Medicine • Pediatrics • OB/GYN • ER
Medicine During the first year, residents spend sixteen weeks on the Inpatient Medicine Service. Residents acquire experience in EKG interpretation and gain expertise in procedures, such as thoracentesis and lumbar puncture. Residents also spend one month in the ICU. During the second year, residents spend an additional month on medicine and on the ICU/CCU rotation. This training is supervised by the faculty internist, as well as family practice faculty, who round daily on the medicine wards and in the critical care unit. Each resident is responsible for an average of six to eight patients while on the service. In the third year, residents will spend four weeks on ICU/CCU and four weeks on the medicine service supervising and teaching the first year resident. At this time, they have an opportunity to refine skills and study further to fill any gaps in knowledge.
Pediatrics The first year resident spends eight weeks in pediatrics. Four of these weeks are spent at the pediatric ward at MMCM. They make daily rounds with the faculty pediatricians and attend the daily pediatric clinic. The other four weeks are spent in an outpatient pediatric clinic learning from the faculty pediatricians. During the second year, residents spend four weeks on the pediatric rotation at MMCM. Residents have primary responsibility for an average of four to six inpatients on our 20-bed pediatric ward plus the infants in the newborn surgery. To give further experience in inpatient pediatrics, an additional four weeks is spent at Children's Hospital Central California in Madera during the second year. In the third year, residents spend an additional four weeks on pediatrics, assisting in the teaching and supervision of the first year resident. This gives the resident a chance to study the problems in more depth, and to participate in the teaching of his/her junior colleagues.
Obstetrics/Gynecology In the first year, residents spend eight weeks on the busy obstetric and gynecology service at MMCM. Training emphasis is on prenatal care, normal delivery, post-partum care, and recognition of obstetrical emergencies. In both the second and third year the resident on obstetrics/gynecology performs or assists (depending on experience or level of training) in gynecological surgery, such as dilation and curettage, hysterectomy and tubal ligation. The on-call resident is responsible for deliveries at night and on weekends, and a resident may elect to deliver his Family Practice Center patients, regardless of the service he is on at that time. Under this arrangement, each resident delivers about 125 babies during these three years. If the resident desires, he may obtain additional experience in C-sections.
Emergency Medicine The first year resident spends four weeks as a member of the emergency room staff learning the immediate diagnosis and management of a wide variety of medical and surgical emergencies. Experience and teaching in the emergency room is provided continuously through the R-2 and R-3 years.
