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Resident with child

The Family Medicine Residency Program is designed so each resident assumes increasing patient management responsibilities commensurate with his or her professional development and maturity. In our program, the family medicine resident (while serving on the medical, pediatric, emergency medicine or obstetrical services) enjoys all the privileges and responsibilities of comparable residents pursuing categorical programs in these specialties. 



All first year residents begin with a two week long orientation at end of June. The residents then spend two months on general internal medicine, two months on pediatrics, two months on obstetrics, one month in the MICU, two months in the emergency department, one month newborn nursery and one month of inpatient family medicine.

In October of intern year the entire intern class is together for Ambulatory Skills I, an outpatient family medicine rotation free of weekend responsibilities.

During this year, the resident acquires families for whose care he or she will be responsible during the remainder of training. The resident spends one half-day per week in the Family Medicine Center. The emergency medicine rotation involves approximately 20 shifts during the month.

PGY-1 Goals and Objectives

1 Month 2 Months 1 Month 2 Months 2 Months 1 Month 1 Month 2 Months
Skills I
Intro to
Internal Medicine
Obstetric Ward/
Family Medicine
Inpatient Service
Emergency Medicine:
Union Residents Only:
During 1st 6 mos @ Main,
2nd 6 mos @ Union
Average 20 shifts
Family Medicine Center – 1 half day/week


Resident with child


During year two, the residents spend one month in the adult intensive care unit. During their cardiology rotation, residents work one-on-one with cardiologists in the inpatient and outpatient settings. Residents spend one month doing outpatient pediatrics during which time they rotate through various subspecialty clinics, in addition to the general pediatrics clinic. Residents also spend one month in each of the following rotations:

  • Geriatrics
  • Gynecology
  • General Surgery
  • Orthopedics
  • Family Medicine Subspecialty Clinics

In addition, three months is spent on the family medicine inpatient service. Three half-days per week during the remainder of the year are in the family medicine center, except when in the ICU.

In addition, there is an innovative behavioral medicine experience woven in a longitudinal fashion through six of the 12 months of the second year.

PGY-2 Goals and Objectives

3 months 1 month 1 month 1 month 1 month 1 month 1 month 1 month 1 month 1 month
Family Medicine Inpatient Family Medicine Clinics Cardiology Outpatient Orthopedics/Sports Medicine Gynecology Ambulatory Skills II Geriatrics Peds Clinic Surgery Ward/Clinics Adult IntensiveCare Unit
4 nights call per month 2-3 nights call per month 24 shifts per month With NF
FMC 1 wk night float
FMC 1-2 half days/wk FMC: On average 3 half days/wk FMC 2-3 half-days/month
Applies to All Sites:
Call PGY-2 is in-house for at least the first 3 months; home call privileges granted on an individual basis
Union Site Only:
Average 4 nights of call per month - 2 no-call months FMC: 3-4 half days/week at Union Family Practice, except Family Medicine Inpatient: 1 half-day per week


Resident with child


Three months are spent on the family medicine inpatient service. Three of four half-days per week are spent in the FMC throughout the year. The remaining nine months are divided among medical subspecialty rotations including one month at the brand new Charlotte VA Health Care Center.

Three months are available for electives. Popular electives include radiology, sports medicine, international health and various internal medicine or pediatric subspecialty rotations.

Electives are individualized according to residents’ individual future career plans and educational needs.

A longitudinal curriculum brings all upper level residents together to do advanced study in areas that will prepare them for future practice. These areas include health systems management, evidence-based medicine, behavioral medicine, and community medicine. Additionally, residents receive training in quality improvement and the PCMH (Patient Centered Medical Home) which culminates in a third year project.

PGY-3 Goals and Objectives

3 months

2 months

2 months

1 month 

1 month

1 month

3 months

Family Medicine Inpatient Medical/Surgical 

Family Medicine Clinics 
VA Health Care Center Health Systems Management  Adolescent/Sports Medicine  Electives 
1 wk 
Night float

3-4 call nights/month

2 home calls per month
FMC 2/week  Family Medicine Center  4-5 half days/week  
Union Site Only:Average 4 nights of call per month - 2 no-call months
FMC: 3-4 half days/week at Union Family Practice, except
Family Medicine Inpatient: 1 half-day per week

For all rotation Goals & Objectives please click here.