The five-year rotation schedule aims to integrate rotations in each specialty during each year, alternating between psychiatry and family medicine approximately every four to six months for the first three years and the last year. The fourth year is one
full year of outpatient psychiatry.
Schedule revisions and informal curriculum evaluations take place at the monthly program meetings. Additionally, residents are provided four weeks of vacation each year, divided proportionately between their assignments in each program.
The Family Medicine Continuity Clinic is a weekly experience (at least one half-day per week in Years 1-4 and three half-days in Year 5) at the Christ Hospital Family Medicine Center in the Medical Office Building adjoining The Christ Hospital. An additional
half-day per week of family medicine outpatient experience with a homeless patient population is provided in the McMicken Integrated Care Clinic during the fourth year and during select months during the fifth year. Supervision is provided by a family
medicine preceptor during this time with on-site behavioral health training by Drs. Wulsin and White.
Below is a general outline of each year of the FMP program, but individual schedules are subject to changes.
R1 Curriculum
Block Rotations
Location
# of 2 week blocks
Adult Inpatient Medicine
TCH
4
Global Health
Guatemala
1*
Pediatric Inpatient medicine
CCHMC
2
ICU
TCH
1
FMC structured blocks
TCH
7
Longitudinal Experiences
Location
# of Sessions (total)
Psych Lecture Series
UC
14
Otholaryngology
TCH
7
Ophthalmology
Variable
7
Cardiology
TCH
14
Procedure clinic
TCH
7
"R1 Specials"behavioral health, procedures, global
health
TCH
12
R2 Curriculum
Block Rotations
Location
# of 2 week blocks
Adult Impatient Medicine
TCH
4
General Surgery
TCH
1
Maternity Care
TCH
2
FMC structured blocks
TCH
7
Longitudinal Experiences
Location
# of Sessions (total)
Dermatology
TCH
14
Gynecology
TCH
14
Elective
Variable
14
R3 Curriculum
Block Rotations
Location
# of 2 week blocks
Adult Inpatient Medicine
TCH
2
Pediatric Emergency Medicine
CCHMC
1
Global Health Leadership
Variable
1*
Emergency Medicine
UC
1
Outpatient Pediatrics
CCHMC
1
Maternity Care
TCH
2
Newborns
UC
1
FMC structured blocks
TCH
8
Longitudinal Experiences
Location
# of Sessions (total)
Outpatient Pediatrics
Crossroad Health Center
16
Elective
Variable
16
Procedures
TCH
4
Sports Medicine
Variable
10
R4 Curriculum
Longitudinal Psychiatry Experience
No block rotations and no structured FMC weeks during this year. FMP residents maintain continuity in the FMC with weekly patient care sessions
R5 Curriculum
Block Rotations
Location
# of 2 week blocks
Adult Inpatient Medicine
TCH
2
Gynecology
Variable
1
Emergency Medicine
UC
1
Pediatric Emergency Medicine
CCHMC
1
Elective
Variable
1
Global Health Elective
Variable
1
Orthopedics/Sports Medicine
Variable
2
FMC structured blocks
TCH
8
Longitudinal Experiences
Location
# of Sessions (total)
Outpatient Pediatrics
Crossroad Health Center
8
Elective
Variable
16
Legend: TCH=The Christ Hospital; UCMC= University of Cincinnati Medical Center; CCHMC= Cincinnati Children's Hospital Medical Center; VAMC=Veterans Affairs Medical Center; UCMC-R= University of Cincinnati Psychiatry at Ridgeway; LCOH=Lindner Center of Hope
Didactic Curriculum
The curriculum emphasizes a) the essential knowledge and skills of family medicine and psychiatry, and b) the skills necessary to integrate clinical practice in family medicine and psychiatric settings.
The goal is to train primary care clinicians with expertise in the management of mental disorders in primary care settings and to train psychiatrists who can manage the primary care needs of their patients. Residents follow the didactic curricula
of the rotations to which they are assigned, e.g., psychiatry while on psychiatry rotations and family medicine while on family medicine rotations.
Family Medicine Didactics
Didactics occur for three Thursday afternoons each month.The second Thursday is each month is dedicated to continuity Geriatric experience (which occurs during the 4th and 5th years for FMP residents) at the Center for Community Living at the VA Medical
Center, where residents follow two veterans residing in a long-term nursing facility monthly for two years, supervised by attending geriatricians.
In addition, while residents are on their inpatient Family Medicine months, they participate in daily noontime lectures on topics related to inpatient, outpatient, and OB. During off-service inpatient months the residents participate in the didactics
of their specific rotation. For example, while on pediatric rotations at Cincinnati Children's Hospital Medical Center the residents participate in morning report, noon conferences and Grand Rounds with the pediatric residents.
Family Medicine Grand Rounds occur once a month at The Christ Hospital and are well-attended by residents, faculty, and community family physicians. Journal Club, Patient Safety Conference, Maternity Care M+M, and R3 Selective Lectures are featured
regularly throughout the year.
Psychiatry Didactics
PGY 1 residents have lectures for five months in the first year, while PGY2 and PGY3 residents have didactic lectures throughout the year. Lectures typically take place on Tuesday or Thursday mornings depending on the month and year of training.Grand
Rounds occur weekly on Wednesdays between September and June, followed by an informal question-and-answer session with the presenter for the residents. The remaining didactics occur on a longitudinal basis according to year of training and are
aimed at introducing residents to psychopharmacology, psychotherapy and other topics relevant to the practice of psychiatry. Journal Club and Evidence-Based Medicine Topics are presented by residents and attended by residents and both clinical
and research faculty.
In addition, a yearly research curriculum has been integrated into the program to expose residents to the basics of experimental design, which can be very useful in the creation of resident's required scholarly project - which may consist of a Grand
Rounds or formal publication. See the Research Opportunities section for additional information.