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Orientation

Prior to starting clinical responsibilities, incoming residents undergo two weeks of preparatory training. During this period, interns are paired with a faculty advisor and as well as a residency "buddy family", consisting of a PGY2 and PGY3 resident to help guide them through their time at Penn.

PGY1 Rotations

Intern year is the foundational year, during which residents build the breadth of their knowledge base through immersive experiences. In addition to the time spent with our department, Family Medicine interns rotate with some of the nation's top residency programs in the Departments of Internal Medicine, OB/Gyn, Emergency Medicine at Penn, as well as one of the top Pediatric residencies through the Children's Hospital of Pennsylvania. Continuity care is one of our top priorities, so throughout intern year residents return to their "home base" at least once a week to see their primary care patients at Penn Family Care and build relationships with their patients. At the end of intern year, residents select one of three Core Curricular Tracks: Community Medicine, Inpatient/Academic or OB/Reproductive Health.

  • Family Medicine Office – 1 block
  • Family Medicine Inpatient – 2 blocks
  • Family Medicine OB – 1 block
  • Internal Medicine – 1 block
  • Adult ER – 1 block
  • CCU – 1 block
  • Peds Inpatient – 1 block
  • Behavioral Medicine – 1 block
  • Peds ER – 1 block
  • Newborn Nursery – 1 block
  • Urgent Care Ambulatory Pediatrics – 1 block
  • Gynecology – 2 weeks & Night float OB – 2 weeks

Longitudinal Elements: Prenatal Care and Continuity Patient Care

PGY2 Rotations

The second year of residency is the transitional year, during which residents from learners and front-line clinicians to senior residents. Equipped with a solid foundation from intern year, PGY2s build their level of responsibility for patient care and for the education of junior residents and medical students, as the Labor Floor chief on the FM OB team, and as a senior resident on the FM inpatient team. Second year includes rotations beyond the walls of Penn, with community-based partnerships throughout Philadelphia, as well as rotations in health systems management. While the core curriculum is consistent regardless of curricular track, PGY2s will have extra time dedicated to OB, inpatient or work in the community, as well as 6 to 8 weeks of elective, to allow residents to meet their individual professional goals. The amount of time spent outpatient at the Penn Family Care clinic increases significantly, as residents grow more comfortable and confident in their skills as a PCP.

  • Family Medicine OB – 1or 2 blocks*
  • Family Medicine Inpatient – 1 block
  • Family Medicine Office – 1 block
  • Outpatient Surgery – 1 block
  • Health Systems Management and QI – 1 block
  • Pediatric Emergency Medicine – 1 block
  • Behavioral Science – 1 block
  • Geriatrics – 1 block
  • Sports Medicine – 1 block
  • Community Medicine – 1 block
  • Electives – 6 or 8 weeks*
  • Night Float – 3 x 2 week blocks

Longitudinal Elements: Prenatal Care,  Procedure Clinic training, Continuity Patient Care

PGY3 Rotations

The third year of residency is a transformative year, when residents evolve from trainees into independent clinicians ready for graduation from the program. With 14-16 weeks of elective, each resident can refine the specific skills they need for their chosen career path. Recent graduates have opted for fellowships in areas like surgical OB, sports medicine, palliative care, and faculty development or have gone directly into practice as attendings at residency programs (with and without OB), FQHCs, community-based organizations.

  • Family Medicine Inpatient Chief – 1 or 2 blocks*
  • Community Medicine – 1 block
  • Cardiology, Urology, ENT – 1 block
  • Ortho & Sports Med 2 – 1 block
  • Office – 1 block*
  • Adult Urgent Care and Dermatology – 1 block
  • Urgent Care Ambulatory Pediatrics – 1 block
  • Electives – 14 or 16 weeks*
  • Night float – 1 x 2 week block

*varies by track designation, elective time equal in all tracks

Longitudinal Elements: Prenatal Care,  Procedure Clinic training, Continuity Patient Care, Quality Improvement Project

Embedded Specialty Clinics

To ensure adequate training exposure and patient access, our clinic utilizes a model of embedded specialty clinics within our primary care office. Residents rotate through clinics specialize to provide OB, procedures, Medication-Assisted Therapy Clinic, LGBTQ care, psychiatry and (coming in fall 2020) HIV/Hep C. Although all these types of care are provided in our routine primary care sessions, the "specialty clinic" model allows residents to rotate under direct supervision of a faculty with specific expertise, typically with a 1:1 faculty:resident ratio, to ensure that our residents learn best-practices in each of these focus areas. Read more about our program highlights here.

 

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