Our new curriculum reflects a new vision of what Family Medicine residency education needs to become to prepare residents for practice in the 21st Century. The new curriculum introduces new rotations designed to prepare residents to create and operate in a Patient-Centered Medical Home. You will learn to effectively counsel patients for health behavior change. You will learn new ways to work collaboratively with the communities in which you practice. You will become skillful at using the full capacity of electronic systems to continually improve your patient care. The University of Colorado Family Medicine Residency is flexible enough to meet the varied needs of residents as well as the changing nature of Family Medicine. With two distinct tracks to choose from, we are specially equipped to meet the individual and unique interests of our residents.
The University and Denver Health tracks have 22 months of rotations in common. Differences include continuity practice sites with different patient populations and home hospital rotations for the ICU, Inpatient Pediatrics, Newborn Care, and Emergency Medicine.
Family Medicine Service
The service is located at the University of Colorado Hospital (Anschutz Inpatient Pavilion) on the Anschutz Medical Campus and admits medical patients and obstetrical patients from the community and the A.F. Williams Family Medicine Center. Residents manage a wide variety of acute and chronic problems while on this service. Faculty and residents work with a highly qualified and talented team of nurses, case workers, and other specialists. This rotation fulfills portions of the residency requirements for Internal Medicine.
This rotation is done at the Department of Internal Medicine at Denver Health. The resident will function as a first-year intern, take primary responsibility for the varied patients admitted, and participate in the ward discussions and conferences.
Adult Family Medicine
This is a rotation at Denver Health where Family Medicine residents from our residency form a medicine team supervised by our faculty Family Medicine attendings. Residents from all three years work on the service. Third year residents are team leaders who supervise first and second year residents.
Intensive Care Unit
The ICU rotation occurs in the second year of training and is scheduled according to residency track. UH residents do the rotation at University of Colorado Hospital and DH track residents do this rotation in the MICU at Denver Health Medical Center.
This rotation, taught in two blocks of General Surgery and Surgery 2, has been designed with the Department of Surgery to develop the evaluative and manual skills needed by a family physician. The first-year residents will function as surgical residents, learning pre- and post-operative care both on the ward and in the outpatient setting. The second year resident will further develop their skills in evaluating surgical candidates and performing procedures.
The resident will spend one month at Denver Health or University Hospital where he or she will gain confidence in the management of the emergent or injured patient. The hospital site is determined by the resident's track.
The first year Obstetrics rotation is paired with the Newborn Care rotation and is designed to teach the fundamentals of labor, delivery, and postpartum care, as well as give residents the confidence needed to manage a variety of obstetrical problems. As part of this training, the resident will gain experience in the use of obstetrical ultrasound. A second month of OB in the second year in a busy community hospital expands residents' experiences in managing a volume of OB patients. Residents have the opportunity for additional obstetrical training if desired.
The Pediatric experience is divided into several areas, including outpatient, inpatient and newborn care. The outpatient rotation is completed at The Children's Hospital, the regional pediatric referral hospital, under the supervision of qualified pediatricians. The Newborn Care rotation is done in the Level I and II nursery of University Hospital or Denver Health, depending on the resident's track. The Inpatient Pediatrics rotation is done at Denver Health for those residents in that track and at The Children’s Hospital if you are a resident in the University track. The Pediatrics Emergency Medicine rotation is done at Denver Health Medical Center with both Emergency Medicine and Pediatric Attending physicians providing supervision.
Care of Women
Residents will spend one month in the ambulatory gynecology clinics of University Hospital and Denver Health Medical Center. The skills taught include the management of contraception, menstrual irregularities, infertility, infections, neoplasms, and various procedures such as ultrasound, biopsy, D&C, colposcopy, and preventative care. In addition, residents will have the opportunity to manage a variety of women's health problems at their continuity practice sites.
Orthopedics/Sports Medicine (Musculoskeletal Medicine)
Residents will spend one month in the ambulatory management of common acute and chronic orthopedic problems, either at University Hospital or at private practices in the Denver Metro area. In addition they do a one month Sports Medicine rotation where the resident will spend time with the on-site physician and occupational therapists developing skills in evaluating and treating sports injuries including rehabilitation. During the Sports Medicine rotation, residents will spend time in Rheumatology and Pediatric Orthopedics.
During this month, the resident will live in a small Colorado community and function as part of a rural family practice team; seeing patients, taking call, and making hospital rounds. Residents report that these rotations are enjoyable, challenging experiences that introduce them to family practice and life in a rural community.
Residents do a one month block rotation at the Denver Health Dermatology Clinic. The Clinic cares for a very culturally diverse population from around the world and treats a wide variety of skin problems.
Practice Management is taught in a variety of settings across all three years of the residency program. Residents spend a week in their third year with COPIC, Colorado's major medical malpractice insurance firm, to learn more about avoiding malpractice claims and understanding what happens in malpractice cases.
Residents work with the urologists at Denver Health working in the hospital, operating room and the Urology Clinic.
Family Medicine Intensive
There are three Family Medicine intensive sessions in the PGY1 year -- July, October and May. Each of these months serves as an introduction to the hospital rotations that follow it. For example the July intensive provides a focused preparation for the Internal Medicine and General Surgery rotations that follow. The second Intensive is focused on Obstetrics and Pediatrics preparation. The third includes preparation for ICU and Inpatient Pediatrics. Along with these focuses residents' care for patients in the hospital and outpatient setting. The intensive experiences also begin residents education in the fundamentals of the patient-centered medical home with an emphasis on skills in health behavior change counseling, community involvement, and evidence-based practice.
Patient-Centered Medical Home
Six weeks in the PGY2 year are devoted to teaching the fundamental skills of operating a patient-centered medical home. This includes using patient registry data to drive practice improvements and the care of patients with multiple complex health problems. It emphasizes the development of skills in working with a care team and maximizing the effective involvement of staff from a variety of disciplines to provide the best possible care for patients. During these months you will begin a service learning experience with a community program which you will participate in throughout the remainder of your residency training. You will also begin having predictably assigned practice days which will continue throughout your residency training. This will allow you to engage in innovative patient care strategies such as group visits.
Three weeks of vacation are incorporated into the schedule. We feel strongly that the most effective family physicians are those who care for their own mental, physical, and spiritual health as well as that of their patients. Because of this, we encourage residents to make the most of their vacation and CME time, using this as an opportunity to balance their lives between work and recreation. The residency allows for second and third year residents to take five days of CME time, though none may be taken during required rotations.