Scott-AFB-FMR-2013

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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

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

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

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

Residency History

Current site of military and civilian clinics

Downtown Belleville, IL

Across from hospital

Clinical space on 3 rd floor split by AF and SIHF

AF here since 1996

Over 25K of space total

Office and educational space on 4 th floor used by faculty and residents

Our Partners

375 th Medical Group, Scott AFB, IL

St. Elizabeth’s 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

375

th

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

St. Elizabeth Hospital

Primary site for clinical rotations (medicine/OB)

Over 180 patient beds

Over 40 medical specialties on staff

To include neurosurgery, interventional cardiology, neonatal intensive care, plastic surgery, and more

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

Saint Louis University

Academic sponsor

Some clinical rotations

Peds Inpatient/E.R.

Outpatient Surgery

On-line library access

Opportunity to teach medical students

Curriculum—PGY 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

Curriculum—PGY 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

Curriculum—PGY 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)

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

Call Schedule

PGY-1

1 week of night float during inpatient months

7 days of short call during inpatient medicine months

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

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

What Makes Us Unique

Four “partners” offer extensive opportunities for rotations and electives

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

“Unopposed” Residency

All inpatient medicine,

OB, and nursery patients managed by FM services

Most subspecialty rotations (including surgery, cardiology, dermatology, etc) are oneon-one with community preceptors

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

What Makes Us Unique

Unparalleled OB and

Procedural Training

OB fellow on staff

Most Residents exceed 70 deliveries/15 continuity

Skin biopsy, colposcopy,

LEEP, EMB, vasectomy, injections, IUD, Implanon

Colonoscopy/C-Section precepted by FP

Add’l opportunities have given some grads 200+ c-scopes/50+ c-sections

What Makes Us Unique

Sports Med Curriculum

Workshops with sports med faculty

Opportunity to be team physician at area high schools and colleges

Ultrasound guided injections, gait analysis

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

Women’s Health, endoscopy, acupuncture, osteopathy, obstetrics

What Makes Us Unique

“Family Atmosphere”

What Makes Us Unique

“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 yrs:

Ali Al-Salem AB, Kuwait Bagram Air Field, Afghanistan

Kirkuk AB, Iraq

Camp Bucca, Iraq

Balad AB, Iraq

Manas AB, Krygyzstan

Faculty Experience

16 Full-Time Faculty

11 Military, 5 Civilian

6 Military Faculty have overseas experience

Iraq, Afghanistan, Kuwait,

Germany, Korea, U.K.

1 OB Fellow, 1 Geriatric

Fellow, 1 DO, 1 Sports Med

3 credentialed in

C-sections, 3 in endoscopy

The Local Area

Belleville, Illinois

Excellent cost of living

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”

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

St. Louis

Sports and Attractions

St. Louis

Family Activities

FREE Zoo, Science Center, Museums

20-30 minute drive from Belleville!

Contact Us

Lt. Col. Tammy Lindsay, M.D., Associate

Program Director

 tammy.lindsay@us.af.mil

Ms. Theresa Moore, Residency Coordinator

 mooret2@slu.edu

Tina Kearney, M.D., Medical Student

Coordinator

 tkearney@sihf.org

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