First Year

	Rotations

First-year residents are assigned to one of four patient care teams, each including two faculty physicians, the program behaviorial scientists, and second- and third-year residents. Once a month team members are scheduled in clinic on the same afternoon, and residents are scheduled for fewer appointments giving them time to see and discuss patients with complex medical and/or psychosocial issues. Faculty for the afternoon include a faculty advisor who is double-boarded in family medicine and psychiatry and behavioral scientists. Faculty are available to see patients with residents, precept, observe, and videotape, allowing for more in-depth assessment and planning. The monthly team day also includes a didactic/planning session and a team meeting open to nursing and other staff assigned to the team.

First-year residents spend one to three half-days per week in our family medicine clinic, depending upon the current rotation. Preceptorship at the clinic is conducted by both our own faculty and outside family physicians. First-year residents quickly build their own patient practice for whom they become the "family doctor." It is not uncommon to see both a mother and a child in consecutive appointments. Clinic patients are admitted to our own family medicine service when requiring hospitalization. Residents are encouraged to assume care for their own patients during their hospital stay.

First-year residents are initially assigned two nursing home patients for whom they are responsible. Nursing home rounds are conducted monthly and precepted by geriatricians. These rounds include geriatric seminars and didactic teaching provided by first-year residents on a variety of geriatric-related topics. Each resident does one case presentation at these conferences.