East Pierce Family Medicine Residency

Transcription

1 East Pierce Family icine Residency MultiCare Good Samaritan Hospital Puyallup, Washington

2 Family icine Residency Comprehensive training in family medicine, including obstetrics, addiction medicine, and strong procedural training experience in a Patient-Centered ical Home Obstetrics training including high-risk maternity care and exposure to surgical obstetrics A state of the art, patient care tower at Good Samaritan Hospital including a ICU, emergency department, and surgical suites Multidisciplinary out-patient training including an active osteopathic curriculum and a team-approach to care Our Facilities Newly renovated out-patient clinic, designed specifically for resident training located on the hospital campus, an easy walk to all hospital facilities 286 bed medical center Full range of specialists available for resident training and patient referral Member of the Seattle Cancer Care Alliance 24-hour hospitalists, including medicine, obstetrics, and anesthesia An emergency department serving more than 70,000 patients per year Level 2 neonatal Special Care Nursery

3 About The unity (Puyallup: pyoo-al-up) Puyallup is a rapidly growing city with easy access to both the Puget Sound and Mount Rainier. It is also home to the Washington State Fair, a fall tradition in Western Washington. Puyallup is named after a tribe of Native Americans bearing the same name. Meaning the generous people, the tribe had a population of 2,000 before European settlers first arrived in the 1850 s. The city is 5 miles east of Tacoma and 35 miles south of Seattle. With a population of 40,000 people, Puyallup has a small-town feel while being easily accessible to bigger cities. Numerous companies are moving into the community, bringing jobs and opportunities for local residents. Puyallup is linked to both Tacoma and Seattle by the Sounds train, which makes travel to the larger urban centers easier. There are many outdoor activities located in and around Puyallup. Mount Rainier, a 14,411-foot volcano, dominates much of the landscape. The Puget Sound is a terrific area for boating, scuba diving, and fishing. Ski resorts are within easy distance for day and weekend trips. In addition to the annual Western Washington Fair, the city also hosts the Daffodil Festival, outdoor art gallery downtown, a vibrant farmers market, an antique district, and many pick-your-own farms.

4 3-Year Curriculum PGY 1 ery... 4 weeks Pediatrics... 8 weeks... 8 weeks Family icine In-Patient weeks ive... 4 weeks Emergency icine... 4 weeks icine / pedics... 4 weeks... 4 weeks PGY 2 Family icine In-Patient... 8 weeks icine... 4 weeks... 8 weeks ery... 4 weeks Pediatrics... 4 weeks Res-X... 4 weeks ICU... 4 weeks ive... 8 weeks Research / tice Management... 4 weeks Night Float... 4 weeks PGY 3 Emergency icine... 4 weeks Gynecology... 4 weeks icine... 4 weeks Outpatient... 8 weeks Night Float... 4 weeks ive... 8 weeks ery ective... 4 weeks unity icine... 4 weeks icine ective... 4 weeks icine / pedics... 4 weeks... 4 weeks In-patient rotations are italicized Longitudinal Longitudinal Osteopathic Manipulative icine (OMM/OMT) Dermatology and Office Procedures Behavioral icine Geriatrics

5 Pay and Benefits Upon receiving match results, EPFM residents sign a three-year contract (accepting a 3-year categorical Family icine position). This contract includes the pay and many of the benefits provided by MultiCare Health System. Current salaries, per PGY year are: R1 $57,886 R2 $60,174 R3 $62,649 Benefits include MultiCare Good Samaritan Hospital Campus ical insurance, including dental and vision 403(b) retirement account CME allowance CME leave 3 days as an R-1 5 days as an R-2 5 days as an R-3 Three weeks of vacation Fees paid for board certification exam and licensing fees Tuition and time-off for courses including BLS, ACLS, PALS, NRP, and ALSO Sick leave Meal allowance when on-call Free parking Patient Care Tower

6 Pay and Benefits How does the schedule work? There are thirteen four-week blocks in the year with rotations starting on Monday mornings. R1 1 2 A B C 3 D E F R2 1 2 A ICU B C ICU D E F 3 ICU 4 ICU / ICU ICU 10 / / 11 / 12 / 13 Res-X Res-X Res-X Res-X Res-X Res-X R3 A B C D E F 1 / 2 / 3 / 4 / 5 Elec / 6 / 7 GYN 8 GYN 9 GYN GYN 12 GYN GYN 13 There is a separate track for each resident. In the table above, the tracks are labeled A-F. Each spring, incoming residents will bid for tracks. Then, in each subsequent year, residents will re-bid for tracks. Therefore, a first-year resident in Track A can be in any of the tracks in second and third-years.

7 What do the colored blocks indicate? The three defined in-patient services are, Family icine, and Pediatrics. Residents are on call during these in-patient rotations and, therefore, can t take scheduled leave during these blocks. ical and bereavement leaves are permitted during all rotations. What about call? As our residency follows both AOA and ACGME rules, we have designed our schedule to meet both sets of duty-hour rules. Our current expectations are: 1. Residents on Family icine in-patient services will round, admit, discharge, and manage their patients between 6am and 6pm each day. 2. Residents on the three in-patient services will take call on a rotating every fourth evening (q4) call schedule a. Weeknight call (Monday through Thursday) will be from 3pm to 6pm. b. On weekends (Friday and Saturday nights) and holidays, R1 call will be from 6am to 6pm c. On weekends (Friday and Saturday nights) and holidays, senior resident call will be from 6am to 6am, with an additional four hours available for post-call rounding. 3. Although first-year residents will not be on overnight call, they are expected to round on their post-call days. 4. Night Float will be on-call from 6pm to 6am Sunday night through Thursday night. 5. Outpatient residents will provide backup for in-patient residents, in the event that in-patient residents are sick or have a personal emergency. What is the Family rotation and how does it differ from the other in-patient rotations? The F service is comprised of patients from our residency clinic, including adults and children. This is a way that we provide continuity care of our own patients and most closely resembles the patients that a family doctor would care for in a full-spectrum practice. The attending s are residency F faculty, who also take call for this panel of patients.

8 When can we take vacation? Residents are provided with three weeks of vacation annually. Vacation is taken for up to one week per rotation. Vacations can be taken during out-patient months (indicated by white blocks on the schedule). What are the blocks? In the first year block, residents will spend roughly half of each day in clinic as a way to become proficient with our electronic medical record, understand the clinic flow, and develop good habits. During the other half-days, residents will receive rotation-specific education and will participate in training to deal with emergencies and critical care topics. The third year block gives residents the opportunity to demonstrate their ability to efficiently function in clinic. Residents should expect to be in clinic about five half-days, have a half-day of didactics, and participate in the orientation of new interns or precept. Residents will not have call responsibilities during this block. Another benefit to these blocks is that it augments the clinic volumes for residents. Both the AOA and the ACGME require 150 out-patient encounters in the first year and 1,500 total in the second and third years. As a result of these two blocks, residents should be successful in achieving the outpatient requirements. How about the Res-X blocks in second year? Due to the arrangement of having six residents and thirteen blocks in the third year, each R2 resident will do an extra in-patient rotation. These rotations will occur in second year. As residents will be selfselecting their tracks, each resident will be able to influence which in-patient Res-X block they will do. Can I do an international rotation? Residents have five elective blocks through their three years of training. Every resident will be able to do an away rotation during their third year. The expectations for this rotation are: 1. The experience is not one that can be gained locally. 2. Malpractice is provided throughout (EPFM provides malpractice insurance for all rotations in the US.) Residents are responsible for providing insurance during international rotations. 3. The rotation must have both educational and service components. 4. Attending physicians must have verification of training and experience, in order to provide for a good experience for the resident.

9 Is there an expectation for a scholarly project? All residents will complete scholarly work as a requirement for graduation. Dedicated time is provided for this work, mostly in the second year, as found in the unity icine and Research / Management blocks. This scholarly work may be accomplished in a variety of ways, including: 1. Write an evidence-based response to a question (al Inquiry or Help Desk Answer) and submit it for publication to the Family Physician Inquiry Network. 2. Participate in a clinical trial at MultiCare, demonstrating a substantial contribution to the effort. 3. Plan, conduct, and analyze a community intervention. An example of this includes conducting nutrition education for elders and evaluating their weight pre-and post-intervention. Another option would be to perform an analysis of medical care provided at the state fair as a way to predict future staffing and equipment needs. This work does not need to be published, but results have to be documented in order to have a lasting effect on the community. Residents will also be involved in educational efforts such as Journal Club, Grand Rounds, Mortality and Morbidity rounds, etc.

10 1322 3rd Street SE, Suite 240 Puyallup, WA Residency: (253) Fax: (253)