Program Highlights/Overview


 
Didactics – Teaching is very important to the Deaconess Family Medicine Residency Program, which is why the program provides dedicated time for didactics. On Monday mornings, the residents attend morning report which allows handover for the resident run inpatient medicine service and is followed by a case presentation by the residents on the medicine service. Grand Rounds occur every Tuesday morning and are an excellent opportunity to keep up with the ever changing field of medicine. Finally, every weekday from 12-1 pm is reserved for noon conference during which lunch is provided and the residents have the opportunity to learn from Family Medicine faculty, ER doctors, and physicians from other specialties. Occasionally, there are EKG conferences, core content reviews (where residents team up with their class to compete with the other classes and medical students to answer board type questions), suturing workshops, and opportunities to meet with your advisor and program director.  There are also opportunities to teach and work with medical students.

Family Medicine Introduction Month – This is one of the most unique and one of the best things about our program. The first month of residency is reserved for orientation! You will have the opportunity to spend the whole month with your PGY1 classmates meeting with various hospital departments, shadowing in the clinic, learning EPIC, and earning certifications (ACLS, PALS, NRP, ALSO, CPR, etc.). This is a great time to get to know your classmates and helps develop lasting friendships. This orientation month helps ease your transition from medical student to resident. 

Family Medicine Continuity Clinic – Residents are assigned their own patients to follow throughout residency. PGY1 and PGY2 residents typically spend 2 half days per week in continuity clinic. 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 10 patients per clinic (20 minute appointments). PGY3 residents have 1 full day of clinic seeing about 20 patients (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 Months): There are 6 service months per year. Two months each of Internal Medicine, Pediatrics, and Obstetrics and Gynecology. 
 
Internal Medicine – The family medicine residents run their own inpatient service for their patients and the patients that 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 Deaconess Hospital hospitalist with admissions. Below, you will find a sample schedule of the internal medicine month, the most demanding rotation of first year.

PGY1 IM Sample Schedule:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
  Morning report 7-8 IM Pre-rounds 7-8 IM Pre-rounds 7-8 IM Pre-rounds 7-8 IM Pre-rounds 7-8 IM Pre-rounds 7-8
  IM Rounds 8-10 Grand Rounds 8-9 IM Rounds 8-10 IM Rounds 8-10 IM Rounds 8-10 IM Rounds 8-10
  IM Hospitalist Time 10-12 IM Rounds 9-11 IM Hospitalist Time 10-12 IM Hospitalist Time 10-12 IM Hospitalist Time 10-12 IM Hospitalist Time 10-7
  Noon Conference 12-1 IM Hospitalist Time 11-12 Noon Conference 12-1 Noon Conference 12-1 Noon Conference 12-1  
  IM Hospitalist Time 1-7 Noon Conference 12-1 IM Hospitalist Time 1-7 Clinic 1-5 IM Hospitalist Time 1-7  
    Clinic 1-5        

Pediatrics – The pediatrics service meets at Deaconess Gateway Hospital in Newburgh, IN. This rotation is staffed by dedicated Pediatrics Hospitalists and Intensivists. The PGY1 and PGY2 residents round on patients and present them to the hospitalist. In the afternoons, the residents run the Pediatrics Acute Clinic. This is a great opportunity to treat a wide variety of acute pediatric issues. On Sundays, the PGY1 pediatric resident covers the OB service at The Women’s Hospital and new Pediatric admissions to Deaconess Gateway Hospital. Below you will find a sample schedule for Peds.

PGY1 Peds Sample Schedule:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
OB/Peds Rounds and Coverage 7-5 Peds Rounds 7-12 Peds Rounds 7-9 Peds Rounds 7-9 Peds Rounds 7-9 Peds Rounds 7-12  
  Noon Conference 12-1 Clinic 9-12 * Group Visits Initial Prenatal Visits 9-12 Noon Conference 12-1  
  Peds Acute Visits 1-5 Noon Conference 12-1 Noon Conference 12-1 Noon Conference 12-1 Peds Acute Visits 1-5  
    Peds Acute Visits 1-5 Peds Acute Visits 1-5 Peds Acute Visits 1-5    
* Peds Residents facilitate 2 week postpartum group visits every other Wednesday.

Obstetrics and Gynecology – The OBGYN service meets at The Women’s Hospital in Newburgh, IN. The PGY1 spends Mondays, Tuesdays, Fridays, and Saturdays at the Women’s Hospital. The resident spends time working directly with the attending. The PGY2 spends Wednesdays and Thursdays at The Women’s Hospital. In the afternoons, the other resident covers the OBGYN Acute Clinic. This clinic is often filled with acute complaints and some routine pregnancy related visits.
 
 PGY1 OB Sample Schedule:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
  OB Rounds and Coverage 7-5 OB Rounds and Coverage 7-5 OB Rounds 7-8 OB Rounds 7-8 OB Rounds and Coverage 7-5 OB/Peds Rounds and Coverage 7-5
      Clinic 8-12 Initial Prenatal Visits 8-12    
      Noon Conference 12-1 Noon Conference 12-1    
      OB Acute Visits 1-5 OB Acute Visits 1-5    

Required Rotations (Off Service Months): Residents are off service for 6 months of the year. Below, you will find a sample schedule for all off service rotations.
 

PGY1 Off-Service Sample Week:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
* IM Rounds 7-noon Morning report 7-8 Grand Rounds 8-9        
  Clinic 8-12 Preceptor Time 9-12 Preceptor Time 8-12 Clinic 8-12 Preceptor Time 8-12  
  Noon Conference 12-1 Noon Conference 12-1 Noon Conference 12-1 Noon Conference 12-1 Noon Conference 12-1  
  Preceptor Time 1-5 Preceptor Time 1-5 Preceptor Time 1-5 Preceptor Time 1-5 Preceptor Time 1-5  
* Scheduled to work from 7-noon (may be finished sooner) every other Sunday for 4 of the 6 off service months.
 
Psychiatry – Residents rotate at Deaconess Cross Pointe, an inpatient facility that specializes in treatment of adult and pediatric inpatients. Residents work closely with a psychiatrist to treat inpatients during the morning and assist with outpatient clinic in the afternoon.

General Surgery – Residents work with surgeons from Evansville Surgical Associates. They spend time 1 on 1 with the surgeon during surgery, rounds, and clinic. Residents often scrub and assist the surgeon.

Orthopedic Surgery – Residents rotate with surgeons from Orthopedic Associates. Residents learn about treatment of common orthopedic injuries. Residents also spend time with the surgeon during surgery. The resident gains valuable experience learning how to treat common orthopedic injuries and how to perform joint and trigger point injections.

Cardiology – Residents rotate with cardiologists at The Heart Hospital. Residents are exposed to multiple cardiac procedures including cardiac catheterizations, treadmill tests, stress Echos, Dobutamine Echos, and TEEs. Residents 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 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.

2nd-3rd Year Required Rotations:
 
  • Dermatology
  • Outpatient Pediatrics
  • Sports Medicine
  • Geriatrics
  • Otolaryngology
  • Neurology
  • Radiology
  • Urology
  • ICU
  • Gynecology
  • Ophthalmology
  • Chief Resident
     
 
3rd Year Electives:
Advanced Obstetrics
Allergy and Immunology
Anesthesiology
Colorectal Surgery
Endocrinology
Exercise Stress Testing
Family Medicine (Private Preceptor)
Gastroenterology
Infectious Disease
Internal Medicine (Private Preceptor)
Maternal/Paternal & Infant Health
Nephrology
Oncology
Pain Management
Podiatry
Primary Care Procedures
Pulmonary Medicine
Rheumatology

 
Procedures/Experiences: Procedures are an important part of Family Medicine. Residents are allowed and often encouraged to do procedures. Most preceptors will allow residents to do procedures including intubations, placing central lines, joint injections, suturing, and much more. Below, you will find a list of required procedures that residents must do before graduation.

Procedure List:
Anoscopy
Chest X-ray Interpretation
Cryosurgery
EKG Interpretation
Endometrial Biopsy
Eye Fluorescein Exam
I&D of Abscess
Immobilization and Stabilization of Orthopedic Injuries
Injection and Aspiration of Joints
Injection and Aspiration of Tendons, Ligaments, and Muscles
Pap Smear
Simple Laceration Repair with Sutures
Skin Biopsies – Punch, Excisional, Shave
Wart, Fingernail, Toenail, and Foreign Body Removal
Wet Mount
Artificial Rupture of Membranes
Fetal Scalp Electrode Placement
Intrauterine Pressure Catheter Placement
Tympanometry
Colposcopy
Circumcision
Nonstress Test
Spirometry Interpretation
UA with Microscopy
C/S First Assist

Experiences
Sports Physicals
Home Visits
Nursing Home Visits


Moonlighting: There are multiple opportunities for moonlighting starting during PGY2. Residents are encouraged to take advantage of the experience and great pay from moonlighting. Moonlighting opportunities include Pulmonary Critical Care, Emergency Department, and Hospitalist Medicine.