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Rotation Information

FIRST YEAR

Dermatology  Family Medicine residents become acquainted with common dermatological problems frequently seen in primary care.  Outpatient procedures related to dermatological conditions are learned.  (One month)

Family Medicine I (FM-I)  During July of the first year in the program, residents are oriented to Family Medicine.  Emphasis is placed on the common problems of patients throughout the lifecycle.  (One month)

Family Medicine Wards  Residents spent two months during the year on the Family Medicine Service at University Hospital.  Under the supervision of Department faculty and an upper level resident, the first year resident learns to care for the hospitalized patient and functions as an integral member of the wards team.  (Two months)

General Surgery  One month of general surgery gives the resident experience with surgical diagnosis and patient management.  The resident assists with inpatient surgery, pre-operative and post-operative care under the direction of surgeons at Baptist Medical Center, Little Rock, AR.  (One month)

Geriatrics  The resident spends one month on the inpatient geriatric service at University Hospital.  Activities include didactic sessions with the staff, home visits, and rounding with the geriatric team.  (One month)

Gynecology  One month is spent in the UAMS Women’s Clinic (UWC) gaining competency in the diagnosis and management of gynecological conditions and contraception problems.  (One month)

Internal Medicine  The goal of this rotation at the VA is to become familiar with and competent in the treatment of hospitalized patients with a variety of diseases and common illnesses.  (One month)

Obstetrics  There are two months devoted to training in obstetrics.  During both rotations, the resident gains experience in the management of prenatal care and the detection of high-risk pregnancies.  Obstetrical experience is obtained.  (One month in PGY-1, one month in PGY-2)

Pediatrics  One month each is spent on the inpatient wards and in the outpatient clinics of Arkansas Children’s Hospital (ACH).  In addition, one month is spent at the Term Nursery at University Hospital.  The resident gains valuable experience learning the preventive aspects of pediatric health care, working with consultants and agencies related to child and family care, and managing the basic health care needs of children.  (Total of 3 months)

SECOND YEAR

Emergency Medicine  Second year residents become competent in diagnosing and managing emergency conditions while working with Emergency Medicine physicians in the UAMS Emergency Department.  This facility, which is JCAHO level I accredited, has 25 beds for major and minor trauma, major medicine, a decontamination suite, an orthopedic suite, and a minor surgery suite.  (One month)

Family Medicine II  This rotation exposes the residents to issues related to Family Medicine.  Curricular elements include behavioral science, preventive medicine and practice management.  (One month)

Family Medicine Wards  The second year resident spends two months during the year on this rotation working with faculty and an upper level resident.  (Two months)

Family Medicine Clinical   Residents spend one month in the Family Medical Center intensively involved in the evaluation and management of patients.  (One month)

General Orthopedics  Skills in office orthopedics including sports medicine are developed while working with private physicians in a community-based orthopedics practice.  (One month)

MICU  Further experience and knowledge in the treatment of medical conditions in the MICU is learned as the resident is an integral member of the intensive care team.  (One month)

Night Float  Each PGY-2 resident spends a total of one month on night float (two weeks early in the year, two weeks late in the year).

Obstetrics  There are two months devoted to training in obstetrics.  During both rotations, the resident gains experience in the management of prenatal care and the detection of high-risk pregnancies.  Obstetrical experience is obtained.  (One month in PGY-1, one month in PGY-2)

Outpatient Surgery  This rotation  provides opportunities to participate in a variety of surgical procedures including excisions and biopsies of superficial lesions, EGD, colonoscopy, TMST, cryotherapy, and cervical and endometrial biopsies.  Residents will also participate in deliveries and Cesarean sections.  (One month)

Pediatric Clinic  The resident practices diagnosis and problem solving related to the child and his/her family in the outpatient clinics and emergency department of Arkansas Children’s Hospital.  Activities include history-taking, physical examination and specific technical procedures.  (One month)

Ophthalmology  Family Medicine residents develop skills in how to approach and manage ophthalmologic problems as well as perform ophthalmologic examinations.  (2 weeks)

Otolaryngology  The resident will develop skills in the examination and management of common ENT problems.  Residents will also learn how to detect head and neck tumors.  (2 weeks)

THIRD YEAR

Third year residents spend three to four half days per week in the Family Medical Center in preparation for entering practice upon completion of the residency program.

Family Medicine III  This rotation, which is tailored to the individual learning needs of the resident, combines didactic and other educational activities in Behavioral Science, Practice Management and Community Medicine.  (One month)

Family Medicine Wards  Third year residents assume a major responsibility for the administration and organization of the patient service.  They share teaching responsibility for lower level residents with the faculty preceptors.  (Two months as Wards Chief)

Family Medicine Clinical   Residents spend one month in the Family Medical Center intensively involved in the evaluation and management of patients.  (One month)

Internal Medicine Selective  This rotation may be done at University Hospital, VAH or ACH.  (One month)

Orthopedic Specialties  The resident builds on earlier orthopedic skills in this rotation through clinics at UAMS and ACH.  (One month)

Pediatric Clinic  This rotation at Arkansas Children’s Hospital provides more experience with outpatient childhood illnesses and problems.  Residents also learn the management of emergent pediatric problems.  (One month)

Neurology  This is a 2-week rotation.  Activities occur at UHA and its clinics, and include the enhancement of the resident’s skills in basic neurological exams and the management of common neurological problems.  (2 weeks)

Night Float  Each PGY-3 resident spends a total of one month on night float (two weeks early in the year, two weeks later in the year).

Psychiatry Two weeks is spent on a busy outpatient service at the Veteran’s Hospital.  Emphasis is placed on diagnostic assessment and psychopharmacologic management of the patient.  (2 weeks)

Radiology  Indications for x-rays and scans, limitations of x-rays and scans, preparation of the patient for various studies, complications of x-ray procedures and interpretation of chest, abdomen, GI and urinary tract x-rays are included in this rotation.  (2 weeks)

Urology  Evaluation and management of common urological conditions in the outpatient setting are learned.  (2 weeks)

ELECTIVES

Residents can select from a variety of established elective rotations at University Hospital, VAH, or ACH.  These include inpatient electives (ICU, ER, Palliative Care, GI, Cardiology, Renal, ID, and OB); outpatient electives (Cardiology, Pain, Endocrinology, Burn, Wound, Allergy/Immunology/Asthma, Headache, Sports, Dermatology, and Radiology); and procedural electives (Pain, Ortho, General Surgery, Rheumatology, and Head and Neck Clinic).  We also offer a Research elective in our Division of Community Research.

Residents may request an elective month to gain additional knowledge and training in a rotation that they have already completed.   They may also create their own electives by working with the PD and a supervising physician from their subject of interest.