Third Year

The residency program is organized as a progressive educational experience with increasing patient responsibilities over the three years of training as residents develop clinical skills and demonstrate medical judgment and competence. The training program consists of formal teaching and clinical experiences on assigned rotations, patient care in the Family Medicine Clinic, and structured conferences. Our community has diverse medical resources available for educational use by the residents. The residency asks the residents to take responsibility for their learning environment and to work with the faculty in making their experience the best possible.

By their third year, residents are ready to spend two weeks to one month rotations in other specialty clinics within the hospital: dermatology, gynecology, ophthalmology, otolaryngology and urology. They also able to devote four months to the electives they identified as important to them.

Family Medicine Clinic
The purpose of this rotation is to provide senior residents the opportunity to function as a busy family physician in the outpatient setting on a daily basis. The senior resident will provide ambulatory care in the Family Medicine Clinic one month in second and third years of training. They will spend time in their continuity clinic, procedure clinic and in our same-day-access clinic, which are all located within the Family Care Center.
Family Medicine Inpatient Service – Night Float
Residents in this position will assume care of all Family Medicine inpatients, including newborns, post-partum women, and any children, for the evening and overnight hours during the week, and after the inpatient team has rounded on the weekends. Residents work in pairs with a junior and senior resident for this 2 week rotation.
Family Medicine Inpatient Service
While the junior residents are responsible for the clinical care of service patients, the senior resident is responsible for coordinating all clinical, educational, and administrative responsibilities of the service. This includes ensuring that the service runs smoothly, and that all clinical and educational activities happen on time and in the correct place. It includes advising and supervising the junior residents and students in the provision of clinical care to patients, and ensuring that the care delivered is of the highest quality. It includes participation in the education of junior residents and other learners in cooperation with the attending faculty physician. It is probably the most complex and challenging job in the residency-- and it can be one of the most rewarding and fulfilling!
Residents will spend time in our UI Hospitals and Clinics Dermatology clinic working one-on-one with board certified dermatologists where they learn to identify common skin conditions and distinguish abnormal and serious presentations of dermatologic disorders. Residents gain knowledge of commonly seen skin diseases and treatments in the Family Medicine Clinic and attend dermatology didactic presentations.
Newborn and Maternal Medicine
This resident works one-on-one with one of our Family Medicine OB faculty providing care to Family Medicine newborn, infants (<3 months) and obstetric patients in the hospital setting. Residents will have experience triaging OB patients, resuscitating and evaluating newborns, first-assisting for Family Medicine cesarean sections and performing procedures for newborn infants.
Gynecological care is taught in the Family Medicine Clinic as well as the Gynecology Clinic. Residents participate in the Gynecology general and specialty care clinics including PMS, vulvar/vaginal, menopause and ultrasound. In addition, the Family Medicine faculty provides instruction in colposcopy, LEEP, IUD/Implanon, and endometrial biopsy in the Family Medicine Clinic.
This rotation is an outpatient pediatric experience working in specialty and general pediatric clinics where residents see common pediatric presentations pertinent to their future practices. Residents gain experience with developmental screening and assessment, developmental delay, nutritional challenges including failure to thrive, and a variety of health and wellness concerns in children. Residents are supervised by staff pediatricians and spend time working in the Development and Behavioral Medicine Clinic, Pediatric Gastroenterology Clinic and the General Pediatric Clinic.
Continuity of Care Clinic
During the third year, residents will spend 3-5 half days each week in their Continuity of Care Clinic. It is in this setting that residents develop their office medicine skills and provide care to patients who selected them as their family physician. Residents maintain responsibility for their patients' care throughout the three years of training, thereby acquiring the skills needed to deliver continuing and comprehensive care. Emphasis is placed on patient education and maintaining health as well as treating disease.
Longitudinal Behavioral Medicine
Knowledge and skills in behavioral medicine and psychiatry are integrated throughout the residents' educational experience. Training is primarily in the outpatient setting through a combination of longitudinal experiences and didactic presentations. The behavioral medicine and family physician faculty members work closely with the residents to develop and refine physician/patient relationships, patient interviewing skills and counseling skills in the Family Medicine Clinic.
Longitudinal Geriatrics
Care of the older patient is provided throughout the residency in the care of assigned patients in the Family Medicine Clinic and Family Medicine Inpatient Service settings. Residents also participate in Geriatric Clinics and Nursing Home Rounds with family medicine and internal medicine faculty, and meet with the Geriatrics Multidisciplinary Team to discuss unique problems of their geriatric patients. These longitudinal and focused learning experiences provide residents educational experiences in common and complex clinical problems of the older patient, including preventive aspects of health care, the acute and chronic entities of aging, and the effective use of all members of the health care team. Seven members of the Family Medicine faculty have Certificate of Added Qualification (CAQ) in Geriatrics and participate in the Geriatrics Fellowship.
Longitudinal Management of Health Symptoms
Practice management has become increasingly important in the training of family physicians, regardless of the mode of practice within the specialty. The curriculum provides a broad economic, legal, human and conceptual foundation so as to prepare residency graduates to ask sound business questions, interpret financial data, and promote and develop a productive work environment in the practice setting. Curriculum is presented throughout the three years in the form of seminars, workshops and practical experience in the Family Medicine Clinic and independent study. Members of the University of Iowa business and law faculty and experts from statewide and community health care settings give presentations on finance and accounting, legal issues, human resources and personnel issues, effects of legal and economic environmental trends, leadership perspectives, marketing and technology in the office.

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