Residents work one-on-one with a psychologist in our office, seeing patients with a wide variety of conditions including anxiety, depression, insomnia, and medication non-compliance. Residents also visit a drug rehabilitation center, work with a palliative medicine doctor, and perform home visits with our geriatrics team.
Residents work with cardiologists at Memorial Hermann Southwest Hospital and a residential clinic. They are involved in inpatient consultations, as well as taking part in the consultants' office practice. In addition to learning about the management of ischemic heart disease, congestive heart failure, and hypertension, residents also learn how to do treadmill testing.
In this primarily outpatient rotation, residents become familiar with adult and pediatric dermatologic conditions. Our 1st year residents work directly with a Dermatologist and gain experience in evaluating and treating skin disorders and performing biopsies and destruction of skin lesions.
Family Medicine Inpatient Service
Each resident is assigned patients on the inpatient service at Memorial Hermann Southwest Hospital. The resident, in consultation with the faculty attending and senior resident, manages the patient's care. Residents gain excellent experience in a wide range of medical problems.
The surgery rotation provides direct experience in preoperative evaluation of the surgical patient, surgical assisting, and postoperative management. Residents become skilled at first-assisting. In addition, the resident learns about the diagnosis of common surgical conditions, and when to call a surgical consultation. This rotation takes place at Memorial Hermann Southwest Hospital and in our surgeon’s various clinics.
Emergency Medicine & Ambulatory Care Clinic
Memorial Hermann's Emergency Room is a high-volume unit, and residents play an active role there. Working with attending emergency physicians, the residents evaluate and manage patients with medical and surgical problems. This rotation takes place at Memorial Hermann Southwest Hospital. Residents will create a schedule around ambulatory care clinic that consists of 13 12-hour ER shifts at their discretion with advisement from Emergency Room faculty.
The inpatient pediatrics rotation consists of one 4-week block spent at Memorial Hermann Sugar Land. Residents work with pediatric attendings to work up and manage various pediatric conditions. With the IMU level of care available at Memorial Hermann Sugar Land, residents manage various acute conditions such as asthma exacerbation and bronchiolitis.
Residents care for Nursery and Adult patients in the hospital overnight and work with Senior Residents to admit new patients to the service. The 2 week period includes only inpatient medicine and the schedule is Mondays through Saturday morning 5:30PM to 8:00AM. Morning rounds provide for teaching opportunities with faculty at the end of every shift.
The resident will learn uncomplicated labor and delivery, as well as common intrapartum and post partum complications, through both case-based lecture and rounds and through patient management at Memorial Hermann Southwest Hospital. Supervision for the first year resident is provided directly by faculty and by direct upper resident staffing during the day as well as on call. The first year resident will also spend one half day per week in maternity clinic, as well as the expected one to two half days in their own continuity clinic.
Our residents learn how to approach patients with various forms of ocular disease, especially those with deteriorating vision, how to recognize the effects of poor vision on independent living, and how to coordinate care with consulting optometrist and ophthalmologist. They will refine their understanding of the pathophysiology of ocular disease, learn current evidence-based treatment for common ocular diseases, and how to screen for, prevent, and treat ocular manifestations of systemic illnesses. Training takes place in the outpatient setting. Ophthalmology will be combined with the Night Float rotation with each being two weeks in length.
Residents learn foundations in the diagnosis and management of joint injuries and fractures as well as preoperative, operative, and postoperative care. Physical examination and techniques in casting, splinting, and joint injections are taught. Interpretation of musculoskeletal radiographs is emphasized. Residents rotate one-on-one with our volunteer private community orthopedic surgeons.
Residents work with pulmonologists in the hospital and office during this rotation. They see patients with chronic pulmonary disease, as well as those suffering from acute processes, such as pneumonia, pulmonary embolus, pneumothorax, and congestive heart failure. Residents have the opportunity to learn chest tube placement and thoracentesis, as well as take part in bronchoscopies. This rotation takes place at Memorial Hermann Southwest Hospital and a neighborhood clinic.