Electives and Non-Call Rotations
The amount of time assigned to electives increases from 3 months in the first year to 6 months in the third year. Residents may serve on traditional consultation services such as cardiology, gastroenterology, pulmonary, nephrology, hematology-oncology, infectious diseases and other medicine subspecialties. In addition, residents are encouraged to complete neurology and medical consult rotations. Additionally, residents are encouraged to choose three ambulatory based electives such as dermatology, endocrinology or rheumatology.
Electives are also available in community medicine, occupational medicine, rehabilitation medicine, gynecology, otolaryngology, ophthalmology, anesthesiology, orthopedics, radiology and pathology. Other rotations, including research projects and an elective in Medical Educaton, are often arranged to meet the needs and interests of residents.
Medical Consult (PGY-3)
On the medical consultation service you will perform medical consults for the non-medicine services for a period of two weeks. You will also have the opportunity to participate in an interdisciplinary approach to patient care while you co-manage patients with several other non-medical services. From this work you will learn the basic tenets of liaison work, master pre-operative patient evaluations and review relevant literature.
The University of Massachusetts Medical School and the UMassMemorial Health Care system have a strong history of valuing Primary Care as the core of a patient’s health care experience and coordination. We are fortunate to be able to train our residents in such an environment. Each categorical resident will be assigned a continuity clinic site, where they will become a valued member of a health care team and co-manage a panel of patients. Residents attend continuity clinic during their Ambulatory weeks, but not during inpatient or ICU service weeks. In this 4+1 system, we are able to separate inpatient and outpatient responsibilities, allowing for a more concentrated and enhanced experience in each environment. Residents also have amble opportunity to experience other ambulatory clinic experiences in subspecialty clinics (Medicine/Surgery), community clinics, and interprofessional environments (Visiting Nursing, Hospice Nursing, Elder Protective Services, Home Visits, PT/OT).
During this week, residents will have
- 5 Continuity Clinic sessions
- 1 Didactic/Ambulatory Core Curriculum session
- 2 Subspecialty clinic sessions
- 2 Independent learning sessions to complete
- Clinic documentation and lab/radiology follow up
- Independent online learning modules (Johns Hopkins, Geriasims, Institute for Healthcare Improvement, American Academy of Dermatology)
- Longitudinal Quality Improvement Project