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Curriculum

The curriculum of the Family Medicine Residency at Ball Memorial Hospital encompasses the traditional ACGME requirements and allows residents the flexibility to create a personalized educational experience.

Tracks are offered to maximize preparation for future practice while providing well-rounded training. Residents will select a track around March of their PGY 1 year. Each track will meet the minimum requirements of the ACGME and ABFM. 

Tracks

Our Standard Track will be for physicians who are interested in learning full-spectrum family medicine. The track will be highly focused on continuity practice (with a stretch goal of 2,000+ patients).

Overview: Average of two half-days of clinic per week as a PGY 1, three to four half-days as a PGY 2 and PGY 3 on all rotations other than inpatient critical care (ICU) and night float.

PGY 1

  • Family Medicine Essentials (orientation block)
  • Family Medicine Inpatient (2 blocks)
  • Inpatient Pediatrics (2 blocks)
  • Outpatient Pediatrics (1 block)
  • Surgery/Night Float (1 block)
  • Obstetrics/Night Float (2 blocks)
  • ICU (1 block)
  • Emergency Department/Night Float (2 blocks)
  • Community Medicine/Night Float (1 block)


PGY 2

  • Family Medicine Inpatient (2 blocks)
  • Night Float/Urgent Care/Ambulatory/Obstetrics (1 block)
  • Inpatient Pediatrics/Night Float/Ambulatory/Obstetrics (1 block)
  • FM Core (1 block)
  • Obstetrics Core (1 block)
  • Palliative/Night Float (1 block)
  • Dermatology/Night Float (1 block)
  • Emergency Department Core (1 block)
  • Geriatrics (1 block)
  • Cardiology or Pulmonary Med (1 block)
  • Elective (2 blocks)


PGY 3

  • Family Medicine Inpatient (1 block)
  • Inpatient Pediatrics (1 block)
  • Outpatient Pediatrics (1 block)
  • Ambulatory (1 ½ blocks)
  • Urgent Care (1 ½ blocks)
  • Sports Medicine/Night Float (1 block)
  • Women's Health (1 block)
  • Behavioral Health/Night Float (1 block)
  • Ambulatory/FQHC Elective (1 block)
  • Elective (3 blocks)

Our high obstetrics Maternity Care Track will be for physicians who are interested in pursuing an obstetrics fellowship or actively practicing obstetrics after residency. Residents seeking the Maternity Care Track must apply and be selected.

Overview: Average of two to three half-days of clinic per week as a PGY 1 and three to four half-days as a PGY 2 and PGY 3 on all rotations other than inpatient critical care (ICU) and night float.

PGY 1

  • Family Medicine Essentials (orientation block)
  • Family Medicine Inpatient (2 blocks)
  • Inpatient Pediatrics (2 blocks)
  • Outpatient Pediatrics (1 block)
  • Surgery/Night Float (1 block)
  • Obstetrics/Night Float (2 blocks)
  • ICU (1 block)
  • Emergency Department/Night Float (2 blocks)
  • Community Medicine/Night Float (1 block)


PGY 2

  • Family Medicine Inpatient (2 blocks)
  • Night Float/Urgent Care/Ambulatory/Obstetrics (1 block)
  • Inpatient Pediatrics/Night Float/Ambulatory/Obstetrics (1 block)
  • FM Core (1 block)
  • Obstetrics Core (1 block)
  • Palliative/Night Float (1 block)
  • Dermatology/Night Float (1 block)
  • Emergency Department Core (1 block)
  • Geriatrics (1 block)
  • NICU (1 block)
  • L&D Elective (1 block)
  • Elective (1 block)


PGY 3

  • Family Medicine Inpatient (1 block)
  • Inpatient Pediatrics (1 block)
  • Outpatient Pediatrics (1 block)
  • Ambulatory (1 ½ blocks)
  • Sports Medicine/Night Float (1 block)
  • Women's Health (1 block)
  • Behavioral Health/Night Float (1 block)
  • Maternal Fetal Medicine (1 block)
  • Urgent Care (1 ½ blocks)
  • Elective (3 blocks)

Our Acute Care Medicine Track will be for physicians who are interested in pursuing hospital, emergency or sports medicine. Residents seeking the Acute Care Medicine Track must apply and be selected.

Overview: Average of two half-days of clinic per week as a PGY 1, PGY 2 and PGY 3 on all rotations other than inpatient critical care (ICU) and night float.

PGY 1

  • Family Medicine Essentials (orientation block)
  • Family Medicine Inpatient (2 blocks)
  • Inpatient Pediatrics (2 blocks)
  • Outpatient Pediatrics (1 block)
  • Surgery/Night Float (1 block)
  • Obstetrics/Night Float (2 blocks)
  • ICU (1 block)
  • Emergency Department/Night Float (2 blocks)
  • Community Medicine/Night Float (1 block)


PGY 2

  • Family Medicine Inpatient (2 blocks)
  • Night Float/Urgent Care/Ambulatory/Obstetrics (1 block)
  • Inpatient Pediatrics/Night Float/Ambulatory/Obstetrics (1 block)
  • FM Core (1 block)
  • Obstetrics Core (1 block)
  • Palliative/Night Float (1 block)
  • Dermatology/Night Float (1 block)
  • Emergency Department Core (1 block)
  • Geriatrics (1 block)
  • Radiology/Interventional Radiology (1 block)
  • Elective (2 blocks)


PGY 3

  • Family Medicine Inpatient (1 block)
  • Inpatient Pediatrics (1 block)
  • Outpatient Pediatrics (1 block)
  • Ambulatory (1 ½ blocks)
  • Sports Medicine/Night Float (1 block)
  • Women's Health (1 block)
  • Behavioral Health/Night Float (1 block)
  • Rural ED (1 block)
  • Urgent Care (1 ½ blocks)
  • Elective (3 blocks)

Obstetrics

Osteopathic manipulative therapy

Call Schedule

Night float

  • Seven weeks in PGY 1, five weeks in PGY 2 and three weeks in PGY 3
  • Consists of shifts from 5 p.m.–7 a.m. Monday through Friday
  • Phone triage, cross cover and admit obstetrics/pediatrics/adult patients

Weekend family medicine call (throughout the year)

  • 24-hour shifts on Saturdays, Sundays or holidays
  • Phone triage, cross cover and admit obstetrics/pediatric/adult patients

Jeopardy (back-up) call (PGY 2 and PGY 3)

  • One week of call at a time for total of five weeks per year
  • Serve as back-up to PGY 2/3 on call in case of illness, etc.

Didactics

  • Monday-Friday “Lunch and Learn” style educational activities including lecture, group discussion and gamification
  • Group learning through real and simulated cases and discussions
  • Educational curriculum aligned with the ABFM exam blueprint
  • Opportunity to serve on our resident-led education committee
  • Procedure training workshops geared to PGY 1 and PGY 2 are integrated into curriculum

Procedure training

Procedure training is staffed by faculty who provide hands-on learning. All residents, regardless of year in training, have the privilege of performing procedures on their clinic patients. We provide the opportunity to learn the following procedures:

  • C-sections (taught by obstetrics physicians)
  • Casting/splinting
  • Central line placement
  • Cervical induction balloon placement
  • Circumcision
  • Colonoscopy
  • Colposcopy
  • Digital block and toenail surgery
  • Endometrial biopsy
  • Exercise testing/treadmill
  • Eye foreign body removal
  • Hemorrhoid banding and excision/anoscopy
  • Intubation
  • IUD placement
  • IUPC/FSE/AROM/cervical check/leopolds
  • Joint injection/aspiration
  • Knot tying/cyst removal/I and D
  • Lumbar puncture
  • Microscopy
  • Nasolaryngoscopy
  • Nexplanon
  • OB laceration repair
  • OB ultrasound
  • Operative obstetrics delivery/shoulder dystocia
  • Point of care ultrasound
  • Skin biopsy/cryo/laceration repair/local anesthesia
  • Spirometry
  • Vaginal deliveries
  • Vasectomy

This training is staffed by family medicine faculty who provide hands-on learning. All residents, regardless of year in training, have the privilege of performing procedures on their clinic patients.

Pathways of Distinction

Our residents have the opportunity to enhance their residency experience through participation in one or more Pathways of Distinction. These pathways represent a collection of activities, rotations, reading and projects that provide additional educational opportunities for enhancement of their education. Residents who complete the requirements under a given pathway will be recognized at graduation for their completion.

  • Leadership
  • Women’s health (including surgical obstetrics)
  • Sports medicine
  • Global health
  • Behavioral health