Presence Health

Emphasis and Block Rotations

First Year

Emphasis in the first year is on inpatient medicine with introduction to office medicine in the Family Practice Center.  You have 1-2 half days in the office seeing your own patients.

Rotation

Months

General Internal Medicine

ICU

Pediatrics

Obstetrics

Gynecology

General Surgery

OP Surg

Emergency Medicine

Geriatrics

GI/Endo

 

3

1

2

1

1

1

1

1

1

1

 

Second Year

Emphasis in the second year is on subspecialty medicine with continued growth of office and outpatient medicine concepts.  You have 3 half days in the office seeing your own patients.

Rotation

Months

General Internal Medicine

Infectious Disease

ICU

Cardiology

Peds ED

Pulmonary Medicine

Psychiatry/CommMed

Ambulatory/Practice Mgt

Orthopedics/Sports

Obstetrics

Intersession

Elective

2

1

1

1

1

1

1

1

1

1

1

1

Third Year

Emphasis in the third year is on outpatient medicine subspecialties and primary care.  Time is allowed for electives of your choice to concentrate or expand you knowledge.  Office time is 4 half days.

Rotation

Months

General Internal Med

Ambulatory/ Dermatology/Neurology

OP Peds

Emergency Medicine

Outpatient Surgery/Urology

ENT/Ophthalmology

Orthopedics/Sports

Intersession

Electives

2

1

1

1

1

1

1

1

3

Longitudinal Didactics

Didactics are scheduled Tuesday mornings in a protected time when the office is closed and when the faculty and residents are available. Other conferences are offered in the hospital including ID and Hem/Onc discussions, morbidity and mortality conference, perinatal conference, other medicine and surgery lectures while on service.  The Tuesday conferences consist of several series of lectures including:

  • Dermatology
  • OB/GYN
  • Sports Medicine
  • Ethics
  • Journal Club
  • Geriatrics
  • Hospice
  • Radiology
  • Gastroenterology
  • Cardiology/EKG
  • Infectious Disease
  • Wellness
  • Oncology
  • Morbidity & Mortality
  • Podiatry
  • Pediatrics
  • Practice Management
  • Tumor Board
  • Ophthalmology
  • ENT
  • Personal Finance

Longitudinal Exposures

  • Continuing experiences during the program include:
  • Behavioral Sciences/Wellness
  • Sports Medicine
  • Medical staff committees
  • Geriatrics
  • Internet curriculum elements
  • Community health initiatives/Education
  • Cancer screening initiatives
  • Medical support for Free Clinic
  • Practice management
  • Journal Club/Evidence Based Medicine

Behavioral Science

Our program has a full-time Behavioral Science faculty member.  She provides clinical supervision to all residents to develop counseling skills and enhance patient/doctor communication skills.  The behavioral science curriculum includes didactics lectures, support groups, Balint groups, case consultations, co-counseling residents’ patients and supervision in providing psychological assessments.  Residents experience a Psychiatry and Community Medicine rotation during their second year, which includes additional training with the Behavioral Scientist in areas such as developing their own family Genogram and engaging in video supervision.  The behavioral scientist is also in charge of various Wellness activities in our residency such as heading the Wellness Committee and leading a weekly Mindfulness curriculum for residents on the Inpatient Medicine service. 

Sports Medicine

In partnership with our Primary Care Sports Medicine Fellowship, residents gain training in sports medicine through a variety of experiences. The learner will spend time with our sports medicine faculty both in and out of the hospital setting. These opportunities include outpatient sports medicine clinic, formal lectures, journal club, high school and college athletic training rooms, sideline team sports coverage, and providing medical care for mas

Geriatrics and Other Longitudinal Curriculum

Working directly with a board certified geriatrician, our longitudinal geriatric experience includes nursing home rounds as well as management of the older patient. We have a primary nursing home across the street, as well as longitudinal experiences in a nursing home in the adjacent suburb. The Geriatric rotation during first year provides experience with inpatient palliative care, inpatient hospice, field visits with hospice nurses, and weekly palliative and/or hospice lectures on various topics.

Other important continuity exposures include:

  • Free Clinic Experience
  • Practice management exposures
  • Nursing home continuity experience
  • Home visit experiences
  • Journal club/evidence based medicine
  • Cancer screening initiatives
  • Community health initiative
  • Internet curriculum events
  • Medical staff committees

Procedures

Workshops and Hands-on training are offered throughout the Residency Program.

Examples include:

  • Shave Biopsy / Punch Biopsy
  • Cryotherapy / Skin tag removal
  • Laceration repair / Suture removal
  • Knee Injection
  • Upper Extremity Injection (shoulder or trigger finger)
  • Pap / Pelvic / Clinical Breast exam
  • Male Genital exam
  • Incision and Drainage of Abscess
  • Cerumen irrigation/curettage
  • Spirometry
  • Peak Flow
  • OB deliveries
  • Lab testing (Wet mount, KOH, Rapid strep, Hemoccult, Urine dip, Accu-Chek, EKG)
  • Fluorescein ophthalmologic exam
  • Circumcision (assist or perform)
  • Splinting/casting
  • Osteopathic manipulation
  • Colposcopy

Osteopathic Manipulative Medicine

The Family Practice Residency at Presence Resurrection Medical Center has an ongoing longitudinal Osteopathic Manipulative Medicine (OMM) curriculum. The curriculum involves onsite OMM lab sessions every other month along with regularly scheduled osteopathic journal club. OMM use is encouraged in continuity clinics and each resident's progress is monitored throughout the duration of the three-year program. In this setting, integration of OMM principles into standard Family Medicine practice is emphasized.