Updated: July 24, 2009
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First Year
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Second Year
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Third Year
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OUTPATIENT HIGHLIGHTS
Outpatient service — Several months are dedicated to outpatient medical and surgical subspecialties, women's health, behavioral and community experiences, practice management, as well as the opportunity to train regularly in the Clinical Simulation Center.
In the 31st year, the Chelsea Health Center is an academic clinic serving the community of Chelsea, Michigan. Just 18 miles west of Ann Arbor, Chelsea is the essence of small town USA, with a wide variety of small industry and a vibrant main street full of shops, art galleries and restaurants. The clinic is surrounded by old growth forest. We provide comprehensive patient-centered care and offer a collegial environment for residents and faculty. The clinic is organized into three patient care teams of residents and faculty that have the feel of small group practices. Chelsea is a model academic and community practice, with faculty and residents practicing side-by-side and admitting patients to the department's inpatient service at Chelsea Community Hospital, which is a short walk away and where faculty and residents often meet for lunch.
The Ypsilanti Family Medicine Center celebrates its 13th year providing care for an underserved urban city, located 12 miles east of Ann Arbor.
Ypsilanti is known for its diverse community, ranging from academic professionals (Eastern Michigan University, Washtenaw Community College) to at-risk populations. Our clinic care is divided into two teams (Maize and Blue!) where we offer comprehensive family medicine services, with the goal of providing excellent clinical and preventive health services while meeting the education needs of our residents. Ypsilanti feels like a family with faculty and residents working side-by-side and admitting patients to the University of Michigan Family Medicine Inpatient Service. We care for a diverse population with African-Americans, Caucasians, Hispanics, Middle Eastern, West African, and other immigrant populations. A significant percentage of office visits require translators and we have on-site Spanish and French U-M interpreters. Our patient population is socio-economically diverse. We care for a large number of obstetrical patients. We also have on-site social workers, psychiatry, laboratory, and pahrmacy to provide easy access for our patients.
Block Months — First year block month is dedicated to clinical orientation and second year, procedural and practice management in addition to developing skills in the family medicine clinic.
Simulation Center — We are one of the first Family Medicine programs in the nation to incorporate medical simulation throughout the three years of residency training. This allows residents to hone their critical care, obstetric and procedural skills in a state of the art clinical simulation facility on a regular basis. These simulators use cutting edge technology to attain high fidelity, real time simulations. For instance, a resident training on the colonoscopy simulator looks at a screen with real time response to scope movements and air insufflation. They have the ability to perform mucosal biopsies, cautery and even snaring polyps. And if they push too hard or use too little sedation, the simulated patient reminds them (through the speakers) to manage the anesthesia appropriately (i.e., "ouch", "ow", or "hey").
Outpatient Procedures — The program offers excellent training in office-based procedures through dedicated procedures clinics. All teaching is one-on-one with family medicine faculty who have special interest in procedural training.
Surgery — Surgery rotations are specifically designed to train residents in surgical assessment and procedural techniques. Private and University of Michigan surgeons exclusively teach the family medicine residents at Chelsea Community Hospital. Residents participate directly in the surgery clinic and the operating room as the first assistant to the surgeon on all cases.
INPATIENT HIGHLIGHTS
Family Medicine Inpatient — The program offers residents a unique opportunity to practice in both a local, unopposed community hospital and the tertiary care University Hospital. Residents care for patients with a broad range of medical problems and are supervised exclusively by Family Medicine faculty.
Night Senior — One month in each of the second and third years is dedicated to evening shifts on one of our inpatient services. This experience was championed and organized by the residents many years ago to concentrate call and allow for a healthier residency lifestyle. Residents work 12-hour shifts Monday to Thursday nights as well as a 24 hour shift on Sunday for a total of two weeks.
Obstetrics — Residents first work one-on-one with attending faculty of the Department of Family Medicine who provide close procedural skill training and lead the resident through a core obstetrical curriculum. Residents then progress to a high-volume obstetric experience working with the faculty of the Departments of Family Medicine and Obstetrics and Gynecology.
Pediatrics — The pediatric experiences take advantage of the resources, reputation and the tradition of compassionate patient care at the world-class Mott Children's Hospital. In addition, residents receive dedicated teaching from academic leaders in the Department of Pediatrics.
Community outreach — Our residents are involved in numerous community outreach programs. We staff a migrant farm worker's clinic with our attendings from May to October. The Migrant Clinic provides care to migrant workers employed at farms around Manchester, Michigan. Working in a school-based clinic and at a clinic for underserved adolescents and children is also well established as part of our curriculum. We staff a school-based health enter at East Middle School. The health center welcomes students on a walk-in basis, and provides health education, primary health care, and referrals, in collaboration with parents and the primary care physician. Preventive health care and holistic well-being are emphasized. The shcool is located in Ypsilanti, where many students and families are medically underserved. The Corner Health Center was created to address Ypsilanti's high teen pregnancy rate and the health care needs of young families. Located downtown, it provides holistic, comprehensive health care and social services for people between 12 and 21 and their children, including prenatal care. The Latino Health Clinic provides specialilzed medical care to Spanish speaking patients from the Ypsilanti Health Center's population. The clinic is staffed by Spanish-speaking faculty and/or residents or with the presence of an interpreter. Our residents also organize and provide coverage with attendings for sports physicals to students at several community middle and high schools, doing health screening, health education, and encourging physical activity. In adddition, we have the opportunity to work with attendings in coverage of hight school, University of Michigan and Eastern Michigan University sporting events.
Resident Wellness - The residency program strongly endorses and supports a longitudinal curriculum for resident well-being. Residents are exposed to numerous models for caring for physical, emotional, spiritual, familial and social needs, and residents develop a Wellness Plan to guide them through the residency and into their careers. There is a monthly Wellness Group session and a number of didactic and experiential presentations throughout the three years of residency. Some of the experiential workshops include Cognitive and Behavioral Models of Relaxation, Deep Breathing and Meditation Techniques, Tai Chi Workshops, Strength and Resistance training, Models of Stress and Wellness and Outdoor Team Building Exercises.
ELECTIVE HIGHLIGHTS
Electives — Residents are free to choose pre-designed electives or create their own electives from any of the resources of our healthcare system. Frequently chosen electives include sports medicine, cardiology, high-risk obstetrics, public health, pediatrics, orthopedics, radiology and integrative medicine.
International opportunities — International medicine opportunities are available and supported by the residency. Faculty and residents travel abroad annually with regular medical missions to Africa, South America, and Jamaica.
Selectives — The selective month offers the flexibility to choose a core area of interest to pursue in greater depth such as adult inpatient medicine, obstetrics or research.
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