Residency Curriculum

Each academic year is structured by 13 rotations, four weeks in length.

First Year

  • Orientation
  • Emergency Medicine_Procedures
  • Peds Inpatient Service2
  • Pediatrics I
  • Behavioral Medicine
  • Family Med Inpatient Service – 3 rotations
  • Geriatric Medicine
  • Cardiology
  • Maternity Care – 2 rotations
  • Patient-Centered Medical Home

Second Year

  • Inpatient or Family Med Selective – Blk 1
  • Elective
  • Critical Care1
  • Dermatology
  • Emergency Medicine_Procedures
  • Pediatrics II 1
  • Family Med Inpatient Service – 2 rotations
  • Orthopedics4
  • Maternity Care – 2 rotations
  • Patient-Centered Medical Home_Rheum
  • Gynecology

Third Year

  • Inpatient or Family Med Selective – Blk 1
  • Electives – 2 rotations
  • Medicine selective
  • Sports Medicine
  • Pediatric ER2
  • Preceptorship
  • Family Med Inpatient RIC – 2 rotations
  • Neurology
  • Maternity Care RIC
  • Outpatient Leadership
  • Surgery
1 Truman Medical Center – Hospital Hill
2 Children’s Mercy Hospital
3 Private practice surgery group, various local hospitals
4 Private practice orthopedic group, office orthopedics
5 Private practice office otorhinolaryngologist/rheumatologist/ophthalmologist

Orientation

The entire you will be completing certification courses, receiving instruction on hospital procedures, and participating in teambuilding, but mostly gaining hands-on experience. You will also begin establishing your continuity patients during this time. The first week is typically an 8 to 5 schedule; more variability follows throughout the remainder of the block as you work as part of the inpatient services.

Your First Year

Patient Centered Medical Home – Generally there are two residents—one PGY1 and one upper level resident. Patient centered care is at the forefront of this rotation where the focus is closed loop communication and improved handoffs. During this rotation you will help close the communication gap between -in and –out patient, work in concert with the Family Medicine inpatient team on acute care patients, work in the pulmonary clinic, help with medication refills, patient follow up and complete a small quality improvement project. Residents will participate in a home call schedule during this rotation.

Behavioral Health – You will spend time in clinic with the psychiatrist as well as see psychiatric consults on the Family Medicine Inpatient service or Long Term Care Center. You are also responsible for medicine consults from the psychiatric floors during this rotation. You will also have the support of a Behavioralist and attent outpatient clinic visits.

Cardiology / Pulmonology – During this rotation, you will work alongside a cardiologist in Lakewood Cardiology clinic mornings. Afternoons will be spent in Pulmonology clinic or in your own family medicine continuity clinic.

ED – Generally there are two residents – one PGY1 and one upper level resident. Hours are usually scheduled so that shifts do not overlap with the other resident. Shifts vary from 5 to 12 hours. Total ED hours will meet or exceed the 100 hours required for Emergency Medicine. Continuity clinics and opportunity for Procedures clinic.

Geriatric Medicine – During this rotation, you will work in the Long Term Care Center here at Lakewood. Hours are generally 8 a.m. – 5 pm. Residents will see patients alongside the geriatric fellows and address any acute issues that need attention. You will also have geriatric assessment clinic, lectures, journal club, or help with whatever admissions might occur during the day.

Family Med Inpatient (3 rotations) – Inpatient Medicine is similar to Maternity Care in that the call is divided between all of the PGY I and II residents on service. Two PGY III residents serve as RIC (resident in charge) while PGY I and II residents divide call. You will have one continuity clinic scheduled per week. The duty hours on this service are compliant with new ACGME regulations.

Maternity Care (2 rotations) –  The Maternity Care team manages the patients who present to labor and delivery and delivers those patients who do not have a “panel” doctor (a resident who has been following them for continuity care throughout pregnancy). You will have one continuity clinic scheduled per week. The hours vary depending on how often you are on call (depending on LDRP patient census). The duty hours on this service are compliant with the new ACGME regulations.

Peds Outpatient (Newborn Nursery and Clinic) – Residents see all of the babies in the nursery that do not have a “panel” doctor (a resident who has been following the mom for continuity care throughout her pregnancy). Babies need to be seen by 9 a.m. Most afternoons in the outpatient pediatrics clinic tend to be well child checks and sick visits for children of any age. During the day, you admit any babies that need admitted to the nursery and perform circumcisions if parents choose this procedure. If any infant becomes ill in the nursery during the day, you respond. There is no call on this rotation and you typically work two of four weekends.

Peds Inpatient (Children’s Mercy Hospital) – On this rotation you will fill one of the intern spaces that Children’s Mercy Hospital has on their inpatient team. This rotation provides an environment that is heavily education-based and you will serve as a full member of the patient care team..