Family Medicine Residency
Family Medicine Residency
Our program has been fully approved by the Accreditation Council for Graduate Medical Education (ACGME) since 1978 and the American Osteopathic Association (AOA) since 2009. The program fulfills all requirements of the American Board of Family Medicine and the American Osteopathic Board of Family Physicians.
We see and treat the patient as a whole person whose unique physical and psychological makeup presents an equally unique set of needs. As you learn and train with us, you will grow to fill the role of a family medicine specialist who treats the whole patient with expertise and sensitivity.
We provide an optimal educational environment in which you can develop your potential as an individual, physician, teacher and learner. To this end, we provide a realistic practice setting that is facilitated by advanced health information technology (such as electronic medical records), a personalized curriculum, family physician mentors, and a host of related educational resources and personnel.
Within this training network, you will learn to offer continuing, comprehensive healthcare to patients and their families, from preventive to all stages of diagnostic and therapeutic care. Your understanding and skills will be cultivated through ongoing relationships with patients and colleagues. Both in the office and in the hospital, emphasis is placed on continuity of care, patient education, and cultural competence, with special attention to behavioral science development.
You will also follow patients longitudinally at a local nursing home to enhance your skill in comprehensive geriatric assessment and long-term care, and you will spend some time at Forbes Hospice to gain additional training in palliative care for terminally ill patients.
The residency program will develop your ability to coordinate hospital and community resources to provide comprehensive, personalized care to patients in a variety of practice settings. When you complete the Family Medicine Residency Program, we believe that you will be able to competently manage most of your patients independently, yet know the appropriate times and methods for consults and referrals to other specialists. In either event, it will be you, the family medicine specialist, who will confidently initiate, coordinate and manage each patient's care to produce the best possible outcome.
We accept applications through ERAS only and the deadline to apply is December 31.
We are 6-6-6 MD/DO program and recruit six positions each year. We will be accepting applications from both American and International graduates. We will consider those applicants whose USMLE scores are a minimum of 210 or higher on Step 1 or Step 2 with no more than two attempts. For the osteopathic applications we are looking at scores of at least 450 on COMLEX 1 or 2.
We are looking at applicants who have graduated from medical school no more than 5 years ago and who have hands-on United States or equivalent experience with references.
We must receive ECFMG certification through ERAS by January 31.
We will be sponsoring J1 & H1 visas. An H1 visa will only be considered if Step 3 has been taken, passed, and results received through ERAS by January 31. All expenses are the applicant's responsibility.
Those with appropriate qualifications who are truly interested in family medicine are urged to apply through ERAS between September 1 and December 31.
Since we are a small program, we cannot offer any observerships or externships.
Family Medicine Residency Program
Gina Sacco-Tucker, Recruitment and Medical Student Coordinator, 412.457.1050
Family Medicine Residency
2550 Mosside Blvd. - Suite 500
Monroeville, PA 15146
Carol Katona, Curriculum Coordinator, 412.457.1058
Mary Jane Geier, Program Coordinator and Faculty Assistant, 412.457.1064
Who will I be competing with for patients?
Our program is the only medical GME program at Forbes Hospital, so there is no competition for medical patients. General surgery, podiatry, and psychiatry residency programs do have rotations at Forbes Hospital. Each rotation provides you with the challenge of direct responsibility for patient care under the continual, appropriate supervision of attending physicians. Your second-year pediatrics, medicine and obstetrics rotations allow you to teach and work with first-year family medicine residents. There are also opportunities in all three years to teach medical students.
Where do I complete rotations?
Outpatient office, hospital medicine, obstetrics and pediatrics rotations are all completed at Forbes Hospital. Call is never taken at another hospital. The number of admissions is capped so that residents have time to learn from each patient.
What is the call schedule?
The call schedule is arranged so that residents see all types of patients at all points during the year, instead of limiting the exposure to one area of medicine to the few months they are on that service. The call-to-call variety of coverage is similar to the experience in practice after residency.
Frequency: First-year residents will be on call approximately 3 times per month. Second-year residents will be on call about 2 times per month. In the third year, residents will be on call 1 time per month. There is no week day call, but there are five 12-hour call shifts on the weekends: Friday night, Saturday (2 shifts), and Sunday (2 shifts). Third and second year residents supervise first year residents at all times.
Exposure: Residents handle admissions to their own services, as well as respond to calls regarding acute problems, such as chest pain, shortness of breath or abdominal pain. This is not the case for routine problems or orders on all patients in the hospital.
Night Float: There are two residents on Night Float, one senior resident (third or second-year resident) and one first-year resident. The senior resident supervises the first year resident. Night Float runs from Sunday night through Friday morning.
Attending Coverage: Residents call the attending physicians directly to discuss their findings and plan the course of action. There is always a pediatrician in the hospital who provides 24-hour continuity of pediatric education and an intensivist for critically ill patients. While on call, residents also answer phone calls from the Family Medicine Center patients.
Special features of our Family Medicine Residency Program include the following.
Family Medicine residents are provided with advanced technological tools for learning, including a laptop for patient care and residency activities. In addition, our organization is implementing a premier electronic medical record (EMR) system for both outpatient and inpatient encounters that is available with other electronic physician resources through the organization's web-based Physician Portal.
Our program focuses on team dynamics. While attending physicians teach evidence-based medicine, they are also open to discussing different ideas regarding patient management. The atmosphere of mutual respect and cooperation adds greatly to the learning experience.
Our hospital administration ensures that residents have 24-hour support for clinical care and computer services, which says a great deal about how the hospital views the residents' role here - as doctors.
Because family medicine will involve you in a therapeutic capacity in the lives of your patients and their families, your interpersonal skills are of primary importance. Moreover, it is likely that your patients will present you with a range of problems such as depression, stress-related illness and marital or sexual difficulties. To equip you to interact sensitively and to recognize, assess and initiate treatment for such patients, behavioral science training experiences are incorporated into all 3 years.
A full-time behavioral scientist is available to all residents for consultation, co-precepting, and demonstration of therapeutic techniques for use with patients. Once weekly, the behavioral scientist participates in inpatient behavioral rounds with our program's residents and faculty. A weekly patient care seminar (Balint) will allow you to discuss your patients from a behavioral standpoint and consult with peers and faculty, among whom are a therapist and a family physician. Monthly core curriculum conferences address common psychosocial problems and include workshops that focus on skills such as counseling, telephone medicine and working with families.
Videotape review of your patient sessions is designed to give useful feedback on your interviewing, counseling, and problem-solving skills; nonverbal physician-patient/family interaction; and the efficiency with which you conduct office visits. All exam rooms in the Family Medicine Center have video recording capabilities. You then review your session tapes with the behavioral scientist or a faculty member whose remarks can serve to heighten your ability to self-monitor and modify your approach as necessary.
Educating patients and encouraging them to become active partners in their own health care are strongly supported by the program's emphasis on patient education. As a resident physician, you will be expected to identify the learning needs of your patients and tailor a specific teaching plan to guide them to the required information.
Throughout the program's duration, a full-time nurse practitioner and patient educator coordinates patient teaching activities, assists you in developing patient teaching methods and materials, and serves as your resource for in-depth education with selected patients. Faculty and staff are also available to help you in your patient education duties.
The many patient-teaching aids at the Family Medicine Center include printed materials, video and audio tapes, anatomical models, teaching posters and computer-based programs. Waiting areas and exam rooms also contain these materials for patients' use.
Our program has received national recognition for its patient education efforts. In the past, Forbes Hospital was honored with the national Patient Care Award for Excellence in Patient Education, presented at the annual Patient Education Conference.
As a family physician, you will be an important and integral leader in the community you serve. Our program helps you step into this role by integrating community medicine into all rotations. You will have opportunities to observe and work with community agencies, schools, and sports medicine programs. You will participate in our community-oriented scholarly longitudinal project where we explore a local community and its healthcare needs in more depth, and you will work with that community to improve its healthcare. In addition, our faculty are involved in a variety of community agencies and projects, and you are invited to team with them as they provide community service.
The program is sensitive to the unique stresses that new physicians sometimes encounter during their residency experience. To ease your transition into your new roles, the program begins resident support during the first-year orientation, when faculty confer with residents on risk assessment and stress reduction and address the fears and expectations of residents. A retreat for new residents further encourages supportive peer group cohesion, preparing the way for your future participation in the program's resident support group. This group is open to all residents and gives you the opportunity to develop effective communication and interpersonal skills while dealing with the positive and negative aspects of your residency in a supportive atmosphere.
Evaluations for Guidance
Evaluations for guidance of residents include the following:
Resident Evaluation: Objectives and evaluations are established to guide, assess, and document each resident's experiences in rotations and at the Family Medicine Center. At the end of each rotation, the supervising attending physician evaluates you on a range of essential knowledge, skills, and professional attributes. Family Medicine Center preceptors audit charts, directly observe your patient care, evaluate your specific clinical and practice management skills, and document their observations monthly, using as their criteria numerous aspects of an ideal Family Medicine Center office visit.
Development Staffing Meetings: Twice a year, these staffing meetings are held for each resident. At these meetings, you complete a self-evaluation according to stated criteria and with your advisor and a preceptor, review and discuss all rotation and office evaluations. With the benefit of this feedback, you and your evaluators outline a written six-month or one-year plan for your continued development.
Program Evaluation: Each resident is regularly requested to evaluate the teaching, rotations and other learning experiences that comprise the program. Residents also participate in curriculum, patient education, research, and Family Medicine Center committees with faculty members and the residency director to plan and implement program modifications.
Family-Centered Maternity Care
Residents learn an approach to obstetrics that is different from that typically practiced by obstetricians. Family-centered birthing is a high-touch, low-tech approach in which assumptions about practice are challenged by evidence-based medicine and the needs and desires of the laboring woman are supported when possible. Family medicine faculty members back up some of the deliveries and serve as role models. They and our obstetrician faculty support the residents as they work directly with their patients. You will learn to practice a safe and satisfying approach to the prenatal and birthing process that is consistent with the philosophy of family medicine.
Women's Health Track
Forbes Family Medicine Center has a long history of actively teaching women's health. In 1994, we received a U.S. Health and Human Services grant to develop a comprehensive curriculum in women's health for the residency. We now offer a Women’s Health Track, where rotation electives are used in concert with readings and community experiences to allow enhanced, resident-directed learning about obstetrics, gynecology, or overall women’s health.