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 )
- 2 blocks Inpatient 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 General Surgery
- 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||Ward NF||Peds Inpt.||OB||Surgery||FHS Ward||ED||Peds Inpt.||Internal Med (IMTS)||Ortho||OB NF||Community Med|
|Week 2||Peds IMTS NF|
|Week 3||Psych||ED||OB NF||Peds/IMTS NF||OB|
|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 program collaborates with Lancaster General Health Community Health, Lancaster City officials, and other health and community organizations to offer a resident-developed, homeless medicine program. Every two weeks, residents, community nurses, and community health workers visit participants at Lancaster City parks to:
- Provide medical care to people experiencing homelessness
- Address self-perceived needs
- Focus on social determinants of health
- Foster trusting, therapeutic relationships
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