Saint Louis University Family Medicine Residency Program

1. Saint Louis University Family Medicine Residency Program Belleville, Illinois Scott AFB, Illinois

2. Click the item you wish to view Residency Mission and History Our Partners Curriculum, Call, and Clinic What Makes Us Unique Graduate and Faculty Experience The Local Area Contact Us

3. 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

4. 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

5. 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

6. Residency History • 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

7. 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

8. 375th 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

9. 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

10. 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

11. Saint Louis University • Academic sponsor • Some clinical rotations • Peds Inpatient/E.R. • Outpatient Surgery • On-line library access • Opportunity to teach medical students

12. 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

13. 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

14. 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)

15. 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

16. 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

17. 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

18. 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

19. 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

20. 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

21. 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

22. 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

23. 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

24. What Makes Us Unique “Family Atmosphere”

25. What Makes Us Unique “Family Atmosphere”

26. 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 yrs: Ali Al-Salem AB, Kuwait Bagram Air Field, Afghanistan Kirkuk AB, Iraq Balad AB, Iraq Camp Bucca, Iraq Manas AB, Krygyzstan

27. 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

28. The Local AreaBelleville, 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

29. The Local Area“Metro East” • Lakes, water parks, minor league baseball, and family fun within minutes!

30. St. LouisSports and Attractions

31. St. LouisFamily Activities • FREE Zoo, Science Center, Museums • 20-30 minute drive from Belleville!

32. 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