Curriculum

Index
First Year
Second Year

Third Year

Areas of Concentration

Global Health (opens in a new window)


UNC Family Medicine Center Continuity Clinic (8 residents per class)

The Underserved Track (Rural Community Health Center Continuity Clinic) (2 residents per class)

 

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First Year

  • Continuity experiences
    • ½ day per week continuity FMC patients
    • SHAC - coverage of student-run free clinic in the second half of the year
    • Monthly Intern Learning and Intern Support during Wednesday conference
  • 6 weeks
    • Obstetrics & Gynecology
  • 1 month each
    • Family Medicine Inpatient- Days
    • Family Medicine Inpatient- Nights (split into two sets of 2 weeks each)
    • Family Medicine Month
    • Emergency Medicine
    • Pediatrics - Inpatient wards
    • Pediatrics - Outpatient clinic
    • Orthopedics
    • Outpatient Surgery
    • General Inpatient Surgery
  • 2 weeks
    • Ophthalmology/Urology
    • ENT
    • Elective (2nd half of the first year)

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    Second Year

  • Continuity experiences
    • At least two ½ days per week continuity FMC patients (continuity clinic for Underserved Track residents at Prospect Hill CHC)
    • Geriatrics: nursing home care, continuity care
    • Finding Meaning in Medicine, monthly
    • SHAC - coverage of student-run free clinic
  • 6 weeks each
    • FM Maternal/Child Health (6-week block)
  • 1 month each
    • Family Medicine Inpatient Service (3 one month blocks divided throughout the year)
    • Family Medicine Month
    • Pediatric Acute Care
    • Procedures
    • Elective month
    • Quality Improvement in Practice
    • Medical Intensive Care Unit
  • 2 week blocks
    • Dermatology
    • Musculoskeletal Block
    • Migrant Farmworker Health Rotation

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    Third Year

    Continuity experiences

    • Four ½ days per week seeing FMC patients (continuity clinic for Underserved Track residents at Prospect Hill CHC)
    • Geriatrics - nursing home care
    • Finding Meaning in Medicine, monthly
      SHAC - Coverage of student-run free clinic
  • 6-week blocks
    • FM Maternal/Child Health (x 2)
    • Quality Improvement in Practice (split into one 4 week block and one 2 week block)
  • Six 2 week blocks
    • Family Medicine Inpatient Service Senior (7 days as Daytime FMIS Team Lead)
    • Family Medicine Clinic (7 days, 5 of which are full days of clinic)
  • 2.5 months - Electives
    • 4 weeks can be taken as "away"
    • Arranged in blocks of 2, 4, or 6 wks
  • 1 month
    • Rural practice at Chatham County ED
    • Pediatrics
  • 2 week block
    • Sports Medicine

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    Areas of Concentration

    In 2010, we established "Areas of Concentration (AOCs)", in Healthcare Leadership, Sports Medicine, Geriatrics, Underserved Care and Global Health. This will allow residents with special interests in these areas to individualize their educational experience. There will likely be additional AOCs in the future.


    HEALTH CARE LEADERSHIP
    Lead Faculty: Warren Newton, MD, MPH

    The UNC Department of Family Medicine has a long tradition of preparing residents and faculty for leadership.  The purpose of the AOC in Health Care Leadership is for motivated residents to be involved in specific projects/rotations and in a variety of leadership activities in the department, institution, community, state and with some exposure at the national level.

    The “area of concentration” will have several components.  The exact requirements for the AOC are to be specified with the faculty mentor, advisor, and residency directors.  Key elements are personal mentorship, development of writing skills, quality improvement, exposure to institutional and community leadership, and exposure to leadership at the national level.  Lead mentor is Dr. Warren Newton, who will meet with the resident when they elect the AOC and help them set up the overall strategy.

     

    CARING FOR THE UNDERSERVED
    Lead Faculty: Evan Ashkin, MD

    The AOC in Caring for the Underserved is designed for the resident who is interested in developing a deeper understanding of Health Disparities, Population Health and various aspects of Community Health in resource poor areas. Lead faculty mentor is Dr. Evan Ashkin, who will meet with the resident when they elect the AOC and help them set up the overall strategy. Elective opportunities may include, but are not limited to, engagement with Piedmont Health Services, PACE (Program for All-Inclusive Care of the Elderly), North Carolina Migrant Farmworker Health Program, or an elective in public health leadership.

    The Underserved Track participants will be required to complete the fundamental elements of the AOC (outlined here) in addition to providing continuity care at Piedmont Health Services.

     

    SPORTS MEDICINE
    Lead Faculty: Harry Stafford, MD

    This AOC will allow an upper level resident to gain valuable experience that will add to their abilities as a family medicine physician. This AOC will also be beneficial to those residents who are interested in pursuing a sports medicine fellowship upon completion of residency.

    The curriculum will be individualized and will allow the resident to learn valuable skills involving injury assessment, treatment, and return to play criteria.  The resident will also gain experience working with athletes, coaches, physical therapist, and athletic trainers. The resident will be required to use elective time for an additional two months of sports medicine clinical rotations, one month of musculoskeletal radiology, and participation in training rooms at high school and college sites.

     

    GERIATRICS
    Lead Faculty: Margaret Helton, MD

    The AOC in Geriatrics will provide an upper level resident with an opportunity to gain valuable additional experience and expertise working with an elderly population. This AOC would be ideal for residents considering a fellowship in Geriatrics.

    Depending on the specific interests of the resident, working with Dr. Helton, the AOC can be individually tailored. As the department has a number of faculty that work in Geriatrics there are many opportunities available to the resident. Potential electives are at a PACE (Program of All Inclusive Care for the Elderly) site run by Piedmont Health Services, Inc., doing geriatric assessments and treatment plans, Palliative Care and working with Community Care of North Carolina (managed Medicaid program) on interventions for improving the quality of care for elderly patients.

     

    GLOBAL HEALTH
    Lead Faculty: Martha C Carlough, MD MPH

    The AOC in Global Health provides an upper year resident with individualized educational and elective opportunities to integrate global health into a family medicine career.

    The core of this AOC will include: mentoring/advising from a FM faculty actively engaged in global public health (Martha Carlough, or another designated faculty), completion of the on-line course: “Foundations in Global Health” through the UNC SOM/SPH, one  four week international elective (two additional weeks during R2 year may also be possible) and completion of a scholarly project. Competitive funding for global health electives is available through the UNC Office of International Activities (http://www.med.unc.edu/oia/)

    Depending on the specific interests of the resident, The AOC will be individualized to meet appropriate global health competencies (see: Global Health competencies - UNC Fam Med AOC.pdf). This may include facilitation of an interdisciplinary journal club for residents in interested in global health, presentation/attending a global health CME meeting and involvement in special projects at campus wide local global health organizations, including: UNC Institute of Infectious Disease and Global Health,  IntraHealth International, Family Health International, or Research Triangle Institute.