Curriculum Year 3

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 mostly with pediatric specialists in an out-patient setting allowing residents exposure to specialty care in the setting of a pediatric population. (4 weeks, 1 block)

Behavioral Medicine

Behavioral Medicine The resident spends time in an outpatient psychiatric clinic. Both adult patients and children are seen and evaluated, under the supervision of psychiatrists and other mental health workers. The third-year resident will assist the first- and second-year in terms of interviewing patients and exploring various diagnoses. (4 weeks, 1 block)

Continuity Clinic

During this month, the resident not only focuses on their full spectrum ambulatory care at Physicians at Sugar Creek, but as third-years they will also take part in junior precepting. They will help improve clinical efficiency as chief triage and also pass on their knowledge and practice during Junior Precepting teaching of first- and second-year residents. (4 weeks, 1 block)

Dermatology

In this primarily outpatient rotation, residents become familiar with adult and pediatric dermatologic conditions. The resident will work on improving their diagnosis of various dermatological conditions, in-office dermatology procedures, and learn when to consult a specialist. (2 weeks, 0.5 block)

Electives

A large number of electives are available for the third year resident. Dozens of subspecialty rotations are available at Memorial Hermann, many more at nearby locations, including Baylor and University of Texas. In addition, residents have traveled to different parts of the country or world for other experiences. A total of four elective blocks are available in the third year. (10 weeks total)

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 third year for each resident to spend additional time in areas of particular relevance and interest to him or her. These electives may be done in any area of medicine. They may take place locally, elsewhere in the United States, or throughout the world. Some popular, well-established electives are listed below. The resident is not limited to this list, however. The selection of elective topics and sites should be made with the input and approval of the resident's faculty advisor.

Electives Available

Allergy/Immunology Nephrology Podiatry
Advanced Obstetrics Night Float ICU Public Health
Cardiology Night Float OB Radiology (Diagnostic Imaging)
Dermatology Occupational Medicine Research
ENT Ophthalmology Rheumatology
Gastroenterology Otolaryngology Rural Rotation
Hematology/Oncology Parental Elective Sports Medicine
Missionary Medicine Pharmacotherapy Urology

Endocrinology

This popular rotation provides an excellent perspective on common endocrinology conditions. It also gives the resident exposure to complicated endocrine problems and their management. The resident works in the endocrinologist's office. (4 weeks, 1 block)

ENT

Our residents learn how to approach and manage patients with disorders of the ears, nose, nasopharynx, and larynx. They develop their ability to interview and examine patients with these disorders. They further their understanding of the pathophysiology of diseases of these organs, including infectious and allergic diseases, common malignancies, and functional disorders such as decreased hearing, while they refine their ability to evaluate and manage these conditions using current medical evidence. Training takes place mostly in the outpatient setting. (2 weeks, 0.5 block)

Family Medicine Inpatient Service

Family Medicine Inpatient Service During the third year, each resident assumes the duty of chief of the inpatient service in supervising the first- and second-year residents. This senior resident sees patients with the first- and second-year residents. In addition to further developing his or her own clinical skills, this block is an opportunity to gain experience in teaching. (4 weeks, 1 block)

Gastroenterology

Residents spend this month with a gastroenterology attending in the outpatient setting. Residents learn the diagnosis and management of commonly encountered GI problems. The resident may also get opportunities to watch out-patient procedures such as endoscopies. (2 weeks, 0.5 block)

Obstetrics

The resident will participate in daily rounds and directly supervise all first year resident obstetric care at the Memorial Hermann Southwest Hospital. They are responsible for teaching on a variety of subjects, and have administrative responsibility for the rotation. The third year resident will also attend their own continuity clinic four half days a week. (2 weeks, 0.5 block)

Ophthalmology

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. In addition, they learn how to screen for, prevent, and treat ocular manifestations of systemic illnesses. Training takes place in the outpatient setting. (2 weeks, 0.5 block)

Urology

Urology Our residents learn to evaluate and treat common urological conditions such as genitourinary malignancies, incontinence, prostate disease, hematuria, male infertility, nephrolithiasis, and sexually transmitted diseases utilizing current evidence. They will develop their ability to obtain a focused urological history, and perform a complete genitourinary examination. They will also learn to coordinate care with urological consultants including appropriate testing prior to referral, inpatient medical management of urological conditions, and postoperative care. Training takes place mostly in the outpatient setting. (2 weeks, 0.5 block)