Academic years are scheduled into 13 block rotations, each 28 days in length.
Over the three years of residency training, residents are guaranteed a
minimum of six blocks of elective time along with the required training
rotations listed below.
First Year
First year of residency has no elective rotations and provides a broad
base of training upon which to build a future practice. In-house call
is approximately one in four. First year residents maintain a continuity
outpatient clinic of 1-2 half days per week.
Orientation – 4 weeks
Obstetrics – 8 weeks
Inpatient Teaching Service – 12 weeks
Pediatrics (Inpatient and Outpatient) – 8 weeks
Behavioral Science – 2 weeks
Surgery – 4 weeks
Emergency Medicine – 4 weeks
Orthopedics/MSK – 4 weeks
Ear, Nose, Throat – 2 weeks
Pharmacology – 2 weeks
Radiology – 2 weeks
Second Year
Second year of residency continues to develop experience and provides opportunities
for electives. Second year residents maintain a continuity outpatient
clinic of 3-4 half days per week.
Inpatient Teaching Service – 16 weeks
Obstetrics – 8 weeks
Emergency Medicine – 4 weeks
Nursing Home – 2 weeks
Pharmacology – 2 weeks
Inpatient Pediatrics – 4 weeks
Ultrasound – 2 weeks
NICU – 2 weeks
Selective/Electives – 12 weeks
Third Year
Third year of residency includes ample time for electives. Each resident
acts as chief resident for six to eight weeks. Third year residents maintain
a continuity outpatient clinic of 4-5 half days per week.
Chief Resident – 6 or 8 weeks
Dermatology – 4 weeks
Neurology – 2 weeks
Community Health/Home Visits – 6 or 8 weeks
Devils Lake (Rural Rotation) – 4 weeks
Obstetrics – 4 weeks
Pharmacology – 2 weeks
Critical Care – 4 weeks
Cardiology – 4 weeks
Nursing Home – 2 weeks
Orthopedics/MSK – 2 weeks
Selectives/Electives – 12 weeks
Selectives and Electives
Throughout the three-years of residency, residents are given the opportunity
to complete 6 blocks of electives. Three of the electives must be chosen
from the selective list. The other 3 blocks can be electives of the resident’s
choice from the selective list or any additional elective the resident
choses. at least four blocks of electives of their choice. The program
encourages and will work with residents to complete an external rotation
at a location of their choice.
Residents build and maintain a continuity of patients at one central clinic
location in Grand Forks, approximately one mile north of Altru Hospital.
Each resident has their own workspace, including desk, computer and phone,
at the clinic. All faculty members, including behavioral health and pharmacist,
have offices at the clinic and are available to precept while residents
are in clinic.
At the beginning of residency, resident’s patients are scheduled
in 60-minute intervals, decreasing to 40-minutes after six months of training.
Second-year decreases to 30-minute appointment intervals and third-year
residents to 20-minute appointment intervals.
Conferences
Conferences are held at noon four days of the week to provide didactic
learning experiences in the broad range of family practice. Lectures are
presented by faculty, community physicians, residents, and other experts
in their field. Lunch is catered at all noon conferences.
Topics include, but are not limited to:
Emergency Medicine
Orthopedics
Perinatal
Journal Club
Gynecology
Ethics
Sports Medicine
Psychiatry/Wellness
Ultrasound
Root-Cause Analysis and Apparent Cause Analysis
Pharmacology
Safety Forum
Practice Management
Pediatrics
Resident Education
The afternoon of the fourth Tuesday of each month is devoted to resident
education, providing an opportunity to devote more time to in-depth study
of various topics and procedures. Often this includes workshops covering
casting and splinting, colposcopy, or methods of musculoskeletal assessment.
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