Curriculum

JPS provides residents with a broad base of knowledge that will enable them to enter any area of family medicine. By graduation, residents are certified in ACLS, ATLS, NRP, PALS, ALSO and Wilderness Medicine. The well-rounded experience residents gain at JPS gives them the flexibility to choose what type of medicine they practice and where. Some of the areas residents can expect to receive exceptional training include:

Trauma care Obstetrics Resuscitation Endoscopy Line placements Cardiovascular diagnostics Ventilator management Needle and open biopsies

Diagnostic and surgical procedures Dermatological procedures Sonography EPIC electronic medical record Practice management Tropical Medicine Advanced Airway

Rural Medicine
Our program for training rural physicians is nationally renowned. We’ve been preparing family medicine physicians to handle internal medicine, ICU, emergency medicine and procedures, orthopedics and obstetrics with confidence since 1973. Residents routinely rotate through small Texas communities with JPS alumni (Alpine, TX: Adrian Billings, MD; Athens, TX: Doug Curran, MD; Bridgeport, TX: Shawn White, MD). It’s this kind of real-world experience that sets JPS apart.

Global Medicine
Global medicine comes with unique opportunities and challenges. International environments are often even more dependent on a single family physician to see to all their health care needs than rural areas in this country. Skills ranging from OB to ER come into play on a daily basis. That’s why we give residents interested in global medicine the opportunity to spend time treating refugees from around the world in International Health Clinic and on elective rotations abroad. The Global Health Fellowship is available to residents seeking additional training opportunities designed for those pursuing career paths in International or Travel Medicine or interested in obtaining certification in Tropical Medicine and Hygiene. Global Health curriculum at JPS and through our partnership with INMED, as well as additional online courses in tropical medicine and public health will contribute to the training of world-class physicians here at JPS. International rotations with JPS faculty may be selected to such diverse locations as Israel, Ghana, Thailand, Haiti and Central and S. America.

Adult Medicine & Critical Care
Adult medicine and critical care are the best experiences of the residency. We obtain confidence to diagnose and care for a diverse population with a variety of diseases only seen in a public hospital. Many JPS graduates work as hospitalists. Residents also care for continuity patients alongside family medicine faculty on the FM inpatient service.

Obstetrics
Maternity care is one of the hallmarks of the JPS Family Medicine Residency Program. PGY 1 residents average 100 deliveries. In addition, many graduates practice OB without a fellowship. We offer flexibility to individual experience. Operative obstetrics is emphasized in the P4 maternal-child, rural and international medicine track. Residents with this focus are expected to perform over 100 caesarean sections as the primary surgeon and complete over 250 deliveries.

Pediatrics
Pediatrics has become a strength of our program. Rotations occur at Children’s Medical Center in Dallas and Cook Children’s in Fort Worth, which are among the top pediatric hospitals in the world. Inpatient and Emergency Medicine rotations are among the most popular experiences.

• The pediatric hospitalist inpatient experience provides unique one-on-one resident/faculty care for a variety of general pediatric problems
• High volume nursery care and neonatal resuscitation can be experienced at John Peter Smith Hospital as well as at pediatric outpatient clinics
• Pediatric ambulatory experience is included in FM continuity clinic with close to 6,000 babies born each year.

Emergency Medicine
Residents experience and participate in all traumas, codes and resuscitations in our Level I Trauma Center. Here, they are exposed to countless pathologies and many diseases in their most advanced stages with over 82,000 ER visits a year. This is where many come to realize what they can do and what they’re made of. Graduates of our program find they are able to incorporate emergency medicine as part of their practice based on community need.

CURRICULUM DETAIL 

PGY 1	Traditional Track	Rural/Global Track	P4 OB Track
Rotation
JPS Pediatrics and Nursery	1	1	1
Cook Children's Hospital Inpatient Pediatrics	1	1	1
Children's Medical Center Dallas Hospitalist Services	1	1	1
OB/GYN Teams	2	2	3
Adult Inpatient Medicine	2	2	2
MICU	1	1	1
Health Care Systems - Research/Anesthesia/Endoscopy	½	½	½;
Community Medicine Research/Anesthesia/Endoscopy	½	½	½
Emergency Medicine	1	1	1
Psychiatry Consult Service and Psychiatric Evaluation Unit	½	½	½
General Surgery	1½	1½	1½

*Time listed in months

PGY 2	Traditional (3 year curriculum)	Rural/Global (3 year curriculum)	P4 OB (with emphasis Global/Rural - 4 year curriculum)	P4 Track - Sports - Geriatrics - Hospital/ICU - Pediatrics - Rural/Global no added OB - Other
Adult Inpatient Medicine and Family Medicine Inpatient	3	2½	2	2½
MICU	1	1	1	1
Childrens Medicine Center Dallas Pediatric Emergency Medicine	1	1	1	1
Orthopedics	1	1	1	1
Outpatient Surgery	½	½	½
Dermatology	1	½	½	1
OB/GYN Teams	1	2	2	1
Endoscopy	½	½	1	½
JPS Pediatrics: Clinic and Nursery	1½	1	1	1½
Psychiatry Consult and Child Psychiatry Clinics	½	½		½
Rural or Global Elective		½	1
P4 Track				2
JPS ER	1	1	1

*Time listed in months 

PGY 3	Traditional (3 year curriculum)	Rural/Global (3 year curriculum)	P4 OB (with emphasis Global/Rural - 4 year curriculum)	P4 Sports	P4 Geri
MED/FPI	2½	1½	1½	2	2
JPS ER	1	1	½	1	1
Cook Children's Short Stay Unit	½	½	½	½	½
Health Care Systems/Ophth	½	½	½	½	½
Urology	½	½	½	½	½
ENT/Oral Health	½	½	½	½	½
Cardiology	1	1	½	1	1
Sports Med	1	1	1		1
Geriatrics	½	½		½
MICU	½	½	½	½	½
OB/GYN		1½
Renal	½
Elective	3	2		1	½
Rural Elective		1
Maternal Child			6
P4 Specialty  - Sports - Geriatrics - Hospital/ICU - Pediatrics - Psych - ER - Other				4	4

*Time listed in months 

PGY 4 

The PGY 4 year is currently constructed to complete six months of the focused tracks such as OB, Sports, Geriatrics, Hospitalist and six months of other rotations in general family medicine.

The P4 nomenclature denotes participation in the P4 Initiative from 2007 to 2012. JPS has recently been accepted into the ACGME Length of Training Pilot and will continue to offer fourth year options.

Residents who complete four years of training generally add an emphasis in a particular area such as obstetrics, sports medicine, geriatrics, hospital medicine, rural medicine, or added procedural experiences. Maintaining a generalist philosophy is a goal of the program while allow residents to added training in areas of interest. As part of the ACGME Length of Training Pilot, construction of other four year tracks is underway and expected to included: MPH, Leadership, Medical Education, Care of Children, Family Medicine Hospital Medicine (Adult Medicine, Pediatrics, MICU), and Procedures.