Longitudinal Experiences

Longitudinal experiences throughout the three years are essential components of the curriculum.  Several elements of the curriculum are provided in a longitudinal manner only for residents..  The use of longitudinal rotations in these content areas is a reflection of our belief that they are best addressed progressively throughout the three years.  The following descriptions covers our general longitudinal experiences.

Behavioral Medicine - Beginning early in the first year, residents work closely with physician and behavioral science faculty to enhance their ability to meet their patient's psychosocial needs.  Through the use of direct observation, videotape reviews, and OSCE's (objective structured clinical evaluations), residents are assisted in developing more effective communication skills.

Evidence Based Medicine/Medical Informatics - Residents are expected to become proficient in using the latest evidence based information in their approach to caring for patients.  Lectures and hands-on workshops focused on these skills are held on a regular basis.  The Family Medicine Center is well equipped with computers and high-speed Internet connection that allows access to the many resources of the College of Medicine Library.  These resources include online evidence-based databases such as Cochrane, TRIP, and InfoRetriever, as well as full-text online access to most major medical journals.

Medical Ethics - The teaching of ethics takes place through continuing, longitudinal discussions of the ethical significance of patient-physician relations and interactions.  These discussions occur on a regular basis in the following settings: office precepting, teaching rounds in the hospital, formal didactic sessions involving case presentations and interactive discussions and clinical teaching on specialty rotations with other faculty. Additional opportunities exist for residents wishing to explore these issues further. An elective is available in end of life care, stressing rural concerns for the dying. In addition some of our residents have the opportunity to serve on hospital ethics committees.