Pediatrics

Our residency includes four months of focused pediatric rotations at Columbus Children's Hospital, Mount Carmel West and Mount Carmel St Ann's in addition to longitudinal care of pediatric patients at our two family medicine centers: General Inpatient Pediatrics, Pediatric Emergency Care, Neonatology (at Mount Carmel West & St Ann's), Outpatient Pediatrics at Columbus Children's Hospital Ambulatory Clinics and individualized preceptorship experience with a pediatrician in their private office. Residents may also take additional Pediatric electives if desired. Residents also cover the Adolescent Health Clinic, under the preceptorship of program faculty one half-day per week at Rosemont School. Our residents are provided with a solid pediatric patient base because both family medicine centers are located in communities in need of pediatric care. We also provide our residents with Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation (NRP) certifications and are part of the pediatric code teams at Mount Carmel West and Mount Carmel St Ann's. Our residency also has a comprehensive pediatric lecture series.

Sports Medicine

Our faculty serves as the team physicians for several high schools in the Columbus Public School System. Working with certified athletic trainers and program faculty, residents perform pre-participation exams and event coverage for various sports teams. Certified athletic trainers instruct our residents on rehabilitation modalities, injury prevention, exercise prescription and taping skills. Drs. James Barr, Stephanie Benedict and John Tyznik serve as high school team physicians and provide a comprehensive two year lecture series as well as hands-on precepting with sports medicine activities, along with other program faculty. In addition, our residents have the opportunity to work at a Saturday morning football sports medicine clinic with Dr. Robert Turner, Orthopedic Surgeon, and team physician for Columbus West High School and can attend a weekly lecture series at the OSU Sports Medicine Program.

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. The residency program has several faculty members who provide obstetrics and gynecology services in their private practices. The faculty serves as preceptors for two Family Medicine Obstetrical clinics operated by the residents under the residency program. One is located at St. Ann's and operates two half-days per week. The program faculty provides 24-hour attending coverage to our residents providing obstetrical and postpartum services to these patients. The second OB clinic is located in Mt. Gilead, Ohio in partnership with a community based program in Morrow County. 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. In addition, residents can obtain additional training through electives in high risk and rural obstetrics. All residents take the Advance Life Support in Obstetrics (ALSO) training.

Residents also receive a comprehensive experience in outpatient gynecological services at the Mount Carmel West Colposcopy Clinic and at both family medicine centers. Under the preceptorship of both Family Medicine and Obstetrical/Gynecology Program faculty with extensive experience in women's health gynecology services, residents learn procedures such as colposcopy, endocervical curettage and cervical biopsies, breast cyst aspiration and biopsies and gynecological ultrasound. There is also a two-year comprehensive lecture series on obstetrics and gynecology by Dr. Jerry McCreery, Associate Program Director with over 20 years of obstetrical and gynecological experience in private practice.

Practice Management

Under the direction of our Program Director, Dr. Chad Braun, our faculty provides to our residents, extensive and comprehensive training in the field of practice management. 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, you'll be required to take an office management month during which you'll 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. 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, swan gantz catheter placement, lumbar puncture, paracentesis and thoracentesis, bone marrow biopsy, chest tube placement and many other procedures as individual cases present themselves. 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. Regular workshops, which cover the outpatient procedures in family medicine, are held throughout the year and will provide you with hands-on experience.

Wednesday Didactic Curriculum provides case study reviews, evidence-based medicine presentations as well as lectures 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. A particular resident favorite is the monthly collaborative Clinical Pathologic Correlation Conference given by Dr. John Weigand, which challenges the residents' and faculty's knowledge of history-taking, examination skills and diagnostic work-up to derive a diagnosis for an unknown complex case. Residents also have the opportunity to attend a wide variety of lectures and other educational opportunities:

• While in the hospital, in addition to daily morning reports, you may attend noon conference with internal medicine residents at the hospital.
• A behavioral medicine conference is held and alternates between supportive group and didactic teaching.
• Primary Care Medicine Grand Rounds are held once a month for residents and faculty. Topics include lectures on pediatrics, orthopedics, internal medicine, surgery and other pertinent issues.
• While on subspecialty rotations, you will be able to attend numerous conferences focusing on that subspecialty.
• Chart reviews and case conferences are held at least monthly giving you an opportunity to discuss difficult cases and review charting techniques.
• End of the day didactics are provided by precepting faculty to address questions, interesting cases and/or other clinical issues residents faced while treating patients during their office hours.

Geriatric Lecture Series is a two-year series given to second-year and third-year residents as part of the Wednesday didactic curriculum in addition to weekly case discussions during resident rounds at Westminster Thurber, a local nursing home, where our longitudinal geriatric curriculum is carried out.

Journal Club meets monthly at a local restaurant. A resident team, led by faculty, is responsible for presenting a critical evidence-based medicine review of primary care issues found in current medical literature for discussion on the scientific validity.

Additional independent study materials and resources, such as The Core Content Review of Family Medicine, are provided to residents to aide in the preparation for the USMLE Step 3, annual ABFP In-Training Examination and the Family Practice Board Certification Examination.

• First Year Residents
• Second Year Residents
• Third Year Residents
• Electives

First-Year Residents

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

The family medicine responsibilities of first-year residents include one half-day per week at one of the centers providing outpatient care for your patients. You will also spend two months on the Inpatient Service Team providing acute care to adult patients at Mount Carmel West. You will be scheduled for inpatient call six to eight times the month of your rotation.

First Year Rotation Schedule

Rotations are one month unless otherwise noted

• Family Medicine Inpatient Service (2 months)
• General Surgery (2 months)
• Obstetrics (2 months)
• Cardiology
• Emergency Medicine (no call)
• Inpatient Internal Medicine
• MICU Critical Care
• Pediatric Inpatient Care
• Neonatology & Newborn (no call)

Second-Year Residents

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 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 and are also responsible for one to two home OB coverage calls for our pregnant patients per month. You will be paid $25.00 per hour when you report to the hospital to provide medical care to a pregnant or postpartum patient, while on home OB call. This hourly bonus is in addition to your regular annual salary. In addition, you'll spend three half-days per week in a continuity patient care experience at one of the Family Medicine Centers.

Second Year Rotation Schedule

Rotations are one month unless otherwise noted

• Family Medicine Inpatient Service (2 months)
• Gynecology
• Human Behavior & Community Medicine
• Obstetrics
• Office Management
• Orthopedic Outpatient Care
• Pediatric Outpatient Care
• Pediatric Selective
• Proctology/Urology
• Electives (2 months)

Third-Year Residents

As a third-year resident, you'll be given more opportunities to explore special 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. You'll be assigned home OB coverage call approximately four to five times per month. You will be paid $25.00 per hour when you report to the hospital to provide medical care to a pregnant or postpartum patient, while on home OB call. This hourly bonus is in addition to your regular annual salary. 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 one of our Family Medicine Centers. Finally, in preparation for post-residency practice, third-year residents attend transition-to-practice lectures given several times each month.

Third Year Rotation Schedule

Rotations are one month unless otherwise noted

• Family Medicine Inpatient Service (2 months)
• Allergy/Radiology
• Dermatology/Office Surgery
• ENT/Ophthalmology
• Human Behavior & Community Medicine
• Orthopedic Outpatient Care
• Pediatric Outpatient Care
• Physical Medicine/Podiatry
• Electives (3 months)

Electives

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