Acting on resident input, our collaborative curriculum committee developed a 13 4-week block rotation schedule to replace the traditional 12-month rotation. The advantage of the block rotation is that it increases the learning experience by creating additional elective opportunities. We now offer 6 elective rotations, which is the maximum number permitted by the American Academy of Family Physicians.

- Sports Medicine Track →
- Resident Call →
- Didactics →

1st Year2nd Year3rd Year4 wk Block
MICURural MedicineCommunity Medicine1
Family MedicineFamily MedicineFamily Medicine1
Night Float 2+2Emergency RoomInternal Medicine1
General SurgeryDiabetes/EndocrinologyPediatrics1
General Surgery IIInternal MedicineAmbulatory1
Internal MedicineOrthopedics/GI1
Sports Medicine/RadiologyPediatricsGynecology1
2 week elective/2 week NF1
Plus 1 half-day
per week in Family Practice clinic
Plus 2 half-days
per week in Family Practice clinic
Plus 3- half-days
per week in Family Practice clinic

Located on the second floor, the Family Practice Clinic houses examination rooms, treatment rooms with videotaping facilities, laboratory, and ambulatory teaching facilities. The Family Practice Clinic offers residents the opportunity to provide continuity of care to a variety of patients and their families.

Inpatient pediatrics takes place at Trinity Mother Frances Hospital where residents work in the NICU, newborn nursery, and the newly renovated children’s center. This rotation includes training in neonatal resuscitation, C-sections, complicated deliveries and emergency room pediatrics. Outpatient pediatric clinics take place at the UT Health Northeast three days per week. Daily rounds and conferences are also held.

Obstetrics takes place at Trinity Mother Frances Hospital where approximately 200 babies are delivered each month. Residents are trained in vaginal deliveries and assist at C-sections. Experienced residents are permitted to perform their own c-sections. Training also includes delivery of prenatal care at the Family Care Center. Residents may also elect to participate in the longitudinal OB track providing all prenatal care for assigned patients culminating in delivery of the patient at Trinity Mother Frances Hospital.

Outpatient GYN clinic is held at the UT Health Northeast and includes training in gynecological assessment and procedures. Residents receive colposcopy training at a rural primary care clinic near Tyler.

Two months of surgery training are done during the Intern year. The first month is done at the UT Health Northeast with training in basic skills, operating room procedure and proper techniques in general surgery. Most work is done as the first assistant. The second month of surgery is done at East Texas Medical Center with board certified trauma surgeons. Residents become confident in evaluating the Emergency Room trauma patient, putting in chest tubes, intubating patients and running central lines. Also included in the training is an excellent SICU experience.

During this rotation, residents review large volumes of films to become comfortable reading x-rays. The learning experience includes reading plain radiographs, CT’s, MRI’s and ultrasounds. Residents study at their own pace with an extensive teaching file.

This rotation allows the resident to work side by side with the cardiologist to become confident in reading EKG’s and evaluating patients from the cardiology consultant viewpoint. This learning experience includes review of cardiac pressures and formulas, review of coronary arteriograms and echocardiograms, and learning procedures such as floating a venous cardiac catheter. Discussion topics range from antiarrhythmics to the evaluation and treatment of aortic stenosis. Residents also attend weekly cardiac catheterization conferences where films are reviewed and discussed with a team of surgeons and cardiologists.

Residents work with intensive care specialists to learn about ventilator management and central venous pressures. Residents become comfortable placing central lines and arterial lines, as well as managing total parental nutrition.

During this rotation the resident works one-on-one with a board certified Internist, thus enabling them to learn straight from the expert. Opportunities abound for lumbar puncture thoracentesis, arthrocentesis, exercise stress tests, and bone marrows.

On this rotation residents work in the level one trauma center at East Texas Medical Center. Residents gain experience in evaluating MVA’s, gunshot wounds, and boating and agricultural accidents. Emergency room physicians are part of the teaching faculty, and are always present.

This rotation services continuity of care patients from the Family Practice Clinic who require hospitalization. This service provides many opportunities for procedures and patient care. Family Practice staff supervise the residents on a one-to-one basis allowing individualization of the educational experience.

Residents experience rural medicine in a primary care clinic. Residents are given autonomy in dealing with patients and gain an understanding of the realities of the cost of health care delivery. Also included in this rotation is a longitudinal nursing home experience where residents care for their own nursing home patients under the supervision of an attending physician.

On this rotation each half day is spent working side by side with a board certified specialist in one of the referral clinics based in the Family Practice Clinic. These areas include Dermatology, Podiatry, Orthopedics, Neurology, Gynecology, Urology, Psychiatry, Sports Medicine, and Otorhinolaryngology.

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