Family Medicine Residency Program (FMRP)
PROGRAM OVERVIEW
VISION: As the model Army Family Medicine Residency Program, we strive to be the home of choice for patients, residents, students, faculty, and staff that develops Soldier Family Physicians with the values and abilities to provide outstanding patient care and excel in accomplishing the Army’s mission.
MISSION: The CRDAMC Family Medicine Residency trains Family Physicians in a supportive team environment, provides evidence-based and patient-centered care to Soldiers, Retirees, and their Families, serves the Army and medical communities, assures wellness for all members of the team, and develops the AMEDD’s future leaders.
LEARNING ENVIRONMENT: The FMRP provides a collaborative and rigorous learning environment that engages students, residents and staff in a dynamic partnership to foster the development of well-rounded Family Physicians through a safe and collegial atmosphere emphasizing evidence-based practice, selfless service, excellence, and professionalism. We assure the safety and quality of patient care provided by our residents today and our graduates in their future practice.
GOALS
Goal 1: Patients. Provide outstanding patient-centered care.
Goal 2: Education. Deliver quality education anytime, anywhere.
Goal 3: Outreach. Serve the local community, provide new knowledge to the medical community, and promote our program to students.
Goal 4: Wellness. Promote and facilitate physical, psychological, and spiritual wellness, for team members.
Goal 5: Leadership. Develop leaders and mentors.
PATIENTS FIRST, LEARNING ALWAYS
CLINIC OVERVIEW
The Family Medicine Residency Clinic (FMRC) would like to welcome you and thank you for choosing our center for health services. We provide health care services to Soldiers, Retirees, and their family members.
The clinic is on the first floor of Carl R. Darnall Army Medical Center at Fort Cavazos.
When you enrolled in TRICARE Prime, you were given a Primary Care Manager (PCM) by name. The Patient Appointing Service (254)288-8888 will always attempt to give you an appointment with your PCM. When your PCM is unavailable, your appointments will generally be with a member of your PCM's team.
Clinicians
The FMRC is proud to offer full-scope primary care – providing newborn, infant, pediatric, adolescent, women’s health, adult, obstetric, and geriatric care to 7,000 patients. Our patients range from the newest babies born at CRDAMC to World War II veterans and their spouses. One of the many benefits of the FMRC is the practice of family medicine in which your primary care provider can care for you and your whole family. This even extends to pregnancy care – the same physician can care for a woman before, during, and after her pregnancy, including managing her labor and delivery, caring for her and her newborn in the hospital, and as an outpatient after delivery.
In fulfilling our mission to provide patient-centered, evidence-based, and compassionate healthcare to our patients, the clinic also is proud to support the Family Medicine Residency Program's mission to train resident physicians in the specialty of family medicine. CRDAMC provides an outstanding environment to train physicians and other healthcare providers of the future. The clinic staff includes family physicians, physician assistants, nurse practitioners, clinical psychologist, clinical pharmacologist, nurses, and medics. The teaching faculty are all board-certified family physicians, many of whom have advanced training in other areas such as sports medicine, geriatrics, obstetrics, osteopathy, and research. The resident physicians provide care under the supervision of the teaching staff. The clinic also provides learning opportunities for medical students, physical therapy interns, and physician assistant students.
Relay Health
We are pleased to offer you a new and convenient way to connect with our clinic. Using the Internet, you can now communicate with your provider and nurse online through the Relay Health messaging service.
The Relay Health service is a safe, secure, and confidential way to communicate about your non–urgent healthcare needs. It's very easy to use, and incorporates stronger security measures to ensure your privacy. By using the Relay Health service, you will be able to communicate with our clinic when it's most convenient for you. All you need is access to a computer with an Internet connection.
Interested? If so, please take a few minutes to sign up now by following the instructions below (there is no fee to register for this service):
- Visit www.relayhealth.com and click Register.
- When prompted, select your provider. NOTE: To ensure security, our clinic must accept your application before your registration will be completed. Please allow 24 hours following registration for our office to process your registration.
To learn more about the Relay Health service, visit www.relayhealth.com. If you have any questions about Relay Health, please feel free to contact Relay Health Customer Support at 1-866-RELAYME (1-866-735-2963).
Our Facility
On April 3, 2016 we moved into a new, larger state of the art hospital. We are excited to train in a beautiful space and for the opportunity to improve our residency even more. While there are 2 other residencies in our facility (Emergency Medicine and Psychiatry), we remain an essentially unopposed residency program with a community hospital culture.
Welcome
Greetings from the Great Place! We are so glad that you took the time to look at all our residency program has to offer. As the Army’s newest Family Medicine Residency established in 2000, we have already established a tradition of training extraordinary Army Family Physicians ready to excel in all that they do!
Our Location
Located in the Hill Country of Central Texas, Carl R. Darnall Army Medical Center provides health and healthcare for a very large and diverse patient population. The local communities are growing and offer great schools, parks, restaurants and shopping. As the largest military post in the world, the Fort Cavazos installation also offers abundant recreational opportunities, facilities, family events and activities.
For the outdoor lovers, there are local lakes, rivers, hiking and biking trails. Fort Cavazos is uniquely situated a short drive from an eclectic mix of vibrant culturally diverse cities, as well as the Gulf Coast. Austin, Dallas, and San Antonio provide opportunities to experience music, art, festivals, professional athletics, amusement parks, waters, and numerous fun things to do. From the experience of a rodeo to fine art, you name it, you can find it here. We love living here!
Our Foundation
The foundation of our residency program is the people. We have awesome residents, faculty, and staff. Our team is very fortunate to have a highly trained and dedicated core faculty group. Our core faculty members are full-scope Family Physicians with additional training in Geriatrics, Sports Medicine, Faculty Development, Point of Care Ultrasound, Hospital Medicine, and Family Medicine Obstetrics.
Our Faculty
Our teaching team also includes a clinical psychologist and clinical pharmacist. The faculty can provide training in OMT, acupuncture, exercise stress testing, and Cognitive Behavioral Therapy (CBT), and all residents are trained in primary care procedures (minor skin procedures, vasectomy, colposcopy, first trimester ultrasound, intrauterine device and contraceptive implant insertion). We offer 1:1 OMT teaching clinics for interested residents.
Additionally, we have faculty members with a MPH, on the Institutional Review Board (IRB) and successful in research/publications, and highly involved in the American Academy of Family Physicians (AAFP) and Uniformed Services Academy of Family Physicians (USAFP). We have vast experience in military and operational medicine. The bottom line is that our faculty members have a diverse and relevant skill set that they readily share for resident education.
Our Culture
The program is further rooted in a culture of excellence. Our residency clinic is recognized by the NCQA as a Level III Patient Centered Medical Home (PCMH) which is the highest level. We are dedicated to scholarly activity and patient safety/quality improvement. We achieved a 100% board pass rate since 2014. We are proud to offer multiple resources to help you develop into the best Army Family Physician that you can be.
Extra Curriculars and Events
We work hard to become great doctors and Army officers, and we also make sure to leave time for family and fun! Since COVID restrictions have eased, the residency sponsors numerous annual events including a dining out, holiday party, annual retreat, hails and farewells, and the graduation dinner and roast. We are resuming “Officer Call,” casual get-togethers to unwind after a good week. We play sports together every week. Typically, this is on Thursday mornings and we play a unique sport called Bucketball (just ask when you get here) as well as Army Combat Fitness Test (ACFT) training. We are a family and love the camaraderie that our residency offers.
“Rotations”
http://www.crdamc.amedd.army.mil/FMRP/rotations.aspx.
CRDAMC Family Medicine Residency Rotations
First Year Rotations – 4 week blocks
FM Clinic/
Health System |
Family Medicine Inpatient |
Family Medicine Inpatient |
Family Medicine Inpatient |
Labor & Delivery |
Orthopedic Clinic |
Cardiology Inpatient1 |
Medical
ICU1 |
Pediatrics Inpatient2 |
Newborn Nursery |
Emergency Medicine |
C4/General Surgery |
GYN Clinic |
C4: Combat Casualty Care Course (Fort Sam Houston, TX)
Second Year Rotations – 4 week blocks
| FM Upper-Level Orientation |
Family Medicine Inpatient |
Family Medicine Inpatient |
Family Medicine Inpatient |
Labor & Delivery |
Sports Medicine |
Psychiatry |
Dermatology |
Pediatrics Clinic |
Pediatric ER2 |
Geriatrics4 |
Procedures Clinic |
Elective |
Third Year Rotations – 4 week blocks
Transition to Practice/
Military Unique |
Family Medicine Inpatient |
Family Medicine Inpatient |
Cardiology Clinic4 |
Labor & Delivery |
Sports Medicine |
 |
Urban ER2 |
Pediatrics Clinic |
Trauma5
(away rotation) |
Selective |
Elective |
Elective |
1. Central Texas VA Medical Center, Temple, TX 2. McLane Children’s Hospital, Temple, TX 3. Baylor Scott & White Memorial Hospital, Temple, TX 4.Baylor Scott & White satellite clinics in Fort Cavazos area 5. Brooke Army Medical Center, San Antonio, TX
Selective Experiences: ENT, Ophthalmology, Urology, Plastic Surgery, Pulmonology, Gastroenterology, Neurology, Pain Medicine, Radiology, other Adult and Pediatric Subspecialties
Electives: the above, Operational Medicine electives, plus many more!
Longitudinal Experiences
Continuity Clinic
Each resident has an assigned panel of patients. Appointment lengths gradually shorten during residency |
PGY-1: 1-2 half days per week
PGY-2: 1-3 half days per week
PGY-3: 1-4 half days per week |
| FM Morning Report Conference |
30 minutes, Mon-Fri mornings – case-based presentation of a focused clinical question and answer |
| FM Noon Clinic Conference |
30 minutes, Mon & Wed – round table discussion on interesting cases, ECGs, and board questions |
| FM CME Conference |
One half day per week, Thursday mornings, includes
- Didactic lectures
- Simulation workshops (bimonthly)
- Wellness events (quarterly)
|
| Geriatrics Curriculum |
- Continuity nursing home patients at Texas Veterans Home assigned to PGY-2s and -3s, seen monthly
- Didactics for PGY-2s and -3s4 hours per month at nursing home
- Geriatrics rotation
- Empaneled patients over 65
|
| Practice Management |
1-2 Morning Reports/month, FM clinic rotation, and Transition to Practice month |
| Military Unique Curriculum |
1-2 Morning Reports/month, quarterly cadaver labs, semiannual simulation events, Trauma and Transition to Practice rotations, electives, Soldiers on your panel of patients |
| Quality Improvement/Patient Safety Curriculum |
- Attend QI/PS committee meetings, hospital root cause analyses, etc., during PGY-2 and PGY-3 years
- Monthly Patient Safety Conference
- Periodic didactics during CME
 QI projects
|
| Scholarly Activity Curriculum |
- Dedicated research time during PGY-2 FM Upper Level Orientation and PGY-3 Research block
- Periodic didactics during CME
- Scholarly activity projects (publications, presentations, posters, etc.)
- Opportunity to present at local, regional, national, and international conferences
|
Residents receive training in ACLS, PALS, ATLS, ALSO, NRP, STABLE, and TCCC prior to graduation.
“Contact Us”
http://www.crdamc.amedd.army.mil/FMRP/contact2.aspx
FAMILY MEDICINE RESIDENCY PROGRAM – TO SCHEDULE A ROTATION CONTACT:
usarmy.cavazos.medcom-crdamc.mbx.family-medicine@health.mil