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Our
academic year consists of thirteen four-week
modules.Each
resident is scheduled for one to four sessions
each week in the Family
Medicine Center. In general, PGY-2 and PGY-3 residents have
more sessions than PGY-1s, and more sessions are
scheduled during
ambulatory rotations and electives than during inpatient
modules. Every Thursday afternoon all family medicine residents
attend
the family medicine core curriculum teaching conferences
which are a mix of lectures, workshops and site specific
practice management activities.
Your
program as a family medicine resident begins with a one-week
University-wide orientation with residents from all clinical
programs. The week
features structured seminars and lectures on a variety of topics
that are of particular value to the new resident. Teaching
skills workshops, basic and advanced cardiac life support,
universal
precautions, medical records and diagnosis coding, and ethical
issues (including
New York State Health Proxy and Do Not Resuscitate regulations)
are some of the issues covered during this initial orientation.
A four-week Department orientation follows. This module is designed
to introduce you to your peers and to the faculty and staff at
the family medicine centers. This is an opportunity to acquaint
you with the operation of the family medicine center and to assist
you in beginning your office practice. You will learn how to
use the preceptors, manage your schedule of patients, use the
reference materials, and generally develop a familiarity with
your ambulatory practice. You will have a supervised on-call
experience in a buddy system with an upper-level resident. We
will also introduce the faculty in a special core content lecture
series covering common problems and emergencies that arise in
practice. The Department's picnic, the Buffalo Bisons baseball
game and several other social functions will help you begin to
feel at home.
At the conclusion of this module you will have a sense of your
identity as a family physician, as well as an introduction to
a comprehensive approach to the care of individuals and families.
The Family Medicine Center
The family medicine center is the core educational experience
in the residency program. Here you will learn to provide comprehensive
and continuous care for a panel of patients. Your patients will
recognize you as their family physician, and you will have a
seasoned and experienced faculty as front-line advisors while
you learn to mix the science and art of medicine. You will have
the opportunity to diagnose, treat, and educate patients over
a period of time in order to learn how to make your doctoring
most effective and efficient. The family health centers are dynamic
and exciting practices with different community orientations
and patient based problems. You will see patients and families
of all ages, assisting them with disease prevention and health
promotion as well as treatment for specific medical conditions.
The doctor-patient relationship is a theme that is explored in
detail in the behavioral science seminar series and in this office-based
experience. You will learn ambulatory procedural skills, such
as flexible sigmoidoscopy and minor surgery. You will also learn
how to manage the patient within the context of the health-care
team: visiting nurses, home health aides, clinical psychologists,
social workers, nurse practitioners, other consultants, and medical
students. Your office practice will be the point of entry into
the health-care system for patients, and you will have the chance
to see them in follow-up after hospitalization. Your panel of
families will grow as you move through the residency; by graduation,
your practice skills will be honed and you will be ready for
your next challenge.
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