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

Saint Louis University Family Medicine Residency Program

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Saint Louis University Saint Louis University Family Medicine Family Medicine

Residency ProgramResidency ProgramBelleville, IllinoisBelleville, Illinois

Scott AFB, IllinoisScott 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

Residency Mission & PhilosophyResidency Mission & Philosophy

Blend the strengths of Blend the strengths of university, community, university, community, militarymilitary

Develop “full-scope” FPsDevelop “full-scope” FPs Ready for rural, urban, austere, Ready for rural, urban, austere,

underserved environmentsunderserved environments

Promote ownership of & Promote ownership of & responsibility for patientsresponsibility for patients

Develop “physician- leaders”Develop “physician- leaders” Future commanders/facultyFuture commanders/faculty

A Fully Integrated ProgramA Fully Integrated Program

AF and civ. residents AF and civ. residents have same core have same core rotations at same sitesrotations at same sites

AF, civ., and AF, civ., and volunteer faculty volunteer faculty precept all residentsprecept all residents

AF and civ. residents AF and civ. residents on same clinic floor, on same clinic floor, different hallways different hallways

Residency HistoryResidency History

Scott AFB Family Practice Residency est. 1972Scott AFB Family Practice Residency est. 1972 Southern Illinois University Family Practice Southern Illinois University Family Practice

Residency est. 1981Residency est. 1981 Merged in 1996 under St. E, SLU in 1997Merged in 1996 under St. E, SLU in 1997 Scott AFB Inpatient Services closed 2005Scott AFB Inpatient Services closed 2005 Southern Illinois Health Foundation took Southern Illinois Health Foundation took

civilian clinic oversight in 2006civilian clinic oversight in 2006

Residency HistoryResidency History

Current site of military Current site of military and civilian clinicsand civilian clinics Downtown Belleville, ILDowntown Belleville, IL Across from hospitalAcross from hospital Clinical space on 3Clinical space on 3rdrd floor floor

split by AF and SIHFsplit by AF and SIHF AF here since 1996AF here since 1996 Over 25K of space totalOver 25K of space total

Office and educational Office and educational space on 4space on 4thth floor used by floor used by faculty and residentsfaculty and residents

Our PartnersOur Partners

375375thth Medical Group, Scott AFB, IL Medical Group, Scott AFB, IL St. Elizabeth’s Hospital, Belleville, ILSt. Elizabeth’s Hospital, Belleville, IL

Primary site for clinical rotationsPrimary site for clinical rotations

Southern Illinois Health FoundationSouthern Illinois Health Foundation Oversees the civilian clinicOversees the civilian clinic

Saint Louis University School of MedicineSaint Louis University School of Medicine Academic sponsorship and supportAcademic sponsorship and support

375375thth Medical Group Medical Group

Oversees USAF clinicsOversees USAF clinics Site for some outpatient Site for some outpatient

rotationsrotations ““Super-clinic” Super-clinic”

(outpatient services only) (outpatient services only) since 2005since 2005

Still offers Radiology, Still offers Radiology, OB/GYN, Minor OB/GYN, Minor Procedures, Derm, IM, Procedures, Derm, IM, Peds, Flight MedicinePeds, Flight Medicine

St. Elizabeth HospitalSt. Elizabeth Hospital

Primary site for clinical Primary site for clinical rotations (medicine/OB)rotations (medicine/OB)

Over 400 patient bedsOver 400 patient beds Over 40 medical Over 40 medical

specialties on staffspecialties on staff To include neurosurgery, To include neurosurgery,

interventional cardiolgy, interventional cardiolgy, neonatal intensive care, neonatal intensive care, plastic surgery, and moreplastic surgery, and more

Southern Illinois Health FoundationSouthern Illinois Health Foundation

Oversees the civilian Oversees the civilian clinicclinic

Over 25 primary care Over 25 primary care clinic sites in So. Illinoisclinic sites in So. Illinois

Community service and Community service and elective opportunitieselective opportunities

Mission to increase Mission to increase access to healthcare, access to healthcare, especially for the especially for the underservedunderserved

Saint Louis UniversitySaint Louis University

Academic sponsorAcademic sponsor Some clinical rotationsSome clinical rotations

Peds Inpatient/E.R.Peds Inpatient/E.R. Outpatient SurgeryOutpatient Surgery

On-line library accessOn-line library access Opportunity to teach Opportunity to teach

medical studentsmedical students

Curriculum—PGY 1Curriculum—PGY 1

4 wks “core month”4 wks “core month” 16 wks inpatient medicine16 wks inpatient medicine 4 wks inpatient OB4 wks inpatient OB 4 wks inpatient nursery4 wks inpatient nursery 4 wks inpatient peds4 wks inpatient peds 4 wks emergency room4 wks emergency room 4 wks outpatient OB4 wks outpatient OB 4 wks outpatient peds4 wks outpatient peds 4 wks orthopedics4 wks orthopedics 4 wks inpatient surgery4 wks inpatient surgery 4 wks geriatrics4 wks geriatrics

Curriculum—PGY 2Curriculum—PGY 2

4 wks inpatient medicine4 wks inpatient medicine 4 wks ICU4 wks ICU 4 wks cardiology4 wks cardiology 4 wks OB night float4 wks OB night float 4 wks scholarly project4 wks scholarly project 4 wks peds E.R.4 wks peds E.R. 4 wks outpatient surgery4 wks outpatient surgery 4 wks outpatient peds4 wks outpatient peds 4 wks behavioral med4 wks behavioral med 4 wks outpatient procedures4 wks outpatient procedures 4 wks rural medicine4 wks rural medicine 4 wks gynecology4 wks gynecology

Curriculum—PGY 3Curriculum—PGY 3

4 wks inpatient medicine4 wks inpatient medicine 4 wks inpatient “faculty”4 wks inpatient “faculty” 6 wks surgical subs6 wks surgical subs

urology, ophtho, ENTurology, ophtho, ENT 2 wks neurology2 wks neurology 4 wks G.I.4 wks G.I. 4 wks sports medicine4 wks sports medicine 4 wks practice mgt4 wks practice mgt 4 wks community med4 wks community med 4 wks dermatology4 wks dermatology 20 elective wks (PG2-3)20 elective wks (PG2-3)

Military Unique CurriculumMilitary Unique Curriculum

Combat Casualty Care Combat Casualty Care Course (with ATLS)Course (with ATLS) 2 wks, PGY3, in Texas2 wks, PGY3, in Texas

CSTARS (Trauma Course)CSTARS (Trauma Course) 2 wks, PGY3, at SLU2 wks, PGY3, at SLU

Goal 36 hours of formal Goal 36 hours of formal didactics by graduationdidactics by graduation Profiles, deployments, etcProfiles, deployments, etc

Elective opportunitiesElective opportunities Aerospace Medicine Primary Aerospace Medicine Primary

Course, infect. disease, etcCourse, infect. disease, etc

Call ScheduleCall Schedule

PGY-1PGY-1 Q4 on inpatient medicine, inpatient pediatrics, inpatient Q4 on inpatient medicine, inpatient pediatrics, inpatient

obstetrics and nurseryobstetrics and nursery Q7-14 on remaining rotations Q7-14 on remaining rotations

PGY-2PGY-2 Q4 on inpatient medicine and ICUQ4 on inpatient medicine and ICU Q7-14 on remaining rotationsQ7-14 on remaining rotations

PGY-3PGY-3 Q4 on inpatient medicine and “faculty” rotationsQ4 on inpatient medicine and “faculty” rotations No other scheduled overnight callsNo other scheduled overnight calls

Continuity ClinicContinuity Clinic

Will easily exceed RRC Requirement of 1650 Will easily exceed RRC Requirement of 1650 clinic patient encounters over 3 yrs of trainingclinic patient encounters over 3 yrs of training

PGY-1: 1-2 half days per weekPGY-1: 1-2 half days per week PGY-2: 2-3 half days per weekPGY-2: 2-3 half days per week PGY-3: 3-4 half days per weekPGY-3: 3-4 half days per week Color Team Structure (1 nurse, 4 docs, 4 techs) Color Team Structure (1 nurse, 4 docs, 4 techs)

allows for better continuity and opportunity for allows for better continuity and opportunity for process improvement projectsprocess improvement projects

What Makes Us UniqueWhat Makes Us Unique

Four “partners” offer Four “partners” offer extensive opportunities extensive opportunities for rotations and for rotations and electiveselectives Additional medical Additional medical

subspecialty training subspecialty training through St. E’s or SLUthrough St. E’s or SLU

Additional Peds/GYN Additional Peds/GYN training through SIHFtraining through SIHF

Additional opportunity Additional opportunity for scholarly activityfor scholarly activity

What Makes What Makes Us UniqueUs Unique

““Unopposed” ResidencyUnopposed” Residency All inpatient medicine, All inpatient medicine,

OB, and nursery patients OB, and nursery patients managed by FM servicesmanaged by FM services

Most subspecialty Most subspecialty rotations (including rotations (including surgery, cardiology, surgery, cardiology, dermatology, etc) are one-dermatology, etc) are one-on-one with community on-one with community preceptorspreceptors

What Makes Us UniqueWhat Makes Us Unique

Unparalleled Inpatient Unparalleled Inpatient Medicine ExperienceMedicine Experience 200+ admissions/month 200+ admissions/month

to our unopposed serviceto our unopposed service Pathology of a mostly Pathology of a mostly

underserved populationunderserved population 20-30 ICU admits/month20-30 ICU admits/month Unopposed opportunity Unopposed opportunity

for inpatient proceduresfor inpatient procedures Central lines, vents, LP, Central lines, vents, LP,

intubation, thoracentesis intubation, thoracentesis

What Makes Us UniqueWhat Makes Us Unique

Unparalleled OB and Unparalleled OB and Procedural TrainingProcedural Training OB fellow on staffOB fellow on staff Most Residents exceed 70 Most Residents exceed 70

deliveries/15 continuitydeliveries/15 continuity Skin biopsy, treadmills, Skin biopsy, treadmills,

colposcopy, LEEP, EMB, colposcopy, LEEP, EMB, vasectomy, injections, IUDvasectomy, injections, IUD

Colonoscopy/C-Section Colonoscopy/C-Section precepted by FPprecepted by FP Add’l opportunities have Add’l opportunities have

given some grads 200+ given some grads 200+ c-scopes/50+ c-sections c-scopes/50+ c-sections

What Makes Us UniqueWhat Makes Us Unique

On-site civilian sports On-site civilian sports medicine fellowshipmedicine fellowship Workshops with sports Workshops with sports

med faculty and fellowsmed faculty and fellows Opportunity to be team Opportunity to be team

physician at over 10 area physician at over 10 area high schools and collegeshigh schools and colleges

What Makes Us UniqueWhat Makes Us Unique

Faculty Dedicated to Faculty Dedicated to TeachingTeaching Weds afternoons set aside Weds afternoons set aside

for conferencesfor conferences Daily Morning Report on Daily Morning Report on

inpatient servicesinpatient services Variety of faculty Variety of faculty

strengths and interestsstrengths and interests Women’s Health, Women’s Health,

endoscopy, acupuncture, endoscopy, acupuncture, osteopathy, obstetricsosteopathy, obstetrics

What Makes Us UniqueWhat Makes Us Unique

““Family Atmosphere”Family Atmosphere”

What Makes Us UniqueWhat Makes Us Unique

““Family Atmosphere”Family Atmosphere”

What Our Grads Are DoingWhat Our Grads Are Doing

Sampling of where some of our grads since 2004 Sampling of where some of our grads since 2004 have been assigned:have been assigned:

Ramstein AB, Germany Ramstein AB, Germany Elmendorf AFB, Alaska Elmendorf AFB, Alaska

Osan AB, KoreaOsan AB, Korea Aviano AB, ItalyAviano AB, Italy

RAF Upwood, U.K.RAF Upwood, U.K. Eglin AFB, Florida (faculty)Eglin AFB, Florida (faculty)

Nellis AFB Nevada, (faculty)Nellis AFB Nevada, (faculty) Hickam AFB, HawaiiHickam AFB, Hawaii

Sampling of our grads’ deployments in past 4 yrs:Sampling of our grads’ deployments in past 4 yrs:Ali Al-Salem AB, KuwaitAli Al-Salem AB, Kuwait Bagram Air Field, AfghanistanBagram Air Field, Afghanistan

Kirkuk AB, IraqKirkuk AB, Iraq Balad AB, IraqBalad AB, Iraq

Camp Bucca, IraqCamp Bucca, Iraq Manas AB, KrygyzstanManas AB, Krygyzstan

Faculty ExperienceFaculty Experience

16 Full-Time Faculty16 Full-Time Faculty 11 Military, 5 Civilian11 Military, 5 Civilian

9 Military Faculty have 9 Military Faculty have overseas experienceoverseas experience Iraq, Afghanistan, Qatar, Iraq, Afghanistan, Qatar,

Kuwait, Germany, Korea, Kuwait, Germany, Korea, Guam, U.K.Guam, U.K.

1 OB Fellow, 1 Geriatric 1 OB Fellow, 1 Geriatric Fellow, 1 DOFellow, 1 DO

3 credentialed in 3 credentialed in C-sections, 2 in endoscopyC-sections, 2 in endoscopy

The Local AreaThe Local AreaBelleville, IllinoisBelleville, Illinois

Excellent cost of livingExcellent cost of living Average home price in Average home price in

Belleville in 2007 was Belleville in 2007 was $113,044$113,044

Top-notch public and Top-notch public and private schoolsprivate schools

20 minutes to St. Louis20 minutes to St. Louis 4 hours to Chicago, 4 hours to Chicago,

Indianapolis, Kansas Indianapolis, Kansas City, or MemphisCity, or Memphis

The Local AreaThe Local Area“Metro East”“Metro East”

Lakes, water parks, Lakes, water parks, minor league baseball, minor league baseball, and family fun within and family fun within minutes!minutes!

St. LouisSt. LouisSports and AttractionsSports and Attractions

St. LouisSt. LouisFamily ActivitiesFamily Activities

FREE Zoo, Science Center, MuseumsFREE Zoo, Science Center, Museums 20-30 minute drive from Belleville!20-30 minute drive from Belleville!

Contact UsContact Us

Lt. Col. Tammy Lindsay, M.D., Interim Lt. Col. Tammy Lindsay, M.D., Interim Associate Program DirectorAssociate Program Director [email protected]@scott.af.mil

Ms. Theresa Moore, Residency CoordinatorMs. Theresa Moore, Residency Coordinator [email protected]@slu.edu

Tina Kearney, M.D., Medical Student Tina Kearney, M.D., Medical Student CoordinatorCoordinator [email protected]@sihf.org