Family Medicine Residency Program

We view our night float and call schedule as a valuable educational experience designed to enhance residents' clinical decision-making, inpatient management, and supervision skills. Our hospital is fully staffed overnight and on weekends with attending physicians who are readily available for direct supervision and teaching, ensuring a supportive learning environment at all times.

PGY-1 Night Float Rotation

PGY-1 residents complete two-week blocks of Night Float, working Sunday evening through Saturday morning on 12-hour shifts from 7:00pm to 7:00am. Residents receive sign-out from the daytime team at 7:00pm and provide sign-out to the incoming daytime team at 7:00am. During this rotation, PGY-1 residents work closely with a senior resident and a dedicated nocturnist attending physician. Responsibilities include admitting patients to the hospital, admitting patients to the Family Medicine Inpatient Service, and assisting with overnight cross-coverage of the Family Medicine inpatient census.

PGY-1 Call Schedule

PGY-1 residents complete approximately 7 to 8 weekend call shifts annually. These shifts are typically 16-hour Saturday or Sunday assignments from 7:00am to 11:00pm. Responsibilities include traditional inpatient service duties, patient admissions, patient discharges, and ongoing management of hospitalized patients under attending physician supervision.

PGY-2 and PGY-3 Night Float Rotation

PGY-2 and PGY-3 residents complete two-week Night Float blocks similar to the PGY-1 experience, working Sunday evening through Saturday morning on 12-hour overnight shifts. Senior residents are responsible for supervising and teaching the PGY-1 resident, cross-covering the Family Medicine inpatient service, and evaluating and admitting patients under the direct supervision of the nocturnist attending physician. This rotation provides progressive responsibility while maintaining close faculty oversight.

PGY-2 and PGY-3 Call Schedule

PGY-2 residents can expect approximately 5 to 7 overnight weekend call shifts per year, while PGY-3 residents typically complete 2 to 5 overnight weekend call shifts annually. These shifts generally occur from Saturday evening at 7:00pm until Sunday morning at 7:00am. Responsibilities include hospital admissions, Family Medicine inpatient admissions, and overnight cross-coverage of the Family Medicine inpatient service. All patient care activities are performed under the direct supervision of the nocturnist attending physician, ensuring both patient safety and a high-quality educational experience.

We offer competitive salaries and benefits for all family medicine residents that are comparable to other programs in the state.

We share the hospital with an internal medicine residency. You will rarely work with these residents as our inpatient population is so large, there is no need for competition. You will have your inpatient rotations on the family medicine inpatient team, which is exclusive to family medicine residents.

You will have both family physician and internal medicine attendings on his service to give you exposure to both styles of inpatient care. We are unopposed in OB/GYN and Pediatrics, which are the two competing residencies that can detract most from a family medicine residency.

Our family medicine residency is a flexible program that allows residents to customize their experiences to prepare for their desired field of practice.

We have a superb faculty and staff that encourages residents to learn and practice in an environment that incorporates all specialties throughout the hospital.

We offer training in an excellent location and in a state-of-the-art outpatient facility. We understand the importance of the personal and family needs of our residents, which is why we offer a balanced work schedule with competitive salaries and benefits.

You will be trained in outpatient family medicine procedures including colposcopy, IUD insertion/removal, implantable contraception, skin biopsy, minor skin surgery, toenail removals, joint injections/aspirations and casting/splinting.

You will also have the opportunity to be trained in inpatient procedures such as central line placement, intubation, thoracentesis, and paracentesis.

You will participate in prenatal, antenatal and postnatal care of both the mother and infant and in the related procedures: vaginal deliveries, C-sections, limited OB ultrasound, neonatal IV, intubations, and more. You will decide if you want to pursue enough training in these procedures to be credentialed at graduation or just enough to meet the minimum requirements.

The Family Medicine Inpatient Service consists of a team of two PGY-1 residents, one PGY-2 resident, and one PGY-3 resident who care for hospitalized patients under the supervision of either a Family Medicine or Internal Medicine attending physician.

Residents and attending physicians participate in daily interdisciplinary rounds, evaluating each patient and collaborating to develop comprehensive plans of care. Afternoons are dedicated to patient follow-up, including review of laboratory results, imaging studies, diagnostic testing, and consultant recommendations, as well as patient admissions and discharges. Additional time is devoted to resident education and clinical teaching. Residents are provided with at least one half-day each week for continuity clinic and one half-day for academic activities.

PGY-1 residents complete six weeks of inpatient service during their training year. PGY-2 residents complete two months on the inpatient service, 4 to 6 weeks on the Night Float Service, and an additional two-week one-on-one Hospitalist Teaching Service with a dedicated hospitalist physician. PGY-3 residents complete six weeks of inpatient service annually. Residents participating in the Hospitalist Track spend additional time on inpatient rotations to meet the track's enhanced training requirements and to prepare for a career in hospital medicine.

The short answer is: as much as you want.

Residents are required to spend two months on obstetrics as a minimum requirement for program completion. This is both an outpatient and inpatient experience where you see patients in the OB clinic for both prenatal and postnatal care and deliver patients from the OB practice during those months.

Additionally, you will have some patients assigned to you that you will see for most of their prenatal care and ideally deliver them. If you choose to do more you can choose an OB track and have several months of obstetrics.

Our program adheres to the ACGME Program Requirements for Graduate Medical Education in Family Medicine as follows:

Resident Scholarly Activity Residents must participate in scholarship. Residents should complete two scholarly activities, at least one of which should be a quality improvement project. Residents should work in teams to complete scholarship, partnering with interdisciplinary colleagues, faculty members, and peers. Residents should disseminate scholarly activity through presentation or publication in local, regional, or national venues.

HCA offers a robust and interactive research team to assist with original research including prospective, retrospective, quality/performance improvement, and case series/presentation research. Current and prior residents have authored and presented a wide variety of research at multiple venues including (but not limited to) FAFP, STFM, and AMSSM medical conferences. We encourage residents at all levels to pursue research according to their individual interests, and our faculty are prepared and excited to assist with research initiatives and publication submissions.

In order to be promoted to PGY-3, you must take your exam in your PGY 1 year. You must pass your Step/Comlex 3 no later than September 30 of your PGY-2 year.

Applicants must have graduated from Medical school within the last 2 years. Some exceptions can be made for extenuating circumstances.