*Curriculum is subject to revision by the American Board of Family Practice and the Accreditation Council for Graduate Medical Education (ACGME).

PGY I

Dixon RTT residents will spend their first year based in Rockford, coming to Dixon for Family Health Center (FHC) clinic sessions two half-days per week.

INTERNAL MEDICINE
4 blocks* - call every fourth night 

• Family Medicine and internal medicine teaching attendings
  
• Managed patient load to maximize learning objectives
  
• Daily rounds with attendings
  
• Medicine conferences and presentations weekly
  

OBSTETRICS
2 blocks - call every fourth night 

• Delivery of 25 to 35 obstetrical patients per two months with experience in using forceps and vacuum extraction
• Interaction between first-, second- and third-year residents on this service
• Prenatal care experience in hospital’s obstetrics clinic
  
• Fetal monitoring training and certification
  
• Provides source of new infant patient panel
• Deliveries supervised by family physicians and obstetricians
• Training in ultrasound
   

NEWBORN NURSERY /NICU
1 block- share call with residents on pediatrics

• Work with neonatologists in Level II with exception nursery
• Experience in resuscitation of neonates and preparation for transport  

INPATIENT PEDIATRICS
1 block - call from home every fourth night 

• Family physicians and pediatricians as attending staff
• Good case distribution with primary management responsibilites
  
• Teaching rounds with University pediatricians
  
• Interaction with senior family practice residents and residency directors
  
• Pediatric conferences and presentations weekly  
  

EMERGENCY MEDICINE/RADIOLOGY
1 block - no call

• Application of ATLS and ACLS principles
• Evaluate and treat emergency patients including trauma and severe illness
• Supervision by certified emergency physicians
  
• Review daily hospital imaging studies with a teaching radiologist
  

ICU
1 block - seven call nights in four weeks

• Learn to manage broad range of critical care problems
• Mechanical ventilator management
  
• Procedural skills including intubation, thoracentesis and placement of central and arterial lines  

Town Square Family Health Center (Dixon) 

• First-year residents spend two half-days per week in the office and see four to six patients per session
• Supervision by full-time preceptors and board-certified family practice preceptors
• Videotaping and case reviews done regularly
  
• Emphasis on health maintenance and patient-centered care 

PGY II and III

General structure

The second and third years of the Dixon RTT are spent in Dixon.  Rotations are 4 weeks in length, and alternate between block and longitudinal scheduling.

Block scheduling – resident concentrates on a single subject area for four weeks.  Resident attends Wednesday afternoon didactic session, and is in FHC 2 half-days weekly (R2) or 3 half-days weekly (R3). 
No FHC call or rounding responsibilities.

Longitudinal scheduling – resident is involved in 2-4 subject areas that lend themselves to a longitudinal approach; e.g., 2 half-days weekly in dermatologist office, two half-days in ENT office, and one half-day practice management activities. The week is rounded out by four half-day FHC sessions and the Wednesday afternoon didactic session.   

Subjects that are presented longitudinally are allocated varying numbers of total hours depending on RRC requirements and curricular needs.  For example, a 60-hour longitudinal experience in dermatology may occur as 15 four-hour sessions.  These twice-weekly sessions occur over a total of 8 weeks, spanning two separate longitudinal months.

During longitudinal months, residents are assigned rounding and on-call responsibilities for the FHC patient panel.

 
“What does a week look like during a longitudinal month?” 

Sample Week 

*Wednesday afternoon didactic sessions – Wednesday afternoons are reserved for all R2 and R3 residents for group didactic/workshop sessions.

PGY II

Block Rotations

COMMUNITY MEDICINE
1 -block-no call

• An introduction to a variety of health-related resources and personnel in the Dixon area

GENERAL SURGERY
2 blocks -  call from home by agreement with surgeon

• One-on-one service with a teaching surgeon
• Emphasis on pre-op and post-op diagnosis and care
• Opportunities to assist in surgery
• Acquisition of technical skills-suturing, emergency surgical stabilization techniques and management of fluids, electrolytes, nutrition and pain control.

OUTPATIENT PEDIATRICS
1 block - call from home by agreement with pediatrician

• One-on-one service with a teaching pediatrician.

ORTHOPEDICS
1 block - call from home as arranged with orthopedic surgeon

• Outpatient and inpatient orthopedics
• Experience in management of acute musculoskeletal injuries and fractures
• Ample opportunity to assist in surgery

ELECTIVE
1 block - call as arranged with supervisor of elective

PGY II

Longitudinal Rotations

Portions of these rotations will extend into PGY3.


PRACTICE MANAGEMENT
100 hours over 15 sessions

• Learn what must go on behind the scenes to support an active Family Medicine practice

GYNECOLOGY
100 hours over 25 sessions

• One-on-one in the office of an active community teaching OB/GYN
• Arranged to concentrate on GYN cases (rather than OB) during times when a resident is present
• Surgical opportunities as appropriate

UROLOGY
30 hours over 8 sessions

• Learn outpatient office urology procedures and techniques

OPHTHALMALOGY
30 hours over 8 sessions

• Gain experience in the office practice of ophthalmology

ENT
30 hours over 8 sessions

• One-on-one teaching in ENT office

DERMATOLOGY
60 hours over 15 sessions

• Participate in the office practice of a busy community teaching dermatologist

ORTHOPEDICS
60 hours over 15 sessions

• Outpatient experience with emphasis on office practice
• Experience in the management of acute musculoskeletal injuries and fractures
• Surgical opportunities as appropriate

MEDICAL IMAGING
30 hours over 8 sessions

• Gain experience in medical image interpretation
• Understand the imaging technology available in the small community hospital

EMERGENCY MEDICINE
100 hr in 8-to12 hour sessions

ELECTIVES

Longitudinal elective experiences available in such disciplines as neurology,
oncology, podiatry and others

FAMILY HEALTH CENTER

Second-year residents spend two half-days per week in the Town Square Family Health Center while on mini-block rotations and four half-days per week during longitudinal segments, further developing a panel of clinic patients.  Includes caring for continuity obstetrical patients.

Increased office procedures

PGY III Block rotations

PULMONARY MEDICINE
1 block-call from home as arranged with preceptor

• One-on-one service with pulmonologist.
• Experience in pulmonary diagnosis and treatment; ventilator management
• Wide range of inpatient and outpatient contact

CARDIOLOGY
1 block-call from home as arranged with preceptor

• Emphasis on  diagnosis and management of heart disease
• One-on-one with cardiologist
• Acute, chronic, and preventive aspects of cardiac care

GASTROENTEROLOGY
1 block-call from home as arranged with preceptor

• One-on-one in gastroenterology practice
• Endoscopy experience according to resident interest
• Extensive outpatient and inpatient experience

OUTPATIENT PEDIATRICS
1 block-call from home as arranged with pediatrician

• An extension of PGY II experience, with increasing responsibility for case management

ELECTIVES
2 blocks-call as negotiated with supervisor of elective

• Devoted to specific interests of residents
• Elective experiences can be arranged in any location and in any discipline

FAMILY HEALTH CENTER

Third-year residents spend three half-days per week in the Town Square Family Health Center while on mini-block rotations and five half-days per week during longitudinal segments, further developing a panel of clinic patients

Further emphasis on office procedures

PGY III Longitudinal Rotations

As listed under PGY 2 heading.  Longitudinal experiences listed extend into PGY 3, with increasing emphasis on elective experiences.


FAMILY HEALTH CENTER

Third-year residents spend three half-days per week in the Town Square Family Health Center while on mini-block rotations and four half-days per week during longitudinal segments, further developing a panel of clinic patients.  Includes caring for continuity obstetrical patients.

Increased emphasis on office procedures