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Program Overview

Teaching is very important to the Deaconess Family Medicine Residency Program, which is why the program provides dedicated time for didactics.

Didactics
 
  • Residents attend morning report on Monday mornings 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.
  • Every weekday from 12 - 1 PM is reserved for noon conference during which residents are given 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 Block 
The first four weeks of residency are reserved for orientation. This is one of the most unique and best things about our program. During the orientation period, residents
 
  • Meet with various hospital departments
  • Shadow in the residency clinic
  • Learn Epic (Electronic health record system)
  • Earn certifications (ACLS, BLS, PALS, NRP, ALSO, STABLE)
  • Get to know classmates and develop lasting friendships
  • 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 the 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 with 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 Blocks)
 
  • 6 service blocks per year
  • Two blocks each of Internal Medicine, Pediatrics, and Obstetrics/Gynecology
​Internal Medicine
 
  • 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 hospitalist with admissions.
Sample PGY-1 IM Schedule
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Pediatrics
 
  • The pediatrics service meets at Deaconess Gateway Hospital in Newburgh, IN
  • Staffed by Pediatric Hospitalists and Intensivists.
  • The PGY1 and PGY2 residents round on patients and present them daily to the hospitalist.
    • In the afternoon, the residents run the Pediatric Acute Clinic at the Family Medicine Center. This is a great opportunity to treat a wide variety of acute pediatric issues.
  • On Sunday, the PGY1 pediatric resident covers the OB service at The Women’s Hospital and new pediatric admissions to Deaconess Gateway Hospital.
Sample PGY-1 Pediatrics Schedule
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Obstetrics and Gynecology (OB/GYN)
 
  • The OB/GYN service meets at The Women’s Hospital in Newburgh, IN.
  • The PGY1 spends Monday, Tuesday, Friday and Saturday at the Women’s Hospital working directly with the attending.
  • The PGY2 spends Wednesday and Thursday at The Women’s Hospital.
    • OB/GYN Acute Clinic is held in the afternoon at the Family Medicine Center. This clinic is often filled with acute complaints and some routine pregnancy related visits.
Sample PGY-1 OB/GYN Schedule
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PGY-1 Required Rotations (Off-Service Blocks)
 
  • Residents are off-service for 7 blocks of the year.
  • Below, you will find a sample schedule for all off-service rotations.
Sample PGY-1 Off Service Schedule
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Psychiatry 
 
  • Residents rotate at Deaconess Cross Pointe, a 60-bed inpatient facility that treats adults and adolescents with acute mental health issues, medical detoxification and co-occurring disorders (combined acute mental health and chemical dependency).
  • 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.
  • 1 on 1 with the surgeon during surgery, rounds and clinic.
  • Residents often “scrub in” and assist the surgeon.
Orthopedic Surgery 
 
  • Residents rotate with surgeons from Orthopaedic Associates.
  • Learn about treatment of common orthopedic injuries.
  • Spend time with the surgeon during surgery.
  • Gain 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.
  • Exposed to multiple cardiac procedures including cardiac catheterizations, treadmill tests, stress echocardiograms, dobutamine stress echocardiograms and transesophageal echocardiograms.
  • 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 Midtown 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
Curricular Tracks Offered
  • Hospitalist Medicine
  • Sports Medicine
  • Emergency/Urgent Care Medicine
  • Obstetrics
View the full Curriculum and Curricular Track requirements

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.
  • Residents are required to do the following procedures 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 and 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
Non-stress Test
Spirometry Interpretation
UA with Microscopy
C/S First Assist

Experiences
 
  • Sports Physicals
  • Home Visits
  • Nursing Home Visits
Moonlighting
 
  • Multiple opportunities starting during PGY2 year
  • Residents are encouraged to take advantage of the experience and great pay from moonlighting
  • Moonlighting opportunities include Urgent Care, Infectious Disease, Radiology
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