Curriculum/Rotations

PGY 1 PGY 2 PGY 3
Adult Medicine/IM 4 1
Surgery IP 1
Pediatrics IP 1
OB/Neonatology 2
Family Medicine IP 2 2 1
Emergency Medicine 1 1
Family Medicine OP 1 1
Geriatric 1
Pediatric Emergency 1
Medicine 1 1
Pediatric OP 1 1
Radiology/NICU 1
ICU 1
Cardiology IP 1
Elective 1-2 3
Orthopedics 1
Orthopedics/Sports 1
Medicine 1
Gynecology 1
Surgery Outpatient 1
Practice Management 1

Majority of rotations are one month, some are 2wks/2wks

Behavioral Medicine – longitudinal

Electives requested based on discussion with Team Leader

Elective Rotations:

Depending on availability, electives may be chosen from among any of the required rotations as well as those listed below. There are recommended electives identified as particularly pertinent and useful based on resident evaluations and faculty reviews.

  • Allergy & Immunology
  • Gastroenterology
  • Hematology/Oncology
  • Colorectal
  • Endocrinology
  • Rheumatology
  • Vascular
  • Ophthalmology
  • Nephrology
  • Infectious Disease
  • Pulmonary
  • Pathology
  • OB (High Risk)
  • Anesthesia and Chronic Pain Management
  • ENT/Urology
  • Private Practice
  • Neurology
  • Occupational Medicine
  • Podiatry
  • Psychiatry
  • Radiation Oncology
  • Cardiology OP

Longitudinal Curriculum

  • Human Behavior and Mental Health: Behavioral science and psychiatry needs to be integrated throughout a resident’s education. Training should be acquired primarily in the outpatient setting, and through didactic sessions. Residents will review the evaluation and care of their own continuity psychiatric patients within the FMC. They will be responsible for fulfilling the goals and objectives of this rotation through close supervision and liaison with the behavioralist, who will meet with patients and residents at all FMC sites.
  • Practice Management: A variety of topics pertaining to Practice Management are taught within the three years of residency through didactics, business and team meetings, and in small group sessions and individual encounters with educators in the field and as part of a one month required rotation.
  • Community Medicine: Residents are given exposure to the health needs of the community through instruction at program conferences and clinical experiences at various sites throughout the Toledo area.
  • Obstetrics & Gynecology: In addition to the month of Obstetrics in each academic year, and Gynecology in PGY-1, residents will participate in OB/Gyn specialty clinics located at the Family Medicine Centers and the Neighborhood Health Association.
  • Care of the Older Patient: During the three years of training, residents gain insight into the complexities of care in the older patient within the Family Medicine Center as well as in the hospital setting. Additionally, they participate with faculty members in clinical rounds at long-term care facilities and the home.

Didactics

Our formal didactic conferences are held on Wednesday mornings from 9:00 AM to 1:00 PM. This is protected educational time for our residents, and all Family Medicine and off-service attending physicians realize that residents will be at didactics every Wednesday morning. All available clinical faculty attend Wednesday conferences with the residents, including our physicians, and psychologist,  to provide a truly multidisciplinary team learning concept.

Our weekly conferences utilize a multi-track system to provide the best learning opportunities to our residents based on their level of expertise and educational needs. PGY-1 and transitional year residents traditionally need more exposure to inpatient and acute care topics, while PGY-2 & 3 residents are more interested in chronic disease management, and the outpatient setting. Junior residents may be attending a presentation on recognition of atrial dysrhythmias while senior residents are attending a practice management session on billing and coding. Behavioral science topics are similarly tracked into two levels. Junior residents will cover content such as psychiatric emergencies or concerns of the hospitalized patient while senior residents will discuss family violence or adolescent substance abuse. Monthly inpatient M&M cases are presented by the family medicine team from the previous month.

Journal Club is held monthly. Each month a resident is assigned to select a journal article in collaboration with a mentoring clinical faculty member. The resident is responsible for presenting the article and leading a critical discussion and evaluation of the article’s main points.

Balint Group meetings are held monthly over lunch with separate sessions for junior and senior residents. Led by our staff psychologist, Balint Group provides a confidential opportunity for residents to share experiences and gain insight from their peers.

Optional activities for learning also include off-service conferences, and weekly CME offerings at both of our inpatient facilities.

Clinical Skills

Thanks to a very generous grant allocation from the Mercy St. Vincent Medical Center Foundation, specifically from the Ken Connell and Dr Eric Robinson Clinics Endowment Fund, we have been able to purchase the following items to enhance resident education and quality patient care:

Each Office now has a new Huntleigh FlexiDoppler-D930 – portable, handheld Doppler for maternity care and routine vascular use.

The Gandy Office is the home base for a Cardiobeat Vascular Doppler System with probe and headset for more difficult vascular patients, primarily those we may see on home care visits and in the Chronic Disease Management Program. This Doppler will “travel” to home visits and each office during scheduled Chronic Disease Management patient care visits.

In the Medical Education Resource Room, we now have the following equipment for resident practice and use. These can also be borrowed to use in the offices for patient education. Four (4) Little Anne mannikins for adult CPR practice and code practice; Four (4) Baby Anne mannikins for infant CPR practice and code practice; AED Trainer – this is a trainer for the real AED located outside the Gandy Office. Again, can be borrowed for demonstrations and presentations to the general public about the importance of AED’s for saving lives; Difficult Airway Intubation Head – to practice intubation skills.

We also have two OB/GYN manikins purchased from a separate fund from the MSVMC Auxillary that are in the Med Ed Resource Room for our residents to use to practice pelvic exams, colposcopy, various fetal presentations/delivery/episotomies/colorectal exams etc. These can be used for patient education with  pregnant patients, as well.   Anything in the Med Ed Resource Room is available for use by our residents at any time! Pig Feet are always in the freezer to practice suturing skills. Videotapes, knot tying boards, & books may be signed out for home use.

Programs