Curriculum

PGY-1

  • 12 weeks Adult Inpatient Medicine Days
    • Family Medicine team with 1 resident, 2-3 interns (3 interns first 6 mo, then 2), and medical students
    • Census usually 5-8 patients per intern
    • Critically ill patients admitted and cared for by ICU team, not the ward teams
    • Team rounds in am; including focused teaching time
    • Morning report and Noon lectures
  • 4 weeks Adult Inpatient Medicine Nights
    • 4 nights on, 2 off
    • Admissions and cross cover
  • 2 weeks Intensive Care Unit
    • Day shift with 4 scheduled days off
    • Patients staffed with an Intensivist
    • ICU team is the code team for the hospital
  • 4 weeks Pediatrics Inpatient
    • Peyton Manning Children’s Hospital
    • One 24 hour call
    • Census usually 4-8 patients per intern, depending on season
    • Daily morning reports with teaching faculty
    • Weekly didactics
  • 4 weeks Pediatrics Outpatient
    • Work alongside pediatric residents and faculty
    • Gain valuable one-on-one experience with faculty who have dedicated
      clinic times for asthma, developmentally challenged children and
      adolescents.
    • Get good experience with telephone triage by answering “Home Calls”,
      averaging 4 shifts a month.
  • 6 weeks Maternal Child Health Inpatient
    • 2 weeks with an upper level FM resident as a buddy
    • On service with 3rd/4th yr OB resident and OB intern
    • OB staff in house 24/7with FM and OB attending at deliveries
    • No C-section training, can 1st assist on continuity patients if desired
    • Plenty of circumcisions
    • St. Vincent is one of the busiest labor & deliveries in the state
    • Intern average 12-18 deliveries in 1st month.
  • 4 weeks Maternal Child Health Outpatient
    • Work with OB attendings and residents in Women’s Health Clinic
    •  1 day per week dedicated to High Risk OB
    • Work with lactation
    • Plenty of circumcision
  • 6 weeks Ambulatory Medicine
    • Orientation to clinic and lots of EMR practice
    • Didactics on common FM diseases.
  • 4 weeks Cardiology Inpatient
    • Work on a team managing common cardiac issues
    • Highly sought after EKG lectures 3-4 days per week
    • Didactics 2-3 days per week
  • 4 weeks Community Medicine
    • Work with community FM physicians in either a rural area – Frankfort, or a suburban area - Fishers or Zionsville
    • Opportunity to see full spectrum family medicine and can cater to resident aspirations
    • Opportunities include nursing home/inpatient/OB/community involvement/hospital administration

ADDITIONAL INFORMATION

1 half day clinic except on ICU

Approximately 8-9 weekend day shifts over the year

PGY-2

  • 6 weeks Adult Inpatient Medicine
    • Days only
    • Lead the FM ward team
    • Supervise interns and students, seeing patients, and reviewing care
  • 4 weeks Pediatric subspecialty
    • 4 weeks of two Pediatrics subspecialties
    • 2 weeks of ID, Heme/Onc, GI, Pulm, Endo, Adolescent, etc.
  • 4 weeks Surgery
    • Work with one family medicine friendly surgeon
    • OR exposure and surgery clinic time
  • 4 weeks Psychiatry
    • Work with clinical psychiatrist and psychologist at our Primary Care Center
    • Time at the St. Vincent Stress Center
    • Training and practice doing motivational interviewing
  • 4 weeks Geriatrics
    • Work with geriatricians at the Center for Health Aging
    • Nursing home and wound rounds
  • 6 weeks Emergency Medicine
    • Various ERs ranging from urban to rural
    • Opportunities for suturing
    • Wide variety of patients
  • 6 weeks Obstetrics Nights
    • Sunday night through Thursday night
    • Duties include triage and management of all FM patients in labor/delivery room
    • Opportunity to do many deliveries
  • 4 weeks Sports Medicine
    • Work closely with Sports medicine Family Medicine physicians
    • Opportunity for injections
  • 2 weeks Continuing Care Nursing
    • Work with neonatologists in a step-down from NICU
    • Common diagnoses: prematurity, hypoglycemia, rule out sepsis, hyperbilirubinemia, cleft palate, etc.
    4 weeks ENT
    2 weeks Ophthalmology
    2 weeks Radiology
    2 weeks Urology

Additional Information

Call: 8-9 OB weekend calls per year;
Paid calls available.
Continuity Clinic all months-averaging three half days per week.

PGY-3

  • 6 weeks Family Medicine Clinic Chief
    • Lots of acute visits
    • Opportunities for procedures
    • Supervise Transitional year residents
    • Lots of acute visits
     4 weeks of Pediatric ED
     4 weeks Ortho

     4 weeks Ambulatory Medicine Chief
    4 weeks Inpatient Elective (usually Neurology)
     4 weeks Dermatology
     22 weeks of Electives
  • Inpatient or Outpatient Elective opportunities
    • Adolescent medicine
    • Cardiology
    • Gastroenterology
    • High Risk OB
    • Infectious Disease
    • Inpatient medicine
    • International medicine
    • Neurology
    • OB Buddy
    • Outpatient surgery
    • Pain management
    • Pediatric subspecialties
    • Pharmacy
    • Podiatry
    • Pulmonology
    • Renal
    • Rheumatology
    • Urgent Care

Additional Information

No night rotations
6 OB calls
Continuity clinic every month; 4 half days per 
 week

Family Medicine Outpatient Clinic

  • State of the art primary care center, opened in August of 2007
  • One half-day per week during intern year, three half-days during second year, four half-days during third year (more time can be spent in clinic if desired)
  • Interns start with extra time per patient, gradually seeing more patients
  • Each resident has his/her own desk, mailbox, and storage space in our resident workspace area
  • Staff members, composed of faculty and community physicians, are available for staffing at all times
  • Colposcopy, radiology, OB ultrasound, minor procedure rooms available in clinic building.  CLIA waived labs also available in clinic.
  • "Simulated office concept" - each resident has his/her own panel of patients.  All lab results and consults done on patients are reviewed by that patient's resident
  • Opportunity to develop relationships with patients over 3-year residency

Conferences & Workshops

FM block didactics all morning on Tuesdays.

Additional Conferences

  • IM: 
    Noon conference Monday – Friday in the hospital
    Wed afternoon block didactics
    "Afternoon delight" case report didactics 3 afternoons a week
  • Pediatric: 
    Grand Rounds - monthly over lunch
    Wed afternoon block didactics
  • OB:
    Grand Rounds 
    Wed am block didactics

Procedures

Residents perform procedures on their own patients in the clinic.

Available

  • Colposcopy & biopsy
  • Endometrial biopsy
  • Skin Biopsy
  • Joint injections
  • Casting and splinting
  • OB Ultrasound
  • Multiple dermatologic procedures
  • Fetal Non stress testing
  • Nail Removal
  • LARC - Mirena and Nexplanon

Simulations

  • Ultrasound training with SonoSim
  • Episiotomy
  • SIM Man-Code procedures on model
  • NOEL-OB Simulator
  • Pelvic Model
  • Joint Injection