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PGY I: The call schedule during the first year of residency training varies with each rotation, but averages every fourth night.
PGY 2/3: Our Family
Medicine Inpatient Service (FMIP), made up of the entire pool of second and third
year residents, handles medicine/pediatric call (including admissions) for our
two Family Health Centers). In addition to the FHC patients, residents also admit patients from the
MSU Clinical Center practice. The residency also assists in providing coverage for unassigned patients admitted via the emergency
room on a fair-share basis with other providers. Each upper
level resident is responsible for five FMIP rotations over years 2
and 3. Time on FMIP is divided into primary team activities and night
float. During primary team rotations, senior in-house call is taken once or twice
weekly on the weekends, shared with the other upper level residents on
the service. During night float rotations, the night float resident covers night call Monday through Thursday
each week. Upper level residents supervise first year residents when taking FMIP
in-house call. Comfortable, private and secure call quarters are available
for Family Medicine residents on call duty. During primary team and night float rotations, residents have no
other obligations beyond a required one-half day of continuity office time per week. FMIP
manpower generally consists of two first year residents and five upper level
residents on the service at any one time.
The Family-Centered OB Service (FCOB) is part of the Family
Medicine Inpatient Service. Upper level residents doing Night Float and FMIP weekend
call cover the FCOB service during night-time hours and on the weekends.
Residents are expected to deliver their own individually assigned continuity patients from either their home office or the community service prenatal clinic. However, the FCOB upper level resident on-call
is the default delivery mechanism for all community family medicine patients and for all continuity patients whose primary residents are unable to attend their deliveries.
Upper level Family Medicine residents have minimal
call requirements on other rotational experiences during years 2 and
3. None of the other Sparrow residency program services depend on family
medicine residents for call coverage after the first year of training.
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