Mount Carmel Health System

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Curriculum

The Mount Carmel Family Medicine Residency Program offers a diverse yet integrated comprehensive curriculum that is the cornerstone of our residents' academic experience. Because we place a great deal of emphasis on educating family physicians in the full spectrum of patient care, our curriculum is reflective of that principle and is updated annually. Each year of your residency will cover specific aspects of medical skills and offer you opportunities to explore special interests. Your training will be extensive and thorough, and you'll emerge well prepared to practice Family Medicine. As a resident you'll be given guidance during the educational process, but also a great deal of autonomy to develop your own skills and methods for practicing medicine.

Pediatrics

Our residency includes four months of focused pediatric rotations at Nationwide Children's Hospital, and one month in the newborn nursery at Mount Carmel St. Ann's in addition to longitudinal care of pediatric patients at our Family Medicine Center: Rotational experiences at Nationwide Children's Hospital include: General Inpatient Pediatrics, Pediatric Emergency Care and Outpatient Pediatrics at the Nationwide Children's Hospital Linden Ambulatory Clinic. Residents also complete an individualized preceptorship experience with a pediatrician in their private office. Residents may also take additional Pediatric electives if desired.

Our residents are provided with a solid outpatient pediatric patient base as our Family Medicine Center is located in a community with a large pediatric population. We also provide our residents with Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation (NRP) certifications Our residency also has a comprehensive pediatric lecture series.

Sports Medicine

Our Sports Medicine rotation provides an opportunity to experience a wide variety of educational experiences, providing a unique review of this popular and dynamic field. The curriculum has two components: a one month rotational experience and a longitudinal component.

The one month Sports Medicine rotation utilizes community preceptors and resources to enhance the resident's knowledge and skills. The resident spends part of their time with a Sports Medicine physician at a local, high volume Orthopedic Center. Through this experience, the resident will develop an increased comfort level with caring for adult sports injuries and conditions. Another portion of the resident's time is spent with a Nationwide Children's Hospital Sports Medicine and Rehabilitation Center to gain experience in care of pediatric athletes. Additionally, the resident will rotate with Westar Sports Medicine and Rehabilitation Center to gain an appreciation of the role of physical therapists in care of the injured athlete as well as the role of the athletic training in athlete preparation. The residents also engage in self-directed learning through the use of online tutorials regarding splinting and casting, as well as joint dislocation and aspiration.

The longitudinal component of the Sports Medicine curriculum includes involvement with local athletic teams providing support for pre-participation physicals and as team physicians for athletic events. The residents are also involved with Recreation Unlimited providing support for this valuable program that offers an athletic outlet for individuals with disabilities.

Additional educational components of the Sports Medicine curriculum include annual Splinting and Casting and Joint Injection workshops, as well as lectures regarding pertinent musculoskeletal topics from our core faculty members and local specialists.

Obstetrics & Gynecology

Our residents are provided a comprehensive experience in obstetrics at Mount Carmel St. Ann's. Residents receive hands-on training and master techniques involved with normal and high risk deliveries, including amniotomy, episiotomy, labor induction, fetal monitoring and obstetrical ultrasound. Obstetrical services, provided by the residents, are precepted by faculty members who provide 24 hour attending coverage for obstetrical and postpartum services to our patients.

Residents provide outpatient prenatal services to their private patients seen at the St Ann's Family Medicine Center, and one other prenatal clinics operated by the residency program. The clinic provides prenatal and obstetrical services to women in this rural county close to their homes. The clinic is staffed solely by our residency program residents and faculty, and the women deliver their babies at Mount Carmel St. Ann's. Over 4000 babies are delivered at Mount Carmel St. Ann's hospital every year and our residents have no difficulty achieving the required number of deliveries for residency training. All residents receive Advance Life Support in Obstetrics (ALSO) training.

Residents also receive a comprehensive experience in outpatient gynecological services at Mount Carmel West, Mount Carmel St. Ann's and at the family medicine center. Under the preceptorship of both Family Medicine and Obstetrical/Gynecology Program faculty with extensive experience in women's health and gynecology services, residents learn procedures such as colposcopy, endometrial and cervical biopsies and breast cyst aspiration. There is also a two-year comprehensive lecture series on obstetrics and gynecology by our faculty members.

Practice Management

Under the direction of our Program Directors, Dr. Philip Berger, and Dr. John Jonesco, our faculty provides to our residents, extensive and comprehensive training in the field of practice management and exposure to outside Family Medicine practices. As a second-year and third-year resident, you'll attend two lectures a month dedicated to this topic. These lectures deal with a myriad of topics including staffing needs, anticipated income and practice expenses, billing and collecting, insurance company contracts, finding and critiquing practice opportunities, negotiating a contract, and malpractice. In addition, residents participate in a Practice Management month during which you'll rotate through every part of our family medicine center and work with a private physician's office reviewing every aspect of running a practice. Mount Carmel also has a physician placement service that assists graduating residents in finding practice opportunities. By graduation you'll be well prepared to deal with the ever-increasing complexity of managing your own practice.

Mastering Procedures is an important aspect of your residency training and proficiency in outpatient and inpatient procedures is important to our residency. Residents receive training in the performance of inpatient procedures such as: endotracheal intubation, ventilator management, central and arterial line placement, lumbar puncture, paracentesis and thoracentesis, bone marrow biopsy, chest tube placement among others. During the obstetrics rotation, in addition to normal deliveries, residents master skills in obstetrical ultrasound interpretation, amniotomy, episiotomy and laceration repair and fetal monitoring.

In regards to outpatient procedures, residents receive training in: dermatologic skin biopsies, suturing and laceration repair, cryosurgery, electrocautery, joint aspiration and injection, colposcopy, anoscopy, casting and splinting, incision and drainage, unguectomies, indirect larngoscopy and ophthalmologic procedures, among others. Regular workshops, which cover the outpatient procedures in family medicine, are held throughout the year and will provide you with hands-on experience.

Our Wednesday Didactic Curriculum includes case study reviews, an evidence-based medicine series, and presentations given by program faculty, community preceptors and guest teaching faculty in the areas of pediatrics, obstetrics/gynecology, internal Medicine, dermatology, geriatrics, sports medicine, medicine subspecialties and surgical specialties. Residents also have the opportunity to attend a wide variety of lectures and other educational opportunities:

  • A behavioral medicine conference.
  • Year-specific resident support groups
  • Primary Care Medicine Grand Rounds are held once a month for residents and faculty.
  • While on subspecialty rotations, you will be able to attend numerous conferences specific to that rotation.
  • Chart reviews and case conferences are held at least monthly giving you an opportunity to discuss difficult cases and review charting techniques.
  • A Combined Residency Seminar Series (CRESS) in which all Mount Carmel residents gather for specific competency-based and interprofessional learning opportunities.

Our Geriatric Lecture Series is a two-year series given to second-year and third-year residents as part of the Wednesday didactic curriculum. Residents also participate in weekly case discussions during resident rounds at Village at Westerville, a local nursing home, where our residents follow their continuity geriatric patients during the second and third years.

Journal Club is incorporated into the Wednesday didactics on a monthly basis. Residents are responsible for presenting an evidence-based review of primary care issues found in current medical literature for discussion regarding scientific validity. The Journal Club presentation acts as a launching pad for resident-driving research on a clinically relevant topic. Under the guidance of a faculty advisor, the resident will look beyond the primary research and engage in clinical inquiry that will culminate in a scholarly project at the completion of their residency.

Additional independent study materials and resources, are provided to residents to aide in the preparation for the USMLE Step 3, annual ABFM In-Training Examination and the Family Medicine Board Certification Examination. Additionally, resident-driven board review sessions are held on at least a monthly basis.

First-Year Residents

As a first-year resident, you'll alternate through rotations in family medicine, cardiology, surgery, pediatrics, obstetrics, MICU and emergency care. While on any specialty rotations, you will function in the same capacity as interns in each of these teaching services. You will be scheduled for inpatient call five to eight times per month, depending upon the rotation, while learning acute patient care in the hospital setting. There are ample specialty conferences on these rotations directed by the attending staff physicians. Each resident is also responsible for teaching medical students who regularly rotate at Mount Carmel West, Mount Carmel St. Ann's and the family medicine center. No call is taken during the emergency medicine rotation.

The family medicine responsibilities of first-year residents include two half-day per week at the Family Medicine Center providing outpatient care for your patients. You will also spend three months on the family medicine Inpatient Service Team (IPS) providing acute care to adult patients at Mount Carmel St. Ann's hospital. You will be scheduled for inpatient call six times each month of your IPS rotation. First year resident call is always supervised by an in-house upper-level family medicine resident.

First Year Rotation Schedule

Rotations are 4-week blocks unless otherwise noted

  • Immersion
  • Adult Emergency Medicine
  • Cardiology
  • Family Medicine Inpatient Day Team (3 blocks)
  • Family Medicine Inpatient Night Team
  • Medicine Selective
  • MICU
  • Newborn
  • Obstetrics — Night Float
  • Pediatrics Inpatient
  • General Surgery

During the second year, residents spend two-thirds of their time on rotations outside the hospital setting. They take inpatient family medicine service in-house call an average of four to five times each month (about once a week) year round (with the exception of the Pediatric ER rotation) and are responsible for emergency room admissions, floor calls and patient phone calls. Residents will work one-on-one with the senior resident or attending faculty member. In addition, you'll spend three half-days per week in a continuity patient care experience at the Family Medicine Center.

Second Year Rotation Schedule

Rotations are 4-week blocks unless otherwise noted

  • Adult Emergency Medicine (Will change to advance newborn/NICU in 2015-2016)
  • Behavioral Medicine
  • Elective
  • Gynecology
  • Family Medicine Inpatient Day Team (2 blocks)
  • Family Medicine Inpatient Night Team (2 blocks)
  • Pediatrics Ambulatory
  • Pediatrics Emergency Medicine
  • Radiology/Urology
  • Rural Medicine
  • Orthopedics

Third-Year Residents

As a third-year resident, you'll be given more opportunities to explore personal interests and outpatient rotations. Along with an attending physician, you will function as a "Junior Attending" with the responsibility for the supervision of the inpatient family medicine service during your two months on the service. Throughout your third year in-house call will be limited to 1-2 nights per month. During the third year of training the emphasis is on outpatient office-based care in both the required and elective rotations, and you'll spend four half-days per week seeing continuity patients at our Family Medicine Center. Finally, in preparation for post-residency practice, third-year residents attend transition-to-practice lectures given twice per month.

Third Year Rotation Schedule

Rotations are 4-week blocks unless otherwise noted

  • Community Medicine
  • Dermatology
  • Elective (3 blocks)
  • Family Medicine Inpatient Day Team (2 blocks)
  • Medicine Selective
  • Ophthalmology/ENT
  • Pediatrics Ambulatory
  • Practice Management (2 blocks)
  • Sports Medicine

Electives

  • Allergy
  • Cardiology
  • Dermatology
  • Emergency Medicine
  • Endocrinology
  • Ear, Nose & Throat
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Disease
  • Neonatology
  • Nephrology
  • Occupational Medicine
  • Ophthalmology
  • Orthopedics
  • Physical Medicine & Rehabilitation
  • Pulmonary Medicine/Critical Care Medicine
  • Radiology
  • Rheumatology
  • Rural Medicine
  • Sports Medicine
  • Urgent Care
  • Urology
  • Others as developed by residents
©  2014  

Mount Carmel Health System  |  Columbus, Ohio

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