Friday, August 21, 2009

UTMB FMR Rural Training Track - better than ever!


Challenge to Society: 177 of 254 (70%) Texas counties are rural.

Rural Training:
Residents will spend their first 20 rotation blocks training with the larger group of FM residents in standard Galveston area rotations.

PGY1 continuity clinic will be held in the Family Medicine Center in the University Hospital Clinics building. During rotation blocks 14 – 20, continuity clinics would be relocated to Weimar, TX in partnership with our local RTT faculty at the Youens-Duchicella Clinic. Rotation activities would continue to be in conjunction with the larger group of campus-based FM residents during this time.

At the completion of rotation block 20, RTT residents would relocate to the RTT site for the remainder of their training. They will maintain connection with the campus-based resident cohort via web-based conferencing of weekly Thursday afternoon didactic activities and periodic returns to campus for in-person participation.

Rural Site:
The RTT site is located 138 miles from Galveston in Weimar, Texas (on I-10 west of Houston) and in the year 2000, the population was 1,981. The local hospital, Colorado-Fayette Medical Center is a 38-bed facility organized as part of a private 501(c)(3) corporation.

The Curriculum:
Rotation blocks 1 - 20: Essential Skills in FM (Orientation), Principles of Family Medicine, FM Hospital Service 1-3, MICU, OB1-2, Emergency Medicine, Pediatric Urgent Care, Newborn Nursery, Community Medicine 1-2, Pedi Inpatient, Behavioral Medicine, Geriatrics, Ambulatory Peds1, Surgical Subspecialties, Neurology and Nephrology.

Rotation blocks 21-39: Surgery 1-2, FM Hospital Service 4-7, Ortho1-2 & Sports Med, Cardiology, Gynecology, FM Outpatient Procedures, Ambulatory FM, Ambulatory Peds 2, Electives 1-6.

What residents say about the RTT Experience:
Residents have reported that their rural training experience gave them the skills and background to be more competitive for rural practice jobs after residency. Generally, all felt comparable to their peers in terms of knowledge-base but that they may have a competitive edge in terms of “hands-on skills” and confidence related to performing procedures.

Residents reported learning a lot about “practice management” and the business of medicine in the rural track. Another benefit most residents cited is the immediacy of consultation/collaboration from specialists and other services. Residents feel that provider-to-provider communication is better in the rural setting (especially when a procedure/hospitalization is needed), as is continuity of care for patients and the ability to preserve the educational continuum when patients require specialty care.

If you are interested in the RTT, be sure to mention this during your interview process.

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