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Haverhill Street, Lawrence, MA 01841 Tel: 978-725-7410 Fax: 978-687-2106 EMail: residency@glfhc.org |
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| Longitudinal refers to an educational experience recurring throughout the year. |
Electives Residents have 16 weeks (96 sessions) of elective time in their three years. In addition to this time, 10 days are for the Rassias intensive Spanish course at the beginning of the first year (see Curriculum – Spanish Language Instruction). Most non-fluent interns will do a Spanish away elective in the first year, to help with acquiring the goal of Spanish fluency by the end of their first year (this is paid for by the residency). The other electives are resident chosen and coordinated. No more than 3 weeks away in any one year is allowed, and the residency has the prerogative of scheduling when the away elective times will be, in order to allow and coordinate each resident’s time away. The residency keeps a binder of evaluations from electives that residents have done and these may be referenced to select electives, or the resident may propose something that they would like to study more intensely. We encourage resident interest in overseas electives and we have a HIP (Holistic Integrative and Pluralistic) Elective available coordinated through faculty member, Robert Luby, MD. |
Call Schedule |
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The current system, in place for several years, involves a blend of night float and 24 hour call systems. Each resident does 3 six-night blocks of Internal Medicine Night Float each year. There are no overnight calls during the IM rotation. Instead, the night float resident is considered a member of the medicine team. We believe that this improves both education and continuity of patient care. Call for obstetrics and pediatrics is combined and done in 24-hour shifts. Each resident on the OB and pediatrics rotations does 4-5 calls in each 3 week block. In addition, residents on outpatient rotations do an average of 2 OB/Pedi calls each block. This reinforces and maintains the skills learned during the block rotations. Faculty back-up is always readily available. |
Work Hours Philosophy |
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The program is committed to making residency training livable and supportive. We do not view call as the price paid for residency education nor as a convenience for the faculty. We are committed to both the spirit and the specifics of the national resident work hour restrictions. Though not necessary to meet those standards, faculty members cover the medicine service every Friday night alone. This allows the night float resident to have a 3 day rest before starting their next rotation. In addition, while the national standards allow residents who have been on call for 24 hours to work for an additional 6 hours, we limit work hours to 24 and do not have residents round or be in clinic post call. The only exception to this is the ICU rotation when residents round after being on calland then go home. Residents have consistently affirmed their support for this.
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