Resident Resources at Susquehanna Health
Conference and Rotation Schedule
Noonday Conference & Visiting Professor Schedule
ABFM Board Review
Physical med / Rehab
AFP Journal Club
Journal club / Quality Improvement
|Residents' Only Meeting||Dermatology||Behavioral Health||Morbidity and Mortality Conference|
Physicians For Responsible Ordering
Noonday Conference - Daily 12:30 p.m. to 1:30 p.m.
Visiting Professor Didactic Lectures - Friday 8:00 a.m. to 9:00 a.m.
Williamsport Family Medicine Residency Program Rotation By Year
|Internal Medicine||Obstetrics||Pediatrics||Community Medicine||Orthopedics / Sports Medicine||Emergency Medicine||Night Float|
|Surgery||Pediatrics||Emergency Medicine||Internal Medicine||Obstetrics||Night Float|
Family Medicine Office - 1 half day per week
|Night Float||Obstetrics||Ortho/Rehab Sports Med.||Pediatrics||Pulmonary / Critical Care||Internal Medicine||Elective rotation|
|Cardiology||Night Float||Dermatology / Practice Management||Internal Medicine||Psychiatry||Pediatrics||Obstetrics|
Family Medicine Office - 2 to 3 half days per week
|Internal Medicine||Urology||Cardiology||Elective Rotation||Outpatient Pediatrics / Allergy||Elective Rotation||Night Float|
|Night Float||Elective Rotation||Dermatology / Ophthalmology / ENT||Elective Rotation||Elective Rotation||Outpatient Gynecology|
Family Medicine Office - 2 to 5 half days per week
Residents need to know how well they are progressing. The faculty has expertise that recognizes both strengths and weaknesses and works with the individual resident to develop specific educational plans. Residents, in turn, are also evaluators who have regular (and confidential) opportunities to provide feedback to the faculty and to the program.
All evaluations and documentation of procedures are stored electronically. Resident meetings with faculty advisors take place every four months, at a minimum, to review progress toward family medicine competencies viewed below.
"Working with the residents here is what makes a good experience into a great experience. There is always someone encouraging you, motivating you, or lending a sympathetic ear. These interactions have cultivated wonderful friendships that have grown to be a large, supportive family."
-Videhi Patel, MD
- A commitment to carrying out professional responsibilities
- Adherence to ethical principles
- Sensitivity to a diverse patient population
2. Communication and Interpersonal Skills
- Effective information exchange
- Teaming with patients and their families
- Teaming with other health professionals
- Teaming with the community
3. Patient Care
- Compassionate, appropriate and effective care
- For the treatment of health problems
- For the promotion of health
4. Medical Knowledge
5. Practice-Based Learning and Improvement
- Investigation and evaluation of one’s own patient care
- Appraisal and assimilation of scientific evidence
- Improvements in systems of care
- Improvements in outcomes
6. Systems-Based Practice
- Actions that demonstrate an awareness of and responsiveness to the larger context and system of healthcare
- The ability to effectively call on system resources to provide care that is of optimal value
7. Osteopathic Philosophy and Osteopathic Manipulative Medicine
- Demonstrate competency in the understanding and application of OMT appropriate to the medical specialty
- Integrate osteopathic concepts and OMT into the medical care provided to patients as appropriate
- Understand and integrate osteopathic principles and philosophy into all clinical and patient care activities
For Students: Big City Medicine in a Rural Setting
When people think of teaching hospitals, they usually think about big cities and names like Johns Hopkins or Cedars-Sinai; however, medical students can gain top-quality, hands-on experience right here in Williamsport! Each year, over 50 students take part in the Family Medicine Residency Program student clerkships.
Third- and fourth-year medical students from schools across the country take part in clerkships that last between four to six weeks. We have academic affiliations with the following medical schools:
- Temple University School of Medicine
- Drexel University College of Medicine
- Penn State-Hershey Medical Center College of Medicine
- The Commonwealth Medical College
- Philadelphia College of Osteopathic Medicine
Clerkships are offered in obstetrics, pediatrics, and family medicine. Many students take part in a rotation in obstetrics from a family medicine perspective that has received rave reviews from the students who have completed it. During the OB rotation, students gain practical experience in a hands-on pregnancy care environment.
Having medical students at UPMC Susquehanna continually tests our medical staff and residents. "The students who participate in the clerkships push our residents and faculty to a higher level," says Luan Pham, MD, "Having students with us challenges our residents and faculty to stop and explain to someone else what they are doing and why."
Students are offered feedback on a daily basis - something they rarely get anywhere else. They are rated on eight different areas: knowledge base, history-taking, physical exam, problem-solving, progress notes, oral presentations, reliability and initiative and interpersonal skills. Mid-way and at the end of their clerkship, students receive an overall evaluation during a one-on-one meeting.
Students are considered to be an important part of the patient care team. They get to experience caring for patients with the supervision of a physician.
"We've set up our clerkships to provide a variety of opportunities for learning in an environment that's challenging yet comfortable," explained Annette Sheets, C-TAGME, Supervisor, Graduate Medical Education. "Even students who are not planning to practice family medicine say that the family medicine rotation is a very good experience. Students really enjoy our program because they truly are embraced as part of our team."
Download the Student Rotation Request Form
The Williamsport Family Medicine Residency has achieved Level III recognition with the National Committee for Quality Assurance (NCQA) to function as a Physician Practice Connections-Patient Centered Medical Home (PPC®-PCMH™).
Patient Centered Medical Home (PCMH) is a model of care that is team-oriented while building strong patient-physician relationships. Under this model, a personal physician leads the patient's healthcare team and collaborates with the patient over a long period of time to provide consistent, continuous and coordinated healthcare. The purpose of the patient's "medical home" is to provide much of the needed care or coordinate that care with other healthcare professionals through patient-directed goals, clear communication and smooth transitions between providers. Components of PCMH include quality measures, patient experience, health information technology and practice organization.
As a result of the PCMH model:
- Recent studies in Pennsylvania indicate a 14% reduction in hospital admission rates, which after two years reveal a trend toward a 9% reduction in medical costs.
- A study in the state of Washington notes a 29% reduction in emergency room visits and an 11 percent reduction in outpatient readmissions.
- A Michigan study shows implementation of this model reduced the number of emergency room visits by half and inpatient hospitalizations by 15%.
- The model's overall benefit is more effective and efficient care and we train residents in the model for their future practice.
Model Family Medicine Office
The Family Medicine Residency Center provides residents with the opportunity to learn quality patient care in a certified Patient Centered Medical Home. Each first-year resident is given a panel of families to manage over the ensuing three years, and each panel grows as the resident gains experience. Time spent in the office progressively increases over the three years. First-year residents are scheduled for one-half day a week. Second-year residents are scheduled for two to three half days per week. Third-year residents are scheduled for three to five half days per week. During the second and third years of training, residents also provide care to geriatric patients at local nursing homes and via home visits. A full spectrum of care is given in the office, from newborn and adolescent medicine to obstetrical and adult medicine, and geriatrics. The office currently handles approximately 13,000 patient visits a year.
Our office is located on the top floor in the newly-constructed (Spring 2015) Health Innovation Center, which was built attached to the Williamsport Regional Medical Center. The clinical space doubled the square footage of our previous office and includes 19 modern and well-designed exam rooms, four dedicated pediatric exam rooms, two osteopathic manipulation rooms, two procedure rooms, and a counseling room. Each room is equipped with video cameras that are used for video precepting to periodically give residents constructive feedback on their history-taking and examination skills.
These exam rooms surround a centrally-located nurses station and large preceptor/resident work area where each resident has their own personal desk space and laptop computer. Most teaching of outpatient medicine occurs in this centralized resident work room in which the residents complete their electronic charts, discuss cases with the preceptors, and have immediate access to a full library and broad selection of patient education materials. All office charts are reviewed by the preceptors and oral and written feedback is given to each resident.
Problem-oriented medical records are the standard in the office. An office electronic medical record connects to the hospital's lab, EKG and imaging systems. All are accessible 24 hours a day, ensuring rapid access to all outpatient data, any time, day or night, from any hospital location and remotely from residents' homes.
The procedure rooms are well-equipped to handle the common office procedures we perform including skin excisions, hifurcation, cryosurgery, punch biopsies, laceration repair, endometrial biopsy, colposcopy, IUD and implantable birth control placement, joint injections, and simple fracture care. We also have the equipment to perform EKGs, tympanograms, spirometry, audiometry, finger stick lead and hemoglobin levels, pregnancy tests and microscopic examination of fluids and tissues. Our newest microscope has a cellphone camera adapter, allowing residents to scan microscopic findings into patient’s EMR chart.
The administrative wing of the office includes faculty offices, a nice staff lounge, and a spacious conference room with state-of-the-art teaching equipment that can be used to provide patient group visits and education. This space is utilized for weekly didactic conferences with first-year residents and medical students. These educational conferences allow the faculty to emphasize the evaluation and management of common outpatient problems.
Although outpatient primary care medicine is taught on several rotations during residency (e.g., outpatient pediatrics, OB/GYN, dermatology, urology, psychiatry and community medicine), the Family Medicine Residency Center is "where it all comes together" as the patient-centered care approach is taught, refined and honed for each resident.
The Williamsport Family Medicine Residency is a dually accredited residency program offering comprehensive education for both allopathic and osteopathic residents. In fact, our program integrates the two professions from day one, making it a pleasant working environment with equal opportunities to excel, while at the same time allowing osteopathic residents to enhance their manipulation skills and maintain a unique identity among peers.
Since 1974, our allopathic residency has been committed to providing outstanding training in family medicine. With its high standards of education and nurturing environment, the allopathic residency has grown to become one of the premier family medicine residency programs in the northeast region. This same commitment to resident education is now being offered to osteopathic physicians, creating an osteopathic program that shines among the rest. Our goal is to provide an environment in which osteopathic residents can develop to their fullest potential.