Curriculum

Required Rotations

PGY-1

Rotation Duration Location
Inpatient Adult Medicine 12 weeks Houston Methodist Hospital,
Houston Methodist San Jacinto Hospital
Inpatient Pediatrics 4 weeks Children's Memorial Hermann Hospital
Obstetrics 4 weeks St. Joseph Medical Center
Obstetrics 4 weeks Houston Methodist San Jacinto Hospital
Emergency Medicine 4 weeks Houston Methodist Hospital
Intensive Care [CCU] 4 weeks
Surgery [Acute Surgical Care] 4 weeks
Outpatient Pediatrics 4 weeks Airline Children's Clinic
Newborn Nursery/Neonatal ICU 4 weeks Houston Methodist San Jacinto Hospital
Radiology/IR 4 weeks Houston Methodist San Jacinto Hospital
Orientation to Family Medicine 4 weeks

PGY-2

Rotation Duration Location
Inpatient Adult Medicine 8 weeks Houston Methodist Hospital,
Houston Methodist San Jacinto Hospital
Outpatient Gynecology 4 weeks HACS Clinic
Orthopedics 4 weeks Houston Methodist Hospital
Sports Medicine 4 weeks Houston Methodist Willowbrook Hospital
Cardiology 4 weeks Houston Methodist Hospital
Community Medicine 2 weeks
Children's Assessment Center
[child abuse assessments]
2 weeks
Outpatient Pediatrics 4 weeks
Rural Medicine 4 weeks
Pulmonology 4 weeks Houston Methodist San Jacinto Hospital
Geriatrics 4 weeks Houston Methodist Hospital
Palliative Care 4 weeks Houston Methodist Hospital,
Houston Hospice
Elective 4 weeks

PGY-3

Rotation Duration Location
Inpatient Adult Medicine 4 weeks Houston Methodist San Jacinto Hospital
Practice Management 4 weeks
Pediatric Emergency Medicine 4 weeks Houston Methodist San Jacinto Hospital
Emergency Medicine 4 weeks Houston Methodist San Jacinto Hospital
Ophthalmology 4 weeks
Otolaryngology 4 weeks
Urology 4 weeks
Dermatology 4 weeks
Continuity Clinic 4 weeks
Elective 16 weeks

Curricula combining Rotations and Longitudinal Experiences

Adult Medicine

  • Rotations: Inpatient Medicine (5), ICU/CCU (1), Cardiology (1), Pulmonary (1), Elective(s)
    • Must log at least:
      • 750 Inpatient encounters
      • 15 Critical care encounters
  • FMC experience
  • Didactics: Med subspecialty; HP/DP; Outpt Report (resident presented); Morning report on IM rotation

Women’s Health
  • Rotations: Inpatient Medicine, Community Medicine, Obstetrics, Gynecology
    • Log 100 hours of gynecology experience
  • FMC experience
  • Didactics: Women’s Health

Care of the Older Patient
  • Rotations: Geriatrics, Inpatient Medicine, Community Medicine
  • FMC experience, Continuity Nursing Home Visits, Home Visits
    • Must see at least 165 patients age 60 and older in the FMC
  • Didactics: Geriatrics

Care of Infants, Neonates, Adolescents and Children
  • Rotations: Inpatient Peds at Children’s Memorial Hermann, 2 blocks of Ambulatory Peds, Pediatric ER, CAC, NICU/NBN, Community Medicine
    • Must log at least:
      • 40 newborn encounters (both well and ill)
      • 250 encounters with children in hospital and emergency setting
        • At least 75 inpatient and 75 emergency department encounters
  • FMC experience
    • Must see at least 165 children under the age of 10
  • Didactics: Pediatrics, CMH report (resident given); Conferences on Peds rotations

Maternity and Gynecologic Care
  • Rotations: OB (2); Outpatient gynecology; Optional Elective OB
  • No minimum number of deliveries but must deliver at least two woman for whom you provided prenatal care (continuity delivery)
  • FMC experience
  • Didactics: OB/GYN, Morning report on OB rotation
  • ALSO Certification, PGY 1 year

Community Medicine
  • Rotations: Community Medicine, FM orientation
  • FMC experience

Care of the Skin
  • Rotations: Dermatology
  • FMC experience
  • Didactics: Procedure workshops (5th Wed); Med/surg specialties

Practice Management and Health Systems Leadership (min 100 hours)
  • Rotations: Practice Management (see goals and objectives)
  • FMC experience; Participation in Hospital Committees/Subcommittees
  • Didactics: Practice Management

Procedures
  • Rotations: Multiple
  • FMC experience
  • Didactics: 5th Wednesday Series
  • Required procedures: Ingrown toenail removal, skin cryosurgery, punch biopsy, joint injection, pap smear, I&D abscess, suture removal

Curricula Primarily Occurring in Rotations

Care of the Surgical Patient (including surgical subspecialties)

  • Rotations: General Surgery (1 block); ENT, Ophtho, Urology
  • Didactics: Medical/surgical subspecialty

Musculoskeletal and Sports Medicine
  • Rotations: Orthopedics, Sports Medicine (min 200 hours)
  • FMC experience
  • Didactics: Ortho/Sports Med

Emergency Care
  • Rotations: Emergency Medicine (min 200 hours); Pediatric Emergency Medicine
  • ACLS, PALS and NALS Certifications

Diagnostic and Nuclear Imaging
  • Rotations: Radiology

Longitudinal Curricula

Human Behavior and Mental Health

  • FMC experience: Patient care; directly observed interviews
  • Didactics: Behavior, Balint group
  • Outcome measurements: Attendance at didactics; Satisfactory scoring (2 or greater) on Faculty evaluations, Evaluation of directly observed interviews, Patient Evaluations

Patient Safety and Quality Improvement
  • FMC experience: patient care; CQI projects; CMPI/QM committees (hospital and FMC); P&T committees/subcommittees; orientation activities; PSN reports
  • Didactics: Practice Management
  • Outcome measurements: Faculty and clinical assessment of QI project; attendance documentation at didactics, committee meetings.

Other Training Requirements

  • Scholarly Activity
  • QI Projects (PGY-2 and 3)
  • Home visits (PGY-2 and 3)
  • Nursing home visits (PGY-2 and 3)
  • Presentations: Outpatient report, TCH report, Journal Club
  • Maintain Education Portfolio
  • Completion of Educational Modules
  • Completion of 50 MC-FP, which must include at least 1 SAM and 1 Part IV activity