North Memorial First-Year Rotations

Residents spend two half-days per week at Broadway Family Medicine Clinic, building their own patient practice. Preceptorship is conducted by program faculty and community physicians.

First-year residents have the following schedule, divided into 13 four-week periods.

Diabetes/podiatry

Diabetes/podiatry

Two weeks, no vacation

Combination rotation where residents participate in education of diabetic patients, including nutritionist visits. Residents also learn to recognize systemic disease manifestations in the foot and lower extremities as well as the management of common foot disorders.

Emergency medicine

Emergency medicine

Four weeks, no vacation

Residents work shifts in the Level I trauma center, learning care of acute medical and trauma patients, and honing office skills on the “fast track” outpatient side of the ER. A wealth of opportunity is available for learning procedures ranging from laceration repair to orthopedics to eye trauma.

Family medicine service

Family medicine service

Twelve weeks, divided into two-four week blocks, no vacation

Residents and the family medicine faculty run our own inpatient service. They manage all cases including medical admissions, procedures, and our own ICU patients. The first-year resident admits patients during daytime hours and one evening per week, supervised by the senior resident and faculty.

Daily teaching rounds are conducted by the family medicine service chief and by family medicine faculty. Radiology rounds are part of this curriculum as well as opportunities to teach medical students.

Additionally, each resident will spend one week working medicine and OB “flying night float” towards the end of the year. This shift is from 9 pm to 7 am.

Hospice and palliative care

Hospice and palliative care

Two weeks, vacation allowed

A two week experience working with patients and their families, both in the hospital and in their homes. Residents attend staff meetings, do home visits, interact with families, and receive didactic sessions from physicians, nurses, social workers, and clergy.

Integrated clinical skills

Integrated clinical skills

Four weeks, no vacation

This rotation focuses on skill building for ambulatory care. Bread and butter family medicine mini-lectures are taught by senior residents, and interprofessional faculty help residents hone their communication skills.

Functional topics, such as EMR enhancement, coding, and quality improvement are covered; and community health and outreach is introduced.

Neurology

Neurology

Four weeks, vacation allowed

Residents work one-on-one with a neurologist, providing many opportunities in the evaluation and management of outpatient neurological problems. Residents also work with hospital patients requiring neurologic consultation and admit patients to the neurology service.

Night float

Night float

One week, no vacation

Each resident will spend one week covering Broadway patients on medicine and OB as the night float resident towards the end of the year. This shift is from 9 pm to 7 am.

Obstetrics

Obstetrics

Six weeks, divided into two-week blocks, no vacation

Inpatient obstetrics is taught by our faculty with help from the OB/Gyn laborist group in a busy labor and delivery environment (100 deliveries per month). The hallmark of this experience is the collaborative relationship between family medicine and obstetrics, leading to a 14% C-section rate in a high-risk population.

Residents assist and/or perform vaginal deliveries, C-sections, and amniotomies; monitor placements; and evaluate non-stress tests and oxytocin challenge tests. There is also opportunity to do ultrasounds in the clinic.

Opthalmology

Opthalmology

One week, no vacation

Residents work in a busy ophthalmology group practice and have the opportunity to observe and participate in surgery and care for acute eye injuries. The goal of this rotation is to master the eye exam.

Orthopedics and sports medicine

Orthopedics and sports medicine

Four weeks, vacation allowed

This is primarily an outpatient experience, combining time in a busy orthopedic office and a sports medicine office, with emphasis on gaining knowledge in musculoskeletal medicine. Residents gain skills in the assessment and treatment of common orthopedic problems, cast application, and joint injections and aspirations.

Otolaryngology

Otolaryngology

Two weeks, vacation allowed

An outpatient experience with otolaryngologists who examine and discuss patients with residents. Otolaryngologic surgeries provide opportunities to review anatomy of the ear, nose, pharynx, and sinuses.

Pediatrics (outpatient)

Pediatrics (outpatient)

Two weeks, no vacation

Residents will gain an increased understanding of normal pediatric development as well as of common pediatric illnesses and complaints that are frequently present in an outpatient family medicine practice. The goal of this rotation is to become skilled in well-child exams, parent counseling and anticipatory guidance, learning from seasoned family medicine experts.

This rotation also provides the opportunity to learn from a patient population whose needs and concerns are different from those at Broadway Family Medicine.

Pediatrics

Pediatrics

Four weeks, no vacation

The rotation at Children’s Hospitals and Clinics of Minnesota teaches management of a variety of general pediatric inpatient problems and includes weekly educational lectures. Residents gain extensive exposure to common acute pediatric illnesses such as dehydration, asthma, RSV, influenza, and pneumonia. A senior resident and staff pediatricians supervise residents.

Surgery

Surgery

Two weeks, vacation allowed

Residents work one-on-one with a private surgeon. Inpatient general surgery teaches surgical patient assessment and management, including preoperative history and physical examinations, consults, post-operative follow-up, and discharges. Residents are first-assist on many cases and have opportunities to perform simple surgeries.

Urology

Urology

Two weeks, vacation allowed

This is primarily an outpatient rotation, focusing on workups of common urologic problems. Residents have the opportunity to participate in surgeries and gain experience in evaluating and treating urologic cancers, erectile dysfunction, hydrocele, benign prostatic hyperplasia, transurethral resection of the prostate, vasectomies, and other urologic issues.