Curriculum for Family Medicine Residency

• Inpatient Medicine, 12 weeks
• Obstetrics, 8 weeks
• Inpatient Pediatrics, 8 weeks
• Orthopedics, 4 weeks
• Cardiology, 4 weeks
• Surgery, 4 weeks
• Night Float, 4 weeks (split in 2-week rotations)
• Newborn Nursery, 4 weeks
• Continuity Clinic, 1-2 half days/week

• Inpatient Medicine, 8 weeks
• Obstetrics, 8 weeks
• Pediatric ER, 4 weeks
• Adult ER, 4 weeks
• OB Nightfloat, 2 weeks
• Gynecology, 4 weeks
• Dermatology, 4 weeks
• Night Float, 3 weeks (split in 2 weeks and 1 week)
• ICU, 2 weeks
• Community Health, 2 weeks
• Elective, 8 weeks (split in 2-4 week rotations)
• Continuity Clinic, 2-3 half days/week

Sports Medicine is a longitudinal experience through the PGY2 and PGY3 year including side-line coverage and sports medicine clinics.

• Inpatient Medicine, 6 weeks
• OB Night Float, 3 weeks (split 2 weeks and 1 week)
• ICU/Pulmonary, 4 weeks
• Psychiatry, 2 weeks
• Night Float, 2 weeks
• Nephrology, 2 weeks
• Gastroenterology, 2 weeks
• Geriatrics, 4 weeks
• Pain Management, 2 weeks
• Practice Management, 2 weeks
• Electives, 16 weeks
• Continuity Clinic, 3-4 half days/week

Sports Medicine is a longitudinal experience through the PGY2 and PGY3 year including side-line coverage and sports medicine clinics.

CHRISTUS Health values hands-on as well as didactic education. Our residents participate in daily dedicated teaching time totaling more than 300 hours per year. We use different modalities during our lecture time to cover a wide variety of topics, including, but not limited to: 

• General Lectures: Taught by faculty, residents, specialists, and guest lecturers
• Morbidity & Mortality Conference: Led by a resident in conjunction with a faculty champion
• Faculty-Led, Team-Based Learning
• Billing & Practice Management
• Health Policy
• Resident Wellness: Various activities or free time 1-2 times monthly
• Journal Club
• Workshops: Casting & Splinting, Joint Injections, Suturing, Ophthalmology Exam, and many more!

Our residents are trained in comprehensive inpatient and outpatient procedural skills with the opportunity to gain additional training if so desired.

Outpatient Procedures

Outpatient procedures are performed during dedicated procedure clinics and during specialty rotations.

Gynecologic: Pap smears, Colposcopy w/ cervical biopsy and endocervical curettage, Endometrial biopsy, Nexplanon removal, IUD, and Nexplanon insertion

Musculoskeletal: Joint injection & aspiration (corticosteroids and hyaluronic acid) with and without ultrasound guidance, Casting & splinting

Dermatologic: Skin biopsies, Toenail removal, Ganglion cyst drainage, I&D of abscesses, Laceration repair, Removal/destruction of skin lesions

Other: Flexible laryngoscopy, newborn circumcision, osteopathic manual manipulation

Inpatient Procedures

• Endotracheal intubation (adult and pediatric)
• Central line placement
• Lumbar puncture (adult and pediatric)
• Thoracentesis/chest tube placement
• Newborn circumcision
• Adult & pediatric resuscitation

Obstetrical Procedures

• Limited obstetrical ultrasound
• Biophysical Profile
• Non-stress test
• Placement of cervical ripening agents
• Fetal scalp electrode (FSE) placement
• Intrauterine pressure catheter (IUPC) placement
• Vaginal delivery (spontaneous, vacuum-assisted, forceps assisted) Average 80-100/resident
• Cesarean section (acting as assisting and primary surgeons) Average 40/resident; Residents wishing to become competent as primary surgeons have the vast opportunity to do so

During residency training, one of the most overwhelming experiences can be the first time (or second or third!) you are involved in an emergent situation. We realize that our residents are more equipped to handle these high-stakes situations when they have practiced the procedural skills, communication, teamwork, and decision-making capacity necessary to run a code while in a less intense environment. 

Our simulation labs allow our residents to participate in team-based learning activities focusing on the emergent care of pediatric, adult, and obstetrical patients. Our curriculum includes about eight half days of SIM lab training, but residents can always schedule more time with our models if they desire.

Each year, two residents along with 1-2 faculty members travel to Oaxaca, Mexico for an integrative medical mission trip with Los Quijotes of San Antonio. The entire group includes Nursing, OB/GYN, Pediatrics, Physical Therapy, Optometry, Ophthalmology, Dentistry, and Pharmacy. Residents not only have the opportunity to provide clinical care to patients but also are involved in the education of medical students from Mexico as well as patient education.

Cost to individual residents: Varies by rotation elective. Partial and complete funding is available for most rotations.

Number of residents participating in the past two years: Averages 2 annually

Faculty involvement: All rotation sites have on-site physician supervision. Residency faculty participate in several of the rotation trips.

Does the program accept medical students for trips? Yes

Does the program accept residents from outside the program for trips? No