PGY1 Curriculum

First Year

Adult Inpatient Medicine(12 wks)

Peds Inpatient (8 wks)

Obstetrics (8 wks)

Population Health (6 wks)

Surgery (4 wks)

Subspecialties (4 wks)

Nursery (2 wks)

Night Float (2 wks)

Critical Care (2 wks)

Emergency Med (2 wks)

Wellness (2 wks)

Average ½ day in office/wk

  • Inpatient Medicine:  including
    • Clinical Medicine (8 weeks)- Our Clin Med service is an open service that accepts general admissions to the hospital from the Emergency Room. Many of these patients have not had access to care for many years and have multiple high acuity, chronic conditions. This teaching service is staffed by two interns and one to two second year residents along with an attending physician trained family medicine or internal medicine (our internal medicine faculty have a longstanding relationship with our program and uphold the values of family medicine on the service). The patient list for this service is generally 18-20 patients. Residents are exposed to a wide variety of of cases during each two week rotation on Clin Med. Each resident manages his/her own patients and have autonomy in clinical decision making. If a patient needs to be transferred to the ICU, the resident will continue managing the patient with the help of a critical care team. Residents on this service manage code blues, intubate patients with respiratory failure, insert central lines and a-lines, respond to septic shock alerts, and manage impending emergencies that require a 'rapid response team'. This service also includes formal teaching from a third year resident and from attending faculty on rounds.
    • GFP (4 weeks)- Grant Family Practice service- GFP is our second of two amazing inpatient services. This service only accepts patients who are seen by our family practice group -- attendings or residents within our program. This service ranges from 5-15 patients on average. The residents on this team manage the patients just as described above (code blue, intubations, lines, etc.). This service is unique in the way it prepares interns and third year residents for the next step of their training. Interns on this team manage the patients and utilize the third year resident as the supervisor. The third year is supervised by a Grant Family Medicine attending, but is the first decision maker on each aspect of patient care. This service provides great continuity for our patients and helps interns and R3's progress to the next level of their career with ease.  Additionally, all residents have the opportunity to round on their own personal continuity patients when they are admitted to the GFP service, fostering collaboration and keeping important continuity with our patients.
    • Night Float (2 weeks)- Night float consists of two weeks as a member of the inpatient team. Night float for interns starts during the second half of the year. During the overnight shift, the intern works with an upper year resident to handle new admissions, provide follow-up and acute care for GFP and Clin Med patients, and assist in emergent situations for all patients on the floors.
    • Critical Care (2 weeks)- This two week rotation is an inpatient rotation that is supervised by board certified intensivists. Because Grant has an open ICU, the program has a great relationship with intensivists. In addition to this two week rotation, we co-manage our Clin Med and GFP patients who require intensive care in the unit. This rotation consists of daily rounds with multi-disciplinary critical care team and numerous procedural opportunities.  Please note: 2nd years also complete two weeks of CCU, so this is not the only CCU experience.
  • Pediatrics: 10 weeks, including
    • Inpatient Peds (8 weeks)- The inpatient pediatrics experience occurs at Nationwide Children’s Hospital, one of the largest (and top rated) children’s hospitals in the country. During this rotation, interns work closely with attending pediatricians and alongside pediatric residents on both a general pediatric service, as well as an Infectious Disease rotation. 
    • Newborn (2 weeks)- The newborn rotation is a wonderful connection between our pediatrics experience and our obstetrics experience. The newborn rotation occurs in the newborn nursery at OhioHealth Grant Medical Center and provides opportunities for delivery room resuscitations, NICU experience, and circumcisions/procedures. In addition to the formal two weeks dedicated to newborn care, interns who deliver babies for patients who they have seen for prenatal care manage both mom and baby while they're in the hospital. Our continuity is with whole families, which is something we value highly!  Please note: 2nd years also complete two weeks of Newborn, so this is not the only Newborn experience.
  • Population Health: 6 weeks, including
    • Community Medicine and Behavioral Medicine- These weeks are dedicated outpatient weeks at your Family Medicine Center and outpatient clinics. During these weeks, there are additional experiences in coding/practice management, community medicine, and behavioral sciences.  Our longitudinal Population Health curriculum is integrated into all our rotations throughout the three years. Our residents learn how to conduct community assessments and care for their patients beyond their care in the office.
  • Obstetrics: 8 weeks
    • Our obstetrics experience at Grant will prepare you for prenatal care, labor and delivery care, and postpartum care. In addition to routine deliveries, interns gain significant experience in high risk obstetrics by co-managing high risk obstetrics patients with the OBGYN service at Grant. Interns do routine vaginal deliveries, assisted vaginal deliveries, amniotomy, IUPC placement, fetal monitoring, and triage evaluation for pregnant patients. Interns are also welcome to scrub in for C Sections with the OBGYN team! Interns are supervised by Family Medicine, general OBGYN, and MFM attendings.  You will also get exposure to our Centering Pregnancy group prenatal visits.
  • Surgery: 4 weeks, including
    • Inpatient Surgery- General Surgery service opportunities with procedural experience, as well as call nights with trauma surgery in our Level 1 trauma center.
    • Outpatient Surgery- Experiences with General Surgeons, Colorectal Surgeons, Podiatrists, Dermatologists, Urologists, and ENT.  Additionally, Family Medicine procedure clinic as well as anesthesia/OR time for intubation experiences.
  • Subspecialities: 4 weeks
    • Including Cardiology, Sleep Medicine, Nephrology, ID, Neurology, and Heme/Onc
  • ER: 2 weeks
    • The emergency medicine rotation will provide experiences for the Family Medicine resident to become more comfortable with high acuity emergency and multiple trauma patients.  
  • Wellness: 2 weeks
    • The Wellness rotation is designed to introduce and encourage the routine practice of resilience skills and building and maintaining individualized personal wellness programs for our residents.  Time is built in to allow for residents to seek their own wellness through health appointments (doctor, dentist etc), time for reflection, health assessment and learning goals.
  • Longitudinal Curriculum- PGY1s see their own continuity patients at their Family Medicine Center on average one half-day per week. These patients include pediatric patients, general medicine patients, patients with psychiatric diagnoses, prenatal care, geriatrics, and acute visits. The variety of patients at our offices never ceases to amaze us! In addition to managing patients independently, interns are encouraged to see several patients with our clinical Psychologist, Dr. Travis, for co-counseling office visits. This provides an opportunity to improve on counseling in the primary care setting and diagnosis and management of complex mental health diagnoses.