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Program Overview

Teaching is very important to the Deaconess Family Medicine Residency Program, which is why the program provides dedicated time for didactics.

Didactics

 

  • ​Residents attend morning report from 7-8 AM on Monday mornings which focuses on case-based learning of core inpatient adult medicine topics.  At the end of the session, residents on the adult medicine service participate in and are given feedback by faculty on their sign out process to ensure safe and effective transitions of care.
  • Grand Rounds occurs​ every Tuesday morning and are an excellent opportunity to keep up with the ever-changing field of medicine.

  • Every Tuesday from 12:15 - 5 PM is reserved for thoughtfully integrated didactic sessions where residents participate in a variety of the following types of learning opportunities.
    • Case-based learning from a core topic list that covers the breadth of family medicine
    • Procedural skills workshops including point of care ultrasound training
    • Quality improvement training through population health panel management sessions
    • Board reviews (where residents team up with their class to compete with other classes and medical students to answer questions)
    • Hands-on OMT practice sessions
  • There are also opportunities to teach and work with medical students.
Family Medicine Introduction Block 

The first four weeks of residency are reserved for orientation. This is one of the most unique and best things about our program. During the orientation period, residents
 
  • Meet with various hospital departments
  • Shadow in the residency clinic
  • Learn Epic (our Electronic Health Record)
  • Earn certifications (ACLS, BLS, PALS, NRP, ALSO)
  • Get to know classmates and develop lasting friendships
  • Transition from medical student to resident 
Family Medicine Continuity Clinic

Residents are assigned their own patients to follow throughout residency.
  • PGY1 residents see 4 patients per clinic (1 hour appointments) for the first 6 months and then 6 patients per clinic (40 minute appointments) during their second 6 months.
  • PGY2 residents see 8 patients per clinic during their first 6 months and then 10 patients per clinic their second 6 months (20 minute appointments).
  • PGY3 residents have 1 full day of clinic (seeing about 20 patients with 20 minute appointments), 1 half day of clinic (seeing about 10-12 patients), and 1 day of adult acute visits (acutely ill patients that want same day appointments).
Core Rotations (Service Blocks)
 
  • 6 service blocks per year during PGY1 and PGY2 years
  • 2 blocks each of Adult Medicine, Pediatrics and Obstetrics
     
Adult Medicine
 
  • Family medicine residents run their own inpatient service for their patients and the patients who are seen by the faculty in the Deaconess Family Medicine Clinic.
  • PGY1 residents work with a PGY3 resident and sometimes a medical student to deliver care to these patients.
  • The Family Medicine Residency Faculty oversees the care of the residents.
  • Once the patients are cared for, the PGY1 assists the hospitalists with admissions on Mondays, Wednesdays, Fridays and Saturdays.
  • The PGY2 residents participate in night float.
    • The PGY2 works Sunday night – Thursday night and finishes up with Friday morning continuity clinic.
  • The PGY3 resident supervises the PGY1 resident and helps with admissions.
    • On Tuesday and Thursday, the PGY3 assists the hospitalist with admissions.
Sample PGY-1 Adult Medicine Schedule
Download



Pediatrics
 
  • The pediatrics service meets at Deaconess Gateway Hospital in Newburgh, IN
  • Staffed by Pediatric Hospitalists and Intensivists.
  • The PGY1 and PGY2 residents round on patients and present them daily to the hospitalist.
    • In the afternoon, the residents run the Pediatric Acute Clinic at the Family Medicine Center. This is a great opportunity to treat a wide variety of acute pediatric issues.
  • On Sunday, the PGY1 pediatric resident covers the OB service at The Women’s Hospital and new pediatric admissions to Deaconess Gateway Hospital.
Sample PGY-1 Pediatrics Schedule
Download
 


Obstetrics (OB)
 
  • The OB service meets at The Women’s Hospital in Newburgh, Indiana.
  • The PGY1 spends Monday, Tuesday morning, Thursday morning, Friday and Saturday at The Women’s Hospital working directly with the attending.
  • The PGY2 spends Monday morning, Tuesday morning, Wednesday and Thursday at The Women’s Hospital working directly with the attending. The PGY2 participates in OB/Pediatrics call.
  • The PGY1 spends Wednesday and the PGY2 spends Friday morning at ECHO OB/GYN Clinic working with the attending.
Sample PGY-1 OB Schedule
Download



PGY-1 Required Rotations (Off-Service Blocks)
 
  • Residents are off-service for 7 blocks of the year.
  • Below, you will find a sample schedule for all off-service rotations.
Sample PGY-1 Off Service Schedule
Download



General Surgery
 
  • Residents work with surgeons from Evansville Surgical Associates.
  • 1 on 1 with the surgeon during surgery, rounds and clinic.
  • Residents often “scrub in” and assist the surgeon.
Orthopedic Surgery 
 
  • Residents rotate with surgeons from Orthopaedic Associates.
  • Learn about treatment of common orthopedic injuries.
  • Spend time with the surgeon during surgery.
  • Gain valuable experience learning how to treat common orthopedic injuries and how to perform joint and trigger point injections.
Cardiology 
 
  • Residents rotate with cardiologists in the inpatient setting.
  • Exposed to multiple cardiac procedures including cardiac catheterizations, treadmill tests, stress echocardiograms, dobutamine stress echocardiograms and transesophageal echocardiograms.  Residents also evaluate inpatient consults and develop a management plan prior to discussing with the attending cardiologist.
  • Also gain experience reading and discussing EKGs.
     
Emergency Medicine 
 
  • Residents rotate through the ED during their first and third years of residency.
  • Rotations are split between Deaconess Midtown Hospital ED (Level 2 Trauma Center) and Deaconess Gateway Hospital ED.
  • Residents are given an opportunity to manage patients throughout their stay in the ED.
  • Residents are encouraged to see a wide variety of patients and often get opportunities to perform procedures like intubation, suturing, replacing PEG tubes and bandaging injuries.
Geriatrics
 
  • Residents are paired with a board certified geriatrician with whom they attend nursing home rounds and see patients in the office.
  • Residents work with Deaconess pharmacists on Monday afternoons at the Deaconess Anticoagulation Clinic.
2nd - 3rd Year Required Rotations
  • Dermatology
  • Psychiatry
  • Sports Medicine
  • Medicine Subspecialty Electives
  • Otolaryngology
  • Neurology
  • Scholarly Activity
  • Urology
  • ICU
  • Gynecology
  • Ophthalmology
  • Chief Resident
Curricular Tracks Offered
 
  • Hospitalist Medicine
  • Sports Medicine
  • Emergency/Urgent Care Medicine
  • Obstetrics
  • Geriatrics
View the full Curriculum and Curricular Track requirements

Procedures/Experiences
 
  • Procedures are an important part of Family Medicine.
  • Residents are encouraged to do procedures throughout their clinical training.
  • Most preceptors will allow residents to do procedures including intubations, placing central lines, joint injections, suturing and much more.
  • Residents are required to become competent in the following procedures by graduation.
Procedure List:
Cryosurgery
EKG Interpretation
Endometrial Biopsy
Eye Fluorescein Exam
I&D of Abscess
Immobilization and Stabilization of Orthopedic Injuries
Injection and Aspiration of Joints
Injection of Tendons, Ligaments and Muscles
Pap Smear
Simple Laceration Repair with Sutures
Skin Biopsies – Punch, Excisional and Shave
Toenail and Foreign Body Removal
Wet Mount
Artificial Rupture of Membranes
Fetal Scalp Electrode Placement
Intrauterine Pressure Catheter Placement
Tympanometry
Colposcopy
Circumcision (Conscientious objection policy applies)
Non-stress Test
Spirometry Interpretation
UA with Microscopy
C/S First Assist
Longitudinal Experiences

Echo OB/GYN Clinic

 
As part of obstetrics and gynecology rotations, residents spend 1-2 half days per week providing obstetrics and gynecology care at Echo Community Healthcare, a Federally-Qualified Health Center in Evansville. This busy clinic provides multi-disciplinary care for a diverse and underserved population.
 
Home Visits
 
Residents complete a minimum of two home visits on patients from their continuity panel. These visits are scheduled with a faculty member and focus on the functional status and home environment of the patient.
 
 
Medication Assisted Treatment
 
In 2019, DFMR began to treat patients with opioid use disorder using medication-assisted treatment (suboxone) in individual and group-based visits. Residents rotate through this weekly “ROBOT” clinic during their PGY3 year. Residents are supported in obtaining their buprenorphine waiver. PGY2 residents also attend substance addiction treatment groups as part of their psychiatry rotation.
 
Nursing Home
 
Residents are assigned 2 continuity patients to follow on a monthly basis within local extended care facilities beginning their second year.  They are supervised by a board certified geriatrician who assists in caring for these patients.

Sports Physicals
 
In addition to performing sports physicals on our continuity patients within the FMC, residents also assist with mass sports physical screenings with the University of Evansville covering approximately 250 Division I student-athletes.

Moonlighting
 
  • Multiple opportunities starting during PGY2 year
  • Residents are encouraged but not required to take advantage of the experience and great pay from moonlighting.
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