Residency Curriculum Options

Memorial residents have four curricular options:- Traditional, Rural, Health Service Management, and Sports Medicine Focus. Each option provides the resident with a strong base in the core areas of the family medicine while allowing the resident to pursue training more relevant to his or her intended carrier. Note : A block rotation is 4 weeks.

Traditional Curriculum

 The traditional curriculum, our most popular, is designed to prepare the resident for the challenges of practice in a variety of settings. The key to excellent resident education is direct patient management. Our philosophy is to allow residents to manage patients under the guidance of experienced physicians. The core clinical rotations of adult medicine, pediatrics, and obstetrics will provide plentiful and varied experience such that our graduates are very comfortable managing the most challenging patients.

1st Year Rotation - TRADITIONAL

DURATION

2 half days/week

Internal Medicine

5 blocks

Obstetrics

2 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Orthopedics

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Emergency Medicine

1 block


Longitudinal experiences in the first year include continuity clinic two half days a week on most rotations in the E. Blair Warner Family Medicine Center, a geriatrics nursing home experience, critical care, behavioral science, practice management, and noon conferences daily Monday through Friday.

2nd Year Rotation - TRADITIONAL

duration

 Family Medicine Center

3 half days/week

Internal Medicine

3 blocks

Obstetrics

1.5 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Gynecology

1 block

PCL Practice Management, Community Medicine, Leadership 


1 block

Rural Family Medicine

0.5 block

Outpatient Pediatrics / NICU

0.5 block

Sports Medicine

0.5 block

Elective

1 block


Longitudinal experiences in the second year include continuity clinic 3 half days a week on most rotations in the E. Blair Warner Family Medicine Center, a geriatrics nursing home experience, critical care, behavioral science, sports medicine, practice management, and noon conferences daily Monday through Friday. A wide variety of additional opportunities are available such as training room experiences at local schools and community outreach.

3rd Year Rotation - TRADITIONAL

duration

Family Medicine Center

4 half days/week

Internal Medicine, Chief of Service

1.5 Blocks

Obstetrics

1 block

Pediatrics (Inpatient)

2 blocks

Musculoskeletal Medicine

1 block

Emergency Medicine 

1 block

Surgical Subspecialties

1.5 block

Psychiatry (Outpatient)

0.5 block

Electives

4.5 blocks

Longitudinal components of curriculum

Behavioral Science / Noon Conference / Procedures


Longitudinal experiences in the third year include continuity clinic 4 half days a week on most rotations in the E. Blair Warner Family Medicine Center, a geriatrics nursing home experience, behavioral science, sports medicine, practice management, and noon conferences daily Monday through Friday. A wide variety of additional opportunities are available such as training room experiences at local schools and community outreach.

* Whichever of the two rotations not done the first year will be done second year

*Adult inpatient medicine, pulmonary, cardiology, pediatric in-patient service, and care of your continuity patients as inpatients all contribute to a longitudinal critical care experience.

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Rural Curriculum

Memorial has a rural focus curriculum that any resident who matches in the program may elect to take. This curriculum is intended for residents who know early in their training that they want to practice in a rural setting. One block in each of the three years is spent at a rural site. Years two and three allow the resident to select a site remote from the South Bend area. Many residents use this as an opportunity to work at a site in the region of the country where they hope to practice in the future. Modifications of the traditional curriculum to accommodate the three blocks of the rural rotations include moving one block of orthopedics from the first year to the third year and limiting other third year electives to three blocks.

1st Year Rotation - Rural

Duration

2 half days/week

Internal Medicine

5 blocks

Obstetrics

2 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Rural Family Medicine

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Emergency Medicine

1 block


2nd Year Rotation - rural

Duration

 Family Medicine Center

3 half days/week

Internal Medicine

3 blocks

Obstetrics

1.5 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Pulmonary/Critical Care or Cardiology*

1 block

1 block


1 block

Rural Family Medicine

1 block

Outpatient Pediatrics  / NICU

0.5 block

Orthopedics

1 block


3rd Year Rotation - rural

duration

Family Medicine Center

4 half days/week

Internal Medicine, Chief of Service

1.5 Blocks

Obstetrics

1 block

Pediatrics (Inpatient)

2 blocks

Sports Medicine

0.5 block

Musculoskeletal Medicine

1 block

Rural Family Practice

1 block

Surgical Subspecialties

1.5 block

Psychiatry (Outpatient)

0.5 block

1 block

Electives

3 blocks

Longitudinal components of curriculum

Behavioral Science / Noon Conference / Procedures

* Whichever of the two rotations not done the first year will be done second year

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Health Services Management Curriculum

This innovative four year curriculum not only prepares residents for a career in the practice of family medicine, but for a leadership role in health care administration and policy-making. The resident spends six and one-half blocks spread over years two through four, with the administrative and management team of Memorial Hospital and Health System rotating through departments concerned with finances, quality, information systems, corporate compliance, and much more. In addition, residents in this curriculum usually spend one evening a week during the academic year taking classes at Indiana University South Bend to fulfill the requirements for a Masters Degree in Public Affairs with a concentration in Health Services Management. Courses in the curriculum include emphasis on public management, health information systems, the impact of legislation and tort law on health care delivery and health planning as well as many other areas. This curriculum is available to a limited number of residents.

1st Year Rotation - HSM

DURATION

2 half days/week

Internal Medicine

5 blocks

Obstetrics

2 blocks

Pediatrics (Inpatient)

2 blocks

0.5 block

Radiology

0.5 block

Orthopedics

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Emergency Medicine

1 block


2nd Year Rotation - HSM

DURATION

 Family Practice Center

3 half days/week

Internal Medicine

3 blocks

Obstetrics

1.5 blocks

Pediatrics (Inpatient)

2 blocks

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Gynecology

1 block

Outpatient Pediatrics  / NICU

0.5 block

1.5 blocks
0.5 block

Elective

1 block


3rd Year Rotation - HSM

duration

Family Medicine Center

4 half days/week

Internal Medicine, Chief of Service

1.5 blocks

Obstetrics

1 block

Pediatrics (Inpatient)

2 blocks

0.5 block
1 block

Emergency Medicine

1 block

Community Medicine

0.5 block

Surgical Subspecialties

1.5 blocks

Psychiatry (Outpatient)

0.5 block

1.5 blocks
1 block

Electives

1 block


4th year rotation - hsm

duration

Family Medicine Center

2 half days/week

Clinic Staffing

1 half day/week

Teaching Medicine Chief

1 block

Health Services Management

3.5 blocks

1 block
0.5 block

Research

1 block

Employee Assistance Program

0.5 block

Substance Abuse

0.5 block

Occupational Medicine

0.5 block

Electives

4.5 blocks

Longitudinal components of curriculum

Behavioral Science / Noon Conference / Procedures

* Whichever of the two rotations not done the first year will be done second year

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Sports Medicine Focus Curriculum

Beginning in the PGY-1 curriculum there will be longitudinal components including high school training room and event coverage, preparticipation exams, research, and local, national, and international special events.

1st Year Rotation - SPORTS

DURATION

2 half days/week

Internal Medicine

5 blocks

Obstetrics

2 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Orthopedics / Sports Medicine

2 blocks

Pulmonary/Critical Care or Cardiology*

1 block

Emergency Medicine

1 block


2nd Year Rotation - SPORTS

duration

 Family Medicine Center

3 half days/week

Internal Medicine

3 blocks

Obstetrics

1.5 blocks

Pediatrics (Inpatient)

2 blocks

Surgery

1 block

Pulmonary/Critical Care or Cardiology*

1 block

Sports Medicine Research

1 block

PCL Practice Management, Community Medicine, Leadership


1 block

Rural Family Medicine

0.5 block

Outpatient Pediatrics / NICU

0.5 block

Musculoskeletal Medicine

1 block

Elective

0.5 block


3rd Year Rotation - SPORTS

duration

Family Medicine Center

4 half days/week

Internal Medicine, Chief of Service

1.5 Blocks

Obstetrics

1 block

Pediatrics (Inpatient)

2 blocks

Emergency Medicine 

1 block

Surgical Subspecialties

1.5 blocks

Sports Psychology

0.5 block

1 block
1 block

Electives

3.5 blocks

Longitudinal components of curriculum

Behavioral Science / Noon Conference / Procedures

* Whichever of the two rotations not done the first year will be done second year

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Elective Possibilities

The traditional curriculum has a total of 5.5 blocks of electives. The rural curriculum has 3 blocks of electives. The HSM Curriculum has 6.5 blocks of electives. The Sports Medicine Focus Curriculum has 4 blocks of electives. Note: Each block is 4 weeks long.

ELECTIVE

POSSIBILITIES

Endocrinology

Hematology/Oncology

Hospice

Infectious Disease

International Medicine

Nephrology

Pediatric Cardiology

Podiatry

Proctology

Radiology

Rheumatology

Substance Abuse

Wound Management

Other