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Family Medicine Residency Program Description

Our program prepares family physicians both to possess the training and expertise to provide definitive care for the vast majority of patients they will see in their practice, and to adapt to the leadership roles that will be part of their future practice in the community.

CentraCare Family Health Center Clinical Training

The University of Minnesota/St. Cloud Hospital Family Medicine Residency Program emphasizes teaching in outpatient settings that are supportive, exciting learning environments. Our instruction focuses on evidence-based medicine, and we teach you how to apply the current literature to your individual patients.

CentraCare Family Health Center is located in the CentraCare Northway building three blocks west of St. Cloud Hospital (SCH). The 19,009 square foot, state-of-the-art facility is completely equipped for educational purposes. We have 26 exam rooms and two procedure rooms, two Osteopathic Manipulation Technique rooms, a private entrance, a spacious waiting room, a classroom for teaching and separate workspace for faculty and residents. This clinic serves the St. Cloud metro area, which has a population of more than 100,000.

Our office uses innovative technology and equipment, including video Colposcopy and flexible sigmoidoscopy and ultrasound. Residents use personal computers and personal digital assistants in the hospital and at theCentraCare Family Health Center. We utilize an electronic medical record that is directly connected to the hospital electronic medical record.

The University of Minnesota/St. Cloud Hospital Family Medicine Residency Program embraces a patient-centered practice of medicine. Throughout your three years, you will be supported in learning the skills necessary to practice patient-centered medicine. Critical to the practice is the ability to create and sustain a therapeutic and ethically sound relationship with patients. These skills will be taught through lectures, rounds, precepting, video taping, coaching and group process.

Throughout the program, we will assign families to you with the expectation that you will provide their continuing care during your residency. You will develop a practice of your own that is part of a patient care team consisting of other residents, several nurses and physician faculty members. The team will share responsibility for families so other team members can provide continuity for you when you are not available. Mid-level providers assist in delivering urgent care services in the clinic.

Team members work together to deliver consistently high-quality patient care, while allowing enough time away for each individual to care for personal needs. Ancillary staff including medical assistants, LPN's, RN’s and patient advocates play important roles in helping to care for and educate our patients.

Clinical Training at St. Cloud Hospital

If your patients require hospitalization, you will admit them to St. Cloud Hospital with a faculty physician. The attending faculty on the hospital service will conduct rounds with you for all hospitalized CentraCare Family Health Center patients. While your patients are at SCH, you will have access to a full spectrum of specialty and subspecialty consultation services without loss of primary patient care responsibility. The faculty attendings will always be available to teach you and assist you in the care of your patients.

Because SCH is a regional, tertiary care hospital, you will be involved in the treatment of more complex medical cases than you might see in a smaller community hospital. You will have the opportunity to work with physicians and staff from many specialty areas that will provide you the background you will need to be more effective in your future practice. Simultaneously, because the Family Medicine Residency Program is the only residency at SCH, you will have opportunities to learn procedures and manage patients who might be referred to specialists in a university-hospital setting.

Curriculum

Block Rotations: First Year

Most rotations in the first year occur at SCH. You will see your own patients 1-2 half days per week at the CentraCare Family Health Center. Rotations are based on 13 four-week cycles. Orientation typically begins mid-June.

Inpatient Family Medicine
Pediatrics
Maternity Care
Night Float 
Adult Medicine
Emergency Medicine
Critical Care
Surgery
Elective
Total

14 weeks
6 weeks
6 weeks
6 weeks
4 weeks
4 weeks
4 weeks
4 weeks
4 weeks
52 weeks

 

Block Rotations: Second Year

During the second and third years of residency, you will work with subspecialists in St. Cloud and gain experience in rural settings.

You will see patients 2-4 half days per week at the CentraCare Family Health Center.

Inpatient Family Medicine
Pediatrics
Rural Family Medicine
Pediatric Subspecialty
Orthopedics/Sports Medicine
Maternity Care
Women’s Health
Dermatology
Cardiology
Endocrinology
Research
Chemical Dependency (Hazelden)
Electives/Advanced Maternity Care Track
Night Float
Psychiatry
Gastroenterology
Total
6 weeks
6 weeks
4 weeks
4 weeks
2 weeks
2 weeks
2 weeks
2 weeks
4 weeks
2 weeks
1 week
1 week
8 weeks
4 weeks
2 weeks
2 weeks
52 weeks

 

Block Rotations: Third Year

You will see patients 3-5 half days per week at the CentraCare Family Health Center.

Inpatient Family Medicine
Outpatient Family Medicine
Rural Family Medicine
Emergency Medicine
Maternity Care
Women’s Health
Orthopedics/Sports Medicine
Urology
Ophthalmology
Otolaryngology
Allergy/Immunology
Infectious Disease
Electives
Night Float
Total
5 weeks
4 weeks
4 weeks
4 weeks
2 weeks
2 weeks
4 weeks
2 weeks
2 weeks
2 weeks
2 weeks
2 weeks
14 weeks
3 weeks
52 weeks

Longitudinal Curricula - All Years

  • Community Medicine
  • Diagnostic Imaging
  • Ethics
  • Family Medicine
  • Geriatrics
  • Human Behavior and Psychiatry
  • Practice Management
  • Research

Didactic Training

Core content lectures will be a regular part of your educational experience. Lectures occur daily, usually over the noon hour. These conferences are presented by the faculty, community physicians, other clinicians and guest speakers. The series starts with an introduction to general principles of family medicine and office-based practice.

Quarterly half day didactic lectures are scheduled to delve into more specifics in a selected subject, specialty or diagnosis. Lecture and hands-on experiences are taught by residency faculty, community preceptors and skilled professionals.

Later topics cover the full spectrum of family practice:

  • Adolescent Medicine
  • Adult Medicine and Subspecialties
  • Behavioral Medicine
  • Care of the Elderly
  • Child Health
  • Community Medicine
  • Critical Review of the Medical Literature
  • Dermatology
  • Emergency Medical Care
  • Ethics
  • Family Systems
  • Maternity Care
  • Nutrition
  • Patient Education
  • Practice Management
  • Surgery
  • Women’s Health

You will join the hospital staff to attend relevant CME conferences given by SCH physicians and guest speakers. You will be encouraged to attend departmental CME presentations as part of the lecture series. You will make presentations during Information Management lectures, Family Medicine Morbidity and Mortality conferences and Pediatric conferences throughout your last two years. The program supports your attendance at specific local family practice-oriented conferences during your residency.

Procedural Skills and Certifications

Procedural skills are an important part of rural practice. You will have opportunities to learn:

  • Arthrocentesis
  • Casting and Splinting
  • Circumcision
  • Colposcopy and LEEP
  • Cryotherapy
  • Dilation and Curettage
  • Endometrial Biopsy
  • Exercise Stress Testing
  • Flexible Sigmoidoscopy
  • Fetal Monitoring
  • Incision and Drainage of Abscesses
  • Lumbar Puncture
  • Office Obstetrical Ultrasound
  • Skin Biopsy/Lesion Excision
  • Suction Curettage
  • Surgical Assisting
  • Suturing/Laceration Repair
  • Vaginal Delivery, both assisted and spontaneous 

We require all University of Minnesota/St. Cloud Hospital residents to have certification in Basic Cardiac Life Support (BCLS) prior to entering the program. You will take courses in Advanced Cardiac Life Support (ACLS), Neonatal Resuscitation Program (NRP) and Pediatric Advanced Life Support (PALS). You will have the opportunity to become certified in Advanced Trauma Life Support (ATLS) during your residency. You will take Advanced Life Support in Obstetrics (ALSO) sometime during your first year of training.

Evaluation

To assist you in acquiring the appropriate knowledge and technical skills, we will provide you feedback on your performance during your family medicine residency. Your evaluations will be based on the ACGME competencies. You will meet with your assigned faculty adviser approximately four times each year, during which time you will develop and monitor your own goals. In addition, you will regularly evaluate the faculty and your clinical rotations to help us improve the quality of the training program.

To help you gauge your progress in knowledge acquisition during your residency and to prepare you for your certifying exam in family practice, you will participate in an annual self-assessment examination provided by the American Board of Family Practice.

Conference Time

Residents in the second and third years may take up to five working days each year to attend educational meetings accredited by recognized societies (the American Academy of Family Physicians, the National Congress of Family Practice Residents, the Society of Teachers of Family Medicine, the American Medical Women’s Association, etc.). You are encouraged to present research at regional and national meetings. If your paper is accepted for presentation, we will provide you with a per diem, authorized travel expenses (beyond the conference allotment) and time away from the program for the presentations.

On-Call Schedule

We have a night float system to cover Sunday night through Thursday night in the hospital. Night float is a 2 week rotation and all residents do 2 or 3 night float rotations during the year. Residents not on the night float rotation provide hospital coverage Friday through Sunday. Upper level residents cover Friday nights and PGY-1’s cover 12 hour shifts from Saturday morning to Sunday evening. Each upper level resident covers 5 or 6 Fridays and each PGY-1 covers 20 to 21 weekends during the year. On weekends during the first part of the year, the upper level residents provide supervision of the PGY-1’s in the hospital. Each upper level resident does this on 2 Saturdays and 2 Sundays. For the rest of the year, the upper level residents are on call from home to provide assistance as needed. Each upper level resident does this on 7 or 8 weeknights, 3 Saturdays and 3 Sundays during the year.  Rural rotation call varies depending on location and goals of the rotation.  Holiday call will be equitably distributed amongst all residents. Residents duty hour regulations are strictly monitored and enforced.

Moonlighting

We permit moonlighting for fully licensed residents, provided these activities do not interfere with your education or resident duty hour regulations. Supervised practice in an emergency room setting can be a valuable training experience and can introduce you to smaller hospitals in the area. Urgent care practice can allow you to improve your skills in time management.


Affirmative action and equal opportunity educator and employer.

Inquiries

For more information, please contact:

University of Minnesota/St. Cloud Hospital Family Medicine Residency Program
1555 Northway Drive, Suite 200
St. Cloud, MN 56303-1867

Phone: 320-240-3112
Fax: 320-240-3165
E-mail: schmidtl@centracare.com

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