers to meet patients in parks, encampments, shelters and day centers to lower barriers to care for patients who frequently experience poor health outcomes. All residents have a required experience with street medicine during their community medicine rotation with additional opportunities for street rounds including elective time and an Area of Concentration for those that desire additional training.
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A Message From Our Residents
Learn about the many reasons residents choose the Lancaster General Hospital Family Medicine Residency Program...in their own words.