Ambulatory Pediatric
This ambulatory month is spent with a pediatrician 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.

Ambulatory Surgery
This outpatient rotation builds on the experiences of the first-year surgery rotation. Residents also spend time in the office of a surgeon who specializes in breast biopsies and surgeries.

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.

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

Emergency Medicine
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.

This popular rotation provides an excellent perspective on common endocrinology conditions. It also gives the resident the opportunity to be exposed to complicated endocrine problems and the management of patients on insulin pumps. The resident works in the endocrinologist's office.

Our residents learn how to approach and manage patients with disorders of the ears, nose, nasopharynx, and larnynx. 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 mange these conditions using current medical evidence. Training takes place mostly in the outpatient setting.

Family Medicine Inpatient Service
During the third year, each resident assumes the duty of chief of the inpatient service. 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.

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 will participate in daily rounds and directly supervise all first year resident obstetric care at the Memorial Hermann Southwest Hospital, as well as take weekly night call with them. 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.

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.

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.