Behavioral Medicine
During this month, the resident is able to concentrate on full spectrum ambulatory care in their clinic home at Physicians at Sugar Creek. The resident hones their knowledge of full spectrum family medicine, the doctor-patient relationship, clinical efficiency and the true “art” of medicine. The resident will also participate in weekly Procedure Clinic in the continuity clinic caring for patients referred by their PCP for procedures ranging from skin tag removal to colposcopy.

Continuity Clinic
During this month, the resident is able to concentrate on ambulatory care. The resident spends the month in the Family Medicine Center seeing patients, receiving feedback on doctor-patient interaction techniques, and learning the "art of medicine."

Electives
The curriculum of the Memorial Family Medicine Residency Program is designed to provide residents with the knowledge they will need to begin practice. We recognize, however, that interests, abilities, prior experiences, and future career plans vary from resident to resident. For this reason, we provide opportunities during the second and third years for each resident to spend additional time in areas of particular relevance and interest to him or her. Electives may take place locally, elsewhere in the United States, or throughout the world. Some popular, well-established electives are listed below but this is not an exhaustive list. The selection of elective topics and sites should be made with the input and approval of the resident's faculty advisor. Popular Elective Options: Nutrition, Sports Medicine, Pharmacology, Hospitalist Medicine, and Addiction Medicine

Family Medicine Inpatient Service
TDuring this month, the resident cares for more complex patients at Memorial Hermann Southwest hospital on the Family Medicine Service, under the guidance of a senior resident and faculty attending. Caring for the patients on the Intermediate Medical Unit (or IMU) involves coordinating with subspecialists, allied health professionals as well as family members. The resident is also responsible for participating in Multi-Disciplinary Rounds with hospital social workers and case managers to optimize patient care and discharge planning.

Geriatrics
During this rotation, the resident learns the unique skills and tools necessary to care for elderly patients in various settings. Under the guidance of our geriatrics-fellowship trained faculty, the resident sees patients in the nursing home, on home visits and in our very own Senior Assessment Clinic at Physicians at Sugar Creek. As part of our longitudinal geriatrics curriculum, starting in the second year, residents are assigned two patients in a local nursing home to visit once a month for the duration of their residency.

Nephrology
Residents rotate with one of the nephrology practices at MHSW. Residents learn how to classify and manage the various stages of chronic kidney disease, as well as the workup of newly diagnosed CKD patients. The rotation is primarily outpatient but residents also have the opportunity to round on patients in the hospital or in a dialysis center if they choose.

Neurology
This rotation provides one on one time with a Neurology attending. Residents will learn how to perform a comprehensive and efficient neurologic exam and interpret its results in the context of each patient. Residents will learn appropriate work-up and management of common neurologic diseases such as migraines, seizures, neuropathic pain, strokes, Parkinson’s and many more. The majority of the rotation is outpatient based.

Obstetrics
During the second year OB rotation, the resident will solidify knowledge of uncomplicated labor and delivery, and learn management of complications affecting antepartum, intrapartum, and postpartum patients including premature preterm rupture of membranes, pre-eclampsia and chorioamnionitis, among others. Supervision is provided directly by our obstetrics-trained faculty as well as on call obstetricians. Learning occurs through direct patient care in a busy Labor and Delivery unit at Memorial Hermann Southwest Hospital and dedicated didactic sessions. Teaching on obstetric ultrasound principles is covered as well.

Pediatric Emergency Medicine
This rotation provides the resident with an opportunity to practice in the fast-paced, dedicated pediatric emergency room at Memorial Hermann Sugar Land. Residents work alongside and learn from University of Texas at Houston Pediatrics attendings regarding the initial evaluation and management of common pediatric acute care issues including status asthmaticus, fractures, ENT infections, foreign body ingestions and many more. Residents have the opportunity to participate in procedures and practice hand-offs, either to the inpatient team or the patient’s PCP.

Practice Management
This rotation is designed to provide residents with the information they need regarding the business of health care. This month includes learning principles of coding and documentation, billing and collections, managed care, risk management and many other areas of practice management that will be important to the resident’s future financial success regardless of the specific setting in which they ultimately practice. The resident will learn through directed readings, in-person meetings with clinic staff and online modules.

Rheumatology
This rotation provides one on one time with a Rheumatology attending. Residents will learn how to perform a comprehensive and efficient rheumatologic exam and interpret its results in the context of each patient’s history. Residents will learn appropriate work-up and management of rheumatologic diseases such as rheumatoid arthritis, polymyalgia rheumatic, systemic lupus erythematosus and many more. The majority of the rotation is outpatient based.

Sports Medicine
During this rotation, residents work alongside primary care Sports Medicine physicians, orthopedic surgeons, physical therapists and athletic trainers to build on the resident’s knowledge of musculoskeletal anatomy and pathophysiology. The resident learns evaluation and management of acute and chronic injuries in everyone from competitive athletes to people exercising for the first time. This rotation takes place in a variety of settings, including Physicians at Sugar Creek, Houston Baptist University, Memorial Hermann’s IronMan Sports clinics and UT Physicians Orthopedic offices. The resident also gains experience performing pre-participation physicals, providing medical coverage during athletic events and in a collegiate training room.

Women’s Health
This rotation provides the resident with a variety of experiences relevant to the unique care of women in ambulatory care settings. Residents spend time staffing and doing procedures in a general gynecology clinic, working with a reproductive specialist and contraception management at outpatient gynecology clinics. The resident will learn from direct patient care, didactic sessions and online modules, the appropriate evaluation and management of common women’s health issues a family medicine physician will likely encounter.