Curriculum

Conferences & Workshops | Procedures | Call Schedule | Research | International

Sample Rotation Schedule

	PGY-1	PGY-2	PGY-3
July	Ambulatory Med	Surgery	Gynecology
Aug	OB	Surgery	FPC Chief
Sept	Pediatrics (Inpatient)	OB	FPC Chief/Elective
Oct	AIMS	OB/AIMS	Neurology
Nov	ICU	AIMS	Orthopedics
Dec	OB	Geriatrics	Sports Medicine
Jan	AIMS	Community Med	Urology/Radiology
Feb	Pediatrics (Outpatient)	Pediatrics (Outpatient)	ENT/Ophthalmology
Mar	ICU	Peds ED/Elective	Elective
Apr	Newborn	Elective	Elective
May	AIMS	Psychiatry	Elective
June	Cardiology	Emergency Med	Elective

PGY-1

3 months Adult Inpatient Medicine
2 months Intensive Care Unit
2 months Pediatrics
2 months Obstetrics
1 month Normal Newborn & Continuing Care Nursery 1 month Ambulatory Medicine
1 month Inpatient Cardiology

PGY-2

1.5 months Adult Inpatient Medicine
1.5 months Pediatrics (Outpatient/Pediatric E.D.)
2 months Surgery
1 month Psychiatry
1 month Geriatrics
1 month Community Medicine
1 month Emergency Medicine
1.5 months Obstetrics
1.5 months Electives

PGY-3

1.5 months Family Practice Clinic Chief
1 month Outpatient Gynecology
2.5 months Other Available Electives
7 months Required Subspecialties *

*Required Subspecialties can be taken during any Elective slot:

Cardiology*
Dermatology*
Neurology*
Orthopedics*
Sports Medicine*
Urology/Radiology*
ENT/Ophthalmology*
Adolescent medicine
Urgent care
Pediatric subspecialties
Flexible sigmoidoscopy

Gastroenterology
Infectious Disease
Pulmonology
Rheumatology
Renal
Podiatry
Inpatient medicine
Outpatient Surgery
High risk OB
International medicine

Family Medicine Outpatient Clinic

Brand new state of the art primary care center, opened in August of 2007
Residents see continuity of patients
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
Two staff members, composed of faculty and community physicians, are available for staffing at all times
Treadmill, colposcopy, radiology, OB ultrasound, casting/splinting, minor procedure rooms available in clinic building. CLIA waived lab facilities also available in clinic.
"Simulated office concept" - each resident has his/her own panel of patients. All lab results, consults, etc., done on patients are reviewed by that patient's resident
Resident is updated on after-hours calls, hospital admissions, etc. on that resident's patients
Opportunity to develop relationships with patients over 3-year residency

Conferences & Workshops

FM conferences in the Primary Care Center Tuesday - Friday with catered lunch provided. Combined FM/IM conference each Monday in the hospital with lunch provided.

Optional Conferences

Medicine Grand Rounds
Pediatric Grand Rounds
OB Grand Rounds
OB Morbidity & Mortality
EFM Strip Conference
Perinatology Grand Rounds
Weekly Ambulatory Morning Report
FM-OB Journal Club

Sports Medicine Curriculum

Full time sports medicine faculty - Drs. Dave Harsha, Joel Kary and Jeff Fields
Area of concentration available
Opportunity to work with faculty and professional teams
Perform sports physicals at area schools
Work on sidelines with athletic trainers - football, basketball, soccer
Staff community health events - triathalons, basketball tournaments
Workshops with sports medicine staff - backboarding the athlete, face mask removal, splinting and casting
Training in the Sports Performance Center
Learn more about St.Vincent Sports Medicine

Obstetrics

5 Faculty practicing OB
Family medicine staff from the community as well as FM faculty, deliver with the residents
About 30% of graduates practice OB
Tremendous opportunities for continuity deliveries and deliveries with private community staff
Residents average 25-30 continuity deliveries, more than twice the RRC requirement, total deliveries average 75+ per resident
Busiest hospital in the state for deliveries, over 400 per month
Optional High Track/Low Track training experience

International Medicine

Funding is provided from the hospital for month long experiences each year.
Residents have been to Kenya, Swaziland, Peru, and Haiti among others.

Yearly, a multidisciplinary team of Family Medicine, Internal Medicine, and Ob/Gyn residents travel to Guatemala in August to work in a remote medical clinic and village.

Please visit the Physicians Outreach site for even more information on international opportunities!

Research

Project Coordinator in the clinic can assist with research projects
Statistician and research analysts available for assistance
Foundation grant money available to residents
Research presented at IAFP Resident Research Day and St. Vincent Research Symposium annually
Learn more about the Research going on around St.Vincent

Several ongoing clinical research projects:

Reach Out and Read
Fibromyalgia study
Postpartum depression

Spirituality in Medicine

Two hour conference held quarterly at Seton Cove Spirituality Center
Physician Outreach Network
Annual Physician Summit
Class retreats

Call schedule

PGY1
Averages every fifth night on most inpatient rotations
Night-float system for inpatient adult medicine
Shift work on ICU, one third of month is night shift, no additional call
Home call averaging every 5th night on outpatient peds
One month without call

PGY2
Average one to two weekend OB/AIMS calls per month
Call with inpatient medicine team (AIMS) when on surgery rotation
Home call on peds
Night-float for OB
Remainder of the year is call free

PGY3
NO CALL

Paid call opportunities are available

Procedures

Residents perform procedures on their own patients in the clinic.

Monthly Procedural Workshops/Conferences

Available:

Colposcopy (with cryotherapy) & biopsy
Endometrial biopsy
Flexible sigmoidoscopy
Treadmill exercise testing
Nasopharyngoscopy
VO2 Max Testing
Skin Biopsy

Joint injections
Casting and splinting
OB Ultrasound
Infrared coagulator for hemorrhoids
Multiple dermatologic procedures
Non stress testing
Nail Removal
Ultrasound Guided Musculoskeletal Procedures

Simulations:
Episiotomy
SIM Man-Code procedures on model
NOEL-OB Simulator
Pelvic Model
Joint Injection

Future Plans:
Colonoscopy Simulation
Brand New Simulation Center Wing to the Hospital