About the Program

Clinical Training

• Outpatient Continuity Practice – Residents begin outpatient training at Highland Family Medicine, the main residency clinic, during PGY-1. They spend 1–2 half-days per week with a small continuity panel and relocate to the rural community before the end of PGY-1 to establish continuity practices at Tri-County Family Medicine (TCFM). Outpatient experience increases to 4–5 half-days per week by PGY-3, including administrative time.
  
  Tri-County Family Medicine (TCFM) is an FQHC-lookalike with 6 health centers across rural counties south of Rochester. It has provided comprehensive care for over 50 years. One founder, Paul Frame, MD, practiced rurally for 35 years, contributed to preventive medicine research, and was a member of the USPSTF from 1992–2004. To welcome the new rural residency program, TCFM and URMC partnered to construct a brand-new residency clinic in 2026.
• Adult Inpatient Medicine – A total of 6 months of inpatient medicine, 2 weeks of night float, and one month of ICU. Two months of inpatient medicine occur at Highland Hospital during the PGY-1 year. One month occurs on the family medicine continuity service with a team of family medicine residents under the supervision of family medicine faculty who practice inpatient hospital medicine. The second month occurs on a team of family medicine residents under the supervision of one of the hospitalist attending physicians to demonstrate an alternate approach to inpatient care. In the PGY-2 and PGY-3 years, residents will provide inpatient care under the guidance of hospitalist physicians at our two rural hospitals – Noyes Hospital in Dansville and St. James Hospital in Hornell. They will work for 4 weeks in the ICU at Noyes Hospital and cover the night float service at Noyes Hospital for 2 weeks.
• Obstetrics – With about 2500 deliveries per year, Highland Hospital is the busiest maternity unit in the Rochester area. PGY-1 residents routinely get 40-50 deliveries in their 2-month OB rotation, and have the opportunity to train with family physicians, obstetricians, and nurse midwives. Family Medicine surgical OB fellows also add to the educational experience. During their 2nd and 3rd years, residents will return for 1-month rotations at Highland to maintain their high-volume exposure. These upper-level resident experiences will include supervisory experience, management of more serious complications of pregnancy and labor, and additional ultrasound training. Residents interested in practicing maternity care after residency routinely get over 100 deliveries. Continuity prenatal care experience and continuity patient deliveries begin late in the R-1 year after residents establish in the rural community. Noyes Hospital performs about *** deliveries per year. Residents will work with both family medicine and obstetrics attendings to cover the majority of these deliveries, including both vaginal deliveries and first assistant roles in the OR for Cesarean deliveries.
• Pediatrics – 4 months of high-volume hospital-based experiences in Rochester during the PGY-1 year, which include 2 months of pediatric emergency medicine, 6 weeks of inpatient pediatrics, and 2 weeks of NICU. In the PGY-2 and PGY-3 years, residents do busy outpatient ambulatory pediatrics experiences in the rural community.