Family Medicine

Curriculum

JPS residents may select either three or four years of residency training. As part of the ACGME Length of Training Pilot, we expect to transition to the new ACGME AIRE (Advancing Innovation in Residency Education) project in the near future. Residents may complete four years of training select an area of emphasis such as obstetrics, sports medicine, geriatrics, hospital medicine, rural medicine, or additional procedural experiences. The resident’s area of emphasis is additional training on top of a strong generalist foundation

  • Behavioral Medicine
  • Trauma and Emergency Medicine
  • Underserved Populations
  • Rural Medicine
  • Global Medicine
  • Adult Medicine & Critical Care
  • Lifestyle Medicine
  • Obstetrics
  • Street Medicine with Homeless Outreach
  • Procedures Track
  • Pediatrics
  • Sports Medicine
  • Geriatric, Hospice and Palliative Medicine
  • Community Medicine

Adult Medicine & Critical Care
Many residents consider adult medicine and critical care to be some of the best experiences. Our residents obtain the confidence to diagnose and care for a diverse population with a variety of diseases rarely seen outside a public hospital. Residents also care for continuity patients alongside family medicine faculty on inpatient teams.

Advanced Rural/Global Medicine and Surgical Experience
The ARMS (Advanced Rural/Global Medicine and Surgical) Track is a unique and innovative four-year track designed to prepare “comprehensivists” capable of providing essential medical and surgical care in low-resource settings. ARMS builds on the core competencies of medicine, pediatrics, obstetrics, and rural-global training at JPS to include training in General and Plastic Surgery, advanced procedural skills, endoscopy, and additional intensive care training (PICU, NICU, SICU, MICU). Residents are encouraged to pursue electives in international or rural sites with a heavy surgical focus, including C-sections. During the fourth year, all of the ARMS residents take an international trip with JPS faculty from General Surgery, Family Medicine, and Plastic Surgery. Some ARMS residents also join a general surgery resident and attending on international trips to the Philippines and Sub-Saharan Africa (Niger or Kenya).

Behavioral Medicine
All JPS Family Medicine residents receive training in behavioral medicine aimed at producing well-rounded, do-it-all family doctors. Interns spend time with behavioral medicine faculty in a variety of contexts including behavioral medicine/health psychology clinic, street medicine outreach, and psychosocial specialty clinics (oncology). Curriculum also includes cases and workshops focused on psychiatric diagnosis/management, communication skills, and health and behavior change as well as inpatient medical consult and liaison psychiatry experiences. In addition, there are opportunities for advanced training in both a behavioral medicine certificate (elective options in behavioral medicine, psychiatry, and addiction), and a four year behavioral medicine track (elective options, opportunities to have your own CBT training and caseload). Additionally, residents who choose the four year track option have the opportunity to earn a masters degree in counseling with a focus on family therapy.

Community Medicine
This track is designed to be a three- or four-year program where residents will gain knowledge and competency in the principles of community and public health and will have the opportunity to obtain a degree or certificate in a chosen area of their choosing: Public Health, Lifestyle Medicine, Obesity Medicine, or HIV Primary Care. Through the four-year track, a learner can obtain a Master’s of Public Health. Residents will receive education in chronic disease management, social determinants of health, population health, obesity management, and care of vulnerable populations — including homeless outreach, addiction medicine and Suboxone management, and HIV primary care. Residents will also have the opportunity to work on a community project that will positively impact the community and improve patient care.

Geriatric, Hospice and Palliative Medicine
Each resident receives longitudinal experience in providing comprehensive care for the older adult and complex patient that emphasizes interdisciplinary collaboration in diverse clinical settings. Residents can choose to participate in a Hospice and Palliative Medicine rotation that prepares them to provide the holistic, multidisciplinary care that patients need and expect. JPS offers one-year fellowships in Sports Medicine, Geriatric Medicine and Hospice and Palliative Medicine.

**As an ACGME AIRE participant, we are partnering with each of our three fellowships to integrate Sports, Geriatric, or Hospice and Palliative Medicine training over four years, providing flexibility in training and preparing residents to be Board eligible for both Family Medicine and the fellowship CAQ .

Global Medicine
Practicing medicine on a global scale comes with its own unique set of challenges and opportunities. On any given day, you might find yourself treating people with cerebral malaria, eclampsia, severe malnutrition, or a venomous snake bite.

That’s why the training you receive at JPS is designed to help you be ready for anything. Residents considering a global medicine career have the opportunity to treat refugees from around the world in our International Health Clinic, be part of the Acclaim Street Medicine team, and provide care for people living with HIV. We offer global health didactics twice a month and rotations in a dozen locations in Latin America, sub-Saharan Africa, and Asia. Many of our residents who are preparing for overseas service opt to stay on for a fourth year of advanced training in surgical obstetrics or general surgery.

Lifestyle Medicine
JPS Family Medicine residents have the option to participate in a 24-month Lifestyle Medicine track, certified by the American College of Lifestyle Medicine (ACLM). Lifestyle factors are being increasingly recognized for their central role in the prevention and management of chronic disease. Accordingly, the next generation of primary care physicians can benefit from having advanced training in this growing sub-discipline. Upon completion of this track, residents will be eligible to sit for the ACLM board certification exam in Lifestyle Medicine.

Obstetrics
One of the hallmarks of the JPS Family Medicine Residency Program is maternity care. Operative obstetrics is emphasized in the Maternal Child Health Area of Emphasis (MCH AOE). Since its inception over fifteen years ago, graduates have each performed over 150 Cesarean sections during their MCH rotations. Operative obstetrics is emphasized in the third and fourth year maternal-child, rural, and international medicine areas of emphasis. MCH residents also complete a formal obstetric, procedural, and ultrasound curriculum.

The pediatric hospitalist inpatient experience provides unique one-on-one care for a variety of general pediatric conditions. They will experience high-volume nursery care, neonatal resuscitation, and pediatric outpatient care. Residents care for the 4,000 babies born at JPS each year through experiences in our nursery, NICU, and outpatient clinics after discharge.

Pediatrics and Adolescents
Over the years, pediatrics has become one of the strengths of our program. Our residents do rotations at both Children’s Health Dallas and Cook Children’s in Fort Worth – two of the top pediatric hospitals in the world. The inpatient and emergency medicine rotations are some of the most popular resident experiences.

Rural Medicine
With so many people relying on them for medical care, rural physicians have to be ready for anything. At JPS, our rural medicine training program is nationally recognized as one of the best in the country. You’ll learn to handle internal medicine, ICU, emergency medicine, procedures, orthopedics, and obstetrics with complete confidence. Plus, residents routinely rotate through several small Texas communities with JPS alumni. It’s this kind of real-world experience that sets JPS apart.

Sports Medicine
At JPS, we introduce all our family medicine residents to sports medicine because we know this type of treatment is useful far beyond the playing field. Sports medicine training gives our residents the opportunity to examine, diagnose, and treat common musculoskeletal pathology under more extreme conditions than you would generally find in a primary care facility.

Residents receive comprehensive, hands-on training for the examination and treatment of athletes at a variety of facilities and attend lectures by sports medicine physicians. JPS Sports Medicine Physicians are the official team doctors for Texas Christian University, and they work with a variety of athletic programs and organizations in the Fort Worth area.

Street Medicine
JPS Health Network’s location in the busy Southside of Fort Worth offers many opportunities to care for those who need us most. Our residency has a track entirely dedicated to Street Medicine, meeting our patients where they are in their reality, on the streets, under bridges, and in their encampments within Tarrant County. The Street Medicine Track includes: time spent in direct patient care on the streets, didactics regarding special topics for vulnerable patients (i.e., addiction medicine or wound care), and specialized opportunities to interact with the healthcare and homeless service systems for people experiencing homelessness (i.e., an inpatient consult team, working with local political and mental health officials).

Visit https://www.star-telegram.com/news/local/community/fort-worth/article65033927.html to learn more about this program

Trauma and Emergency Medicine
JPS is Tarrant County’s Level I Trauma Center and has more than 125,000 emergency department visits per year. At JPS, you’ll be exposed to countless pathologies and treat many diseases in their most advanced stages. Residents are front-line providers in advanced resuscitation, trauma management, and acute care. There are countless opportunities for procedural training, and residents are fully integrated into the multidisciplinary team. Opportunities are available for residents to complete an Advanced Acute Care track with additional experiences in Emergency/Critical Care and procedures.

Underserved Populations
JPS Health Network is located in the inner city of the Fort Worth- Dallas Metroplex and is the only health network in Tarrant County dedicated to caring for medically vulnerable populations. From day one, you will be an integral part of our team’s efforts to care for those who need us most.

 

CURRICULUM DETAILS 2024-2025

JPS Family Medicine Curriculum          
                 
                 
PGY 1 Rotation Traditional Comprehensive
Maternity Care
Rural/Global Maternal Child Health ARMS Sports Medicine Geriatric Medicine
Adult Inpatient Medicine 2.5 2 2.5 2 2 2.5 2.5  
Behavioral Medicine 0.5 0.5 0.5 0.5 0.5 0.5 0.5  
Emergency Medicine 1 1 1 1 1 1 1  
General & Trauma Surgery 1 1 1 1 1 1 1  
Health Systems Management 0.5 0.5 0.5 0.5 0.5 0.5 0.5  
Pediatrics: Ambulatory 0.5 0.5 0.5 0.5 0.5 0.5 0.5  
Nursery 1 1 1 1 1 1 1  
Pediatrics: Inpatient (Cook Children's or Children's Health Dallas) 1 1 1 1 1 1 1  
MICU 1 1 1 1 1 1 1  
Elective: Sports, MCH, Endoscopy, Cards, ARMS, HIV (track), Ultrasound, Street Medicine, Clinical Ethics 0.5 0 0.5 0 0 0.5 0.5  
OB/GYN Teams 2 3 2 3 3 2 2  
Psychiatry: Consult Liaison Service & Emergency Center 0.5 0.5 0.5 0.5 0.5 0.5 0.5  
                 
Time in months 12 12 12 12 12 12 12  
  image001 image002  
  Three-year track Four-year track  
                 
*Advanced Rural-Global Medicine and Surgical Track      
                 
JPS Family Medicine Curriculum          
               
               
PGY 2 Rotation Traditional Comprehensive
Maternity Care
Rural/Global Maternal Child Health ARMS Sports Medicine Geriatric Medicine Palliative Behavioral
Medicine
Maternal Child
Health/Rural
Adult Inpatient Medicine 3 2 2 2 2 2 2 2 2 2
Medicine Specialty Elective
(Renal, Endocrine, Derm, Neuro, Palli, Sports Med)
0.5 0.5 0 0.5 0 0.5 0.5 0.5 0.5 -
Geriatrics I 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
Emergency Medicine JPS 1 1 1 1 1 1 1 1 1 1
Endoscopy 0 0 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
MICU 1 1 1 1 1 1 1 1 1 1
OB/GYN Teams - 1 1 2 1 - - - - 2
GYN 1 1 1 - - 1 1 1 1 -
Orthopedics/Sports Medicine 0.5 0.5 0.5 - 0.5 0 - - - 0.5
Pediatrics: Emergency Medicine (Children's Health Dallas) 1 1 1 1 1 1 1 1 1 1
Pediatrics: Ambulatory/Nursery 1 1 1 1 1 1 1 1 1 1
Cardiology 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
Procedure Elective: Core Procedures in FM at JPS or at Hamilton, TX 1 1 1 1 1 1 1 1 1 1
Elective 1 1 0 1 0 0 0 - - -
Elective: Rural or Global 0 0 1 1 0 0 - 1 1
Elective: AOE 0 0 0 (OB Teams) 1 2 2 2 1 -
                     
Time in months 12 12 12 12 12 12 12 12 12 12
  image001 image002      
  Three-year track Four-year track      
                     
Advanced Rural-Global Medicine and Surgical Track        
JPS Family Medicine Curriculum          
               
               
PGY 3 Rotation Traditional Comprehensive
Maternity Care
Rural/Global Rural ED/Advanced
Proceduralist
Maternal Child Health ARMS Sports Medicine Geriatric Medicine Palliative Behavioral Medicine
Adult Inpatient Medicine 2.5 1.5 2 1.5 1.5 1.5 2 2 2 2
ENT 0.5 0.5 0.5 0.5 0 0.5 0.5 0.5 0.5 0.5
Pulmonary 0.5 0.5 0.5 0.5 0 0 0.5 0.5 0.5 0.5
Cardiology 1 1 1 0.5 0 0 1 1 1 1
Emergency Medicine 0.5 0.5 0.5 0 0 0.5 0.5 0.5 0.5 0.5
Longitudinal Emergency Medicine No No No Yes No No No No No No
Urology 0.5 0.5 0.5 0.5 0 0.5 0.5 0.5 0.5 0.5
Geriatrics II 0.5 0.5 0.5 0.5 0 0 0.5 0.5 0.5 0.5
MICU 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
Sports Medicine 0.5 0.5 0.5 0.5 0.5 0 0 0.5 0.5 0.5
Pediatrics: Inpatient Cooks Nocturnist 0.5 0.5 0.5 0.5 0 0.5 0.5 0.5 0.5 0.5
Pediatrics: Ambulatory 0.5 0.5 0.5 0.5 0 0.5 0.5 0.5 0.5 0.5
Pediatrics: Ambulatory (Cook Children’s Short Stay Unit) 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5
Endoscopy 0 0 0.5 0 0 0 0 0 0 0
JSCA Elective 0 0 0 1 0 0 0 0 0 0
Enhanced Procedures 0 0 0 1 0 0 0 0 0 0
Ultrasound 0 0 0 1 0 0 0 0 0 0
MICU Helper 0 0 0 0.5 0 0 0 0 0 0
Outpatient Pain Procedures 0 0 0 0.5 0 0 0 0 0 0
MCH Helper/OB Teams 0 1 0 0 0 0 0 0 0 0
MCH Helper/ICU Helper 0 0 1 0 0 0 0 0 0 0
Outpatient Medicine/Surgery (Cards, Pulm, Ped-Amb, ENT) 0 0 0 0 1 0 0 0 0 0
Pulm/Cards 0 0 0 0 0 0.5 0 0 0 0
Plastic Surgery 0 0 0 0 0 1 0 0 0 0
Elective: JPS 3.5 3.5 1.5 1.5 2 1.5 2 1.5 1.5 2
Elective: Rural or Global 0 0 1
Elective: AOE 0 0 0 0 6 4 2.5 2.5 2.5 2
                     
Time in months 12 12 12 12 12 12 12 12 12 12
  image003 image002
  Three-year track Four-year track
                     
*Advanced Rural-Global Medicine and Surgical Track              
JPS Family Medicine Curriculum
     
     
PGY 4 Rotation Maternal
Child Health
ARMS*
Adult Inpatient Medicine 1 1
Cardiology 0 0.5
Urology 0.5 0
Trauma 0 1
Geriatrics II 0.5 0.5
SICU 0 0.5
Plastic Surgery 0 1
PICU 0 0.5
Pediatrics: Ambulatory or NICU 0.5 0
Sports Medicine 0.5 1
MCH/ARMS international 1 0.5
Elective: JPS 2 1.5
Elective: AOE 6 4
     
Time in months 12 12
  image004
  Four-year track
     
Advanced Rural-Global Medicine and Surgical Track