Saint Louis University Family Medicine Residency Program

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Saint Louis University Family Medicine Residency
Program

• Belleville, Illinois
• Scott AFB, Illinois

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• Residency Mission and History
• Our Partners
• Curriculum, Call, and Clinic
• What Makes Us Unique
• Graduate and Faculty Experience
• The Local Area
• Contact Us

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Residency Mission Philosophy

• Blend the strengths of university, community,
  military
• Develop full-scope FPs
• Ready for rural, urban, austere, underserved
  environments
• Promote ownership of responsibility for
  patients
• Develop physician- leaders
• Future commanders/faculty

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A Fully Integrated Program

• AF and civ. residents have same core rotations at
  same sites
• AF, civ., and volunteer faculty precept all
  residents
• AF and civ. residents on same clinic floor,
  different hallways

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Residency History

• Scott AFB Family Practice Residency est. 1972
• Southern Illinois University Family Practice
  Residency est. 1981
• Merged in 1996 under St. E, SLU in 1997
• Scott AFB Inpatient Services closed 2005
• Southern Illinois Health Foundation took civilian
  clinic oversight in 2006

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Residency History

• Current site of military and civilian clinics
• Downtown Belleville, IL
• Across from hospital
• Clinical space on 3rd floor split by AF and SIHF
• AF here since 1996
• Over 25K of space total
• Office and educational space on 4th floor used by
  faculty and residents

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Our Partners

• 375th Medical Group, Scott AFB, IL
• St. Elizabeths Hospital, Belleville, IL
• Primary site for clinical rotations
• Southern Illinois Health Foundation
• Oversees the civilian clinic
• Saint Louis University School of Medicine
• Academic sponsorship and support

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375th Medical Group

• Oversees USAF clinics
• Site for some outpatient rotations
• Super-clinic (outpatient services only) since
  2005
• Still offers Radiology, OB/GYN, Minor Procedures,
  Derm, IM, Peds, Flight Medicine

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St. Elizabeth Hospital

• Primary site for clinical rotations (medicine/OB)
• Over 400 patient beds
• Over 40 medical specialties on staff
• To include neurosurgery, interventional
  cardiolgy, neonatal intensive care, plastic
  surgery, and more

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Southern Illinois Health Foundation

• Oversees the civilian clinic
• Over 25 primary care clinic sites in So. Illinois
• Community service and elective opportunities
• Mission to increase access to healthcare,
  especially for the underserved

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Saint Louis University

• Academic sponsor
• Some clinical rotations
• Peds Inpatient/E.R.
• Outpatient Surgery
• On-line library access
• Opportunity to teach medical students

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CurriculumPGY 1

• 4 wks core month
• 16 wks inpatient medicine
• 4 wks inpatient OB
• 4 wks inpatient nursery
• 4 wks inpatient peds
• 4 wks emergency room
• 4 wks outpatient OB
• 4 wks outpatient peds
• 4 wks orthopedics
• 4 wks inpatient surgery
• 4 wks geriatrics

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CurriculumPGY 2

• 4 wks inpatient medicine
• 4 wks ICU
• 4 wks cardiology
• 4 wks OB night float
• 4 wks scholarly project
• 4 wks peds E.R.
• 4 wks outpatient surgery
• 4 wks outpatient peds
• 4 wks behavioral med
• 4 wks outpatient procedures
• 4 wks rural medicine
• 4 wks gynecology

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CurriculumPGY 3

• 4 wks inpatient medicine
• 4 wks inpatient faculty
• 6 wks surgical subs
• urology, ophtho, ENT
• 2 wks neurology
• 4 wks G.I.
• 4 wks sports medicine
• 4 wks practice mgt
• 4 wks community med
• 4 wks dermatology
• 20 elective wks (PG2-3)

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Military Unique Curriculum

• Combat Casualty Care Course (with ATLS)
• 2 wks, PGY3, in Texas
• CSTARS (Trauma Course)
• 2 wks, PGY3, at SLU
• Goal 36 hours of formal didactics by graduation
• Profiles, deployments, etc
• Elective opportunities
• Aerospace Medicine Primary Course, infect.
  disease, etc

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Call Schedule

• PGY-1
• Q4 on inpatient medicine, inpatient pediatrics,
  inpatient obstetrics and nursery
• Q7-14 on remaining rotations
• PGY-2
• Q4 on inpatient medicine and ICU
• Q7-14 on remaining rotations
• PGY-3
• Q4 on inpatient medicine and faculty rotations
• No other scheduled overnight calls

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Continuity Clinic

• Will easily exceed RRC Requirement of 1650 clinic
  patient encounters over 3 yrs of training
• PGY-1 1-2 half days per week
• PGY-2 2-3 half days per week
• PGY-3 3-4 half days per week
• Color Team Structure (1 nurse, 4 docs, 4 techs)
  allows for better continuity and opportunity for
  process improvement projects

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What Makes Us Unique

• Four partners offer extensive opportunities for
  rotations and electives
• Additional medical subspecialty training through
  St. Es or SLU
• Additional Peds/GYN training through SIHF
• Additional opportunity for scholarly activity

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What Makes Us Unique

• Unopposed Residency
• All inpatient medicine, OB, and nursery patients
  managed by FM services
• Most subspecialty rotations (including surgery,
  cardiology, dermatology, etc) are one-on-one with
  community preceptors

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What Makes Us Unique

• Unparalleled Inpatient Medicine Experience
• 200 admissions/month to our unopposed service
• Pathology of a mostly underserved population
• 20-30 ICU admits/month
• Unopposed opportunity for inpatient procedures
• Central lines, vents, LP, intubation,
  thoracentesis

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What Makes Us Unique

• Unparalleled OB and Procedural Training
• OB fellow on staff
• Most Residents exceed 70 deliveries/15 continuity
• Skin biopsy, treadmills, colposcopy, LEEP, EMB,
  vasectomy, injections, IUD
• Colonoscopy/C-Section precepted by FP
• Addl opportunities have given some grads 200
  c-scopes/50 c-sections

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What Makes Us Unique

• On-site civilian sports medicine fellowship
• Workshops with sports med faculty and fellows
• Opportunity to be team physician at over 10 area
  high schools and colleges

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What Makes Us Unique

• Faculty Dedicated to Teaching
• Weds afternoons set aside for conferences
• Daily Morning Report on inpatient services
• Variety of faculty strengths and interests
• Womens Health, endoscopy, acupuncture,
  osteopathy, obstetrics

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What Makes Us Unique

• Family Atmosphere

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What Makes Us Unique

• Family Atmosphere

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What Our Grads Are Doing

• Sampling of where some of our grads since 2004
  have been assigned
• Ramstein AB, Germany Elmendorf AFB, Alaska
• Osan AB, Korea Aviano AB, Italy
• RAF Upwood, U.K. Eglin AFB, Florida (faculty)
• Nellis AFB Nevada, (faculty) Hickam AFB, Hawaii
• Sampling of our grads deployments in past 4 yrs
• Ali Al-Salem AB, Kuwait Bagram Air Field,
  Afghanistan
• Kirkuk AB, Iraq Balad AB, Iraq
• Camp Bucca, Iraq Manas AB, Krygyzstan

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Faculty Experience

• 16 Full-Time Faculty
• 11 Military, 5 Civilian
• 9 Military Faculty have overseas experience
• Iraq, Afghanistan, Qatar, Kuwait, Germany, Korea,
  Guam, U.K.
• 1 OB Fellow, 1 Geriatric Fellow, 1 DO
• 3 credentialed in C-sections, 2
  in endoscopy

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The Local AreaBelleville, Illinois

• Excellent cost of living
• Average home price in Belleville in 2007 was
  113,044
• Top-notch public and private schools
• 20 minutes to St. Louis
• 4 hours to Chicago, Indianapolis, Kansas City, or
  Memphis

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The Local AreaMetro East

• Lakes, water parks, minor league baseball, and
  family fun within minutes!

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St. LouisSports and Attractions
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St. LouisFamily Activities

• FREE Zoo, Science Center, Museums
• 20-30 minute drive from Belleville!

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Contact Us

• Lt. Col. Tammy Lindsay, M.D., Interim Associate
  Program Director
• tammy.lindsay-02_at_scott.af.mil
• Ms. Theresa Moore, Residency Coordinator
• mooret2_at_slu.edu
• Tina Kearney, M.D., Medical Student Coordinator
• tkearney_at_sihf.org