ADDITIONAL INFORMATION
1 half day clinic except on ICU
Approximately 8-9 weekend day shifts over the year
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
- Noon lectures and afternoon didactics
-
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 or suburban area
- Opportunity to see full spectrum family medicine and can cater to resident aspirations
- Opportunities include nursing home/inpatient/OB/community involvement/hospital administration
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 - choose 2 weeks of ID, Heme/Onc, GI, Pulm, Endo, or 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
- 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 Nursery
- 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.
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
-
4 weeks Outpatient Gynecology
4 weeks of Pediatric ED
4 weeks Ortho
4 weeks Ambulatory Medicine Chief
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
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, OB ultrasound, minor procedure rooms in FM clinic.
- Labs and radiology in clinic building.
- Each resident has his/her own panel of patients. All lab results and consults 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