Residents on this rotation spend a majority of their time with our behavioral medicine staff and with Wyoming Recovery. They also participate in both CSI and MAT clinics. This rotation is to further build upon skills to diagnosis and manage common mental health conditions in the primary care clinic. The rotation will also help the resident further refine skills in visit structure/patient interaction through direct observation.

The resident spends this rotation working with one of the local cardiologists. The resident gains a great deal of experience managing cardiac patients, evaluating ECGs, interpreting stress tests, and assisting with cardiac catheterizations. The resident rounds with the cardiologist in the ICU and the wards, as well as participates in outlying cardiology clinics. A resident may selective an alternative experience if felt to better meet overall educational goals.

The resident works one on one with the dermatologist mostly seeing office patients. The resident has the opportunity to see a variety of dermatological pathology plus perform numerous surgical procedures, especially excisional biopsies. A resident may selective an alternative experience if felt to better meet overall educational goals.

Residents select and plan their own electives. These may include anesthesia, wound care, ENT, Infectious Disease, Hospital medicine, Hospice, Urology, Oncology, and Neurology to name a few.

The resident works one on one with our critical care/pulmonology specialists. The resident gains experience in general ICU care, especially ventilator management. There are also pulmonology consults on the floors and procedural experience includes thoracenteses, chest tube placement, central lines, and intubations. A resident may selective an alternative experience if felt to better meet overall educational goals.

The resident works as a team with the PGY-1 resident to cover the inpatient service M-Th, 5:30pm-7am while completing 2 continuity clinics a week. This rotation provides experience focused mainly on adult medicine, while providing continuity of care for all service patients and providing supervision for the PGY-1 resident.

This rotation takes place in Spokane, Washington, where the resident works in a high risk/high volume setting on the labor and delivery floor. Our residents work under the direct supervision of Family Practice faculty and OB Fellows. Lodging is provided in Spokane. Once residents successfully complete this rotation they are designated OB seniors.

The resident works with the pediatric hospitalist team at Wyoming Medical Center to acquire training and provide care for hospitalized pediatric patients as well as newborn assessments and care.

The resident divides his/her time with several of our local pediatric specialists and services. This includes child adolescent psychiatry, child development services, child advocacy program for abused/neglected children and local specialty clinics provided by Denver Children's Hospital Specialists.

This rotation is designed to give experience with practical aspects of running a practice, including billing and coding. Residents will learn to audit charts for billing and coding purposes, and will choose and complete a project related to how to run a practice or choose a job after residency. They will spend time in many different areas of the clinic including billing, medical records, front desk, nurse triage, and lab.

The Rover resident serves as a member of both the FPI adult medicine team and the OB-Peds inpatient team- filling in the gaps wherever needed. The Rover helps with rounding, admissions, consults, OB triage, and supervision of interns.

During this rotation, the resident will have the opportunity to experience rural medicine in a small community. While there, the resident functions as one of the local physicians participating in daily clinics and taking call at the local hospital/ER. Several rural communities across Wyoming serve as sites for this rotation.