All PGY I residents spend one to two half days a week in their continuity clinic. Night call covered with float intern during the week & the weekend shifts covered in a rotating fashion by the remaining interns, depending on the rotation. One month is spent away from Casper for the pediatrics rotation in Salt Lake City. All first year residents are expected to pass ACLS, ATLS, ALSO, and NRP.
The resident spends two weeks working with our behavioral medicine staff (psychiatrist, psychologist and social worker), and with other community providers at multiple facilities in the community. The goals of this rotation are to gain basic skills in diagnosis and assessment of mental illness, to improve patient interviewing skills, and gain knowledge of resources available in Casper for mental health care.
Community Medicine consists of exposure to many of the ancillary services that are available in the hospital and community settings that aid in the delivery of comprehensive and quality care to patients. The following areas are included in the rotation: AIDS education, Public Health department services, nutrition and diabetic education, physical and occupational therapy, Child Development Center services, rehabilitation services, and clinical laboratory services.
While in the Emergency Department, the resident works directly with the ED physicians managing a variety of cases, including acute MIs, lacerations, asthma exacerbations, and a fortitude of trauma cases of various degrees (Wyoming Medical Center is a Level II trauma center with Life Flight service for most of the state).
The family practice inpatient (FPI) service is a team composed of two interns who are supervised by a senior resident. At times, a PGY2 resident is also on the team. On this rotation, the residents are responsible for all hospital admissions of UWFP Clinic patients. The FPI residents are also on the Trauma and "Code Blue" teams. The intern maintains one to two continuity clinics per week.
During this rotation, the resident works with one of the general surgeons in Casper. The resident will have the opportunity to participate in the surgical patient's care from the pre-op setting to the OR (including first assisting), and finally to the post-op management. Call is taken with the surgeon. All residents do a second month of surgery during their third year. Residents may opt to do one of these months with a surgeon in one of Wyoming's smaller communities.
The night float rotation is designed to provide the intern resident with inpatient experience for a general family medicine service. The PGY2 float resident and PGY1 float resident function as a team to provide hospital coverage for all UWFPR patients and participate on emergency response teams for all patients in the hospital, including adult inpatients, pediatrics, and obstetrical patients.
During this rotation, the resident performs inpatient rounds with the OB-Gyn/Peds team. Most days are spent in Gyn specialty clinics. When not in these clinics, the gyn resident helps cover L&D. The resident has two continuity clinics a week.
On the OB-Gyn/Peds service, the OB and GYN residents work with the senior resident to provide care for obstetrical patients on the L&D and postpartum units, newborns in the nursery, patients with gynecological problems, and all box call and community FM doctors' pediatric patients. In addition to the two half-days of one's own clinic, the obstetrical resident spends one half-day weekly in the ultrasound clinic. The resident also has the opportunity to assist and perform C-sections, vacuum and forceps deliveries, D&Cs, and tubal ligations.
Salt Lake City Children's Hospital is the setting for this rotation. The resident spends one month on the inpatient service as a member of the FM resident team. There is no clinic time. An apartment is provided in Salt Lake City
This pediatric rotation is spent with one of the local pediatricians. The goal is to receive exposure and experience in primary care pediatrics. The resident will complete daily hospital rounds with the pediatrician and also attend clinic at the pediatrician's office.
The mornings on this rotation are spent with our hospital based radiologists. The afternoons are dedicated to sports medicine activities, including the high school training room and athletic-based physical therapy. Longitudinally, the residents help cover multiple athletic events in the community.