Family Medicine Service:  A large part of your inpatient training occurs on our Family Medicine Service at Carolinas HealthCare System NorthEast Medical Center. On our service we provide true cradle to grave care.  Residents will see anything from moms with high risk pregnancies, newborns and children on up to ICU patients in any given day. The patients for whom we care are all established patients from our four CFM residency offices, providing excellent continuity for our patients. Hospital attendings include a mix of family medicine hospitalists and full scope family medicine attendings from the residency offices who rotate by week. Residents also have dedicated ICU and other subspecialty inpatient rotations. 

  • As a 1st year resident, you will start with 4 patients and increase to 6-8 patients, by year end. 
  • As a 2nd year resident, you will gradually receive more responsibility with 8-10 patients. 
  • As a 3rd year resident, you will truly run the service! You will be responsible for assigning patients to residents and faculty, triaging new admissions, and providing support for the first and second year residents. You will carry fewer patients (maximum 4) to allow for these supervisory duties. The 3rd year resident is also the primary resident responsible for teaching and supervising acting interns. 
  • Night work will consist of primarily of two, 2- week night float rotations.  On night float there are two residents and one attending on call. There is also scattered weekend night float coverage throughout the academic year.  Our faculty stay in-house on call providing appropriate balance between resident independence and oversight.   

Outpatient Family Medicine Training: The bulk of your outpatient training occurs through your Family Medicine Practice (FMP).  Clinic half-days range from 1-5 per week, depending on post-graduate year and rotation. Residents learn how to manage their own patient panels and participate in team-based office initiatives to improve health outcomes for our patients.  As junior partners, residents are actively involved in provider meetings and are encouraged to provide input into practice management decisions.   

We have a number of unique “internal referral clinics” during which we bring the specialists to  our family medicine offices to provide additional concentrated training opportunities, including:  travel clinic, dermatology clinic, gynecology clinic and colposcopy clinic.  Residents also work with our local health department for additional pediatric and OB experience as well as procedural opportunities such as placing long-acting contraceptive devices. 

Flexible Training:  Residents have a wide variety of specialty rotations during their 3 years, some required and some as electives.  We are proud to have been a national leader in creating Areas of Concentration (AOC’s) for residents who have a particular focus they want to enhance with their training.  AOC’s can be tailored to the resident’s individual goals.  Past examples include travel medicine, women’s health, sports medicine, and palliative care among others. We also provide an OB-track for those planning to provide maternity care after graduation.   

Didactic Teaching:  All of the residents (except those on night float) come together each Wednesday afternoon for lunch and teaching from 1-5.   During this time they also have their resident support group which provides time  to connect and bond.  Conferences include a series of dynamic teaching sessions led by a balance of family medicine faculty, specialist faculty, residents and outside speakers.  We have many small group activities and some fun games and competitions… all in the spirit of learning, of course!  Additionally, we have structured small-group teaching daily on the Family Medicine Inpatient service from our own family medicine faculty, pharmacists s and x-ray interpretation teaching from our radiology colleagues.

CFMR uses a block rotation schedule organized into 13, 4-week blocks. The rotation schedule for the three (3) year program is shown below.

PGY1
Curricular Area Blocks Inpatient/Outpatient
Cardiology 
1.0
IP
Dermatology
0.5
OP
Family Medicine Practice / Radiology
1.0
OP
Family Medicine Service
4.0
IP
Geriatrics
0.5
OP
Night Float
1.0
IP
Newborn Nursery / NICU
1.0
IP
Obstetrics
1.0
IP / OP
Orhopedics
1.0
IP / OP
Pediatrics, Inpatient
1.0
IP
Surgery
1.0
IP/OP

 

PGY2
Curricular Area Blocks Inpatient/Outpatient
Elective
1.5
IP / OP
Emergency Medicine
1.0
OP
Family Medicine Practice
1.0
OP
Family Medicine Service
3.0
IP
Gynecology
1.0
IP / OP
Intensive Care Unit
1.0
IP
Night Float
1.0
IP
Obstetrics
1.0
 IP / OP
Ophthalmology
0.5
OP
Otolaryngology
0.5
OP
Pediatrics, Emergency Medicine
0.5
OP
Pediatrics, Outpatient
1.0
OP

 

PGY3
Curricular Area Blocks Inpatient/Outpatient
Elective
4.0
IP / OP
Emergency Medicine
1.0
OP
Family Medicine Practice (including QI)
0.5
OP
Family Medicine Service
1.5
IP
Gastroenterology
0.5
OP
Geriatrics
0.5
OP
Night Float
1.0
IP
Pediatrics, Developmental
0.5
OP
Pediatrics, Inpatient
1.0
IP
Pediatrics, Outpatient Subspecialty
0.5
OP
Sports Medicine
0.5
OP
Sports Medicine / Orthopedics / Rheumatology Selective
0.5
OP
Urology
0.5
OP
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