Clinic and Hospital
First-year residents will see their own patient panel one to two half-days a week. In addition to faculty supervision, an upper-level resident will be present in the first-year resident clinic to assist with resident education, patient flow, and tips on how to navigate UTMB's tertiary care facility. Second and third-year residents will see their own patient panel on average three to four half-days a week.
Family Medicine Clinic, Primary Care Pavilion
400 Harborside Drive, Galveston, Texas
The Primary Care Pavilion houses the Department of Family Medicine, as well as separate facilities for primary care Pediatrics, Internal Medicine, and Obstetrics, Gynecology, Physical Therapy, Executive Wellness, and Geriatric Senior Wellness Center. This facility is the flagship for primary care clinics on campus. The building received a multi-million dollar face-lift and reopened as the Primary Care Pavilion in November 1996.
Our Beach and Bay clinical teams are located at the Primary Care Pavilion. Each team area has 10 examination rooms, a patient counseling room, and a residents' room. The teams represent models for semi-independent, small-group practices. Each resident is provided a desk and storage area, a desktop computer with internet connections, electronic medical record connections, medical software and administrative software. Generally, at least two examination rooms are provided to each resident seeing patients in the facility. The clinical teams share two large and well-stocked procedure rooms. Video flexible sigmoidoscopy, colposcopy, obstetrical ultrasound and are used daily. Our Procedure Nurse facilitates patient scheduling and arranging for faculty supervision, improving the ease and quality of the experience.
John Sealy Hospital
301 University Boulevard, Galveston, Texas
We have reorganized our hospital service to continue providing continuity of care for our patients while improving resident education and effective time use. There will be two teams comprised of three residents each - two upper levels and a first-year resident. The team's first-year and second-year residents will provide direct patient care, managing their own patients with assistance from the team's supervising third year resident. The third-year resident will oversee the team's educational opportunities and provide support as needed. Students from the UTMB medical school, other medical schools, and the physician assistant program rotate through the inpatient service, providing an opportunity to expand learning in another direction.
Morning report is at 7:30 every weekday morning. The night float team will give a brief history of the overnight admissions, and select a case to present for discussion and review with faculty facilitation. The night float consists of two upper-level residents who manage the hospital service from 6 pm to 8 am in two week blocks, twice a year during the second and third years. Faculty will remain in-house until 10pm to provide resident teaching and to supervise procedures.
Overnight call for first-year residents is rotation-dependent, but approximately one-third the rotations will have every third to fourth night call.