Curriculum Year 2

Curriculum Overview Chart (pdf)

The Memorial Family Medicine curriculum is based on American Academy of Family Physicians (AAFP) Core Educational Guidelines for Family Medicine Residents and meets current Accreditation Council for Graduate Medical Education (ACGME) program requirements. These documents are available in full through the Residency Coordinator's office or at the above organizations' web sites
(AAFP.org and ACGME.org, respectively).
All residents and faculty have input into the curriculum, which will provide the skills and training needed for family physicians of the future.

Ambulatory Pediatric

This ambulatory month is spent with pediatricians in private practice and affords the opportunity not only to see children in this setting but to understand common issues relating to office management such as vaccine purchase and storage, reimbursement issues etc. Residents will work with general pediatricians along with pediatric neurologist and orthopedist as well. (4 weeks, 1 block)

Behavioral Medicine/Palliative Care

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 – for patients of all age groups. The resident will hone their skills in the interview of complicated and more sensitive subjects. (2 weeks, 0.5 blocks)

Continuity Clinic

During this month, the resident concentrates on their full spectrum ambulatory care at Physicians at Sugar Creek. The resident hones their knowledge of full spectrum family medicine, the doctor-patient relationship, clinical efficiency and the true “art” of medicine. The resident will also participate in weekly Procedure Clinic in the continuity clinic caring for patients referred by their PCP for procedures ranging from skin tag removal to colposcopy. (4 weeks, 1 block)

Electives

The curriculum of the Memorial Family Medicine Residency Program is designed to provide residents with the knowledge they will need to begin practice. We recognize, however, that interests, abilities, prior experiences, and future career plans vary from resident to resident. For this reason, we provide opportunities during the second and third years for each resident to spend additional time in areas of particular relevance and interest to him or her. Electives may take place locally, elsewhere in the United States, or throughout the world. Some popular, well-established electives are listed below but this is not an exhaustive list. The selection of elective topics and sites should be made with the input and approval of the resident's faculty advisor. Popular Elective Options: Nutrition, Sports Medicine, Pharmacology, Hospitalist Medicine, and Addiction Medicine (6 weeks total)

Family Medicine Inpatient Service

During this month, the resident cares intermediate medical unit (IMU) level patients at Memorial Hermann Southwest hospital on the Family Medicine Service, under the guidance of a senior resident and faculty attending. These patients are generally more complicated. Caring for these patients involves coordinating with subspecialists, allied health professionals, social workers/case managers, as well as family members. The resident is also responsible for participating in Multi-Disciplinary Rounds with hospital social workers and case managers to optimize patient care and discharge planning. (4 weeks, 1 block)

Geriatrics

During this rotation, the resident learns the unique skills and tools necessary to care for elderly patients in various settings. Under the guidance of our faculty, the resident sees patients in the nursing home, on home visits and in our very own Senior Assessment Clinic at Physicians at Sugar Creek. Residents will also take part in pharmacy rounds and wound care clinic throughout the rotation as well. (4 weeks, 1 block)

Nephrology

Residents rotate with one of the nephrology practices at Memorial Hermann Southwest Hospital. Residents learn how to classify and manage the various stages of chronic kidney disease, as well as the workup of newly diagnosed CKD patients. (4 weeks, 1 block)

Neurology

This rotation provides one on one time with a Neurology attending. Residents will learn how to perform a comprehensive and efficient neurologic exam and interpret its results in the context of each patient. Residents will learn appropriate work-up and management of common neurologic diseases such as migraines, seizures, neuropathic pain, strokes, Parkinson’s and many more. The majority of the rotation is outpatient based. (2 weeks, 1 block)

Obstetrics

During the second year OB rotation, the resident will work primarily in the OB ED and learn management of complications affecting antepartum, intrapartum, and postpartum patients including premature preterm rupture of membranes, pre-eclampsia and chorioamnionitis, among others. Residents will learn and understand how to triage and care of obstetrical urgencies and emergencies. Supervision is provided directly by our obstetrics-trained faculty as well as on call obstetricians. (4 weeks, 1 block)

Pediatric Emergency Medicine

This rotation provides the resident with an opportunity to practice in the fast-paced, dedicated pediatric emergency room at Memorial Hermann Sugar Land Hospital. Residents work alongside and learn from University of Texas at Houston Pediatrics attendings regarding the initial evaluation and management of common pediatric acute care issues including status asthmaticus, fractures, ENT infections, foreign body ingestions and many more. Residents have the opportunity to participate in procedures as well including: laceration repairs, splinting, I&Ds, foreign body removal. (4 weeks, 1 block)

Rheumatology

This rotation provides one-on-one time with a Rheumatology attending. Residents will learn how to perform a comprehensive and efficient rheumatologic exam and interpret its results in the context of each patient’s history. Residents will learn appropriate work-up and management of rheumatologic diseases such as rheumatoid arthritis, polymyalgia rheumatic, systemic lupus erythematosus and many more. Residents will also get opportunities to do in-office procedures like ultrasound-guided joint injections. The majority of the rotation is outpatient based. (4 weeks, 1 block)

Sports Medicine

During this rotation, residents work alongside primary care Sports Medicine physicians, physical therapists and athletic trainers to build on the resident’s knowledge of musculoskeletal anatomy and pathophysiology. The resident learns evaluation and management of acute and chronic injuries in everyone from competitive athletes to people exercising for the first time. This rotation takes place in a variety of settings, including Physicians at Sugar Creek, Houston Baptist University, Memorial Hermann’s IronMan Sports clinics and UT Physicians Orthopedic offices. The resident also gains experience performing pre-participation physicals, providing medical coverage during athletic events and in a collegiate training room. (4 weeks, 1 block)

Women’s Health

Women’s Health This rotation provides the resident with a variety of experiences relevant to the unique care of women in ambulatory care settings. Residents spend time staffing and doing procedures in a general gynecology clinic, working with a reproductive specialist and contraception management at outpatient gynecology clinics. The resident will learn from direct patient care, didactic sessions and online modules, the appropriate evaluation and management of common women’s health issues a family medicine physician will likely encounter. (4 weeks, 1 block)