Curricula
I. Curriculum
a. First Year (four week rotations – includes 2 weeks vacation, 1 week CME and 1 half-day per week in the Family Health Center):
1 Family Medicine Orientation
1 Emergency Medicine
3 Adult Medicine
1 General Surgery
1 ICU/CCU
2 Obstetrics (one is high-risk)
2 Pediatrics (one is Newborn Nursery)
1 Cardiology
1 Elective
b. Second/Third Years (four week rotations – includes 3 weeks vacation and 1 week CME each year):
Office Time Integrated With Out-Rotation Experiences (2-5 half-days a week in the Family Health Center dictated by level of training):
1 General Surgery
1 Outpatient Pediatrics
1 Subspecialty Pediatrics
1 Gynecology
1 Dermatology
1 Emergency Medicine
1 ENT/Urology
1 Systems-Based Practice
4 Elective
5 Family Medicine Inpatient Service (includes night float)
2 Orthopedics
c. Dedicated Office Time Experience (7-8 half-days a week in the Family Health Center)
7 Family Health Center Block Time
d. Longitudinal Experiences
Continuity Community Service Prenatal Clinic
Behavioral Science
Procedural Training
Nursing Home Care
Home Visits
Didactics
Obstetrical Track
II. Call Schedule
a. PGY I: The call schedule during the first year of residency training varies with each rotation, but averages every fourth night.
b. PGY 2/3: Our Family Medicine Inpatient Service (FMIP), made up of the entire pool of second and third year residents, handles medicine/pediatric call (including admissions) for our two Family Health Centers). In addition to the FHC patients, residents also admit patients from the MSU Clinical Center practice. The residency also assists in providing coverage for unassigned patients admitted via the emergency room on a fair-share basis with other providers. Each upper level resident is responsible for five FMIP rotations over years 2 and 3. Time on FMIP is divided into primary team activities and night float. During primary team rotations, senior in-house call is taken once or twice weekly on the weekends, shared with the other upper level residents on the service. During night float rotations, the night float resident covers night call Monday through Thursday each week. Upper level residents supervise first year residents when taking FMIP in-house call. Comfortable, private and secure call quarters are available for Family Medicine residents on call duty. During primary team and night float rotations, residents have no other obligations beyond a required one-half day of continuity office time per week. FMIP manpower generally consists of two first year residents and five upper level residents on the service at any one time.
The Family-Centered OB Service (FCOB) is part of the Family Medicine Inpatient Service. Upper level residents doing Night Float and FMIP weekend call cover the FCOB service during night-time hours and on the weekends. Residents are expected to deliver their own individually assigned continuity patients from either their home office or the community service prenatal clinic. However, the FCOB upper level resident on-call is the default delivery mechanism for all community family medicine patients and for all continuity patients whose primary residents are unable to attend their deliveries.
Upper level Family Medicine residents have minimal call requirements on other rotational experiences during years 2 and 3. None of the other Sparrow residency program services depend on family medicine residents for call coverage after the first year of training.
III. Training Sites
Residents will have extensive opportunities to participate in direct patient care and the development of ongoing individual patient panels in our two Family Health Centers.
Faculty preceptors are available in the Family Health Centers during all patient care sessions with no responsibilities other than supervising and teaching residents. Each Family Health Center has its own obstetrical practice and deliveries are supervised by family physicians. Participation in Medicaid, Medicare, managed health care plans, and commercial insurance plans provide a wide socioeconomic mix in the Family Health Centers.
The two training sites are:
Sparrow Family Health Center-Central (located adjacent to Sparrow Hospital in the Sparrow Professional Building). Central provides care for 20,000 patients annually. There are 5-6 full-time equivalent faculty and 10 upper level residents assigned to this site.
Sparrow Family Health Center-Mason (located 16 miles southeast of Lansing in the Mason Community Health Center). SFHC-Mason provides care for 9,000 patients annually. Two full-time equivalent faculty and six upper level residents are assigned to this more rural training site.
IV. Other
For additional information and statistics on our residency program, visit FRIEDA Online or the AOA Opportunities Database. FRIEDA Online is a database maintained by the American Medical Association that contains information on residency programs that have been accredited by the Accreditation Council for Graduate Medical Education. The Opportunities Database is a similar database maintained by the American Osteopathic Association for AOA approved internships/residencies/fellowships. Information available includes length of training, program size, number of faculty, work and education environment, compensation, and post-training career plans of recent graduates.