The Ambulatory Pediatrics rotation is done in combination with the Pediatric ER rotation during second year. Residents spend 1-2 half days per week with a local pediatrician becoming proficient with well child care and common outpatient pediatric presentations. During the rotation, residents become familiar with acute pediatric concerns as well and when further evaluation or referral may be necessary.
The surgery rotation is a one-month rotation in which residents see patients at several outpatient surgery sites. The Ambulatory Surgery rotation is a one-month rotation in which residents spend time in various outpatient surgical settings. Residents may work with general surgeons, neurosurgeons, bariatric specialists, and others, seeing patients for consultation as well as follow up. OR time can often be arranged with an attending if there is interest. The rotation provides an opportunity for residents to meet some of the surgeons to whom they refer patients and to learn what happens to patients after they are referred.
Ambulatory Women’s Health
The Ambulatory Women’s Health rotation introduces residents to the multiple resources in the community for women’s health needs. Residents work with family medicine faculty providing health care maintenance, colposcopy, and family planning for women; as well as work with specialists in gynecology, osteoporosis, and menopause.
The CCU rotation is a one-month experience in the Critical Care Unit at the Memorial Campus. During this rotation Family Medicine residents are the only residents in the unit, caring for patients with the support and assistance of intensivists who include attendings as well as mid-level practitioners (NPs and PAs). This rotation provides education in vent management, central line placement, and management of a number of critical care diagnoses including sepsis, MI, and massive GI bleed among others. It is also an opportunity to explore end-of-life care. The CCU is where critically ill patients on FMIS are transferred and this rotation provides not only important curricular components, but also allows for a comfortable working relationship between the CCU and FMIS.
The Dermatology rotation is a one-month rotation during which residents work with attendings and residents in dermatology clinics. Residents gain experience diagnosing common skin conditions such as acne, rashes, and moles of all kinds. There is also opportunity to perform skin procedures such as cryotherapy, punch biopsies, and excisions.
Developmental Behavioral Pediatrics
The Developmental Behavioral Pediatrics rotation is a 4 week rotation that takes you through various stages of child development while focusing on the evaluation of children with abnormal development. Residents spend time with a family doctor doing ADHD evaluations, developmental pediatricians, early intervention, and go on home visits. During the month, didactics are given by an occupational therapist, physical therapist, and a speech language pathologist in addition to many informal talks throughout the month.
Residents are encouraged to follow their passions with their elective time. Many residents choose to have a longitudinal elective and extend their elective time throughout their residency. Longitudinal electives include sports medicine, group prenatal care, and faculty development. Block elective time can be used for exploration of multiple specialties such as diabetes management, breast care, and pediatrics; or to provide additional training in sports medicine, faculty development, and maternity care.
The Emergency Medicine rotation is a one-month rotation in which residents work in a very busy adult Emergency Department at the University Campus, which is a Level I trauma center. Residents work alongside other residents from Emergency, Med-Peds, Medicine, OB, and Psychiatry. There are plenty of patients to go around and cases are assigned in order. Family Medicine residents are allowed and encouraged to care for patients with everything from acute MI and CVA to lacerations to miscarriage. During this rotation, residents gain confidence with triage and management of emergency situations in adults.
Family Medicine Inpatient Service
The Family Medicine Inpatient Service (FMIS) rotation comprises 3 non-consecutive months of the first year, 3 non-consecutive months of the second year, and 1 month of the third year. Residents work in teams and care for patients with health center, private, and hospitalist attendings. Morning report, didactics, and bedside teaching rounds occur daily. During this rotation, residents will gain experience with a very diverse patient population with an array of common as well as unusual diagnoses. Residents utilize a team-based approach working closely with attendings, nurses, pharmacists, behavioral scientists, case managers, and others.
Foundations Orientation Block
The progression from student to resident physician is a challenging transition. Add new surroundings, new colleagues, and new supervisors to the mix and the challenge can become overwhelming. The Foundations rotation is the first rotation for all new residents at the Worcester Family Medicine Residency. The rotation allows residents to transition into their new role in a safe and supportive environment while also caring for patients, participating in workshops, and bonding with colleagues.
The Geriatrics rotation is a one-month rotation dedicated to the care of the elderly. Residents learn how to care for this vulnerable and growing population by working in various settings including outpatient offices, hospitals, and nursing homes. Residents receive teaching from physical and occupational therapists, geriatricians, and geriatric psychiatrists, among others. The rotation combines teaching during patient encounters with a didactic curriculum that covers important topics in geriatrics.
Health Center Based Practice Management
Residents enjoy this opportunity to explore the practice management of their health center. This rotation gives third year residents the opportunity to understand staffing, expenses, and the overall practice management of their health center. Residents also have the opportunity to use additional administrative time during this rotation to work on their scholarly projects.
Health Center Chief
Residents are the chief of their health centers for three months of their third year. During this rotation residents round on patients of the health center admitted to the hospital and are the key liason between the inpatient and outpatient worlds. They are responsible for communication to the primary care physicians and between specialists who are also involved in the patients’ care. This rotation provides residents with a clear understanding of the full spectrum of family medicine and gives a great opportunity for building confidence for future practice opportunities.
The Inpatient Pediatrics rotation is a 4 week rotation spent on a busy inpatient pediatrics service on the University Campus. Residents work with senior residents in pediatrics and med-peds in addition to the pediatric hospitalists and family doctors that admit to the hospital. During this rotation, residents gain a breadth of experience in common inpatient pediatrics disease such as pneumonia, gastroenteritis, dehydration, bronchiolitis, soft tissue infection, as well as pediatric patients with cystic fibrosis, sickle cell disease and oncology patients.
Maternal Child Health
The MCH rotation is a family medicine department based maternity care rotation that residents complete in their first year, and return for two months in their second year. The Maternal Child Health rotation is focused on learning family centered maternity care. Residents care for patients admitted to family physicians on labor and delivery for active labor and antenatal concerns. Residents care for these women and their infants postpartum, with supervision by family medicine attendings from the residency health centers and from the community. An online curriculum bolsters the education as well as the regular didactic sessions.
The NICU/Newborn Nursery rotation is a 4 week rotation that is split up into two parts. Two of the weeks will be spent on a level III NICU at the Memorial Campus where residents manage their own patients with careful supervision by senior pediatric residents, neonatal nurse practitioners and the neonatologists. Residents attend c-sections and high risk deliveries and may assist with neonatal transports. During the other two weeks, residents work on the pediatric newborn nursery service to become comfortable with care of healthy newborns as well as common newborn issues such as hyperbilirubinemia, congenital hip dysplasia, TTN, and hypoglycemia.
The Obstetrics rotation follows the initial MCH rotation. Residents are part of the busy obstetric service, working with OB/GYN residents and OB/GYN attendings. Residents gain skills in managing a busy service and experience with complications of pregnancy and delivery. Residents enjoy the high volume experience of this service, preparing them for their return to the MCH service in their second year.
Residents have the opportunity to work with various orthopedic specialists during this third year rotation. Residents gain more experience with pre-op evaluation, consultation, and post operative recovery as well as excellent experience in fracture management working with the orthopedic residents in the emergency department.
Urgent Care Pediatrics
The Pediatric ER rotation is a 4 week rotation that is combined with the Ambulatory Pediatrics rotation during second year and an Urgent Care experience during third year of residency. The rotation is at a busy tertiary care pediatric ER at the University Campus with a pediatric urgent care located adjacent to the ER. Residents work with Pediatric ER physicians along with pediatric and ER residents. Residents care for pediatric patients with acute and critical issues as well as learn to do procedures such as laceration repair, lumbar punctures, splinting/casting, and more.
Join our sports medicine fellowship faculty and fellows in a robust experience caring for patients from multiple communities on this one month rotation in the second year. Residents have the opportunity to provide game coverage, perform preparticipation physicals, as well as see many injured athletes during this rotation. Joint injection, casting, and physical therapy experience also are available during this rotation.
The surgery rotation in the second year is a one-month experience in which residents work one-on-one with colorectal surgery and plastic surgery attendings. During this month, there is opportunity to observe and perform colonoscopies, participate in office-based consults and follow-ups in the colorectal and plastic clinics, and perform plastic surgery procedures such as biopsies, excisions, and suturing.
The Surgical Subspecialties rotation is a one-month rotation that is divided amongst experiences in ENT, ophthalmology, and urology. Residents work one-on-one with attendings in these specialties, participating in consultations, follow-ups, and some procedures. This allows residents to get to know specialists in their practice community and learn what and when to refer as well as what happens to patients after they are referred.