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Electives provide open time for residents to pursue individual areas of interest or perceived areas of weakness. The most common elective involves work with a preceptor in a given field. Other formats such as independent study or a research project require prior approval from the residency director and chief resident. During these blocks, residents spend about 20 hours per week fulfilling board requirements or elective training; they spend four half-days a week at the resident's family medicine office. During PGY-2 and PGY-3 year ambulatory blocks, practice call (calls taken from home) averages slightly more than once a week. Residents are scheduled for “sick call” to assure back up on inpatient services when a colleague is too ill to work.

One block of "off-site electives," with pay, are an option during PGY-2 and PGY-3 years. This time may be used to immerse the resident in an area not available in Rochester such as an Indian Health elective.

Residents may choose from a number of templated electives (listed below) or construct an elective to meet a specific area of interest. . Examples of templated electives:

  • Integrative Medicine
  • Palliative care
  • Infectious disease
  • Addiction Medicine
  • Endocrinology
  • Lactation
  • Adolescent Medicine