pgy-i:
The goal for first-year residents is to gain a firm foundation in medical knowledge as a prelude to lifetime learning. This is achieved primarily through rotations in Medicine, Surgery, Critical Care, Pediatrics and Obstetrics/Gynecology at Crozer-Chester Medical Center.
Crozer is a 422-bed tertiary-care teaching hospital with a diverse variety of emergency (46,000 ER visits/year) and elective care patients (20,000 patients admitted/year and 2,000 babies delivered/year). Crozer has a certified Level II trauma center – The John E. duPont Regional Trauma Center, the only one of its kind in Delaware County. The hospital also houses the nationally renowned Nathan Speare Regional Burn Treatment Center, the Crozer Regional Cancer Center, and a Level III Intensive Care Nursery.
Crozer sponsors four additional graduate medical education programs – Internal Medicine, Obstetrics/Gynecology, Pediatrics, and a Transitional First Year. Patients on the teaching services are cared for by a team of residents, interns and medical students, whose decision-making is supervised by attending physicians during daily teaching rounds. At Crozer, the Family Medicine interns are completely integrated into all the teaching services and are given the same responsibility and recognition as other specialty residents. First-year call is tied to your inpatient service at Crozer, with no call responsibilities during the Community Medicine, Gynecology, Inpatient Family Medicine and ER rotations.
In addition to Crozer’s hospital experience, PGY-I residents see their own patients at least one half-day per week at the Center for Family Health. They also spend one month on the Family Medicine inpatient service at Delaware County Memorial Hospital providing care for our Center’s hospitalized patients, and one month on Community Medicine learning about the broad resources and ancillary services in our community.
pgy-ii & iii:
The goal for second and third year residents is to develop diagnostic and therapeutic proficiency in ambulatory medicine, in addition to the inpatient setting. In order to maximize continuity of care, and to develop the skills, knowledge and abilities needed to become a family physician, half of each week is spent seeing patients at the Center for Family Health and the other half is spent primarily in ambulatory-based specialty offices.
Each PGY-II class spends one month as a group learning Medical Informatics and how to integrate computer technology with patient care. Residents set the goals for this rotation based upon their individual and group competencies and needs.
Our Family-Centered Maternity Care program allows the residents to follow and deliver their own panel of obstetric patients. Residents are responsible for all aspects of the prenatal, obstetric and postpartum care for their longitudinal patients, and continue to follow the mother and child as their primary physician. Deliveries are supervised by our family medicine obstetrics faculty.
The inpatient experience during years two and three is at Delaware County Memorial Hospital (DCMH), a 215-bed community hospital with a broad range of acute and specialized services. DCMH currently admits 11,200 patients and treats 36,000 ER patients, and delivers 1,100 babies each year. The hospital’s featured services include the Delaware County Regional Cancer Center, an affiliate of the Fox Chase Cancer Network; the Maternity/Child Health Unit; a Level IIa Neonatal Intensive Care Nursery; a SurgiCenter offering a full range of inpatient and outpatient surgical services; the Women’s Diagnostic Center, PET Imaging, and the Outpatient Rehabilitation and Sports Medicine Center.
We admit our patients from the Center for Family Health to DCMH, and also function as hospitalists for several community primary care physicians. The residents act as “co-attendings” with the faculty and have complete responsibility in managing the family medicine service.
Residents spend two months on our Geriatric rotation providing care to the elderly in the nursing home, assisted living facility, office and home, with experience in palliative care in all settings. This is in addition to the longitudinal care they provide to their own nursing home and home visit patients. All geriatric care is directly supervised by our Director of Geriatrics and our Gerontological nurse practitioner.
During the third year, residents are provided with four rotations of elective time, to utilize in areas of personal interest or to obtain further specialized training. Elective rotations are extremely flexible learning opportunities that are designed by the residents to meet individual educational needs. Two months are full-time electives that may be taken anywhere.
Call-in the second and third years is taken from home and covers the Center for Family Health patient base; therefore, it is intimately and directly related to your role as a family physician.
in summary
We have carefully designed our program to meet the needs of the future family physician. Our “best-of-both-worlds” residency is able to combine a traditional inpatient training experience at a large urban teaching hospital with an innovative and relevant final two years of training that emphasize the outpatient experience in a state-of-the-art office.
We are dedicated to excellence in clinical and didactic training, with major emphasis on ambulatory family medicine, sports medicine, women’s health, family-centered obstetrics, community medicine and behavioral science.
As you can see, the Crozer-Keystone Family Medicine Residency Program offers you a progressive and dynamic curriculum, relevant call, training in medical informatics, and the flexibility to make your own continuing medical education decisions.