Program Curriculum

Our ACGME-accredited, three-year program is offered at HCA Houston Healthcare West and boasts a relationship with Hope Clinic, our outpatient continuity clinic, as well an academic relationship with the University of Houston College of Medicine.

PGY Year Block 1 Block 2 Block 3 Block 4 Block 5 Block 6 Block 7 Block 8 Block 9 Block 10 Block 11 Block 12 Block 13
Site # 1 1 1 1 1 1 1 1 1 1 1 3 3
PGY1  FMM OB1 IM1 IM2 ICU1 Psychiatry Neurology Nursery/Neonatology Surgery Pediatric Care ER1 Outpatient Pediatrics GYN
% Outpatient 90 10 10 10 10 30 30 10 50 50 100 100 90
% Research 20 10 10 10 10 10 10 10 10 10 10 10 10
Site # 1 1 1 1 1 1 1 1 1 1 1 1 2
PGY2 OB2 IM3 IM4 Endocrinology Sports Medicine Orthopedics Podiatry/Urology Community Medicine/ Practice Management ICU2 Cardiology ENT and Sleep Medicine Anesthesiology/Radiology Inpatient Pediatrics
% Outpatient 10 10 10 100 100 50 50 100 10 100 50 30 90
% Research 10 10 10 10 10 10 10 20 10 10 10 10 10
Site # 1 1 1 1 1 1 1 1 1 1 1 1 3
PGY3 Geriatrics Elective IM5 Nephrology IM6 Elective Elective Advocacy and Leadership ER2 Elective Dermatology Ophthalmology Outpatient Pediatrics
% Outpatient 100 100 10 30 100 100 100 100 100 100 100 100 100
% Research 10 10 10 10 10 10 10 10 10 10 10 10 10

NOTES

Elective Rotations(include but not limited to): Endocrinology, Outpatient Pediatrics, Surgery, Infectious Disease, Family Medicine, Neurology, Inpatient Pediatrics, Critical Care, Radiology, Anesthesiology, Obstetrics, Gynecology, Sleep Medicine, ENT, Neuro-ophthalmology, Ophthalmology, Inpatient Medicine, Emergency room, Nursery/NICU, Dermatology, Sports Medicine, Orthopedics, Urology, Podiatry, Nephrology, Gastroenterology.

Advocacy/Leadership: Structured time to learn about political representation for AAFP, TAFP, TMA, AMA. Rotation includes taking advocacy training, advocacy course modules, research project, leadership training, lobbying training, writing to congress, attending virtual meetings with legislators, attending advocacy meetings, meeting with legislators for family medicine education or clinical practice issues. Resident is expected sign up and participate in state/regional/national advocacy groups and committees.

FMM: Family Medicine Month –Intro to Family Medicine. This rotation serves as an orientation block and includes lectures, OSCEs, interactive sessions, life support courses, board review, EMR training, simulation training, continuity clinic, time in inpatient service/ICU/ER, time for scholarly activity and research, and online modules. Residents meet with chief residents, upper levels, advisors, mentors, core faculty, facility and clinic leadership, and participate in Wellness/Team building.

Nursing Home: experience will be longitudinal as well as during the geriatric rotation. Each resident is assigned 2-3 patients.

PTO/Vacations: Residents may take 1 week vacation in any block except the following: IM, ICU,FMM, OB, Inpatient Pediatrics, and Nursery/NICU. Vacations during the 2 week rotations are on a case/case basis at the discretion of the program director.

Practice Management: Residents learn about billing/coding, US healthcare system, setting up a practice, interviewing, contract negotiation, employment options, malpractice, efficiency of a practice, burnout/wellness, and legal issues.  Residents spend time with various leaders from the facility, clinic, as well as CEOs, CFOs, financial advisors, insurance agents, and various FM physicians from different types of practice (academic, direct primary care, integrative medicine, solo practice, employed model).  There is a structured rotation in PGY2 in addition to the longitudinal curriculum which involves didactics as well as interactive sessions with marketing team/core faculty/financial companies.

Community Medicine: Residents spend time with leaders from various organizations both locally and nationally. Residents spend time with outreach teams from the clinic and facility as well. Residents learn about the various organizations that can help the patients they serve.  Residents also learn about the organizations ‘mission, community impact, funding, as well as opportunities for volunteerism. Residents spend time with case managers, care coordinators, social workers, and ancillary staff.

Abbreviations: IM = inpatient medicine; OB = obstetrics, ICU = intensive care unit, ER = emergency room, ENT = ear/nose/throat, GYN = Gynecology

Participating Sites

Site 1 –HCA Houston Healthcare West (previously known as West Houston Medical Center)

Site 2 –The Woman’s Hospital of Texas

Site 3 –Hope Clinic