This program's curriculum is designed to permit the resident to prepare for a career in an environment where there are few immediately available consultants; to recognize, stabilize and effectively transfer patients with illnesses and trauma who need tertiary care; and to effectively work as the captain of a team to deliver comprehensive primary healthcare in suburban and rural areas. Some significant features of the second and third year curriculum which deserve emphasis are:

1. Thirteen, four-week rotations instead of twelve, month rotations each Academic year
2. One-on-one preceptor/resident relationships and teaching.
3. Medical education in a small town environment.
4. Opportunity to work with an underserved, multicultural population through the local health department.
5. Continuity clinics in a private family practice clinic in an "apprenticeship" model.
6. Common and shared teaching conferences with the main program.
7. Emphasis on community health services to facilitate learning a team approach to care.

First Year
Block Rotations
Residents will spend one month focusing on each of the specialties listed below, except for Obstetrics and General Pediatrics (2 months each).

Family Practice Orientation
General Internal Medicine
Medical Critical Care
Obstetrics
General Pediatrics
General Surgery
Neonatal Critical Care
General Internal Medicine
Family Practice Service
Emergency Medicine

Longitudinal Rotations

Type of Experience	Length of Time
Behavioral Science	2 1-hour lectures/month; 1 hour AV review/month; 1 hour of co-counseling/month
Union Family Practice	1 3-hour session/week
CME	1 week
Vacation/Miscellaneous Leave	2 weeks

Second Year
Block Rotations
Residents will spend four weeks on each of the following rotations, except for ENT (2 weeks) and Family Practice (12 weeks). Most rotations will be based in ambulatory and hospital settings.

Orthopedics*
Ophthalmology*
Family Practice
General Pediatrics
Cardiology
General Surgery
Emergency Medicine*
Community Medicine
Gynecology
Procedure and Dermatology
Behavioral Medicine/Psychiatry
*These rotations are based only in an ambulatory setting.

Longitudinal Rotations

Type of Experience	Length of Time
Behavioral Science	2 1-hour lectures/month; 2-3 hours/week (co-counseling, AV review, etc.):100-140 hours/year*
Geriatrics	Nursing Home rounds and home visits: 4 hours/month for 12 months
Obstetrics Clinic	1-2 sessions/month
Union Family Practice	2-4 sessions/week
Other Curricular Elements	Lectures, 1/2 day sessions and integration w/ other rotations: 75-100 hours/year; ATLS also will be taken in year 2
CME	1 week
Vacation/Miscellaneous Leave	2 weeks

Third Year
Block Rotations
Residents will focus on the following rotations during year three. Most rotations will be based in an ambulatory and hospital setting.

2 Weeks Each of:
Urology*
Dermatology*
Practice Management
Geriatrics*
Orthopedics*
Sports Medicine*

4 Weeks Each of:
General Pediatrics
Community Practice
Neurology

12 Weeks of:
Family Practice

16 Weeks of:
Electives

*These rotations will be based only in an ambulatory setting.

Longitudinal Rotations

Type of Experience	Length of Time
Behavioral Science	2 1-hour lectures/month; 2-3 hours/week for AV reviews, etc.
Geriatrics	Nursing Home rounds/home visits: 4 hours/month for 12 months
Obstetrics Clinic	1-2 sessions/month at obstetrics clinic plus labor and delivery time for 10 continuity cases
Union Family Practice	3-4 sessions/week
Other Curricular Elements	Lectures, 1/2 day session and integration w/ other rotations
CME	1 week/ year
Vacation	3 weeks/year