The Mount Carmel Family Medicine Residency Program offers a diverse yet integrated comprehensive curriculum that is the cornerstone of our residents' academic experience. The rotations progress over the course of the three year program in a way that allows residents to gain confidence as they prepare for unsupervised practice. The following is an overview of the major categories of the educational experience:
We provide comprehensive education in both the inpatient and outpatient setting. As an unopposed medicine service at Mount Carmel St. Ann’s, our residents see both routine cases and complicated undifferentiated hospitalized patients. Our robust inpatient curriculum includes 4 months of inpatient medicine during the PGY-1 year, 4 months in PGY-2, and 2 months in PGY-3. In addition, PGY-1 residents have one month of Emergency Medicine and one month of MICU. PGY-3 residents also have one month of Emergency Medicine.
Our outpatient curriculum is comprised of a longitudinal experience in our outpatient family medicine center, providing care for a patient panel. As residents progress through the education process, they will transition from 1-2 half days per week in the office during their PGY-1 year, to 2-3 half days per week during their PGY-2 year, and 3-4 half days per week during their PGY-3 year. This experience allows for continuity with their patients and helps to develop the doctor-patient relationship over the course of three years.
Our residents begin their pediatric education right from the start through the Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation (NRP) certification courses. Education continues through four months of focused pediatric rotations at Nationwide Children's Hospital and one month in the newborn nursery at Mount Carmel St. Ann's. The rotational experiences at Nationwide Children's Hospital include General Inpatient Pediatrics, Pediatric Emergency Care and Outpatient Pediatrics at the Nationwide Children's Hospital Linden Close to Home Clinic. In addition to these focused rotations, we also provide longitudinal pediatric experiences both in our family medicine center throughout all three years and at the Linden Close to Home during their PGY-3 year.
Our residents are provided a comprehensive experience in obstetrics and gynecology at Mount Carmel St. Ann's. All residents receive Advance Life Support in Obstetrics (ALSO) training at the start of their time with the program. During the PGY-1 year, residents complete a rotation focused on prenatal care. During the PGY-2 year, they spend time both in labor and delivery and an outpatient OB/Gyn office under the supervision of a Board-Certified obstetrician, while receiving training in obstetrical management and gynecologic procedures.
Residents provide outpatient prenatal services to their private patients seen at Mount Carmel St Ann's Family Medicine Center. The Center provides prenatal and obstetrical services to women in our community close to their homes. The Center is staffed solely by our residents and faculty, and the women deliver at Mount Carmel St. Ann's. Obstetrical services provided by the residents are precepted by a team of Family Medicine faculty and obstetricians who provide 24 hour attending coverage for obstetrical and postpartum services to our patients. This continuity experience extends throughout the PGY-2 and PGY-3 years, allowing residents the opportunity to care for women from the beginning to the end of their pregnancy.
Geriatrics education in our program occurs both in a dedicated rotation and longitudinally. The dedicated rotation occurs in the Division of Geriatrics at the Chalmers P. Wylie VA Ambulatory Care Center under the supervision of a Geriatrics fellowship-trained Family Medicine physician. The longitudinal education occurs at The Laurels of Walden Park Skilled Nursing Facility. Second and third year residents are assigned one or two nursing home patients to follow during their training. Residents are expected to round on their nursing home patients at least once per four-week block during dedicated time on Wednesday afternoons. One of our faculty physicians will be present during these designated times to help facilitate patient care. During these rounding times, the faculty member also leads a brief interactive geriatric didactic session.
Our Sports Medicine curriculum includes two one-month-long rotations, regular didactic sessions and procedural workshops, as well as sports-related volunteer opportunities to further enhance training. During the PGY-2 year, residents spend one month in a private orthopedic surgery office, are involved in a multitude of musculoskeletal evaluations and procedures, and receive significant exposure to joint injections. In the PGY-3 year, residents spend an additional month dedicated to Sports Medicine. This rotation includes time with a local sports medicine physician, sessions at the Nationwide Children's Hospital Sports Medicine and Rehabilitation Center to gain experience in care of pediatric athletes, and time at the Westar Sports Medicine and Rehabilitation Center to gain an appreciation of the role of physical and occupational therapists in the recovery process.
The longitudinal component of the Sports Medicine curriculum includes monthly lectures and procedural practice with local orthopedic surgeons. For residents who are interested in additional experience, we offer regular involvement with local athletic teams to provide pre-participation physicals. Our residents also have the opportunity to serve as team physicians for athletic events.
Our Wednesday morning didactic curriculum is centered on the Conn’s Current Therapy textbook. Each month, residents engage in sessions facilitated by their Family Medicine faculty related to the textbook reading and spend time diving into the text itself. In addition, each topic is touched upon in our simulation curriculum and by guest lecturers in subsequent months. The circular design of our didactic schedule helps to prevent gaps in knowledge or missed learning opportunities that could be produced by absences that result occasionally due to rotational requirements or vacation time.
Each month, one of the weekly didactic sessions is held in the Center for Innovative Learning (CIL) on the Mount Carmel West campus. These sessions focus on interpersonal skills, communication and clinical skills through the use of standardized patients and high-fidelity simulators. We also utilize the vast resources in the CIL to practice a variety of procedural skills.
On a monthly basis, our residents also attend Family Medicine Grand Rounds as well as the Combined Residency Seminar Series (CRESS). CRESS is a unique educational series in which Mount Carmel residents from every specialty gather to engage in specific competency-based and inter-professional learning opportunities.
Here is a sample of our dynamic monthly schedule:
|Week 1||Week 2||Week 3||Week 4|
|7:30||Grand Rounds: Dermatology||Orthopedics - Leg, Ankle & Foot Nerves||Simulation Center: Medicare Wellness Visit||Guest Lecture: Gynecology|
|8:00||Cardiology||Guest Lecture: Emergency Medicine|
|9:30||Res/PD Forum||Behavioral Lecture||Pharmacology Lecture|
|10:00||All Practice Meeting||Quality and Safety||Quality and Safety||Faculty Lecture: Pre-natal Care|
|10:30||Quality and Safety||PGY3 Group/ITE Questions||Resident Forum||ITE Questions|
|11:00||Faculty Lecture: Women's Health||Book Pearls: Women's Health||PGY1 Group/Research||Book Pearls: Maternity|
|11:30||PGY1 Group||Committees||CRESS||Practice Management|
Quality Improvement Curriculum
Quality improvement is a component of a physician's lifelong education. As such, our curriculum integrates quality improvement throughout the three years of residency in multiple ways. Starting in PGY-1 with the Ambulatory Pharmacotherapy rotation, our residents work with our Director of Pharmacy Education and alongside pharmacy interns from the Ohio State University College of Pharmacy in reviewing pathophysiology and pharmacology of core conditions, performing prospective chart review, and implementing their learning through informed discussions of risk/benefit with their patients. The placement of this opportunity early in residency helps to provide additional office time, exposure to the electronic medical record, transition in the care of new patients, and direct observation of understanding and thought processes with the provision of valuable formative feedback.
This thread continues PGY-2 year with a dedicated Quality Improvement block during which time is dedicated to starting or furthering a personal QI/research project. This block is also used to participate in an office-wide QI project and to begin engagement with our Practice Management curriculum.
The PGY-3 year holds a third block (Practice Management) that ties these experiences together. During the Practice Management rotation, residents revisit what they learned in Ambulatory Pharmacology in order to develop an evidence-based smart phrase or template to improve office efficiency. Also during this block, time is set aside to complete any unfinished QI/Research projects as well as to pursue several self-study Practice Management topics.
No two family physicians are the same. Physicians in this specialty have the opportunity to embark on a multitude of different career paths. At Mount Carmel Family Medicine Residency, we recognize this and encourage our residents to explore their interests and passions. Our advisor program serves as a strong asset in this process. As a resident, you are expected to meet with your advisor a minimum of once per month to discuss your progress including your career goals. We utilize a detailed "Roadmap to Graduation" which assists both you and your advisor in strategizing your best path without missing any important requirements. Planning elective time is another aspect of these conversations. Each resident has five months of elective time between the PGY-2 and PGY-3 years. This time can be used in a variety of ways to support the specific needs and interests of each individual resident.
|Immersion||IPS/Night Float||Ambulatory Pediatrics|
|IPS Days||Orthopedics||Practice Management|
|IPS Days||Quality Improvement||Emergency Medicine|
|Emergency Medicine||IPS/Night Float||Sports Medicine|
|Ambulatory Pharmacy||Ambulatory Pediatrics||IPS Days|
|MICU||IPS/Night Float||Peds Emergency Medicine|
|Prenatal||IPS/Night Float||Community Medicine|
|IPS Nights||Obstetrics||IPS Days|