Training, education and accreditation

The UCF COM / HCA GME Consortium Transitional Year Residency program at Ocala Regional Medical Center follows closely the standards set forth by the ACGME and is structured to the individual needs to support each resident’s categorical program.  It is our primary mission to assist our residents in establishing a strong foundation with exposure to various specialties in preparation for categorical residency programs.

This mission will be achieved through both formal teaching via lectures, conferences, and small groups as well as daily clinical teaching and experience. Our residents will become valued members of an interdisciplinary team to uphold the continuity of care throughout the entire patient experience.  Over the course of the program, residents actively participate in a comprehensive curriculum, which is designed to enhance academic, clinical and professional skills. Our teaching and learning methodologies emphasize evidence-based practices, experiential and active learning, individual and teamwork, and one-on-one mentorship. 

Accreditation

The Transitional Year Residency Program is an ACGME accredited program.

Program Aims

The aims of Ocala Regional Medical Center’s Transitional Year Program is to prepare its trainees for a host of specialties beginning with the familiarization of residents to the standards set forth by the ACGME Core Competencies (Patient Care, Interpersonal and Communication Skills, Medical Knowledge, Practice- based Learning, Systems-based Practice, and Professionalism). Transitional Year residents are introduced, trained, and evaluated on their abilities to meet or exceed expectations within ACGME milestone competencies during their Transitional Year training. Prior to rotation start date, residents are provided specific goals and objectives that are subsidiary to the below overall program goals and objectives.

Patient Care: The transitional year resident must demonstrate the ability to thoroughly evaluate assigned patients and complete an appropriate history and physical examination. The resident should also be able to generate an appropriate diagnostic and management plan for assigned patients and should demonstrate the ability to produce appropriate documentation summarizing the evaluations and treatment plan.

Medical Knowledge: The transitional year resident must develop an adequate knowledge base of basic pathophysiology and differential diagnosis for common clinical problems. The resident should also demonstrate appropriate critical thinking and problem-solving skills. The transitional year residents will be given structured curriculum and resources in preparation for USMLE Step-3 or COMLEX 3. The transitional year residents are also required to attempt USMLE Step-3 or COMLEX 3 examination during the PGY-1 term.

Practice-based Learning: The transitional year resident must demonstrate a willingness to obtain feedback and learn from errors committed. Transitional year residents should demonstrate a basic understanding of evidence-based medicine and demonstrate efforts to search the medical literature and read about problems detected in assigned patients.

Interpersonal and Communication Skills: The transitional year resident must produce timely, accurate and complete medical records. This should include a complete history and physical examination, discharge summary, hospital progress notes, and outpatient clinic notes. The resident should demonstrate good communication skills when dealing with patients, families, nurses, staff physicians and resident peers.

Professionalism: The transitional year resident must demonstrate a commitment to carrying out professional responsibilities. This includes placing the needs of patients first, maintaining a commitment to scholarship and striving for continued improvement throughout residency training. The transitional year resident must also demonstrate respect in dealing with patients and families as assessed by feedback from patients and nurses. Residents must demonstrate appropriate understanding of the need for patient confidentiality, informed consent and compliance with HIPAA regulations.

Systems-Based Practice: The transitional year resident must demonstrate the ability to perform well in four different institutions that are part of the residency program. This includes arranging proper care and mastering the medical record systems used by Ocala Regional Medical Center and its ambulatory clinic partners and providing care to patients of very diverse age, ethnic and socioeconomic backgrounds encountered at these sites. Residents must demonstrate basic cultural competence skills in dealing with diverse patient populations encountered during these experiences. Each transitional year resident will also learn the principles of patient safety and quality improvement and will actively participate in a quality improvement project that they help to design and develop during the year.

Clinical Skills:

  1. Management of uncomplicated superficial skin laceration
  2. Performance of simple suturing
  3. Venipuncture
  4. Placement of intravenous access device (peripheral and central)
  5. Placement of bladder catheter
  6. Placement of nasogastric tube
  7. Arterial puncture
  8. Performance of aseptic technique
  9. Performance of medical literature search
  10. Performance of basic literature appraisal
  11. ACLS certification
  12. Accurate and timely completion of documentation