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
Residency Mission & Philosophy
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Blend the strengths of
university, community,
military
Develop “full-scope” FPs
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Ready for rural, urban, austere,
underserved environments
Promote ownership of &
responsibility for patients
Develop “physician- leaders”
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Future commanders/faculty
A Fully Integrated Program
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AF and civilian
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
Residency History
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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
Residency History
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Current site of military
and civilian clinics
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Downtown Belleville, IL*
Across from hospital*
Clinical space on 3rd floor
split by AF and SIHF
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AF here since 1996
Over 25K of space total
Office and educational
space on 4th floor used by
faculty and residents
*New hospital Approved
Our Partners
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375th Medical Group, Scott AFB, IL
St. Elizabeth’s Hospital, Belleville, IL
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Southern Illinois Health Foundation
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Primary site for clinical rotations
Oversees the civilian clinic
Saint Louis University School of Medicine
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Academic sponsorship and support
375th Medical Group
Scott Air Force Base
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Oversees USAF clinics
Site for some outpatient
rotations
“Super-clinic” (outpatient
services only) since 2005
Still offers Radiology,
Minor Procedures,
Dermatology, Internal and
Family Medicine,
Pediatrics, Flight Medicine,
OB/GYN
St. Elizabeth Hospital
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Primary site for clinical
rotations (medicine/OB)
Over 180 patient beds
Over 40 medical
specialties on staff
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Includes neurosurgery,
interventional cardiology,
vascular surgery, plastic
surgery, and many more
New hospital to open in
O’Fallon, IL ~2017
Southern Illinois Health Foundation
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Oversees the civilian side
of the 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
Saint Louis University
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Academic sponsor
Some clinical rotations
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Peds Inpatient and E.R.
Adult E.R. Trauma Center
Subspecialty electives
Online library access
Opportunity to teach
rotating medical students
Research support
Curriculum—PGY 1
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4 weeks “Core Month”
16 weeks Inpatient Adult Medicine
4 weeks Inpatient Obstetrics
4 weeks Inpatient Pediatrics
4 weeks Inpatient Newborn Nursery
4 weeks Emergency Medicine
4 weeks Outpatient OB
4 weeks Outpatient Pediatrics
4 weeks Sports Medicine
4 weeks Surgery
4 weeks Geriatrics
Curriculum—PGY 2
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4 weeks Inpatient medicine
4 weeks ICU
4 weeks Cardiology
4 weeks OB night float
4 weeks Scholarly project
4 weeks Pediatric Emergency
Medicine
4 weeks Radiology
4 weeks Dermatology
4 weeks Behavioral Medicine
4 weeks Outpatient Procedures
4 weeks Rural Medicine
4 weeks Gynecology
Curriculum—PGY 3
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4 weeks Inpatient medicine
4 weeks Medicine elective
4 weeks Sports Medicine
4 weeks Practice Management
4 weeks Community Medicine
4 weeks Outpatient Pediatrics
4 weeks Continuity Clinic
4 weeks Adult Emergency
Medicine and Trauma
12 elective weeks
Military Unique Curriculum
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Advanced Trauma Life
Support (ATLS)
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CSTARS (Trauma Course)
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2 weeks, PGY3, at SLU
Goal 36 hours of formal
didactics by graduation
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PGY3, at SLU
Profiles, deployments, etc.
Elective opportunities
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Aerospace Medicine Primary
Course, Infectious disease, etc.
Call Schedule
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PGY-1
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PGY-2
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1 week of night float and 7 “short call” days on each inpatient
month
2 weeks of night float on OB/Nursery months
Random OB and inpatient calls
Q4 on inpatient medicine and ICU
Random 24hr in-house OB calls
4 weeks scheduled OB senior call
PGY-3
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Q4 on inpatient medicine months
No other scheduled overnight calls
Continuity Clinic
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Most exceed RRC Requirement of 1650 clinic
patient encounters over 3 years 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
What Makes Us Unique
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Four “partners” offer
extensive opportunities
for rotations and
electives
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Additional medical
subspecialty training
through St. E’s or SLU
Additional Peds/GYN
training through SIHF
Additional opportunity
for scholarly activity
What Makes
Us Unique
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“Unopposed” Residency
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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
What Makes Us Unique
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Unparalleled Inpatient
Medicine Experience
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200+ admissions/month
to our unopposed service
Pathology of a mostly
under-served population
20-30 ICU admits/month
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With ICU community
attending acting as
consulting service
What Makes Us Unique
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Strong OB and Procedural
Training
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OB Fellow on staff (Snyder)
Most Residents exceed 70
deliveries/15 continuity
Skin biopsy, colposcopy,
LEEP, EMB, vasectomy, joint
injections, IUD, Nexplanon
Colonoscopy/C-Section
precepted by FP faculty
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Additional opportunities have
given some grads 200+
c-scopes/50+ C-sections
What Makes Us Unique
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Sports Medicine Curriculum
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Workshops and rotations
with fellowship-trained Sports
Medicine faculty
Opportunity to be team
physician at area high schools
and colleges
Ultrasound guided injections,
gait analysis
What Makes Us Unique
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Faculty Dedicated to Teaching
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Wednesday afternoons are
protected lecture time
Daily Morning Report on
inpatient services
Variety of faculty strengths
and interests
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Women’s Health, endoscopy,
acupuncture, osteopathy,
obstetrics, pain management
What Makes Us Unique
“Family Atmosphere”
What Makes Us Unique
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“Family Atmosphere”
What Our Grads Are Doing
Sampling of where some of our grads since 2004
have been assigned:
Ramstein AB, Germany
Osan AB, Korea
RAF Upwood, U.K.
Nellis AFB Nevada, (faculty)
Elmendorf AFB, Alaska
Aviano AB, Italy
Eglin AFB, Florida (faculty)
Hickam AFB, Hawaii
Sampling of our grads’ deployments in past 4
years:
Ali Al-Salem AB, Kuwait
Kirkuk AB, Iraq
Camp Bucca, Iraq
Bagram Air Field, Afghanistan
Balad AB, Iraq
Manas AB, Krygyzstan
Faculty Experience
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15 Full-Time Faculty
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2 Clinical pharmacists and 3
clinical social workers
9 Military Faculty have
overseas experience
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10 Military, 5 Civilian
Iraq, Afghanistan, Kuwait,
Germany, Korea, U.K.,
Ethiopia, Japan
1 OB Fellow, 4 DOs, 2
Sports Med
3 credentialed in
C-sections, 3 in endoscopy
The Local Area
Belleville, Illinois
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Excellent cost of living
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Average home price in
Belleville in 2009 was
$123,357
Top-notch public and
private schools
20 minutes to St. Louis
4 hours to Chicago,
Indianapolis, Kansas
City, or Memphis
The Local Area
“Metro East”
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Lakes, water parks,
minor league baseball,
and family fun within
minutes!
St. Louis
Sports and Attractions
St. Louis
Family Activities
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FREE Zoo, Science Center, Museums
20-30 minute drive from Belleville!
Contact Us
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Marjorie Guthrie M.D., Program Director
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Matthew Snyder M.D., Military Program Director
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matthew.snyder.1@us.af.mil
Macia Noorman, Residency Coordinator and Recruiting
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Point of Contact for visiting students
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noormanm@slu.edu or (618) 233-7880 x4405
Tina Kearney, M.D., Medical Student Coordinator
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mguthrie@sihf.org
tkearney@sihf.org
Chief Residents
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slu.belleville.chiefs@gmail.com
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