Central Maine Medical Center Family Medicine Residency
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76 High Street, Lewiston, ME 04240

A Day in the Life

We asked some of our third-year students residents to tell us what their experiences are like in our Family Medicine Residency program. In their words. . .

Erik "Seith" Kramer

Mariette Macrander

Margo Sullivan

 

Erik "Seth" Kramer
Co-Chief Resident

The View From PGY3Erik Kramer

Third year rotations offer a variety of clinical exposures, with the continued opportunity to explore professional interests.  The Inpatient inpatient month focuses on serving a diverse patient population with unique diagnostic presentations, which is excellent preparation for the autonomy of 3rd year.  You are directly involved in managing a number of clinically challenging cases; you support the interns, medical and pharmacy students on service, plus you work with an excellent staff and hospitalist service.

Outpatient time is spent in the clinic, where we draw upon first and second- year experiences working with our continuity patients. We also spend time in procedure and dermatology clinics, plus see patients in "safely home" discharge team visits after an acute hospital admission.

Because I was given the opportunity to focus my professional interests further, I was excited to have the program support me as I decided to develop my own selective experience that is offered in our 2nd and 3rd years in preventative medicine.  I spend 1 to 2 additional days per month working with statewide agencies across a number of public health interests.  Last year, I worked with MCD Public Health, with the focus on improving statewide colon cancer screening rates.  This led to additional work with the Central Maine Health System to help improve screening rates system-wide.

As I begin my third year, I have opted to incorporate my research focus in transitions of care with Maine Quality Counts efforts to support the Patient- Centered Medical Home in Maine.  I have spent time participating in the Patient Medical Home Maine Conferences and will have several upcoming opportunities to present at state and national conferences on
this topic.


I feel fortunate that I have had the chance to experience so many medical opportunities at Central Maine Medical Center. The program has prepared me well for my future in family medicine.


Mariette Macrander, MD
PGY 3, Chief resident, Rural track

A view from a third year rural track resident…

When you wake up in the morning and head in for a 'typical day' at Rumford Hospital, you never quite know what you're going to get.  The combination of morning inpatient rounds, a full day in clinic, and then a possible overnight call shift can bring you full circle in the spectrum of 'Family Medicine' in well under 24 hours. If you've considered a morning taking care of a septic adult in the ICU; followed by diabetes, well and sick child visits, not to mention a procedure or two in clinic; then admitting a stroke patient that transitions to hospice care in the evening; all capped off by a laboring patient to whom you deliver a vigorous baby boy at about three am; you've just hit the nail on the head with the hammer.  Though a day as a rural family medicine resident can leave you reeling from all the different things you suddenly realize you can manage, it also is quite possibly the definition of 'never a dull moment.' 


It's also something I wouldn't trade away for anything in the world.


The rural training track prepares us well for full spectrum family medicine.  We spend our intern year at CMMC, and lay our foundation with inpatient adult and pediatric medicine, maternity care, outpatient peds, dermatology, ED, surgery, and of course outpatient family medicine months.  As PGY 2's,  we move up to Rumford for clinic and daily inpatient rounds, but still do several inpatient months at CMMC including ICU, inpatient pediatric, maternity and an inpatient adult medicine month.  By third year, we are primarily in Rumford except for electives and one inpatient month at CMMC.  It's the best of both worlds because we learn from the specialists, and then apply the knowledge to our patients in Rumford, just the way a rural family doctor is supposed to.


And the best part?  That baby boy you delivered is your newest patient. 

 


Margo Sullivan
3rd Year Resident