Curriculum

CUrriculum

Overview

With a rural New Mexico focus, our curriculum was designed to provide residents a truly diverse rural training experience over the course of their 3-year residency.

Training will take place across three sites:

  • El Centro Family Health – Rio Arriba Health Commons (ECFH) in Española, NM
  • Presbyterian Española Hospital (PEH) in Española, NM
  • CHRISTUS St. Vincent Regional Medical Center (CSV) in Santa Fe, NM

Core Rotations

  • Orientation (ECFH, PEH, CSV) – introduction to major family medicine inpatient services, clinic, and electronic medical records. Residents will have motivational interview training, value-based care training, simulations, and individualized learning plan creation.

  • Health Systems (ECFH) – Spend time with leadership at the resident FQHC, and partner hospitals to learn about care delivery systems.

  • Adolescent School Based (ECFH)- provide primary care for school aged children in Rio Arriba County at the high school and middle school clinics.

  • POCUS Radiology (ECFH) – complete self-directed learning modules for butterfly point of care ultrasound. Practice skills on volunteer live models. Develop a standardize review system for looking at common radiographic images.

  • Surgery (PEH) – work with local general surgeon to learn about commonly referred problems as well as colonoscopy screenings.

  • ICU (CSV) – gain exposure to ICU care to understand when inpatient need higher levels of care.

  • GYN (PEH) – work with local OB/GYNs to gain experience in common primary care gynecologic issues.

  • Emergency (PEH) – work in the local ER to manage common emergency complaints and understand emergent referrals.

  • Adult Inpatient (CSV) – work in a secondary care hospital with our partner residency program Christus St. Vincent Family Medicine Residency on the FM inpatient service. Residents will progress from junior to senior roles over the 3 program years.

  • Pediatric Inpatient (PHS) – work in a tertiary hospital for high volume practice with common pediatric admission problems.

  • Pediatric ER (PHS)- work in a tertiary hospital for high volume practice pediatric urgencies. Recognize the need for high level of care or admission.

  • Geriatrics (Casa Real in Santa Fe, NM) – spend time with geriatricians in a nursing home setting to understand issues unique to an aging population.

  • Behavioral Health (ECFH) – work with a prescribing psychologist, and counselors to observe counseling sessions and gain proficiency with prescribing psychiatric medications. Improve patient-physician interactions.

  • Legislation and Advocacy (ECFH) – spend time as a doctor of the day at the round house. Learn skills to speak with legislators about key issues in family medicine. Observe or provide legislative testimony.

  • Population Health (ECFH) – learn physician role in population health, clinic-based population management. Complete population health modules through IHI.

  • Maternal Child Health (PEH) – work on the labor and delivery unit at the local hospital. Care for mother and baby as a dyad with pediatric, obstetric, CNM, and Family practice supervision. Opportunity to gain proficiency in vaginal deliveries.

  • Ortho/Sports Med (PEH) – work with local orthopedist to gain experience with common referral issues, learn joint injections. Opportunity to be sideline physician at school sport events.

  • Endocrinology (PEH) – work with local endocrinologist to master diabetic care. Learn common referral issues.

  • Quality Improvement (ECFH) – complete IHI modules in quality, complete a quality improvement project with poster presentation.

  • PCMH Physician Leader (ECFH) – practice community health needs assessment, attended FQHC leadership meetings to understand how a clinic functions. Gain understanding of empanelment, staffing requirements, quality metric collection, and team-based care.

  • Dermatology (ECFH) – gain proficiency with a dermatoscope learn common skin conditions and lesion removals.

  • Pediatric outpatient (PEH) – work with a local pediatrician to have high volume practice for sick and well child exams.

  • Surgical Specialties (CSV) – spend a few days with ENT, ophthalmology, and urology to gain an understanding of common referral issues.

  • Cardiology (CSV) – work with local cardiologist to become proficient with EKGs, treatment of arrythmias, echocardiograms, and stress testing.

Core Rotations

PGY1 residents will complete the following rotations:

  • Rotation

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PGY-2 residents will complete the following rotations:

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PGY-3 residents will complete the following rotations:

  • Rotation

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Electives

Residents can pursue the following electives:

  • Addiction Medicine Elective
  • Hepatitis C Elective
  • Faculty Development
  • College Health Elective
  • Research Elective
  • Frontier Medicine Elective
  • Neurology Elective
  • Pulmonology Elective
  • Frontier Adult Inpatient Elective
  • Pain Management Elective
  • ICU Elective
  • Hematology/Oncology Elective
  • Away Elective