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Residency Program
Goals and Objectives
Knowledge: Upon completing the Fellowship, fellows will demonstrate knowledge of:
- Managing the specialized needs of patients seen in a rural environment, including the
following:
- Trauma
- Cardiac events and acute care
- Severe medical illnesses
- Referral to tertiary care settings
- Chronic illness and nursing home care
- County and public health officer duties
- Consultation with sub-specialists in tertiary care hospitals, including effective phone
consultation
- Management of high- and low-risk obstetrics in an underserved setting, including the
following:
- Incomplete or missed AB
- Fetal heart monitoring
- Management of OB patients with medical illnesses, e.g., hypertension, DM, etc.
- PIH
- Management of labor, including induction and augmentation
- First and third trimester emergencies
- Risk management with emphasis on special risks inherent in providing care in an
underserved area
- Regionalization of availability and use of Maternal-Fetal specialists and other
consultants
- How to prepare and present information to hospital staff and peers, residents, and
medical students
- Techniques of providing clinical preventative services, community disease prevention,
and health promotion among a rural underserved population
- Practice management as applied in a rural underserved environment
Skills: Upon completing the Fellowship, fellows will be able to:
- Provide urgent medical, surgical and trauma care with minimal backup, including the
following:
- Stabilization of severe trauma
- IV access
- Intubation and cardiopulmonary resuscitation
- Casting of fractures
- Suturing
- Supervision of EMT, both directly and indirectly
- Provide low- and high-risk OB in an underserved setting, including:
- Cesarean sections
- D & C
- Newborn resuscitation
- Induction/augmentation of labor
- residental monitoring of fht’s and uterine pressure
- Vacuum or forceps extraction
- Manual removal of placenta
- Episiotomy and repair (1-4th degree)
- BTL
- Perform the following office procedures:
- Norplant
- IUD placement
- Circumcision
- Exercise stress testing
- Vasectomy
- Colposcopy
- Flexible Sigmoidoscopy, Colonoscopy, and Esophago-gastroscopy
- Office U/S
- Use resources to prepare and present to peers, medical staff, nursing staff and other
health care providers, including:
- TexSearch, MedLine, and other computer resources to do a literature search
- PowerPoint or other presentation software programs
- Design and conduct a research project, and present results in written and oral formats:
- Application for IRB approval
- Data collection and analysis
- Presentation in IMRAD format (Introduction, Methods, Results, and Discussion)
Requirements:
- Complete ACLS (required of all UTMB Family Medicine residents prior to beginning
residency).
- Complete ALSO course during first 2 months of Fellowship (if offered).
- Design and conduct a research project on rural medicine, obstetrics in rural practice,
underserved populations, or a related topic. The Fellowship Director and the research
division of the Department of Family Medicine will provide support.
- Present the research project at Department of Family Medicine Grand Rounds or other
appropriate conference; submit the work for publication.
- Present lectures on OB or Rural Practice to the Family Medicine residents as required.
- See patients 70% time at Fellowship site.
- Take First Call as required by the Supervising Physician.
- Take Second Call for complicated OB and C-sections as required by Supervising Physician.
- Receive two weekends off per month.
- Precept residents and students at site.
- Become involved in the community: school team physician, lectures, radio spots,
newspaper column, etc. as determined by fellow, Fellowship Director, and the Supervising
Physician.
- Other Recommended Activities
- ATLS
- ALSO instructor certification
- Assist instruction of ALSO course
- PALS or NALS
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Predoctoral Education 
