Curriculum

The curriculum at Tacoma Family Medicine (TFM) is rigorous and progressive. It is designed to be a continuing experience over three years using a general pattern of observation, assistance, performance with supervision and autonomy with periodic evaluation in both ambulatory and hospital settings.

Residents are expected to undertake increasing responsibility in a graduated fashion. Each resident works with practicing physicians from a wide variety of specialties within the community, facilitating exposure to multiple role models. Based on these experiences, the resident is encouraged and assisted in developing a style of practice most suited to his/her personal needs while achieving realization of their professional goals.

The hospital services at TFM represent a high quality educational experience that is significantly different from many community based family practice residencies. TFM has developed unique inpatient services in medicine, pediatrics and obstetrics that are truly resident panels. Patients are cared for and managed by residents, who function as their primary physicians. Faculty members serve to assist residents as teachers and mentors. This unique educational hybrid combines the strengths of a university style training experience with the flexibility and lack of competition characteristic of a community based program.

Initially, inpatient rotations take the majority of residents’ time laying a strong foundation in medical management of complex problems. However, as residents enter the R2 and R3 years, increasing time is spent in TFM continuity clinics and on ambulatory rotations – the educational and vocational core of a family physician’s career. During this time, residents continue to develop family-based relationships with their assigned panel of patients, gaining increased insight into the unique dynamics of each doctor-patient encounter. In addition, each resident cultivates a personal practice and style under the guidance of faculty family physicians. Faculty members and community physicians in other specialties are always available for consultation.

 

First-Year Resident Curriculum

 Rotation

 Components of Rotation

 Average call for rotation

 Family Medicine

 6 weeks TFM Inpatient Service

 2 weeks Ambulatory Care

 1 week Family Medicine Outpatient

  Q4

  Q7


 Dermatology

 4 weeks


 Internal Medicine


 4 weeks Medicine Inpatient Service

 2 weeks in conjunction with Gyn rotation


  Q4

 Orthopedics

 6 weeks Outpatient Ortho/Sports Medicine with Dr. Mariani


 Obstetrics

 Two 4 week blocks - TFM and OB/Gyn faculty

  Q4


 Rural/Urban month

 Arranged by resident

  No call

 Pediatrics

 6 weeks Inpatient Pediatric Service

 1 week Mary Bridge Pediatric ER

  Q4

 Surgery

 4 weeks


 Gyn

 2 weeks


 

Second-Year Resident Curriculum

 Rotation

 Components of Rotation

 Average call for rotation

 Family Medicine

 2 weeks TFM Inpatient Service

 2 weeks Family Medicine Outpatient

  Q4

  Q7

 Gynecology

 4 weeks


 Internal Medicine

 2 weeks Medicine Inpatient Service

  Q4

 Surgery

 4 weeks


 Geriatrics

 Two 2 week blocks alternating with night float


 Night Float

 Two 2 week blocks alternating with geriatrics


 Obstetrics

 8 weeks

  Q4

 Rural/Urban month

 Arranged by resident

  No call

 Pediatrics

 6 weeks Inpatient Pediatric Service

 2 weeks Ambulatory Pediatrics


  Q4

 Surgery

 4 weeks


 ER

 4 weeks Adult ER

 2 weeks ER Procedures


 

Third-Year Resident Curriculum

 Rotation

 Components of Rotation

 Average call for rotation

 Family Medicine

 4 weeks TFM Inpatient Service

 2 weeks Family Medicine Outpatient

  Q4

  Q7

 Elective

 12 weeks – can do an additional month of OB


 Urology

 2 weeks


 NICU

 4 weeks

  Q4

 ENT

 2 weeks


 Opthomology

 2 weeks


 Pediatric ER

 4 weeks Mary Bridge ER


 Internal Medicine

 4 weeks Medicine Inpatient Service

  Q4

 Sports Medicine

 2 weeks


 Night Float

 2 weeks


 Cardiology

 4 weeks