PGY - 3

Residents will complete a four-week rotation during each residency training year under the supervision of our Pediatric faculty at Evara Health. This PGY-1 rotation also includes time in the Nursery at Orlando Health Bayfront Hospital Center for Women and Babies (St. Petersburg) evaluating healthy, term newborns. During this rotation residents will evaluate a broad population of children with acute and chronic medical conditions as well as perform well-child checks. This rotation is also supplemented by lectures on topics relevant to the care of the pediatric patient.

The primary care sports medicine and orthopedics rotation is a four-week rotation in the PGY-2 year. Under the supervision of Evara Health's physicians certified in the specialty of Primary Care Sports Medicine, residents will learn the concepts of the sports medicine approach and the methods by which patients are diagnosed, managed, and rehabilitated. The resident is instructed in the examination, diagnosis and nonsurgical management of patients with injuries, overuse and degenerative musculoskeletal conditions in an outpatient clinic. Conditions treated in this clinic are primarily related to the knee, shoulder, elbow, hip, foot and ankle. Residents will also have exposure to the evaluation of sport-related concussion in the youth and high school population. Diagnostic and interventional ultrasound are a significant component of this clinic, as are regenerative medicine and orthobiologics. Residents will also learn how to discern nonsurgical sports injuries from those that would benefit from surgical referrals. The rotation also provides the residents with the skills and knowledge expected of family physicians in the field of Orthopedic Surgery. The residents will work under the supervision of board-certified orthopedists at Florida Orthopedic Institute/All Florida Orthopedics. Residents will not only spend time with orthopedists specializing in Sports Medicine, Hand Surgery, Foot and Ankle Surgery but also with athletic trainers, physical therapists, and casting/splinting technicians.

The nephrology rotation is a four-week rotation during the PGY-3 training year. The rotation occurs at BayCare Medical Group Nephrology, and includes experience in the office, at the dialysis center, and in other locations included in the nephrologist's usual practice. The nephrology rotation will provide the resident with an opportunity to evaluate and manage patients across the spectrum of renal disorders in the outpatient setting. The goal is to familiarize them with the basic mechanisms, clinical manifestations, diagnostic strategies, and management of acute and chronic kidney disease. At the completion of this rotation, the resident will develop competency in the prevention of renal disease, indications for procedures, management of common disease, and appropriate indications for referral pertinent to the practice of family medicine.

Residents will complete a four-week rotation in their PGY-3 year of training across a variety of settings. Settings include outpatient practices, nursing homes, and assisted living facilities and home visits with a community-based Family Physician specializing in Geriatric care. Residents will have a longitudinal experience in their continuity outpatient clinic at Evara Health and will gain knowledge in the inpatient treatment of the geriatric population during their inpatient medicine rotations. This is also supplemented by lectures in various topics relevant to the care of the geriatric patient. The goal of all these experiences is to prepare graduates to provide high-quality, evidence-based, patient-centered health care to older adults.

This rotation is designed to enhance the longitudinal patient care experience in Family Medicine and is a four-week block in each of the three training years. This rotation provides the resident with the opportunity to become the primary care provider for patients in the Family Medicine Center at Evara Health. Residents will evaluate patients with a variety of common chronic and acute complaints in a wide range of age groups and make an initial management plan in conjunction with their supervising physician. Patients will be seen for initial evaluation or continuity of care. Residents will learn about the community in which they serve patients and how that community and environmental factors that affect health care outcomes.

• Community Medicine Experience: This experience is designed to develop skills for community-level interventions. The experience is embedded in the Family Medicine Clinic rotation. This experience will allow the resident to have a broader understanding of the role played by community agencies in health promotion and disease prevention, and how the Family Medicine physician can further the health of their patient population by working hand in hand with these agencies. The rotation will increase the resident's awareness of the community's resources.
• Radiology Experience: This is a longitudinal experience during PGY-1 and PGY-2 years. At the completion of this experience, the resident will have the knowledge and skills in the areas of radiology pertinent to the practice of Family Medicine. During the experience, the radiologist will provide experiential learning, role-modeling, and one-on-one teaching to the resident. The resident will learn the appropriate use of imaging as well as the technical aspects, strengths, and weaknesses of different imaging modalities: CT, US, MR, Radiography, Nuclear medicine, and Interventional Radiology. The teaching of radiology in the program is not limited to this, as residents will also have experiences in the Family Health Center, inpatient medicine rotation, didactics, and other rotations such as orthopedics/sports medicine.
• Behavioral Health Experience: This is a longitudinal experience during all three years of training. During this experience, residents will work primarily with our behavioral health team at Evara Health. Residents will spend time with our clinical psychiatrist, clinical psychologist, as well as our licensed social clinical workers. During the rotation residents will participate in individual patient evaluations as well as group sessions. Residents will also receive several excellent lectures on common psychiatric problems and the medications used to treat them done by our faculty psychiatrist and pharmacist.

Inpatient Adult medicine rotations consist of three four-week blocks in PGY-1 and PGY-2 training years and two four-week blocks in PGY-3 training year. The residents will work with our Family Medicine faculty, staff, and hospitalists at Morton Plant Hospital during this rotation. This rotation exposes the residents to a variety of acute and chronic medical conditions in the inpatient hospital setting. Patients on this service have a wide and representative array of inpatient medical problems and are drawn from a broad population. Residents will have critical care experience embedded within this rotation. Residents will work shifts 6 days of the week under the supervision of the attending staff.

This experience in obstetrics occurs in two four-week blocks in the PGY-1 year of training. Family physician practices vary considerably in the extent to which they provide obstetrical care. This rotation is designed to provide residents with the skills and expertise expected of family physicians in this area. The residents will work under the direct supervision of our Evara Health faculty obstetricians providing comprehensive inpatient obstetrical care at Orlando Health Bayfront Hospital Center for Women and Babies (St. Petersburg) and outpatient obstetrical care at the Evara Health Highpoint office. This experience includes prenatal, intra-partum, and post-partum care. In addition to this rotation, residents are assigned patients to be followed through their maternity experience in a continuity care relationship.

The gynecology rotation is a four-week rotation occurring during the PGY-2 training year. During this rotation residents will work under the direct supervision of our Women's Health faculty at the Evara Health Highpoint office. This rotation will provide an experience in the care of women with gynecologic complaints and disorders. It will complement the longitudinal gynecology experience in the Family Medicine Center as well as the gynecology that is learned during the obstetrics experiences throughout residency. The resident will be expected to perform gynecologic procedures commonly performed by family physicians.

The Adult Emergency Medicine rotation consists of one four-week block in the PGY-1 training year. The residents will work at the Bay Pines VA Hospital under the direct supervision of our site faculty. This rotation focuses on acute care management and critical care, improving differential diagnosis insight and skills, and coordinating inpatient and outpatient healthcare with primary care providers and other services. Residents will develop and implement, in coordination with the attending staff, case specific patient management plans including proper patient disposition. Residents will also complete an oral airway didactic session during this rotation. Residents will have four 12-hour shifts each week of the rotation.

This rotation is a four-week block during the PGY-2 training year. This rotation is designed to provide the resident with the skills and knowledge necessary to provide care to patients with cardiac disease at the level that is expected of family physicians. The residents will achieve competency in the management of cardiac disorders commonly cared for by family physicians, including disease prevention, early detection of disease and management of the patient with disease. The residents will also attain proficiency in the interpretation of EKGs. The residents will work under the direct supervision of board-certified cardiologists at the HCA Florida Heart Institute.

This rotation is spent with a board-certified Ophthalmologist at The Eye Institute of West Florida. The residents will become familiar with the evaluation and treatment options for ophthalmic disorders commonly seen by family physicians including conjunctivitis, hordeolum, chalazion, corneal abrasion, uveitis, strabismus, and visual impairment. Residents will also have the opportunity to learn ophthalmic procedures commonly performed by family physicians including slit lamp examination, fluorescein staining, visual acuity testing, visual field testing, removal of foreign body, and application of eye shield.

During this rotation the residents will work with board-certified site faculty at ENT Associates. This rotation provides the residents with the experience and exposure in the outpatient evaluation and management of patients with common illnesses, pathology, and complaints presenting to otolaryngology specialists. Residents will become familiar with the guidelines for elective tonsillectomy, adenoidectomy, and placement of pneumonostomy tubes. Residents will also be able to observe and learn appropriate physical exam tactics on the nasopharynx, oropharynx, and sinuses.

This rotation is a four-week block in the PGY-1 training year. Residents will work with a team of surgeons at the Bay Pines Veterans Administration Hospital. The residents will be supervised at all times by the faculty surgeon at the hospital. The residents will be responsible for the comprehensive care of all patients assigned to them. This rotation is designed to provide residents with the skills and expertise expected of family physicians involved in the care of patients with surgical disorders.

The Pediatric Emergency Medicine rotation consists of one four-week block in the PGY-1 training year. The residents will work at the Johns Hopkins All Children's Hospital under the direct supervision of our board-certified site faculty. This rotation focuses on the evaluation and management of pediatric emergencies, acute care, improving differential diagnosis insight and skills, and coordinating inpatient and outpatient healthcare with pediatric services. Residents will develop and implement, in coordination with the attending staff, case-specific patient management plans including proper patient disposition. On Tuesday mornings, residents will participate in didactics as well as prepare a 15-20 minute presentation. Residents will have four 10-hour shifts each week of the rotation.

This is a four-week rotation in the PGY-1 year of training. The residents in this rotation will work alongside other pediatric residents at the hospital under the direct supervision of our pediatric hospitalist faculty at Johns Hopkins All Children's Hospital. This rotation is designed to provide residents with the skills and expertise expected of family physicians involved in the care of inpatient pediatric patients. With the support of the residents and faculty physician, the resident will be responsible for the comprehensive care of all patients assigned to them. The care of these patients can occur in the emergency department or the pediatric inpatient ward.