In addition to the structured curriculum it offers, Montefiore's program encourages residents to pursue their individual interests and learning objectives, frequently done through electives. During their second and third years of training the residents' schedules are particularly flexible allowing them time to achieve this goal. This, of course, can include continued training in medical subspecialties, radiology, etc., but listed below are examples of some of the more popular and unique electives offered by our program. These are merely a representative grouping; with all of the resources of Albert Einstein Medical College at your disposal, an elective can be created in almost any area of study.
In an age when increasing numbers of patients turn to alternative therapies for their health concerns, several faculty members have recognized a need to understand and even practice these modalities. This rotation is not only an opportunity to understand one or several types of complementary medicine, but to learn to incorporate this knowledge into daily practice.
The goal of this longitudinal elective is to train more compassionate, committed providers of abortions. Family medicine faculty directly supervise the training of the abortion procedure at Planned Parenthood. Residents complete enough procedures by the end of the rotation to provide this service after graduation.
Residents learn to recognize and effectively treat substance abuse issues, including methadone/buprenorphine management and outpatient detoxification while working at a local methadone clinic. Inpatient experience on the Substance Abuse Consult Service is also available.
Family Physicians are uniquely qualified to provide HIV care across all categories of the patient population. Montefiore's Family Medicine department was at the heart of the AIDS epidemic when it first erupted and provided most of the HIV/AIDS care during that time. For this reason faculty and alumni of RPSM are now known as HIV specialists. This elective offers the opportunity to learn the practice of HIV specialty care from a Family Medicine perspective.
Residents learn symptom management, pain management, and how to address issues surrounding end of life care both in the outpatient setting and by working on the Inpatient Palliative Care Unit.
While learning the unique skills needed to care for adolescents, residents in this elective have the opportunity to work in a school based health center during a year long continuity experience.
Many residents choose to pursue training in other countries, frequently either learning a language or practicing medicine in a different health care system. Formal relationships exist between RPSM and Luis Angel Garcia clinic (a major AIDS clinic) at the Hospital General San Juan de Dios in Guatemala City. Past residents have done both clinical and research rotations at this clinic. Other residents have done electives in Cuba, Uganda, Jamaica and Vietnam. Many opportunities and networks exist for residents to gain international health experience and training.
An overview of psychosocial concepts applicable to primary care practice is provided with a special focus on how to formulate problems and plan interventions while applying a family systems framework. Activities include case consultation, readings, videotape reviews, and interviews with residents' patients/patient families.