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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 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
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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 *New hospital Approved
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 *New hospital Approved
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Our Partners 375th 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
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375th Medical Group Scott Air Force Base
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
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St. Elizabeth Hospital Primary site for clinical rotations (medicine/OB) Over 180 patient beds Over 40 medical specialties on staff Includes neurosurgery, interventional cardiology, vascular surgery, plastic surgery, and many more New hospital to open in O’Fallon, IL ~2017
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Southern Illinois Health Foundation
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
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Saint Louis University
Academic sponsor Some clinical rotations Peds Inpatient and E.R. Adult E.R. Trauma Center Subspecialty electives Online library access Opportunity to teach rotating medical students Research support
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Curriculum—PGY 1 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
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Curriculum—PGY 2 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
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Curriculum—PGY 3 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
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Military Unique Curriculum
Advanced Trauma Life Support (ATLS) PGY3, at SLU CSTARS (Trauma Course) 2 weeks, PGY3, at SLU Goal 36 hours of formal didactics by graduation Profiles, deployments, etc. Elective opportunities Aerospace Medicine Primary Course, Infectious disease, etc.
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Call Schedule PGY-1 PGY-2 PGY-3
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 PGY-2 Q4 on inpatient medicine and ICU Random 24hr in-house OB calls 4 weeks scheduled OB senior call PGY-3 Q4 on inpatient medicine months No other scheduled overnight calls
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Continuity Clinic 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
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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
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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 under-served population 20-30 ICU admits/month With ICU community attending acting as consulting service
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What Makes Us Unique Strong OB and Procedural Training
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 Additional opportunities have given some grads c-scopes/50+ C-sections
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What Makes Us Unique Sports Medicine Curriculum
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
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What Makes Us Unique Faculty Dedicated to Teaching
Wednesday afternoons are protected lecture time Daily Morning Report on inpatient services Variety of faculty strengths and interests Women’s Health, endoscopy, acupuncture, osteopathy, obstetrics, pain management
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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 years: 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 15 Full-Time Faculty
10 Military, 5 Civilian 2 Clinical pharmacists and 3 clinical social workers 9 Military Faculty have overseas experience 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
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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
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The Local Area “Metro East”
Lakes, water parks, minor league baseball, and family fun within minutes!
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St. Louis Sports and Attractions
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St. Louis Family Activities
FREE Zoo, Science Center, Museums 20-30 minute drive from Belleville!
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Contact Us Marjorie Guthrie M.D., Program Director
Matthew Snyder M.D., Military Program Director Macia Noorman, Residency Coordinator and Recruiting Point of Contact for visiting students or (618) x4405 Tina Kearney, M.D., Medical Student Coordinator Chief Residents
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