Christiana Care’s Family Medicine Residency Program has an innovative longitudinal curriculum. Our innovations have led to transformation and changes in the content, structure and location of residency training.
Examples of changes to our first-year curriculum:
Sample schedule for Family Medicine
|Traditional obstetrics||Ambulatory reproductive care|
|Inpatient surgery||Outpatient surgery|
|Tertiary ICU||Tertiary ICU + Community ICU|
|1 office session/week||2.5 average sessions/week|
Some highlights of our program:
Training in high-quality ambulatory care
Residents will focus on ambulatory care learning because family medicine physicians spend the majority of their time in the outpatient setting.
Individualized curriculum and interest tracks
While our primary goal is to train residents in core family medicine, we strongly believe in nurturing the interests of residents. With our longitudinal curriculum, we are able to tailor the curriculum to an individual resident’s needs and interest.
Residents will serve two practices in three locations. One practice offers care to a suburban and urban underserved population. The other practice is a Federally Qualified Health Center.
Details of our curriculum
To create the most positive transition to your residency experience, we devote the first month of internship to family medicine orientation.
The purpose of this month is to:
- Immerse interns in ambulatory family medicine.
- Allow residents to become thoroughly comfortable with our office, our staff, our faculty and our residents before going to other services and rotations.
- Provide interns with an early sense of belonging to the Family Medicine Department.
The components of this orientation are:
- Shadowing to learn flow.
- Meeting the nurses, front desk staff, preceptors, residents, etc.
- Ambulatory didactics.
- Procedural training
- Billing and coding.
- EMR training, pearls, practice.
- Chronic disease management.
- Social determinents of health
- Evidence-based medicine.
- Inpatient orientations.
- “A day in the life of an intern.”
- Interns will have at least seven office-hour sessions in the first month of training
Thursday afternoon conference
Residents attend resident conference every Thursday afternoon, unless on a rotation from which they cannot be excused.
Conference consists of a mix of lectures and small-group case-based learning workshops, simulated learning and field trips. Residents give various presentations, including morning report and morbidity and mortality report.
Year 1 Schedule for Family Medicine Residency Program
|Rotation||Number of Weeks|
|Ambulatory Reproductive Health||6|
|Family Medicine Inpatient||10
Broken into two four-week blocks and one two-week block, spaced throughout the year. Includes one to three weeks of night float.
May not be taken during inpatient rotations.
Program Years 2-3
The second- and third-year curriculum is longitudinal and incorporates core family medicine training with the innovative elements our transformative approach. As opposed to traditional one month blocks rotations our rotations are arranged in one week blocks of time called mini blocks. These mini blocks repeat throughout the second and third year.
Sample Upper Year Mini Block Schedule
|Sample Mini Block|
|AM||Office Hours||Sports Medicine||Office Hours||ENT|
|PM||Cardiology||Office Hours||Outside Continuity Site (such as a Wellness Center)||Office Hours||Office Hours|
- Second-year orientation will be held to transition first-year residents to upper-year status.
- Experience in a broad spectrum of care, including nursing home, geriatric care (ambulatory and home visits), OB clinic, pediatric ER, urgent care, mobile health unit and rural rotations.
- Six to eight weeks of daytime, inpatient coverage and three weeks of night float as part of Wilmington Hospital Inpatient Service (WHIP).
- An opportunity for longitudinal electives, away or local elective rotations.