Each academic year is structured by 13 rotations, four weeks in length.
1 Children’s Mercy Hospital
2 Veterans Administration
3 University Health Truman Medical Center
4 Private practice orthopedic group
Your First Year
Orientation – 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.
Patient Centered Medical Home – Patient centered care is at the forefront of this rotation where the focus is closed loop communication and improved handoffs, 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. This is part of an ambulatory care curriculum, which continues in Year 2 with PCMH/Rheum and in Year 3 with Outpatient Leadership.
Behavioral Health – During this rotation, you will spend time with the Behaviorist as well as other psychologists on staff, providing integrated psychosocial services. You will also have the opportunity to spend time with outpatient child and adult psychiatrists in addition to providing inpatient consult liaison services. This rotation gives you the opportunity to work within an interdisciplinary team and learn about behavioral health services available to your patients. In addition, this rotation also provides an opportunity to develop and implement a personalized wellness plan that will be utilized throughout residency.
Cardiology / Pulmonology – During this rotation, you will rotate with Cardiology and Pulmonology faculty at both University Health Lakewood Medical Center and the Health Sciences District.
ED – Generally there are two residents rotating in the ED, one PGY1 and one upper level resident. Hours are scheduled so that shifts do not overlap with the other resident. Shifts vary from 8 to 12 hours.
Geriatric Medicine – During this rotation, you will work in the Long Term Care Center at University Health Lakewood Medical Center and other nursing facilities. Hours are generally 8 am – 5 pm. Residents will see patients and address any acute issues that need attention.
Family Med Inpatient (3 rotations) – Two inpatient medical teams are staffed by our residents with a night float system. Two PGY-3 residents serve as RIC (resident in charge) on the two teams a week at a time. You will average one continuity clinic per week. The duty hours on this service are compliant with ACGME regulations.
OB (2 rotations) – The team manages patients who present to labor and delivery and delivers those patients who do not have a “panel” resident doctor (who has been following them for continuity care throughout pregnancy). You will average one continuity clinic 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 ACGME regulations.
Peds Nursery/Ambulatory Clinic – Residents see all of the babies in the nursery that do not have a “panel” resident doctor. 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.