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Family Medicine Residency Program
Curriculum
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During year three, residents spend one month on outpatient dermatology in a thriving practice in South Jersey. It is here that residents learn the diagnosis and treatment of common dermatologic diseases. Residents also assist in dermatologic surgery such as Mohs micrographic surgery for skin cancers. Additionally, the resident is exposed to cosmetic dermatology procedures such as laser removal of hair and varicose veins and micro-dermabrasion.
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The Family Medicine resident spends two months during residency training on the emergency medicine rotation. During the first year, the emergency medicine month takes place at Our Lady of Lourdes Hospital in Camden, NJ. Here, the resident is exposed to both pediatric and adult emergency medicine. During the second year of training, the resident completes emergency medicine at Our Lady of Lourdes in Burlington, NJ. The resident, closely supervised by Emergency Department physicians, is often the first contact for the patient and is intimately involved in the initial evaluation of the patient.
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Family Medicine residents may take advantage of electives in areas such as adolescent medicine, pediatrics, rheumatology, hematology and oncology, rehabilitation medicine, rural or urban medicine, alternative/complementary medicine, osteopathic manipulative medicine, gastroenterology, and more.
During the second year of training, there is an opportunity for one elective month, and during the third year of training, there is a general elective month, as well as elective months in outpatient or inpatient surgery and pediatrics.
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Residents during year three are given two week rotations in outpatient endocrinology and infectious disease medicine where they learn the diagnosis and treatment of common endocrinological and infectious disease disorders as well as the need for outpatient consultations. Residents also learn to become comfortable in the management of their office patients with diabetes on insulin therapy and patients on retroviral therapy for HIV. These rotations exists as two week rotations, but opportunities exist to expand them both with electives.
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The Family Medicine resident participates in the care of cardiac patients by working with one of our several cardiology groups at Our Lady of Lourdes Hospital, a leading cardiac center in the state of New Jersey. Residents gain experience in evaluating cardiac stress tests, preparing the preoperative patient for cardiac catheterizations and cardiac bypass surgery, and reading EKGs and echocardiograms.
The resident spends one month in the second year in inpatient cardiology at Our Lady of Lourdes Hospital in Camden, New Jersey.
There are a series of cardiology conferences conducted by the cardiology groups each year during medicine grand rounds at the hospital. In addition, residents gain more extensive exposure to cardiology on Tuesdays and Thursdays which are designated days for cardiology morning report during the inpatient rotation. Additionally, residents get exposure to cardiology patients and problems during their medicine and intensive care rotations, and through precepting of primary care cardiac problems during Family Medicine office hours.
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During the internship year, Family Medicine residents spend one month in cardiac care at Kennnedy Memorial Hospital in Cherry Hill, NJ, directly supervising the care of severely ill patients with a wide range of medical problems under the supervision of attending physicians in cardiology, pulmonology, infectious disease, and other intensivists. During this first year, residents gain procedural experience in placing central lines, managing ventilator-dependent patients, and performing thoracenteses and paracenteses. Additionally, the first year resident learns how to work cohesively with the intensive care team in providing multi-level care for the ICU patient.
During the second year of training, residents learn how to manage patients in the PCU at Our Lady of Lourdes Hospital in Camden, NJ. This 34 bed unit functions as a step down unit from the ICU and CCU, and it is in this unit that the resident will be on call during year two. Residents gain experience in caring for cardiac bypass surgery patients, hemodialysis patients, and patients in respiratory distress, among many other groups of critically ill patients. Second year residents also complete one month of nightfloat in the PCU.
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During the second year, residents work with ENT specialists in the outpatient setting, learning the diagnosis and treatment of common and uncommon disorders of the head and neck. Residents will hone their skills in reading CT scans on the sinuses and will learn the appropriate management of sinusitis and the neccesity of consultation. Residents will also have the opportunity to assist in outpatient procedures such as facial abscess removal and outpatient cosmetic procedures.
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During years one and two of training, the resident will rotate through the Family Medicine Inpatient service at Kennedy Memorial Hospital in Stratford, NJ. Residents develop their own panel of continuity patients and function at the attending level for admissions. Residents working in this capacity are always supervised by a Family Medicine attending physician.
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During the geriatrics rotation, residents will work with elderly patients in a number of settings including outpatient offices, nursing homes, assisted living facilities, and in inpatient hospice units. Within the resident’s three years of training, there are innumerable opportunities to provide care for this population in the outpatient setting and, when significant illness occurs, in the hospital setting.
Residents are granted the opportunity to work with well-reknown physicians in the University's New Jersey Institute for Successful Aging. Opportunities also exist to rotate through the center which is home to geriatric neurologists, psychiatrists, and general geriatric medicine attendings.
During years two and three, residents also participate in the care of nursing home patients in Stratford Nursing Home. During year two, the residents cares for one nursing home patient on a monthly basis under the supervision of the family practice attending, and during year three, each resident is assigned two patients within the nursing home for the year. Residents function on the attending level in managing disease processes, ordering and following up on laboratory studies and consultations, and communicating with family members.
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During year three, the resident rotates through the headache clinic at UMDNJ SOM, learning the diagnosis and treatment of headache pathology. It is here that the resident learns the appropriateness of consultation for the headache center, and the work-up leading to such consultation.
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The first year Family Medicine resident spends three months on adult medicine services at Our Lady of Lourdes in Camden, NJ, participating on a team consisting of medical students and the attending phsycian. Residents are intimately involved in the care of the team's patients, and work closely with the patients' private medical attendings and consultants.
During years two and three, residents participate in the care of internal medicine patients for one month at Our Lady of Lourdes, Burlington division.
On weekdays, all of the medical teams meet for teaching rounds with an Internal Medicine residency faculty member for morning report. In addition, there are daily medicine lectures at noon which also include Medicine Journal Club.
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During year three, residents rotate on the inpatient neurology service at Our Lady of Lourdes, a leading and well recognized stroke center in the state of New Jersey. The resident works on the stroke team with Dr. Lisa Shultz, M.D., and learns to recognize and manage patients with acute hemorrhagic and ischemic strokes, as well as a variety of other neurological disorders. The stroke team consists of the attending, as well as nurses and medical students and internal medicine residents on service.
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The Family Medicine resident participates in supervised didactic lectures, teaching rounds, and clinical care of both private deliveries and delivery of service patients on the obstetrical floor during year one at Kennedy Memorial Hospital in Washington Township, NJ. Additionally, first year residents also gain experience in obstetrics and gynecology clinic where they learn prenatal care, routine gynecologic exams, and office colposcopy procedures.
During years two and three, residents also spend one month in outpatient ob-gyn clinics, managing women through the course of their pregnancies, as well as learning and managing the routine gynecological care of women of all age groups.
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Family Medicine residents have several orthopedic surgeons and sports medicine physicians from which to choose when participating in this rotation. During the rotation the resident is exposed to a wide variety of acute and chronic orthopedic and sports medicine problems. While working with the orthopedist, the resident will acquire the skills and knowledge needed to provide orthopedic care in the primary care setting. The resident will also recognize when an orthopedic problem requires consultation with the orthopedic surgeon.
Additionally, residents are exposed to a series of sports medicine lectures which focus on the diagnosis and treatment of common injuries, as well as joint injection and aspirationm casting, and splinting.
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The Osteopathic Manipulative Therapy (OMT) experience consists of conferences held monthly throughout the three years of residency and given by Dr. David Mason, Chairperson of the Department of Osteosciences at UMDNJ-SOM. The conferences combine a series of didactic lectures covering principles of osteopathic medicine with supervised skills practice in the lab. Additionally, on a quarterly basis, residents are evaluated with an osteopathics clinical skills exam in the standardized patient lab with the purpose of providing feedback on specific techniques to help for board exam preparation and in the care of patients in the ambulatory setting.
Opportunities exist for additional training in electives with the Department of Osteosciences, as well as fellowhip opportunities within the department. Residents are also free to volunteer their time in the OMT lab with the first and second year medical students at UMDNJ SOM on Tuesday and Wednesday afternoons.
The foundation of the curriculum is structured covers the following:
- Cervical spine diagnosis and treatment
- Thoracic spine diagnosis and treatment
- Lumbar spine diagnosis and treatment
- Pelvis diagnosis and treatment
- Extremities diagnosis and treatment
- Treating the hospitalized patient
- Incorporation of OMT information into busy family practice
- OMT Review for Family Practice Boards
- Sports injury and treatment
- Billing and Coding for Osteopathic Treatment
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Second year residents are provided with the opportunity to practice ophthalmology in the outpatient setting. Residents learn the diagnosis and treatment of common eye infections, refractive errors, and learn the diagnosis and management of glaucoma and cataracts. Residents are also given the opportunity to observe cataract and glaucoma surgery at Wills Eye Center in Cherry Hill, NJ.
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During the last year of training, residents get the opportunity to complete a palliative care rotation which serves to help the family physician become comfortable with end of life issues and hospice care. The resident learns when hospice consultation is appropriate and also is introduced to support systems for patients and family members of patients. This rotation occurs on the level of outpatient hospice in the form of home visits, as well as in-patient hospice care.
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Pediatric training is offered on a broad spectrum throughout the three years of residency training. During year one, the resident will spend one month on the inpatient unit at Our Lady of Lourdes in Camden, home to a 9- bed pediatric unit, NICU, and expanding mother-baby unit. In years one and two, the resident will work on a team with medical students, a senior family practice resident, and the attending physician. Teaching rounds are conducted on a daily basis while on the hospital rotation.
Residents in year one also rotate through the outpatient pediatric clinic associated with Our Lady of Lourdes Hospital for one month, learning about well child visits, developmental disorders, and the management of childhood disease.
During the third year of training, the resident again rotates through the pediatric clinic, but also has a month for a pediatric selective which can be completed in a private pediatric office, or in outpatient adolescent medicine.
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UMDNJ Family Medicine Residents are offered the unique opportunity to learn about billing and coding on a monthly basis through a series of didactic sessions and workshops. Additionally, residents are trained on the basis of evidence based medicine and are guided in utilizing evidence based medicine through a series of lectures given throughout the academic year.
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During year two, our residents rotate through the inpatient pulmonology service at Our Lady Of Lourdes in Camden. It is during this month that residents sharpen their radiology skills, and learn the appropriate management of patients with obstructive and restrictive ling disease, lung cancer, and sleep apnea. Teaching rounds occur daily with the pulmonary/critical care team.
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First year Family Medicine residents spend two supervised months on the surgical rotation participating in the evaluation and assessment of patients prior to their surgeries; in surgical procedures in the operating room; and in post-operative care both at Kennedy Memorial Hospital, and at Our Lady of Lourdes Hospital in Camden. At OLOL, first year residents are able to choose between general surgery and transplant surgery services.
In year two, residents rotate through the outpatient surgery setting where they gain exposure to outpatient surgical procedures such as suturing, abscess removal, ultrasound guided breast biospy, etc. Additionally, the family practice resident learns when referral is necessary to general surgery.
In year three, residents are given a month of outpatient surgery elective which they can complete in orthopedics, ENT, and urology, to name a few.
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During year one, residents rotate on an inpatient urology service at Kennedy Memorial Hospital on a team with other interns, and urology residents. Residents see patients with a broad spectrum of genitourinary problems including, nephrolithiasis, incontinence, prostatitis and hematuria.
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