Family Medicine Residency Program

Our residents are providers at Palms Medical Group – Gainesville and Trenton. Our Gainesville clinic is mere blocks away from the hospital where we do the majority of our rotations.

Each resident has their own panel of patients and is part of a patient-centered medical home.

• PGY1 will see their patients one or two half-days per week throughout the internship.
• PGY2 will see their patients two to three half-days per week.
• PGY3 will have a continuity clinic four half-days per week throughout the year.

Our clinic is a Federally Qualified Health Center (FQHC), a community-based organization that provides comprehensive primary and acute care, oral health, and mental health services to persons of all ages, regardless of their ability to pay or their health insurance. FQHCs are the keystone for providing medical care to the community’s underserved patients.

We are now hosting a monthly SIM lab during our didactics led by our faculty in our world-class SIM-Center. We truly appreciate active, hands-on learning.

• Weekly Reading/Discussion Topics about pertinent topics in sports
• Medicine based on the Sports Medicine Fellowship Curriculum
• Monthly sports medicine Exam/Injection Workshops
• Online Self-Learning Modules and available topic readings

Several subscription costs are covered by the program. Examples of subscriptions include but are not limited to UpToDate, MKSAP, UWorld, ClinicalKey, AccessMedicine, and NEJM Resident 360. Our program formally meets with residents at least annually to decide how the program budget can best serve the needs of our residents' education through reimbursement of resources.

Costs incurred for USMLE/COMLEX may be eligible for payment by the program. It is advisable to contact program leadership prior to registration for more details.

Residents may park in any area that is not designated as patient/visitor or physician parking. This includes available spaces with the covered parking structures.

Residents are provided lunch during most educational activities that occur over the lunch hour.

The call rooms located in the basement of the Women's Center are dedicated to the use of the residents. There are 11 call rooms and several shower facilities available.

VPN accounts for home access to our hospital's medical records as well as HCA library and UCF library resources are provided.

We accept up to eight residents per year.

We are looking for applicants with a commitment to family medicine and the health of the community. Good interpersonal skills and a strong work ethic are equally important.

We are looking for applicants who we feel will “fit” with our team concept of learning and practicing family medicine.

We are fully accredited by the ACGME.

As of January 2016, our program received Continuing Accreditation Status.

Our hospital rotations are primarily held at HCA Florida North Florida Hospital in Gainesville, FL. North Florida Regional is a 445 bed, full-service medical and surgical acute care center serving North Central Florida.

NFRMC has more than 425 physicians on staff in 40 different specialties.

We do our inpatient pediatric rotation at Osceola Hospital in Orlando, a sister hospital within the HCA system. This experience is unopposed. Housing will be provided for the month.

Our outpatient family medicine clinic is the Palms Medical Group – Gainesville, a brand new practice designed from the ground up to support a residency practice. The practice is part of Palms Medical Group, a federally qualified health center, which services North Central Florida.

The center is located 3 blocks east of the North Florida Regional campus. This state-of-the-art center will feature 25 exam rooms, a large minor surgery room, pulmonary function testing, hearing testing, on-site laboratory, conference room, preceptor room, spacious waiting rooms, and electronic medical records.

Residents with an interest in rural medicine also have the opportunity to conduct their continuity clinic at our Trenton practice.

We consider our night float and call schedule to be a purely educational experience. Our hospital is fully staffed with attending physicians overnight and on weekends who are always available for direct supervision.

PGY-1

Our PGY-1s will have call experiences during 12-hour shifts on Saturdays and Sundays. Duties will include cross-covering patients in the hospital, and admissions from the emergency room. There is no night float for PGY-1s.

PGY-2 and 3

Our PGY-2s and PGY-3s (senior residents) will do one four-week block of night floats throughout the year. Residents on night float have no daytime responsibilities.

Senior residents will also be on-call on the weekends. This will include covering patients in the hospital, admissions from the emergency room, and obstetric deliveries.

Since the hospital is fully staffed with attending physicians on nights and weekends, your education is the top priority. You can choose to expand your experience in managing an admission or choose to deliver a baby.

Senior residents should expect one to two weekends of 24-hour in-house calls per month.

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, vasectomy, circumcision, exercise stress tests, 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, and thoracentesis.

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 and one senior resident caring for up to 15 patients under the supervision of either a Family Medicine or Internal Medicine attending.

These patients belong to our family medicine clinic or are in need of a primary care provider. Upon discharge, patients are encouraged to continue their care with our clinical team.

Each morning, residents pre-round on assigned patients prior to attending Morning Report at 7:30 am.

All residents and FM faculty will participate in morning reports which will consist of a didactic lecture and group discussion of admissions over the last 24 hours. This allows residents and staff who are not on the inpatient service to be aware of and participate in the care of their patients while hospitalized.

Next, the residents and physicians attend rounds as a team, evaluating each patient and collaborating to create a plan of care. Afternoons are spent following up on patients, their labs, imaging, tests and consults; as well as discharging patients, admitting new patients, and teaching. Residents will have at least one afternoon for clinic care and one afternoon for academics.

PGY1 residents spend two months on the inpatient service. PGY2 and 3 spend one month per year. If a resident plans on entering a hospitalist practice at graduation they will spend more time on inpatient service as a requirement of the hospitalist tract.

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.

Residents are required to complete a scholarly activity over the course of their training according to a point system. A minimum of 10 total points must be obtained for graduation.

Points are earned by conducting scholarly projects such as clinical trials, writing a book chapter or review article, or performing a program evaluation or quality improvement/process improvement project. This point-based system allows residents who have less research experience and who are possibly intimidated by research to engage in “smaller scale” projects such as writing review articles or conducting a small process improvement project. These “smaller scale” projects do not earn as many points so more than one is needed.