Curriculum

Each resident is assigned to the Family Medicine Center

• One half-day per week during the first year
• Two half-days during the second year
• An average of four half-days during the third year

Scott & White Family Medicine Residency Program is dedicated to upholding the 80-hour resident work week for the benefit of both our residents and our patients. We have therefore employed a night float system to better accommodate these hours.

For a more detailed explanation of call and our night float system, please see the call schedule section.

Conferences

Since there are multiple residency programs at Scott & White, there are numerous conferences available to all physicians and residents. Several conferences are required during certain rotations.

The family medicine conference is held twice a week. Topics are varied and evidence based, covering the entire spectrum of medicine, surgery, obstetrics and gynecology, pediatrics, behavioral science and psychiatry.

The last Thursday of the month is set aside for an afternoon workshop. During this time the residents have protected time with the chief resident and program director to discuss any burning issues of the day. This is followed by case conference where a single case is discussed in depth through resident-led small groups.

Case conference is usually followed by the monthly Journal Club, which is an extension of the Evidence Based Medicine curriculum.

Clinical questions are generated on the hospital service as well as through the clinics. These questions serve as the basis for the selection of our monthly articles.

The Journal Club occurs prior to our Thursday workshop and helps teach information mastery through the use of worksheets that help guide the evaluation of the articles' relevance and validity.

The last portion of the day is for a focused workshop on such things as nasolaryngoscopy to treadmill testing. There is a large component of ‘hands on’ learning that is the hallmark of our workshops.

Simulation training

Residents receive ‘hands on’ training every third workshop in the Simulation Center (Sim Center). Through the use of Laerdal® patient simulators as well as actors as patients, the residents are presented with various scenarios ranging from the complex ACLS/ATLS patient to the dynamic family interactions that surround the discussion of withdrawing care at the end of life. Uniformly, residents enjoy this experience and look forward to it each quarter.

Lectures

Residents are expected to present one lecture a year during the Tuesday–Thursday conference.

These lectures cover core elements of Family Medicine and are geared toward the particular focus of the resident in the training cycle.

• First year residents focus on hospital topics
• Second years on geriatrics
• Third years on pediatrics

These topics are chosen from a set list for each group.

Required Courses:

• Neonatal Resuscitation
• ACLS
• ATLS
• PALS

1st Year Resident Schedule

Family Med Hospital Service	Family Med Hospital Service	Family Med Clinic / Night Float	Surgery (VA) / Night Float	Urology / Night Float	Ophthalmology / Night Float
Nursery	OB (S&W)	Pedi Ward	Surgery (VA)	OB (DACH)	Cardiology

2nd Year Resident Schedule

Family Medicine Hospital Service	Family Medicine Hospital Service	Anesthesia / Night Float	Block Clinic / Night Float	Behavioral Science / Night Float	Behavioral Science / Night Float
Pedi Ward (Darnall)	Emergency Medicine (Darnall)	Orthopedics (VA)	Dermatology (Darnall)	ID	Cardiac ICU

3rd Year Resident Schedule

Family Medicine Hospital Service	Family Medicine Hospital Service	Pediatric Acute Care	ENT / Surgery (VA)	Complicated Gyn (Darnall)	Gyn Clinic
Neurology	Geriatrics	FM Clinic / Elective	Elective	Elective	Elective

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