AREAS OF FOCUS

ER FOCUS

The ER Area of Focus has 2 slots in PGY-2 and PGY-3. Residents apply to these slots in the spring of intern year and must be in good standing. The ER area of focus provides additional training in Emergency Medicine, with emphasis on trauma and procedural experience. These goals are obtained
with several methods:

  1. Four week elective time in the PGY-2 year is spent in a rural ED setting.
  2. Participation in a trauma call rotation.
  3. Instructor level participation in multiple advanced life support classes, including ACLS, ATLS, and FCCS.
  4. Residents are responsible for Journal Club and lecture presentations.

HOSPITALIST FOCUS

This area of focus is designed for the Family Practice resident who intends on having inpatient medicine be a significant part of his/her practice. It is anticipated that at the end of residency, the resident will feel comfortable managing the wide variety of medical problems in adult patients, including those that are critically ill. There are two slots available during the 2nd and 3rd year. You will:

  1. Complete a four week selective with the Sound hospitalist group at WMC in the 3rd year.
  2. Other elective time will be focused on local internal medicine subspecialties, 2-4 weeks of each:
    1. Nephrology
    2. Neurology
    3. Hematology/Oncology
  3. At least one out-of-town elective of 2-4 week duration will be completed in the following:
    1. Rheumatology
    2. Endocrinology
  4. If elective time is remaining, the resident will be encouraged to complete further time in:
    1. Cardiology
    2. Infectious Disease
    3. Critical Care
    4. Radiology
    5. Gastroenterology
  5. Provide a Case Presentation for the WMC CME series, focusing on an Internal Medicine case.
  6. The resident should use at least some of his/her CME time and monies towards an Internal Medicine CME, such as the annual ACP (American College of Physicians) Internal Medicine conference.

SPORTS MEDICINE FOCUS

This area of focus is designed for the Family Practice resident for whom Sports Medicine will be a significant part of his/her practice. It is anticipated that at the end of residency, the resident will feel comfortable treating athletes across the spectrum of care with emphasis on acute sport-related injuries, surgical and trauma problems, as well as non-emergent/primary care issues that often present in this setting. There are
two slots available during the 2nd and 3rd year. You will:

  1. Complete a four week selective in Orthopedic Surgery with attention to sport related injuries and rehab in the 2nd year.
  2. Attend local sporting events as part of the medical team, working with athletic trainers and coaches.
  3. Give lectures on sports medicine topics routinely during didactic sessions during years 2-3.
  4. Provide a Case Presentation for the WMC CME series, focusing on a Sports Medicine topic.

UNDERSERVED/GLOBAL FOCUS

In addition to core knowledge objectives for the residency program, the Underserved/Global area of focus resident will gain advanced knowledge in the following areas: cost effective diagnostic and therapeutic approach to the patient in limited resource setting; social determinants of health; conducting a population-based needs assessment; community oriented primary care; principles of disease prevention and control; health education in a community setting; population-based health systems; and cultural awareness and competency. You will:

  1. Spend one ½ day per week during the PGY II year and two ½ days per week during the PGY III year at the local Healthcare for the Homeless (HCH) clinic.
  2. Complete a four-week selective in outpatient Family Medicine at the Indian Health Service Clinic on the Wind River Reservation located near Lander, Wyoming.
  3. Complete a four-week selective in Malawi, Africa, at a district hospital practicing full spectrum family medicine, teaching and working alongside Malawian medical students and family medicine residents, under the faculty supervision of the WWAMI Network and the Global Health Service Partnership program.
  4. Attend the monthly meetings of the Casper-Natrona County Board of Public Health and/or Community Action Partnership of Natrona County, under which the Casper HCH operates.
  5. The resident may use remaining elective time to obtain further underserved or global experience within ACGME requirements, but is encouraged to use some elective time to further family medicine education.
  6. Present a senior lecture and prepare a FPIN Help Desk Answer assignment on a global or underserved topic.
  7. Provide a Case Presentation for the Wyoming Medical Center CME series, with a focus on an underserved or global health case. Earn underserved or global CMEs during residency.