G1 year: Park Nicollet Methodist Hospital and Creekside clinic, St Louis Park, MN

The goal of the first year curriculum is to provide residents with a solid base in the practice of family medicine and experience in high volume inpatient health care settings.

Residents work alongside other residents at the UMN-Methodist Family Medicine Residency Program in St. Louis Park, MN. First year rotations include:

• Family Medicine inpatient service: 2 months
• Obstetrics: 2 months
• Critical Care: one month
• Emergency Medicine: one month
• Cardiology (inpatient): one month
• Neurology (inpatient): one month
• Pediatrics: 3 months, including inpatient, emergency, newborn nursery and outpatient office-based rotations
• Palliative care and infectious disease: one month

Call involves house coverage until 10 pm . Residents manage acute changes of status in Methodist hospital patients, respond to codes, and coordinate care with attending physicians. On obstetrics months, 24 hour shifts provide increased numbers of deliveries and continuity of care in labor.

G2-3 years

The second and third year curriculum is based in Amery and Westfields hospitals & clinics. Each resident spends approximately half of their time in their continuity outpatient clinic which will be at both sites. The rotation curriculum is identical for all residents, and includes time at each location. Ample elective time allows residents to pursue additional education in areas of interest or need.

Rotation curriculum:

G2:

• Orientation, community health and long-term care facilities: one month
• Inpatient medicine, including emergency room and radiology: 2 months, one at each location
• General surgery and wound care: one month
• Gynecology: one month
• Orthopedics: one month
• Psychiatry and behavioral health: one month
• Longitudinal subspecialty rotation: 3 months. Residents work with visiting specialists in Pulmonology, Orthopedics, Urology, Endocrinology and
• Oncology
• Rural health policy and community needs assessment: one month
• Electives: two months

G3:

• Surgery: one month
• Pediatrics-outpatient: one month
• Inpatient/ER/radiology: 2 months, one at each location
• Longitudinal subspecialty rotation: 3 months. Residents work with visiting specialists in ENT, Ophthalmology, Urology, Cardiology, Nephrology, and
• Dermatology
• Clinic intensive: 1 month
• Procedure month: one month
• Elective (3 months)

Longitudinal: much of the educational experience is ongoing over the second and third years.

• Obstetrics. Residents follow their own continuity patients through delivery. They also attend deliveries when on call.
• Geriatrics and nursing home care. Residents have a panel of nursing home patients in rehab, long-term care, and the geriatric psychiatry unit for whom they provided on-going care. They provide home visits when needed, and coordinate with home care, hospice, and social service agencies in the care of their patients.
• Practice management. Residents participate in QI projects and clinic operations committees in their continuity clinics. They may attend hospital committees and community meetings which address local and global policy concerns. They receive information on their patient registries and learn to address financial issues, health care access, and population health in rural communities.
• Behavioral medicine. Residents work with embedded mental health clinicians in their continuity clinics. A behavioral medicine specialist reviews video recordings of patient interactions with residents on a regular basis. Specialty care for patients with complex needs is available.
• Sports medicine. Principles of sports medicine are learned in continuity clinic and on rotation. Residents provide side-line coverage for local sports events and become skilled in pre-participation evaluations and concussion management.

Didactics: Residents participate in the daily didactic noon conferences from Methodist Hospital via WebEx. Day-long training is provided in areas of sports medicine, psychopharmacology and community health.

Call: from home, coming in as needed. Residents are the first physician contact for the nurse line, which handles routine after-hours clinic calls. They attend deliveries at both hospitals and admit patients from the emergency departments, with supervision from attendings. Call responsibilities are typical of rural family medicine practices.