The purpose of the organized, procedural Family Medicine Residency curriculum at Wake Forest School of Medicine is to ensure that residents in training have appropriate exposure, both cognitively and experientially, to procedures in family medicine.
A full spectrum of office procedures is available for residents to master including:
- Joint and bursal injections
- Exercise treadmill testing
- Endometrial biopsies
- Radiofrequency skin surgery
- Common skin biopsies
- Elliptical excision procedures
The goal of the curriculum is to adequately train and certify each resident in the core procedures of our specialty in a coherent manner. Factors that affect a resident’s ability to competently perform a procedure include:
- Preparation in the form of reading.
- Practicing on appropriate models where available.
- Repeated exposure to the procedure even if not completing it entirely themselves.
- Actual performance in a supervised setting.
Faculty will actively scrutinize the resident’s technique and provide detailed feedback after procedures. If the resident demonstrates clear ability to perform the procedure, then credentialing for that procedure can be accomplished without reservation, allowing the resident to move on to independent performance without supervision.
Many procedural opportunities are woven through the residency curriculum in:
- Maternal health
- Sports medicine
- Emergency department
- Inpatient service
Rotations provide practice and education relevant to primary care, even if acquired in other specialty areas. Specific rotations have been carefully selected to meet the educational goals and objectives laid out by our department. Residents' evaluations of learning experiences are carefully monitored, and close contact is maintained between faculty representatives of our department and the other specialty departments in which the residents work.
Residents begin their training with an initial orientation period to acquaint them with their new surroundings and colleagues, including a team-building day. This is designed to lay the foundation for the study and practice of family medicine, as well as to give the resident a sense of his or her home territory before beginning rotations in other clinical departments.
Year 1 Overview
During the first year, residents can expect training that includes:
- Nine four-week blocks are spent at Wake Forest Baptist Medical Center, the tertiary care hospital affiliated with the School of Medicine.
- One block is spent at Forsyth Memorial Hospital, an 800-bed community hospital located a few miles away.
- Three blocks are spent in the Family Medicine Center, which operates under a shift or night float system.
The final two weeks of intern year consist of a two-week orientation to prepare for promotion and a more outpatient-focused curriculum. This orientation involves both clinical, leadership and social activities that focus on acquisition of knowledge and development of procedural skills consistent with the upcoming responsibilities that the residents assume in year two.