The New York-Presbyterian Hospital: Columbia University Medical Center (NYPH-CUMC) offers the prospective resident high quality training in the discipline of Family Medicine in a nurturing, educational backdrop. Most of the Residency´s inpatient rotations take place at The Allen Hospital -- a 200 bed community hospital setting three miles north of the main campus. It has state-of-the-art ICU/CCU, labor and delivery and operating room suites, as well as medical and surgical outpatient and emergency care areas that makes available robust teaching experiences under the supervision of top-notch clinicians and educators from Columbia University for our residents.
The Family Medicine Inpatient Service at The Allen Hospital provides the opportunities for a resident to learn the skills and knowledge crucial for acute hospital care. The Inpatient Service team consists of one senior day resident (a PGY2 or PGY3), two interns, and a senior night float resident. The service accepts patients admitted not only from the ER but also from the resident and faculty practices. The residents become skillful in full spectrum care inside and outside of the hospital setting. Teaching in the inpatient service is provided by two faculty family physicians, a behavioral scientist, a PhD ethics/narrative medicine specialist, and a full array of subspecialty consultants.
The Allen Hospital also provides our residents in training hospital experiences in the other major specialties. Family Medicine residents spend two months in general surgery, working with surgical attendings in their offices, in the inpatient surgical service and in the O.R. During their two and a half months of maternity training, residents experience the busy labor floor and postpartum wards, working one-on-one with members of the Family Medicine OB Faculty as well as the Allen Obstetricians. The intensive care rotation spans 2 months under the supervision of intensivists from Columbia University´s Department of Medicine. The residents also rotate for one month with the adult psychiatry service, learning directly from their faculty how to perform psychiatric evaluations and how to treat mentally ill, chemical abusers and general adult psychiatry patients as well as how to evaluate and manage inpatient referrals from other services.
The remainder of required specialty experiences takes place at New York-Presbyterian Hospital: Columbia University Medical Center´s main campus, a complex of health-care facilities, including the Milstein Hospital Building, Morgan Stanley Children's Hospital of New York, the Vanderbilt Clinics, the College of Physicians & Surgeons, the Mailman School of Public Health, and others. Most importantly, It is at the Morgan Stanley Children´s Hospital of New York where Family Medicine residents learn one month pediatric inpatient care under the supervision of the Department of Pediatrics.
Residency training occurs off campus as well. The geriatric rotation takes place at Schervier Nursing Care Center, where residents receive geriatric care training in both the ambulatory and skilled nursing facility settings. Residents do home visits throughout their 3 years of training, caring and learning from their patients, and reflecting (through narrative writing exercises or faculty led debriefings) on the experiences they witness within the fabric of their patients´ lives.
The Family Medicine Residency Program offers a broad scope of ambulatory care experiences. Training in primary and preventive continuity care takes place principally at the Family Medicine at Herman "Danny" Farrell, Jr. Community Health Center. Subspecialty outpatient learning focusing on aspects particularly relevant to the future office practice of a family physician occurs in specifi rotations through the general surgery, breast, urology, adult and pediatric ambulatory orthopedics, rheumatology, pain management, sports medicine, podiatry, eye, ear, nose, and throat clinics. They also attend the following outpatient specialty clinics held at Farrell Health Center: gastro-intestinal, obstetric co-managements, colposcopy, opt-out training in medical and surgical abortion, dermatology, podiatry, musculoskeletal and psychiatric clinics. Residents spend one month each in our busy pediatric and adult emergency departments. Residents have 3 months of elective time to pursue specific individual interests or obtain training for additional skills.
Essential Family Medicine core learning experiences that are incorporated continuously into their three years of training whether in the inpatient or outpatient settings include the following:Behavioral Sciences, Disease Prevention – Health Promotion, Office Practice, Diagnostic Imaging, Cardiology, Practice Management, Lecture Curriculum, COPC, Obstetrics & Women's Health, Adult and Pediatric Inpatient Continuity Care, Home Visits, Nursing Home Continuity Care, Narrative Medicine and the Research Curriculum.