This year normally includes clinical training in primary care specialty areas such as general internal medicine, family practice, surgery, or a transitional year. Parkland has 900 beds, excluding infant bassinets. There are 180,000 emergency-room visits and more than 300,000 outpatient visits per year. Parkland is a level I trauma center and the only level I burn center in North Texas. Patients are admitted for rehabilitation from the general hospital or clinic.
Rotation periods are two months in duration, and two residents are assigned per rotation.
The resident is responsible for the primary care of these patients, providing medical management as well as rehabilitation management, writing all orders for the general medical care as well as rehabilitation care, performing and recording history and physical examinations, daily progress notes, and discharge summaries. The faculty attending physician makes rounds with the residents five days per week and with the on-call resident on Saturday. All of the patients referred for consultation are seen by the residents and are worked up entirely with a history and physical examination and orders for appropriate therapy services. Four residents are assigned to the consult service. The consult service is covered by three faculty physicians.