R3 Rotations

R3 Rotation: Duration:
Outpatient Pediatrics/ Gyn 1 ½ months
Night Float 1 ½ months (in 2 blocks)
Away Elective 1 ½ months
Cardiology 3 weeks
Dermatology 3 weeks
Elective 3 ½ months
Geriatrics 1 ½ months
Neuro-psychology 1 month
Ortho/ Surgical Outpatient 1 ½ months


Outpatient Pediatrics/ Gyn

Duration: 1 ½ months

^ Back to Top


Night Float

During this rotation, residents “run the hospital” from 8 pm to the following morning, Sunday through Thursday nights. The first year resident runs the labor deck, as well as doing medicine, pediatric and surgery admissions. The second year resident runs the ICU and the Neonatal ICU, as well as attending any complicated deliveries. The third year resident supervises the junior residents, including on the labor deck, assists in surgeries and assigns and supervises all admissions. The Family Medicine attending and the OB-Gyn attending stay in-house, other attendings are available by phone, or to come in when needed. At 7:30 AM, during Morning Report, the patients are presented. During this time, the second or third year residents will also do short teaching presentations as well as having discussions with the attending physicians about patient management issues. Night Float is an intense rotation, but is rewarding and helpful in developing decision-making, teaching and organizational skills. Residents on this rotation have between one and three short continuity clinics in the mornings. Despite the hard work, Night Float is considered a better way of doing call, as other calls (transition call) during the weekdays last only from 4 to 8 pm.

Duration: 1 ½ months (in 2 blocks)

^ Back to Top


Away Elective

Duration: 1 ½ months

^ Back to Top


Cardiology

Our Cardiology rotation occurs during the R3 year with a private group of Cardiologists in Monterey. The residents work with the Cardiologist seeing patients in their office and getting good experience with the cardiac exam and reading EKG’s. The cardiologists’ office has its own cardiac testing lab including nuclear medicine studies, ECHO’s and treadmills which the resident’s are allowed to observe. In addition, a Lipid Clinic is provided on a weekly basis in cooperation with the local Community Hospital of the Monterey Peninsula. A nationally known cardiologist runs the clinic and provides excellent insight into the management of lipid disorders especially in the presence of cardiac disease. One half day during the rotation the resident can arrange to observe cardiac angiography with Natividad’s Interventional Cardiologist at Salinas Valley Memorial hospital. The remainder of the time is spent in the residents’ own continuity Family Medicine Clinic. This is a very well received rotation with a group of cardiologists who love to teach.

Duration: 3 weeks

^ Back to Top


Dermatology

Our Dermatology rotation occurs during the R3 year with several dermatologists who work in our area. These physicians provide residents with a broad experience in various skin conditions and treatments, including skin cancer, Moh’s surgery and cosmetic dermatology.  In addition, all the Family Medicine Faculty are comfortable with the majority of routine dermatologic procedures and actively teach these in the clinic when appropriate.

Duration: 3 weeks

^ Back to Top


Elective

Duration: 3 ½ months

^ Back to Top


Geriatrics

This 6 week R3 rotation includes two weekly ambulatory geriatric clinics at the Monterey VA, as well as weekly consultations in the general inpatient and acute rehabilitation unit settings, home visits and work with the VNA and Community Social Services for the Elderly for exposure to local geriatric resources.  The rotation is augmented by a geriatric lecture series just for R3’s provided by local geriatric experts once a month.

Duration: 1 ½ months

^ Back to Top


Neuro-psychology

Our Neurology/Psychiatry rotation occurs in the R3 year as a one month rotation. Residents spend 3 half days per week working with  local neurologists.  In addition, they spend 2 half days a week with a psychiatrist in the Monterey County Mental Health Unit or other ambulatory behavioral health settings. Residents may be asked to do intake evaluations of newly admitted mental health patients, participate in group activities, or do ongoing treatment evaluations with the inpatient psychiatrist. They also spend 1 half day a week with our clinical psychologist reviewing video tapes of their own encounters with clinic patients.

Duration: 1 month

^ Back to Top


SURGERY

Ortho/ Surgical Outpatient

Our Surgery curriculum has two distinct components: an R1 general surgery inpatient rotation, in which residents assist our general surgeons in all areas of pre-op, OR, and post-op patient care; and R3 outpatient surgery rotations, in which residents spend time with both our general surgeons and local surgical sub-specialists, acquiring skills including excision of “lumps and bumps”, punch biopsies, suturing techniques, vasectomies, circumcisions, and slit lamp eye exams. The emphasis is on developing solid surgical skills that are useful for FMs in the care of their patients.

Duration: 1 ½ months

 

^ Back to Top

 


 

 

 

 

 

 
 
 

Natividad Medical Center • 1441 Constitution Blvd. • Salinas, CA 93906 • (831) 755-4111