Family Medicine Residency Program Curriculum

The first year of the UNM Family Medicine Residency Program is very structured and hospital based. The resident follows a set course of clinical rotations in 13 four-week blocks (some of which are broken up into 2 week rotations). Residents who are with the Northern New Mexico (Santa Fe) 1+2 residency program have slightly different schedules. These schedules are developed with the approval of the Santa Fe Program Director.

Second and third year rotations allow flexibility in scheduling to meet the program requirements as well as individual resident interests and career needs. Residents consult with their faculty advisor and the program directors when designing electives.

Sample - three-year family medicine residency curriculum

Elective Rotations

Electives are individually planned and tailored rotations that meet individual needs and career plans. Electives may include any area offered by the university system, or as arranged with other programs. A list of currently available electives is available from the Residency Office or residents may design an elective to suit their particular needs. Many residents choose to do away rotations which can be arranged. The faculty are also available to help facilitate the development of any particular project.

Procedural Training

We believe graduates of our program should have the skills to work anywhere. Many of our graduates are in rural or medically underserved parts of the state and country. As such, this expansive skills-building includes focus in procedural training. Outside of procedure-oriented rotations, residents are also encouraged to perform procedures during their clinics sessions as the primary care provider.

Most residents train to competency with the following, if not all, procedures: Cryotherapy of skin lesions, skin tag removal, callus and corn management, laceration repair, punch biopsy of skin, excisional biopsy, nail avulsion, shave biopsy, fetal monitor interpretation, intrapartum cervical exams, SROM evaluation, amniotomy, intrauterine pressure catheter placement, fetal scalp electrode placement, normal spontaneous vaginal delivery, first and second degree perineal repair, shoulder dystocia management, foley and cook catheter insertion for induction, insertion of medicinal cervical ripening agents, paracervical block, pap smears, endometrial biopsy, IUD placement and removal, nexplanon implant insertion and removal, aspiration of early pregnancy loss, colposcopy, vasectomy, circumcision, incision and drainage of abscesses, arthrocentesis of knee, injection of bursa (subacromial, subtrochanteric), immobilization with splinting and casting, trigger point injections, POC ultrasound exposure, ultrasound-guided paracentesis, first trimester ultrasound, obstetrical ultrasound to identify fetal presentation, AFI, and placental location.

Population & Community Health

The program’s population & community health curriculum supports residents in developing practical skills as socially responsive family physicians. Residents learn to promote both individual and community health, assess the resources available in a community, facilitate access to these resources for individuals in their practice and participate in advocacy at various levels.

The Population & Community Health curriculum is integrated with the Scholarly Project requirement. The curriculum includes 2 block rotations and a longitudinal component spanning all three years of training. Beginning in the middle of the first year, residents are introduced to core population and public health content with an emphasis on local data and health indicators. These concepts are linked to the exploration of their clinic communities and the impact of the social, physical and economic environment on the health of their individual patients. During this initial block, residents develop scholarly projects in collaboration with clinical and Public Health Program faculty who also serve as mentors for the entire project. All projects are expected to have a population focus and may utilize a community or clinic setting. There are multiple opportunities to partner with ongoing projects within the department.