Family Medicine – Palmdale
Rotation Sites
Rotations for the Family Medicine Residency Program will take place at Palmdale Regional Medical Center and various other medical centers and clinics.
Ambulatory
Residents will provide longitudinal outpatient primary care for their patients over the course of their training at the continuity clinic sites, Bartz-Altadonna Community Health Center and Family First Family Medical Practice, both located 5-6 miles from Palmdale Regional Medical Center. Residents are assigned to one of two continuity clinics in order for them to build their own patient panels and provide longitudinal continued care.
Time in the continuity clinic will graduate from one to two half days per week during PGY-1, two to three half days per week during PGY-2, three to four half days per week during PGY-3. During PGY-2 year, there is a month rotation dedicated to continuity clinic. During PGY-3 year, there are two months dedicated to continuity clinic.
Other outpatient rotation experiences include Community Medicine, Cardiology, Pediatrics, Geriatric Medicine, Orthopedics, Sports Medicine, Women’s Health, Addiction Medicine, Pain Management, Otolaryngology, Urology, Rehabilitation, Practice Management and other medical and surgical subspecialties.
Inpatient
Residents will do the majority of their inpatient rotations at Palmdale Regional Medical Center. This includes Adult Family Medicine, Emergency Medicine, Obstetrics, ICU, Cardiology, Infectious Disease, Gastroenterology, Urology, Wound Care and others.
Didactics
Didactic curriculum is well structured to cover a broad range of clinical topics, workshops and skill-building that will supplement residents’ clinical learning experience.
- The first month of the curriculum year is dedicated to orientation and re-orientation.
- Wednesday PMs are protected for didactics and conferences, except for 5th Wednesdays which are dedicated to wellness.
- First Wednesday of the month is dedicated to behavioral medicine and Balint meetings. Balint group meetings will be led by Dr. Castillo and a co-leader. All residents are required to be present during the meetings.
- Second and third Wednesdays of the month are dedicated to a wide array of medical topics.
- Fourth Wednesday is dedicated to workshops, group activities and skill building.
- Lectures will be provided by Family Medicine faculty, specialty faculty, residents and guest lecturers.
- Each resident is required to provide a minimum of one lecture quarterly.
- Each Core Faculty is required to provide a minimum of two lectures quarterly.
- Lecturers are recommended to include Board Review/ITE questions in their lectures.
- There may also be occasional noon lectures on other days to accommodate lecturers who are not able to provide lectures on Wednesdays.
- Each resident is required to have a total of 75% attendance annually.
- All lectures are evaluated.
- Journal Club meets monthly led by faculty and resident. Residents will select an article to be presented and will be distributed days in advance before the meeting. Faculty and residents are encouraged to read the article before coming to the meeting.
Mortality and Morbidity conference will be held monthly. The resident will select cases to be presented. Faculty are available for guidance and consult for case selection.
Rotations
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| PGY-1 | ||||
|---|---|---|---|---|
| Block | Weeks | Specialty | Location | |
| 1 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 2 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 3 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 4 | 4 weeks | Emergency Medicine | Palmdale Regional Medical Center | |
| 5 | 4 weeks | Obstetrics | Palmdale Regional Medical Center | |
| 6 | 4 weeks | Radiology/Acute Rehab | Palmdale Regional Medical Center | |
| 7 | 4 weeks | Newborns/ICU | Palmdale Regional Medical Center | |
| 8 | 4 weeks | Research/QI | Palmdale Regional Medical Center | |
| 9 | 4 weeks | Surgery/Procedure | Palmdale Regional Medical Center, Bartz-Altadonna Community Health Center, Family First Family Medical Practice | |
| 10 | 4 weeks | Behavioral Medicine | Bartz-Altadonna Community Health Center | |
| 11 | 4 weeks | Women's Health/Gynecology | Wesley Health Center | |
| 12 | 4 weeks | Ambulatory/Pediatrics | Satey Pediatrics | |
| PGY-2 | ||||
| Block | Weeks | Specialty | Location | |
| 1 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 2 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 3 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 4 | 4 weeks | Night Float | Palmdale Regional Medical Center | |
| 5 | 4 weeks | Obstetrics 2 | Palmdale Regional Medical Center | |
| 6 | 2 weeks | Pediatric Inpatient/Emergency | Huntington Health Hospital | |
| 7 | 4 weeks | Musculoskeletal (Ortho)/Sports Medicine | Antelope Valley Orthopedic and Rehabilitation Specialists (AVORS) | |
| 8 | 4 weeks | Pain Management | Neurospine Institute | |
| 9 | 4 weeks | Ambulatory Pediatrics 2 | Satey Pediatrics | |
| 10 | 4 weeks | Elective | TBD | |
| 11 | 4 weeks | Elective | TBD | |
| 12 | 4 weeks | Elective | TBD | |
| PGY-3 | ||||
| Block | Weeks | Specialty | Location | |
| 1 | 4 weeks | Adult Inpatient Family Medicine - Supervisory | Palmdale Regional Medical Center | |
| 2 | 4 weeks | Adult Inpatient Family Medicine - Supervisory | Palmdale Regional Medical Center | |
| 3 | 4 weeks | Night Float | Palmdale Regional Medical Center | |
| 4 | 4 weeks | Health System Management | Palmdale Regional Medical Center | |
| 5 | 4 weeks | Medical Subspecialties - Cardiology/Infectious Disease | Palmdale Regional Medical Center | |
| 6 | 4 weeks | Medical Subspecialties - Gastroenterology/Hematology | Palmdale Regional Medical Center | |
| 7 | 4 weeks | Surgical Subspecialties - Urology/Wound Care | Palmdale Regional Medical Center | |
| 8 | 4 weeks | Underserved Medicine and Community Medicine | Bartz-Altadonna Community Health Center | |
| 9 | 4 weeks | Elderly Care | Ellison John Transitional Care Center | |
| 10 | 4 weeks | Elective | TBD | |
| 11 | 4 weeks | Elective | TBD | |
| 12 | 4 weeks | Elective | TBD |
| Block | Weeks | Specialty | Location | |
|---|---|---|---|---|
| 1 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 2 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 3 | 4 weeks | Adult Inpatient Family Medicine | Palmdale Regional Medical Center | |
| 4 | 4 weeks | Emergency Medicine | Palmdale Regional Medical Center | |
| 5 | 4 weeks | Obstetrics | Palmdale Regional Medical Center | |
| 6 | 4 weeks | Radiology/Acute Rehab | Palmdale Regional Medical Center | |
| 7 | 4 weeks | Newborns/ICU | Palmdale Regional Medical Center | |
| 8 | 4 weeks | Research/QI | Palmdale Regional Medical Center | |
| 9 | 4 weeks | Surgery/Procedure | Palmdale Regional Medical Center, Bartz-Altadonna Community Health Center, Family First Family Medical Practice | |
| 10 | 4 weeks | Behavioral Medicine | Bartz-Altadonna Community Health Center | |
| 11 | 4 weeks | Women's Health/Gynecology | Wesley Health Center | |
| 12 | 4 weeks | Ambulatory/Pediatrics | Satey Pediatrics |
Notes
- Paid Time Off (PTO): Residents are allowed 20 days per academic year during outpatient rotations and are allowed five days per block. See Salary & Benefits for more information.
- Potential Electives include: Addiction Medicine, Urology, Psychiatry, Ophthalmology, ENT, Orthopedics, FMP, Medicine Subspecialties, and Pediatric Subspecialties.
- The program incorporated research as a continuous element in the Family Medicine Curriculum.
Research and Scholarly Activity
Our program seeks to advance our residents’ knowledge of basic principles of research, including how research is conducted, evaluated, explained to patients and applied to patient care. Residents will develop their research abilities through various activities including Journal Club, Population Health didactics, and Clinical Case Conference didactic sessions.
Residents are assigned faculty mentors to advise and guide them with their research and scholarly activities. Because of its importance, residents will be allotted time during non-call rotations for scholarly activity as well as the ability to request elective time for scholarly pursuits.
All residents are expected to participate in scholarly activity. Residents are to complete at least two Scholarly Activity Projects over the course of their training, one of which must be a quality improvement project. Residents will participate in hospital performance improvement committees and be exposed to ongoing activities taking place at the hospital such as patient safety efforts and quality improvement.
Residents will present their Scholarly Activity Projects during didactic sessions and are encouraged to submit their projects for presentation and/or publication at professional local, regional or national meetings or in peer-reviewed journals.