The first year of training is designed to provide a broad medical experience, and for residents to acquire the skills and knowledge needed in . Residents spend one hour per day with their patients in Synergy Medical's Family Medicine Center, Generations Family Care.

The resident's first month is in Community Medicine, with conferences presented by individuals from many community resources. This first month allows residents to become acclimated to the Department, and provides extensive didactic work in the surgical, laboratory and diagnostic skills needed for the next three years.

During the first year, residents spend two months on our re-designed Service and one month on night float, and spend two months each in Surgery, Pediatrics and Obstetrics. First-year residents rotate one month on Inpatient Orthopedics and Emergency Medicine.

The Inpatient Service provides a comfortable environment for learning. The service admits resident, faculty and community physician patients. There is a wealth of pediatric and adult pathology, and the experience produces confidence in managing patients in . Full-time faculty supervise daily lectures provided by residents and students, and do bedside teaching rounds each morning with the team.

Resident work has been significantly curtailed in the upgraded Teaching service, with residents taking call during the week until 9 pm, then having the night float person cover the rest of the evening.

The second year of training provides additional exposure to ambulatory care. Two hours per day are spent in the Family Medicine Center, which has about 20,000 patient visits annually. Residents also spend time in the Health Department’s Family Planning Clinic. Four months are spent on the Inpatient Service, with one of these months as the night float. Month-long rotations in the second year include CCU, ICU, Peds/Neonatal, Inpatient Peds, ENT/Ophth, OB. FPC outpatient and Psychiatry.

Third-year residents have additional patient care responsibilities in the Family Medicine Center, with three hours per day spent in care of their own patients and a half day a week spent in the Procedures Center. Two and a half months are spent on the Inpatient Family Medicine Service,and eight weeks is spent as Chief of the Service. There is a 2 week rotation of additional GYN training. Three months of elective time is available in the third year. Two-week rotations in the third year include Dermatology, Urology, Gastroenterology, Cardiology.and Practice Management.