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Outpatient Rotations


Behavioral Science/Psychiatry

Our exceptional behavioral science training is longitudinal and involves ongoing incorporation of behavioral medicine into the daily clinical education in both inpatient and outpatient settings. Residents work closely with Dr. India Fleming, our behavioral scientist/clinical psychologist, on physician patient communication, health behavior change, understanding and working with psychosocial aspects of medical illnesses, assessing and treating psychiatric disorders and counseling skills. We believe that knowledge and skills in the behavioral sciences are critical to providing effective care in family practice and regard our training in these areas as a particular strength of the MHS Family Practice Residency Program.         

Additional focused psychiatric experience, both inpatient and outpatient, is accomplished at Sierra Vista Psychiatric Hospital during a two week rotation in first year.

Cardiology

First year residents spend two weeks with a Mercy-affiliated cardiologist at Mercy General Hospital and in the office. Mercy's cardiology program has been well recognized as one of the best in California.

Community Medicine

During their three years of residency, residents work with numerous health and service agencies. In the second year, a two-week block is spent with home health, hospice care, nutritionist, BloodSource, UC Poison Control, Podiatry, Hand Surgery and CHAMP (Congestive Heart Active Management Program). Residents work closely with schools in the area and participate in the Adopt-a-School program with local elementary and junior high schools, providing health education lectures to students.

Because the population we serve is diverse, both culturally and socioeconomically, this curriculum allows our residents to gain insight in particular areas that will allow them to better serve their patients.

Community Practice Experience (CPE)

Third year residents spend two weeks with their choice of a private or group practice family physician in the community. Here, residents get the chance to experience what it is like to be a family doctor in the real world. Seeing patients and working with the front office and billing departments are just a few areas our residents are gaining real world experience.

Dermatology

Second year residents spend four weeks working directly with community dermatologists. Here residents gain experience in the management of common dermatological problems and minor dermatological surgical procedures.

Electives

Four months of elective time (including a one-month selective) is included in the curriculum. This time is used to gain additional experience in any particular area that a resident has interest. Residents can spend two 2-week blocks of the elective time outside the Sacramento community. International electives are encouraged. In the past, residents have traveled to the Azores, mainland China, India, Africa, Israel, Pakistan and Honduras.

International Health Curriculum

One month of elective time, in both second/third year rotations, may be taken out of the area with no Family Practice Clinic obligation. Out-of-town and out-of-country electives are allowed and encouraged. Two weeks are allowed for out-of-country electives in R2 and R3 and may be combined with two weeks vacation to make a month away. Residents have done electives in such diverse locations as Honduras, Peru, Kenya, Uganda, Himalayas, Tanzania, India etc.

ENT

First year residents spend two weeks with local otolaryngolgists learning about common ENT problems that a family physician will come across over a lifetime in practice.

Family Practice Clinic Block

Second/Third year residents each spend a full month in the family practice clinic during this rotation at the Mercy Family Health Center. This experience is in addition to time spent in the regular continuity clinic at the Mercy Family Health Center. The month consists of urgent care (same day) clinics and specialty clinics such as procedure, sports medicine, GYN (colposcopy) and perinatal clinics. In addition, this resident is in charge of triaging all incoming labs and pharmacy requests.

Gynecology

During this rotation, third year residents spend four weeks at the Student Health Center at CSU, Sacramento, as well as with a community gynecologist in office and hospital. Residents have primary responsibility of the patient and gain hands-on experience managing a variety of gynecological conditions in both the outpatient setting and the hospital OR and wards. Colposcopy, endometrial biopsies and IUD placement are just a few of the procedures a resident will perform during this rotation.

Neurology

First year residents spend two weeks with local neurologists, working in their offices and in the hospital. During the rotation, residents become skilled in conducting a complete neurological exam, use of imaging studies such as CT/MRI and EEG, and gain knowledge in managing common neurological problems such as migraines, seizure disorders and radiculopathies.

Ophthalmology

First year residents spend two weeks working with several board-certified ophthalmologists, in their offices, gaining knowledge in a variety of conditions that a family physician will see in their own practice.

Orthopedics

First year residents spend four weeks working with local orthopedic surgeons, in their office and in the hospital. Residents also attend the Fracture Evaluation Clinic at Mercy San Juan Medical Center's Emergency Department and become skilled at casting and splinting, setting simple fractures, and managing strains and sprains.

Pediatrics

Second/Third year residents each spend a month in several busy private pediatricians' offices, as well as community clinics where residents typically see 10-12 patients per half-day. At these sites, family physicians and pediatricians are available for questions and teaching opportunities.

Practice Management

A longitudinal didactic curriculum, covering a broad range of current practice management material, prepares residents for this third-year, two-week rotation. Following an experiential, data-gathering effort in the Community Practice Experience rotation, residents incorporate that data into a selection of projects completed with the Residency Director.

Radiology (Diagnostic Imaging)

First year residents have two weeks where they spend time one-on-one with a radiologist at Methodist Hospital. Here they review daily X-rays, CT scans, sonograms and more. A teaching file is available for additional experience.

Sports Medicine

Third year residents spend a 4-week block in sports medicine clinics with three sports medicine, fellowship trained community physicians (FM and Orthopedics). All residents provide sports physicals for team athletics at local schools.

Urology

Third year residents spend two weeks with local urologists, in the office, seeing common urology pathology. Management of BPH, impotence, chronic UTI's and other disease states are encountered.