Family Medicine

Program Focus

The Family Medicine Residency program is 3 year program with 10 positions per year.

First Year

This year has the most inpatient experience. Most rotations are at Mercy Health Saint Mary’s. One Obstetrics rotation is at Spectrum Health, Butterworth Campus. The Pediatrics rotations are at Helen DeVos Children’s Hospital.

PGY 1 Rotations

  • Orientation – FMS Saint Mary’s – 4 weeks
  • Family Medicine Saint Mary’s – 16 weeks
  • Family Medicine Night Float Saint Mary’s – 4 weeks
  • Community Medicine Outpatient – 4 weeks
  • Pediatrics Spectrum Health – Helen DeVos Children’s – 8 weeks
  • Obstetrics Saint Mary’s and Butterworth  – 8 weeks
  • Emergency Medicine Saint Mary’s – 4 weeks
  • General Surgery Saint Mary’s – 4 weeks
  • Ambulatory Care Family Medicine Center – 1 half day per week

The Family Medicine Service provides the opportunity to work with many community physicians. Interns typically manage 6-8 patients each day during their time on the Family Medicine Service.

Family Medicine call is typically 1 in 4-5 days, with a night-float system in place on the Family Medicine Service. Night float coverage begins Sunday evening and ends Friday morning. Family Medicine call is taken during the months on the Family Medicine Service, Community Medicine, and Emergency Medicine. Call on other rotations depends on the individual service.

One half-day per week is spent in the Family Health Center (FHC), typically seeing 4-6 patients. Faculty and community physicians provide preceptorship on a rotating basis.

Second Year

This year begins the transition from inpatient to outpatient medicine. Residents spend more time in the Family Health Center and with ambulatory services such as Orthopedics, Gynecology and Cardiology.

PGY 2 Rotations

  • Family Medicine Saint Mary’s  – 12 weeks
  • Family Medicine Night Float Saint Mary’s – 4 weeks
  • Family Medicine Center (full time) – 4 weeks
  • Emergency Medicine Saint Mary’s – 4 weeks
  • Orthopedics Saint Mary’s – 8 weeks
  • Gynecology Saint Mary’s – 4 weeks
  • Cardiology Saint Mary’s – 4 weeks
  • Obstetrics Saint Mary’s or Butterworth – 4 weeks
  • Outpatient Pediatrics Spectrum Health Underserved Health Private Offices – 4 weeks
  • Electives Private Offices – 4 weeks
  • Ambulatory Care Family Medicine Center – 3 half days per week

Two longitudinal rotations begin in the second year, and continue until the completion of the residency program. Residents spend one afternoon per month providing care for geriatric patients at an assisted living/nursing facility. Another afternoon each month is spent providing obstetric care at the FHC OB clinic.

Residents take a more supervisory role on the Family Medicine Service, supervising the interns and assisting with the education of 3rd and 4th year medical students rotating on the service. Call responsibilities vary per rotation.  There is a PG2 night float rotation for the Family Medicine Service. Additionally, weekend overnight call is taken on Gynecology, Cardiology and Outpatient Pediatrics.

Residents interested in expanding their OB experience can choose to use their elective month to do an additional obstetrics rotation, although there are many electives available.

Time in the FHC is increased to 3 half-days per week, typically seeing 6-8 patients per half-day.

Third Year

This year has the most ambulatory experience, as well as the opportunity to assume various leadership roles within the program. Every PG3 is expected to take on a leadership role, whether it be a chief role, such as FMS, FMC, Administrative or a Liaison role such Recruitment, OB, Community Outreach.

PGY 3 Rotations

  • Family Medicine Saint Mary’s – 4-6 weeks
  • Community Preceptorship Private Offices – 4 weeks
  • Family Health Center (full time) Family Medicine Center – 4 weeks
  • Dermatology Private Offices – 4 weeks
  • Pediatric Emergency Medicine Spectrum Health – 4 weeks
  • Pediatric Subspecialties Outpatient – 4 weeks
  • Electives Private Offices – 14-16 weeks
  • Ambulatory Care Family Medicine Center – 5 half days per week
  • Sub-Specialty Longitudinals (Urology, Otolaryngology, Neurology and Ophthatlomology) – 8 weeks

Each third year resident spends 4-6 weeks as Chief of the Family Medicine Service. Chief responsibilities include coordinating educational sessions for the team, supervision of the medical students, and distribution of patient-care responsibilities to team members.

Call during the third year is taken from home, and the resident on call is responsible for the Family Health Center (FHC) resident patients. Duties may include hospital admissions after hours, managing hospitalized FHC patients, triage of FHC obstetric patients, and answering emergency after-hours phone calls from FHC patients.  Time in the FHC is increased to 5 half-days per week, seeing 10-12 patients per half day.

Didactics

Each Tuesday morning is set aside for lectures. Residents are excused from their rotations during this time every week. Topics covered in these sessions are from various categories including (but not limited to):

  • Behavioral Science
  • Dermatology
  • Evidence-Based Medicine
  • Geriatrics
  • Obstetrics
  • Pediatrics
  • Pharmacology
  • Practice Management
  • Procedures
  • Sports Medicine
  • Women’s Health

Scholarly Activity

The Scholarly Activity curriculum is a 3 year longitudinal experience. The curriculum includes a didactic lecture series, dedicated research time during specific rotations in your PG2 and PG3 years, and a set number of scholarly activity points throughout the 3 years.

Additionally, the Research Department of GRMEP has developed several tools and resources that will help residents and fellows develop ideas into manageable and realistic research projects. We have found that using these resources saves time and energy while avoiding typical pitfalls and dead ends. For example, the research project outline facilitates the translation of a good idea into a research project, provides the bulk of the narrative portion of IRB application, and serves as the guide for implementing the project.

The GRMEP Research Department provides support to residents and faculty in all areas of research and scholarly activity (e.g., quality, educational, surveys).  To access more details, including templates (e.g., study protocol, poster), help request forms and other contact information, visit GRMEP Research.