Areas of Concentration (Tracks)
Sports
Medicine | Obstetrics | International
Health | Academics
Because the specialty of Family Medicine is broad and the opportunities in
practice are plentiful, we have developed several enhanced curricular options
for our residents. We have added four Areas of Concentration (AOCs). These
tracks offer our residents opportunities to augment their learning in specific
areas of Family Medicine. Residents who elect an AOC will complete the outlined
curriculum, gaining expertise and advanced skills geared for use in their future
practices.
Residents who have specific interests in one of these areas of Family
Medicine will benefit from the structured curriculum and guidance offered by the
AOC Coordinator. The coordinator will work closely with the resident to
individually specialize the curriculum.
To acknowledge the added expertise gained by these curricular tracks, the
resident will receive a letter of recognition from the AOC coordinator. The
Program Director will also recognize the resident’s additional training in the
resident’s Graduate Summary letter.
Please refer to these new AOCs for the template curriculums. We hope these
enhancements will continue our tradition of excellence in training Family
Medicine Residents.
Sports Medicine Area of Concentration (SM AOC)
GOALS:
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To develop advanced examination skills of the musculoskeletal system.
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To become competent at diagnosing and managing Sports Medicine and
Orthopedic injuries.
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To become competent at caring for medical problems in the athlete.
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To become proficient at performing Orthopedic procedures, including: joint
and soft tissue injection/aspiration, fracture management and reduction, casting
and splinting, joint relocations, etc.
-
To become proficient at performing and evaluating exercise treadmill tests.
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To become proficient at creating orthotics for injury management.
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To become competent at performing sports preparticipation physical exams.
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To assist as team physician for various high school and college athletic
programs.
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To be an active educator on Sports Medicine topics in the residency program.
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To develop scholarship skills in the area of Sports Medicine.
TIME COMMITMENT:
CURRICULUM (Flexibility exists in structuring activities):
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1 required month of Sports Medicine/Orthopedics in both 2nd and 3rd
years.
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1 elective month of Sports Medicine/Orthopedics.
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1 elective month of Sports Specialty which may include Hand Surgery,
Radiology, Pediatric Orthopedics, Rheumatology etc.
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Coverage of High School and College Athletic events and training room with
the Sports Medicine Fellow or Attending.
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Performing Preparticipation Physical Exams for Guilford and Elon Colleges,
and NC A&T University.
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Participation in Sports Medicine Seminars on Friday afternoons during Sports
Medicine and Elective Months.
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Participation and presentation at 2 Sports Medicine Journal Club meetings
annually.
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Publication on a Sports Medicine Topic.
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Attendance of 1 or more National Sports Medicine Conferences, including the
Annual AMSSM meeting, the AAFP Sports Medicine CAQ Review Course and Team
Physician Courses.
Obstetric Area of Concentration (OB AOC)
GOALS:
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To become competent at caring for low risk pregnancies. This includes
prenatal care, labor & delivery management, postpartum care and
contraceptive management.
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To become competent at performing vaginal deliveries.
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To become proficient at performing operative vaginal deliveries, focusing on
Vacuum Assisted Vaginal Deliveries. This includes understanding indications for
such intervention and proficiency at the required skill-set.
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To become knowledgeable and gain experience in performing operative cesarean
deliveries. This includes understanding indications for such intervention and
proficiency at the required skill-set.
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To become knowledgeable and gain experience in performing tubal ligations.
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To be an active educator on OB topics in the residency program.
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To develop scholarship skills in the area of Obstetrics.
TIME COMMITMENT:
CURRICULUM (Flexibility exists in structuring activities):
-
1 – 3 months of Advanced Obstetric Electives. This experience will be with
the OB Teaching Service and will include q 4 inpatient call responsibilities,
supervision and teaching of the interns and medical students on the service, and
meeting the Goals & Objectives for the Advanced OB elective. The resident
will have time to focus on managing high risk obstetric patients, learning
operative vaginal delivery techniques, and first assisting in cesarean
deliveries with attending faculty. He/she will also attend the High Risk
Prenatal Care clinic once per week.
-
A 2 week elective in OB Ultrasound.
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An optional 2 week elective at UNC-CH Planned Parenthood Clinic focusing on
early pregnancy counseling options and surgical and medical therapies for
unwanted pregnancies.
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A publication on an Obstetric topic. The opportunities include the
publication of a Clinical Inquiry in The Journal of Family Practice or
PEPID.
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Attendance at the Family Centered Maternity Care conference sponsored by the
AAFP.
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Participation in teaching the Advanced Life Support in Obstetrics (ALSO)
course with faculty.
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Presentation of 2 noon conferences to the residency on OB topics using
evidence-based information.
International Health Track
GOALS:
- To develop knowledge and skills
which promote improved care of international patients in the U.S and in their
native countries.
- Specific learning areas include
developing…
- a global perspective on diseases
and the burden of care needs.
- an understanding of the factors
limiting nation’s medical care systems.
- an appreciation of the stresses
resulting from immigration into the U.S.
- skills for working effectively
with interpreters.
- the ability to provide medical
care in a patient-centered manner.
- competence in assessing patients’
cultural viewpoints.
- improved foreign language
proficiency, if desired.
TIME COMMITMENT:
2 months of elective - 1 in the
second year and one in the third. At least one month will include approximately
2 weeks in Honduras with a medical brigade.
CURRICULUM
(Flexibility exists in structuring
activities):
Second Year Elective Month
- Attend Hispanic Clinic/ review
videotape encounter 4 half days
- Participate in UNC SOM Honduras
Selective Prep Course 3 days
- Assist in preparations for
Honduras brigade 1 day
- Honduras medical brigade –
participant 14 days
- Present a noon conference on
Travel/International Medicine 1 day
- FPC continuity clinic 5 half days
Third Year Elective Month
- Work in outside clinic with
immigrant population 4 half days
- Assist in preparations for
Honduras brigade 3 days
- Prepare research study for
Honduras trip 3 days
- Honduras medical brigade - team
leader 14 days
- Present a noon conference related
to the care of immigrants 1 day
- FPC continuity clinic 8 half days
Longitudinal
- Provide medical care for families
from at least 5 disparate language and cultural backgrounds.
- Foreign language development:
immersion course, A Su Salud DVD based study, etc.
- Attend and present poster at an
international health meeting (e.g. GHEC, AAFP Int Health)
Academic/Teaching Track
GOALS:
- To develop skills in teaching and prepare the resident for a possible career
in academic Family Medicine.
- Specific learning areas include:
- medical writing
- presentations
- ambulatory teaching
- inpatient teaching
- video precepting
TIME COMMITMENT:
- 2 months of elective - 1 in second year and 1 in third, or 2 in third year
CURRICULUM (Flexibility exists in structuring activities):
First Month
- Work with Residency Faculty
- Inpatient attending on the Family Medicine Teaching Service - 1 week
- Out Patient - 3 weeks
- Precepting - 3 half days
- Video Precept - 1 half day
- Project time - 2 half days
- Attend faculty meetings - Weekly
- Prepare and present a noon conference
- Produce a teaching intervention for the residency - a skills session or
teaching resource
Second Month
- Work with Residency Faculty as in the first month. Add videotaping of the
resident precepting
- Supervise a Rational Clinical Exam synopsis with an intern
- Teach Medical students in the UNC Family Medicine Clerkship
- Attend a Faculty Development Fellowship Experience
- 1 week at a Fellowship - Pittsburgh PA, Columbia MO, or Chapel Hill NC
Longitudinal
- Write and publish a Clinical Inquiry or Scholarly review
- Attend the National Society of Teachers of Family Medicine Conference