Curriculum

First year

Your first year of residency emphasizes the inpatient experience with a wide variety of exposure, from obstetrics to pediatrics, surgery, and more. Interns spend one-to-two half days per week in the clinic, regardless of rotation, seeing their continuity patients in the family health clinic.

Subjects
4 Internal medicine rotations 2 Pediatric rotations 1.5 Night float rotations 1 Surgery
1 Behavioral health 1 ER 1 Ob/Gyn 1 Rural

Second year

As you move into your second year as a resident, you’ll take on more clinical responsibilities and continue to enhance your decision-making skills. Residents participate in three months of inpatient medicine. During this unique experience, you will serve as the primary care physician for your patients. You’ll have the opportunity to manage your own inpatient service under the supervision of an attending physician. In addition, you’ll spend another two-to-three half days per week in the family health clinic.

Subjects
3 Internal medicine rotations 2 Pediatric rotations 2 Ob/Gyn 1.5 Night float rotations
1 Geriatric 1 Cardiology 1 Orthopedic 1 Elective

Third year

During your third year as a resident, you will have a significant role in teaching and supervising junior residents. You will be directly responsible for leading the Medicine Teaching Service and Family Medicine Inpatient Teaching Service. Office efficiency and management are also priorities. Office time increases to four half days per week.

Subjects
2 Internal medicine rotations 1.5 Night float rotations 1.5 Elective 1 Geriatric
1 Dermatology 1 Cardiology 1 Neuro 1 ENT / Ophthalmology
1 Community medicine 1 Sport medicine

Medicine

Over the course of the three years of training, family medicine residents spend eight focused rotations on the family medicine inpatient service. Residents work in teams under the supervision of family medicine faculty members. The specialty of Family Medicine is an ongoing longitudinal experience and physicians must be prepared to participate in the comprehensive care of patients’ problems in the context of an ongoing continuity relationship. The primary experience in family medicine is longitudinal, beginning in the first block of the first year and running through the entire 36 months of training.


Pediatrics

During the two one-month inpatient pediatrics experience in the first and second year, residents will admit and follow pediatric patients in one of the general medical and newborn nursery units of the hospital. The family physician is often the point of first contact for children of all age groups. This affords many opportunities to assess development, ensure adequate immunizations, screen for dysfunctional behaviors and abuse, and counsel regarding healthy lifestyles. The ambulatory pediatric experience is an 8-week requirement split between the first and second year of residency. Residents in these rotations will be supervised by faculty members. Visits may range from acute (such as diarrhea, URI, vomiting, otitis media, etc.), to chronic problem management (such as asthma, ADHD, seizure disorder, etc.)


Behavioral medicine

Behavioral medicine training is on ongoing longitudinal experience, complemented by a four-week focused rotation in the first year. Teaching and supervision are provided by a Psychiatrist at NTSH (North Texas State Hospital). The educational experience is skills-based and rooted in empirical evidence for primary care practice. Each week of the rotation includes progressively more advanced/complex skills toward mastery.


Emergency medicine

The family medicine physician’s broad body of training is a natural overlap of that of the emergency physician. Emergency medicine represents the diversity of knowledge and skills necessary to develop competency in the initial triage, evaluation, stabilization, and management of the acutely ill patient with serious or life-threatening medical issues. The resident’s experience in emergency medicine takes place during a focused one-month rotation in the first year, in which residents are supervised by an ER physician in the United Regional Hospital Emergency Department. Residents will have the opportunity to work in the United Regional Trauma Center, Level II trauma facility.


Geriatrics

The program is proud to take care of a lot of nursing home patients from across Wichita Falls. The curriculum in geriatrics is strong and is taught by the Family Medicine faculty. Family physician training in geriatrics takes place both longitudinally and during a focused two one-month rotations during the second and third year. During their one-month rotation, residents work closely with Family Medicine faculty members to focus on caring for patients at the nursing home.


Cardiology

The family physician should be proficient in the diagnosis and management of a variety of cardiovascular disorders. Family physicians emphasize comprehensive and continuing care to individuals and families, with particular attention given to behavioral and lifestyle factors. At times, the family physician may find it appropriate to seek consultation from a cardiologist to either manage or co-manage a patient for optimal care. Under the supervision of the cardiology fellow, residents on this second-year rotation will obtain supervised experience in the evaluation, diagnosis, and management of patients with cardiovascular diseases. Residents will learn to evaluate and treat patients with a variety of cardiovascular diseases, working with acutely ill patients and patients with stable, chronic illnesses.


Surgery

Family physicians should be competent in the diagnosis and management of surgical disorders and the appropriate and timely referral for specialized care. In order to enhance experience in this area, residents will complete one-month surgical rotations in the first year. During this rotation, residents work under the supervision of many surgeons in United Regional Hospital.


Surgical subspecialties

Family medicine residents’ experiences in surgical sub-specialties include two two-week rotations during the third year focusing on ophthalmology and otolaryngology. Residents work under the supervision of surgeon fellows at United Regional Hospital.


Neurology

During the 4-week neurology rotation in the third year, residents have the opportunity to work under the supervision of a neurology physician.


Orthopedics

In this rotation, family medicine residents gain a framework of working knowledge about the many aspects of musculoskeletal disease and gain the skills necessary to provide care for patients. Family medicine residents’ experience in orthopedics is both longitudinal and focused, taking place over one-month rotations in the second year. Family medicine residents will work under the supervision of an orthopedic surgeon at United Regional.


Ob/Gyn

Residents receive instruction from our family medicine program faculty and our Ob/Gyn consultants from the community. Antepartum care, labor management, and postpartum care are all covered. Resident’s responsibilities include the evaluation of patients.

Comprehensive clinical gynecology education is emphasized with a direct application to the skills needed for a family physician. Typical procedures include colposcopy, dilation, and curettage, LEEP, cryotherapy, and the interpretation of Pap smear results.