Methodist Hospital (Houston) Family Medicine Residency Program
Detailed Curriculum
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Curricula combining Rotations and Longitudinal Experiences Adult Medicine
Rotations: Inpatient Medicine (5), ICU/CCU (1), Cardiology (1), Medical Subspecialty (3)
FMC experience
Didactics: Med subspecialty (1st Wed), HP/DP (2nd Wed), Outpt Report (4th Wed, resident presented); Morning report on IM rotation

Women’s Health
Rotations: Inpatient Medicine, Community Medicine, Obstetrics, Gynecology
FMC (Family Medicine Center) experience
Didactics: Women’s Health (4th Wed)

Care of the Older Patient
Rotations: Geriatrics, Inpatient Medicine, Community Medicine
FMC experience, Continuity Nursing Home Visits, Home Visits
Didactics: Geriatrics (2nd Wed)

Care of Infants, Neonates, Adolescents and Children
Rotations: Inpatient Peds, Ambulatory Peds, Pediatric ER, Peds Subspecialty, NICU (neonatal ICU) /NBN (newborn nursery),
Community Medicine
FMC experience
Didactics: Pediatrics (1st Wed), TCH report (4th Wed – resident given); Conferences on Peds rotations

Maternity and Gynecologic Care
Rotations: OB (2); Outpatient gynecology; Optional Elective OB
Minimum: 10 continuity deliveries, 30 non-continuity deliveries
FMC experience
Didactics: OB/GYN (2nd Wed); Morning report on OB rotation

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 (1st Wed)

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 Meeting (3rd Wed); Practice Management (3rd Wed)
Requirements: Monthly Practice Meetings: 1 hr/month = 36 hours
Monthly Didactic Sessions: 1 hr/months = 36 hours
Committee Mtgs: 1 hr/month x 24 months = 24 hours
Rotation: 40 hours of activities:

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: Surgery (2 blocks); ENT, Ophtho, Urology
– Didactics: Medical/surgical subspecialty (1st Wed)
• Musculoskeletal and Sports Medicine
– Rotations: Orthopedics, Sports Medicine (min 200 hours)
– FMC experience
– Didactics: Ortho/Sports Med (1st Wed)
• Emergency Care
– Rotations: Emergency Medicine (min 200 hours); Pediatric Emergency Medicine
• Diagnostic and Nuclear Imaging
– Rotations: Radiology

Longitudinal Curricula
• Human Behavior and Mental Health
– FMC experience: Patient care; directly observed interviews; Special needs clinic
– Didactics: Behavior (1st Wed – see curriculum goals and objectives); 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
– Didactics: Practice Management (3rd Wed); Patient Safety Absolutely series
– Outcome measurements: Faculty and clinical assessment of QI project; attendance documentation at didactics, committee meetings.