Family Medicine

The Residency Program in Social Osteopathic Medicine

Program Overview
The Southampton Hospital Family Medicine residency is a comprehensive training program, which instructs physicians in the care of the entire family.  The program focuses on the complex bio-medical skills needed by physicians to provide healthcare to their patients and not simple disease management.  Our educational philosophy is that disease is not a random occurrence, thus our primary focus is on evidence based preventive medicine. However, the best evidence based approach is fruitless unless the physician can influence their patients to implement the necessary changes needed to promote a health sustaining life style. To that end, our program teaches clinicians how to be medical leaders, who can inspire patients to make those changes and maintain a healthy lifestyle. 
Curriculum Overview
The family medicine curriculum prepares residents to be successful medical leaders, academicians and clinical experts.  To that end, our program focuses on all aspects of the health care system and the skills required to successfully navigate it.   The program is heavily-focused on preventative medicine, osteopathic practices and principles, as well as, inpatient and outpatient medicine.  Despite the intense academics, trainees will find this program allows the time to maintain a healthy lifestyle while learning the important features of health promotion.  In addition to their patient care responsibilities, residents will be given the opportunity to teach and participate in community outreach program.  

OGME-1R
Research is one of the requirements of the Family Medicine Residency at Southampton Hospital.  Thus, during the first year of training residents will begin conducting a publishable research project.  The research will be conducted under the supervision of an attending physician and will be submitted for publication in the beginning of the third year.

EMERGENCY MEDICINE (1 Rotation)
On the Emergency Medicine Service residents work under the supervision of board certified emergency medicine physicians.  Our Emergency Medicine Service offers all aspects of emergency care with over 25,000 visits annually.  During this rotation, residents will hone their procedural skills to include intubations, chest tubes, IV’s, and suturing techniques.

FAMILY PRACTICE (1 clinic session)

On the Family Practice Service, residents work under the supervision of attending family practitioners in a predominantly outpatient setting.  The family practice clinic is located off the hospital campus in a community nearby.  This setting provides more of a “private practice” rather than an “institutional” atmosphere.   Residents in Family Medicine spend one-half day per week developing a panel of patients whom they will continue to care for the entire training program.  We assign interns a specific clinic session for the year, and they are responsible for keeping that session despite other rotation duties unless specifically excused by the Program Director.  Here residents will learn how to become health care advocates, and bring to bear the best of evidence based medicine.  

MEDICINE (4 Rotations)
On the Medicine Service, residents will work side-by-side with a board certified attending Internists.  Our medicine rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at in-patient medicine.    

CRITICAL CARE (1 Rotation)
On the Critical Care Service, residents will work side-by-side with a board certified attending.  Our critical care rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at critical care medicine.

OBSTETRICS & GYNECOLOGY (2 Rotations)
On the OB/GYN Service, residents work under the supervision of board certified attending Obstetricians and Gynecologists.  Labor and Delivery and inpatient OB/GYN services are all provided at Southampton Hospital. Residents will also have the opportunity to participate in oncologic gynecology.   

PEDIATRICS (1 Rotation)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician.  The Pediatric rotation provides experience in the basics of inpatient pediatric care. Residents will primarily work on the general pediatric ward, but may have an opportunity to rotate through other pediatric specialties.    

SURGERY (1 Rotation)
On the Surgical Service, residents work under the supervision of board certified surgeons.  Residents will have the opportunity to participate in all aspects of surgical care.  Residents will also rotate through the surgical sub-specialties to include: Orthopedics, Plastic Surgery, Urology and Vascular.  All surgical rotations are done in house.  

GERIATRICS/NEUROMUSCULOSKELETAL MEDICINE (1 Rotation)
The Geriatrics rotation provides trainees with experiences in the diagnosis and treatment of elderly patients. The trainee should recognize the special needs of the geriatric patient, as well as the anatomical and physiological changes that occur with aging. In additions, trainees will have an opportunity to conduct structural exams and provide osteopathic treatments during their rotation, under supervision of an NMM certified physician.  

ELECTIVE IN (1 Rotation)
The resident may chose to work with any physician who is a member of the medical staff.  

VACATION
Twenty business days -- To be scheduled through the Program Director.  

OGME-2  
During your second year of training, Residents are encouraged to participate in the TIPS Program (Training in Policy Studies).  The program runs over the course of a year, and residents are given the time necessary for full and active participation in the program.  

AMBULATORY MEDICINE (2 Rotations)
During the second year of Ambulatory Medicine, residents will further hone their clinical skills and begin the process of learning how to run a successful medical enterprise. Under the guidance of our board certified Family physicians, residents will have full daily responsibilities in the out-patient setting, including Pediatrics, Adolescent, and Adult Medicine. Residents will spend this rotation refining their medical skills, and further explore the integration and application of osteopathic principles and practice in the out-patient setting.   

EMERGENCY MEDICINE (1 Rotations)
On the Emergency Medicine Service, residents work under the supervision of board certified emergency medicine physicians.  Our Emergency Medicine Service offers all aspects of emergency care with over 25,000 visits annually. During the second year, residents will not only fully participate in patient care, but will also become educators for the first year residents and medical students on their ER rotation. During this rotation, residents will further hone their procedural skills to include central lines, injection techniques, intubations, chest tubes, IV’s, and suturing techniques.  

FAMILY PRACTICE (3 clinic sessions)
On the Family Practice Service, residents work under the supervision of attending family practitioners in a predominantly outpatient setting.  The family practice clinic is located off the hospital campus in a community nearby.  This setting provides more of a “private practice” rather than an “institutional” atmosphere.   Residents in Family Medicine spend 3 ½ days per week developing a panel of patients whom they will continue to care for throughout their training. During the second year, residents continue the study of best medical practices with further exploration of the biopsychosocial aspects of medical care.   

OBSTETRICS & GYNECOLOGY (1 Rotation)
On the OB/GYN Service, residents work under the supervision of board certified attending Obstetricians and Gynecologists.  Labor and Delivery and inpatient OB/GYN services are all provided at Southampton Hospital.  Residents will also have the opportunity to participate in oncologic gynecology.   

PEDIATRICS (1 Rotation)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician.  The Pediatric rotation provides experience in the basics of pediatric care.  This rotation provides more of a “private practice” rather than an “institutional” experience.  Residents will also rotate through the neo-natal ward.  

MEDICINE (3 Rotations)
On the Medicine Service, residents will work side-by-side with a board certified attending Internists.  Our medicine rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at in-patient medicine.    

ELECTIVE OUT (1 Rotation)
The resident may chose to work with any physician of his/her choice regardless of hospital affiliation.  

SURGERY ELECTIVE (1 Rotations)

On the Surgical Service, residents work under the supervision of board certified surgeons.  Residents will have the opportunity to participate in all aspects of surgical care.    

ORTHO/SPORTS MEDICINE (1 Rotation)
On the urgent care/procedural medicine rotation, residents work with a supervising physician learning community based urgent care medicine  

SURGERY ENT (1 Rotation)
On the Surgical Service, residents work under the supervision of board certified surgeons.  Residents will have the opportunity to participate in all aspects of Otolaryngology.  

VACATION
Twenty business days -- To be scheduled through the Program Director.  

OGME-3
During the third year of training, residents are encouraged to participate in the Global Health Program. The program begins in February and ends in June, culminating in a Medical mission to either Africa or South America. The program pays for the cost of tuition and flight. In country expenses, which are modest, are covered by the resident.     
AMBULATORY MEDICINE (3 Rotations)
On the Ambulatory Medicine Service, residents spend twenty weeks with daily responsibilities in the out-patient setting.  

MEDICINE (2 Rotations)
On the Medicine Service, residents will work side-by-side with a board certified attending Internists.  Our medicine rotation is entirely in house, and will provide the depth and breath of cases needed to become outstanding at in-patient medicine.    

ELECTIVE OUT (1 Rotation)
The resident may chose to work with any physician of his/her choice regardless of hospital affiliation  

ELECTIVE IN (1 Rotation)
The resident may chose to work with any physician who is a member of the medical staff.  

GERIATRICS/NEUROMUSCULOSKELETAL MEDICINE (1 Rotation)
The Geriatrics rotation provides trainees with experiences in the diagnosis and treatment of elderly patients. The trainee should recognize the special needs of the geriatric patient, as well as the anatomical and physiological changes that occur with aging. In additions, trainees will have an opportunity to conduct structural exams and provide osteopathic treatments during their rotation, under supervision of an NMM certified physician.  

FAMILY PRACTICE (3 clinic sessions)
On the Family Practice Service, residents work under the supervision of attending family practitioners in a predominantly outpatient setting.  The family practice clinic is located off the hospital campus in a community nearby.  This setting provides more of a “private practice” rather than an “institutional” atmosphere.   Residents in Family Medicine will spend 3 ½ days per week, following a panel of patients.  It is during the third year that residents will prepare for life after residency.   Thus during the third year, residents will be fully engaged in learning all aspects of running a Family Medicine enterprise.  This includes billing, insurance participation, office leadership skills, and patient flow management.  Residents will read several books in support of the new role they will be asked to perform upon graduation.   

PEDIATRICS (2 Rotations)
On the Pediatric Service, residents work under the supervision of a board certified Pediatrician.  The Pediatric rotation provides experience in the basics of pediatric care.  This rotation provides more of a “private practice” rather than an “institutional” experience.  Residents will also rotate through the neo-natal ward.  

SURGERY Urology/Ophthalmology (1 Rotations)
On the Surgical Service, residents work under the supervision of board certified surgeons.  Residents will have the opportunity to participate in all aspects of surgical care.  Residents will spend two weeks with a board certified urologist and learn all aspect of urological care, and two weeks with a board certified ophthalmologist.   

OUT SELECTIVE: GLOBAL HEALTH (1 Rotation)

As part of the medical educational experience at Southampton Hospital, residents will participate in a Global Health rotation. This rotation will not only add to the medical expertise of the resident, but will also involve academic research and development of medical leadership skills.    

VACATION
Twenty business days -- To be scheduled through the Program Director.