The curriculum's range and flexibility also allow you to pursue additional experience in areas of particular interest such as our special tracks in women's health and sports medicine, and added exposure in LGBTQ health and correctional medicine. Because we value your ability to tailor your education, we offer 7 electives over the course of residency.
Forbes Family Medicine is our group practice and is the hub of your outpatient experience as a resident. In addition to building your own patient panel here, you will work elbow-to-elbow with your faculty as they see patients. The Center is just off the hospital campus, allowing easy access to both sites. The office was renovated recently, and its 8,000 square feet includes 15 patient exam rooms, including dedicated rooms for OMT, counseling, and procedures.
Residents spend increasing time in the Family Medicine Center throughout residency. First-year residents initially spend one half-day per week, advancing to 2 half-day sessions by the end of internship. On average, second-year residents spend 3 half-days in the office and third-years will have an average of 5 half-days. The number of patients per session also increases with increasing experience, in order to maximize your proficiency with a wide variety of patient ages and conditions.
You will get experience with a range of office procedures. We provide gynecologic procedures including insertion and removal of long-acting reversible contraception (LARC), such as Nexplanon and IUDs, and other gynecologic procedures including colposcopy and endometrial biopsies. You will also learn joint injections, skin biopsy techniques, incision and drainage of abscesses, cyst excisions, toenail removal and newborn circumcision.
Osteopathic residents (and interested allopathic residents) are encouraged to utilize osteopathic techniques in the course of patient care, but we also support a dedicated OMT clinic 2 sessions per week. Family medicine faculty with OMT expertise supervise this clinic and provide additional scheduled instruction.
As effective assessment and treatment of patients’ mental and emotional health is crucial to maximizing total health and wellbeing, we have several avenues to integrate behavioral health services in the office. Our full-time behavioral health faculty sees patients with residents and is available for acute needs. All rooms are equipped with video cameras for additional opportunities for patient interactions to be observed. Additionally, our practice has partnered with Quartet, a company that helps connect patients with mental health services and provides real time clinical curbside consultations with psychiatrists.
The office offers full laboratory services with several point-of-care tests available to maximize efficiency as well as audiometry, spirometry and similar evaluations.
In addition to the patient care areas, the Family Medicine Center houses faculty offices and residency administration staff, a large resident work area and a small exercise room with equipment. We also have a large conference room with a kitchen which we use for community outreach events.
Forbes Hospital has a rich tradition of serving the community of Monroeville and Pittsburgh’s eastern region. The hospital has always offered obstetrics, inpatient pediatrics and inpatient psychiatry services. With the addition of a level 2 trauma center, cardiothoracic and neurosurgery programs, a cancer center, rehabilitative services and increasingly busy emergency department, Forbes Hospital provides comprehensive care in a community hospital atmosphere. Forbes Family Medicine residents are active and visible in every unit of the hospital; in addition to our inpatient family medicine service, our residents provide integral care on the pediatrics and nursery units, labor and delivery, the ICU and in the ED. They also respond to and manage codes for unstable patients throughout the hospital.
AHN surgery, emergency medicine, anesthesia, psychiatry, and podiatry residents rotate through their respective services at Forbes. Interactions among residents enhance the learning opportunities without competing for experiences – there is enough to go around. However, as family medicine is a constant presence in the hospital and our residents provides “eyes and ears” about hospital operations, especially after hours, the FM residents are welcome contributors to hospital committees, initiatives and community outreach programs. These opportunities enhance our leadership curriculum.
Our rotations are organized in 4-week blocks. The curriculum for each year of the Family Medicine Residency Program is as follows:
First-year rotations are designed to reinforce and expand the knowledge and skills acquired in medical school with inpatient experience in adult medicine, pediatrics, obstetrics, surgery, and emergency medicine. The care of families is introduced at the Forbes Family Medicine Center with one and then two half-day sessions per week.
In the second year, the program emphasizes expanding your knowledge in core family medicine topics including pediatrics, adult medicine, and obstetrics while increasing your responsibility as a senior resident. An ICU rotation, additional ED time, and 2 months of electives round out this year. During this year, you will begin to serve as a supervising physician and teacher for first-year residents and medical students. You will receive specific training in teaching techniques to prepare you for this role. Throughout the year you will spend an average of 3 half-days per week in the Family Medicine Center.
1On the Family Medicine Inpatient Service, second- and third-year residents function as lead physician on the service to which resident and faculty patients are admitted, and supervise first-year residents. This service will expose residents to the full spectrum of family medicine patients - adults with medical/surgical conditions, children, newborns, postpartum patients and psychiatric consult patients. The resident rounds daily with a core family medicine faculty member.
2Geriatrics is taught as a 2-month block rotation in second and third year along with monthly multidisciplinary teaching rounds at our nursing home. Residents follow a panel of nursing home patients throughout these years. Hospice and palliative care is also part of the experience.
The program's third year gives you advanced clinical practice experience and more time in the Forbes Family Medicine Center. In addition to the required medical and surgical subspecialty rotations, you will choose or design electives to expand your knowledge in previously introduced areas or integrate new ones of special interest.
The third-year curriculum includes an average of five half-days per week in the Family Medicine Center and the following rotations:
Forbes Family Medicine Center has a long and rich history of teaching women's health. Back 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.
Musculoskeletal complaints are one of the top reasons patients choose to see a physician. Musculoskeletal medicine is an extremely important, but often overlooked, rotation in family medicine residencies. We offer a Sports & Exercise Medicine Track for residents interested in pursuing sports medicine fellowship or who want to learn advanced MSK and sports medicine care.
Residents are exposed to a wide range of sports medicine opportunities through collaboration with AHN’s primary care sport medicine fellowship. As the school district physicians for Gateway (Monroeville, PA) and Franklin Regional (Murrysville, PA) School Districts, the residency performs their pre-participation physicals. Our residents aid in sideline coverage for Gateway and Franklin Regional High Schools. Additional opportunities for sports track residents include: Westmoreland County Wrestling Tournament, the Great Race, Pittsburgh Marathon, and pre-participation exams for other AHN schools. Training room sessions are held, when needed, once weekly and sports medicine track residents help with these evaluations. Sports track residents have an additional rotations where they gain further experience and resume-building for fellowship applications.
In partnership with Allegheny Health Network’s Primary Care Sports Medicine Fellowship, Forbes Family Medicine hosts one PCSM fellow each year. The fellow sees their continuity patients in our office. He or she attends and teaches at residency didactics one Tuesday afternoon per month. The fellow works with sports medicine-interested residents, mentoring them and working on scholarly activity. Osteopathic fellows help teach OMT clinics within the residency. Game and training room coverage for the fellow occurs at a high school in close proximity to the residency. This partnership provides a unique opportunity, for the residents and fellow alike, to work with both a cutting-edge sports medicine fellowship AND a well-recognized family medicine residency program.
All residents and faculty are excused from clinical responsibilities on Tuesday afternoons to participate in our core curriculum conferences. This 12-5 pm session provides important learning time as well as an opportunity for collegial support. The following broad categories are presented:
Additional conferences and didactic learning opportunities occur throughout the week, such as Balint (resident support), Forbes Hospital Grand Rounds, and OMT and EKG workshops. Additional didactics for geriatrics are also held at the nursing home for residents on their geriatrics rotations.
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