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in the hospital

Adult Medicine

The NCFM team maintains a robust inpatient medicine service. We have a flexible cap to adjust to the time of year and the number of docs on the team. The day team gets sign out from the night team at 6AM and team rounds are usually at around 9AM with plenty of time after morning rounds to get notes done and patient care settled for the day before heading to continuity clinic once or twice per week. The day team signs out to the night team at 5PM. We recently moved to a 6AM-5PM and 5PM-6AM approach to provide the day team with more needed free time during a busy month of hospital service. #workingwell is a priority for NCFM.

Obstetrics

The NCFM Obstetrics experience is very robust and is considered a fellowship-equivalent for the amount of time dedicated to OB as well as numbers of deliveries/procedures. Our OB experience prepares each of our graduates to be qualified and competent to practice OB, and it is simply up to them how much OB they pursue in their practice.

On average our residents graduate with 100-150 vaginal deliveries. The Advanced Maternity Care track residents typically have more 150+ vaginal deliveries in addition to 100+ cesarean deliveries.

At least half of our residents go on to practice Obstetrics and many obtain privileges for cesarean delivery. The majority of resident supervision in Obstetrics is from Family Medicine faculty. As an unopposed program our residents deliver nearly every baby born at NCMC, including the patients of our OB/GYN colleagues and private Family Physicians.

Pediatrics

NCFM residents admit all of the pediatric patients at NCMC. NCFM maintains its own pediatric service with an NCFM core faculty physician. NCFM residents have two months of inpatient pediatrics during the intern year and continue to have a longitudinal inpatient pediatric experience as senior residents.

ICU

NCFM residents rotate in the NCMC intensive care unit late in their first year or during their second year. The intensivists are welcoming and readily include residents in procedures. During the peak of COVID-19 in our community, NCFM residents were an integral part of the critical care team at NCMC. Residents learn intubations, central lines, and ventilator management--skills that are invaluable when working in rural emergency departments and intensive care units.

NICU

NCFM residents have a dedicated NICU rotation during their 1st or 2nd year of training and work closely with the neonatologists and neonatal nurse practitioners. Additional NICU experience is available to residents with a particular interested/career need. The neonatologists provide a longitudinal didactic series focused on neonatal care for family physicians.

Emergency Medicine

NCFM residents have time dedicated to rotating through the NCMC emergency department during the pgy-1 year and a rural ER experience at Sterling Regional Medical Center in the pgy-2 year. The ED attendings are great about including our residents in procedures and complicated cases. Since we are an unopposed program, there is no competition with other learners for procedures. NCMC is a level-2 trauma center, and there is additional opportunity to spend time with the trauma team.

Hospice & Palliative Care

The NCFM inpatient medicine service is the primary team for the NCMC inpatient hospice program. We work closely with the hospice team to provide supportive, patient- and family-centered end-of-life care.

NCFM residents complete a dedicated palliative care rotation during their PGY-2 year and may use additional elective time to work even more with the NCMC palliative care team.

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