Mankato First-Year Rotations

Critical care

Critical care

Length: four weeks

Location: MCHS Hospital, Mankato

Each resident should carry a minimum patient load of at least three patients while on rotation and see a total of 15 patients during the four-week rotation.  

Attendings are very willing to have residents participate in procedures. Read about arterial lines, LP’s, central lines, paracentesis, codes and intubations. PGY1 should read on the basics of ventilator settings and use, i.e. why various settings are chosen in different situations such as ARDS, Status Asthmaticus and COPD exacerbation.

Emergency medicine

Emergency medicine

Length: four weeks

Location: MCHS Hospital, Mankato

This rotation is expected to give the resident a minimum of 38 – 42 hours per week (12 shifts) in the ED working under the supervision of ED physicians. Residents will be in Family Medicine continuity clinic at least one half-day per week during the PGY1 EM rotation.

Family medicine inpatient service

Family medicine inpatient service

Length: twelve weeks

Location: MCHS Hospital, Mankato

This is the main inpatient rotation for all three years of training; three blocks in PGY1, and four weeks in PGY2 and PGY3. Residents on inpatient service are required to carry a minimum of five adult patients daily. G2 and G3 residents have the added responsibility of assisting and mentoring G1 residents. Residents are supervised by the hospitalists and family physicians to which they are assigned.                             

Obstetrics

Obstetrics

Length: four weeks

Location: Park Nicollet Methodist Hospital, St. Louis Park

During this rotation the resident will develop skills in the assessment and management of low risk obstetrical patients. Skills will be attained through demonstration, participation, and self-directed learning. There may also be an opportunity for participation in the care of high-risk obstetrical patients.

One in four call during this rotation.

Ophthalmology

Ophthalmology

Length: two weeks

Location: Ophthalmology Associates, Mankato

This experience includes ophthalmic examinations on patients from all age groups, presenting with a variety of eye related problems. Appointments are scheduled 8:30 am to 5 pm. Residents also obtain substantial additional ophthalmology training throughout the three years of their residency with their experience in the FMC and ER.

Orthopedics

Orthopedics

Length: four weeks

Location: Orthopedic & Fracture Clinic, Mankato

Includes some surgery, but is mainly an outpatient experience. Days at the Orthopedic Clinic are usually from 9:00 am to 5 pm. Orthopedics Essentials is the textbook for this experience; the Orthopedic and Fracture Clinic has graciously purchased this textbook for each PGY1 resident who is to bring it to clinic each day.

Otolaryngology

Otolaryngology

Length: two weeks

Location: MCHS Specialty Clinic, Mankato

This clinical experience provides several procedures opportunities and some OR time if the resident is interested and time allows. It is expected that you will evaluate new patients and perform appropriate procedures with the attending physician while in clinic. You will spend time in the vestibular lab and with the audiologist.  

Palliative medicine

Palliative medicine

Length: two weeks

Location: MCHS Hospital & Cancer Center, Mankato

Residents will be an integral member of the palliative medicine team in the care of seriously ill people and their families. Emphasis will be placed on symptom management and communication skills with patients, families and providers that will be useful throughout residency and career.

Pediatrics, inpatient

Pediatrics, inpatient

Length: four weeks

Location: Minneapolis Children’s Hospital

Residents work with pediatric and med/peds residents to admit and care for children in a busy regional pediatric teaching hospital. In addition, all team members work intimately with attending physicians in order to improve knowledge, efficiency, and patient care. 

During this rotation, expect to be actively involved in continuation of care from previous shift; this may involve admissions, preparing or initiating discharge orders, updating families and answering questions, ordering medications or services for discharge preparation, cross-cover, or following up on tests and radiologic studies performed.

Pediatrics, outpatient

Pediatrics, outpatient

Length: four weeks

Location: MCHS Specialty Clinic

The primary expectation for the resident is to see the majority of the patients in clinic with preference given to well-child visits, ADHD/mental health initial evaluations, and acute pediatric visits that would be most relevant to family medicine. 

Radiology

Radiology

Length: three weeks

Location:  MCHS Hospital, Mankato

This rotation provides residents with a structured opportunity to learn the appropriate application of techniques and specialty consultations in the diagnostic imaging and nuclear medicine therapy of organs and body systems. This includes the limitations and risks attendant to these techniques; including radiographic film/diagnostic imaging interpretation and nuclear medicine therapy which is pertinent to family practice.

Surgery, general

Surgery, general

Length: four weeks

Location: MCHS Hospital & Specialty Clinic, Mankato

This rotation provides instruction in the diagnosis and management of surgical problems and emergencies, and the appropriate and timely referral of them for specialized care. The resident will receive instruction regarding the varieties of surgical treatments and the potential risks associated with them in order to be able to give proper advice, explanation, and emotional support to the patients and their families.

The resident will receive training in pre- and post-operative care, basic surgical principles, asepsis, handling of tissue, and technical skills to assist the surgeon in the operating room. Outpatient experiences in general surgery are encouraged in order for the resident to achieve competency in the diagnosis and management of a wide variety of common ambulatory general surgery problems.

Urology

Urology

Length: two weeks

Location: MCHS Specialty Clinic, Mankato

This is primarily an outpatient rotation, focusing on workups of common urologic problems. Residents have the opportunity to participate in surgeries and gain experience in evaluating and treating urologic cancers, erectile dysfunction, hydrocele, benign prostatic hyperplasia, transurethral resection of the prostate, vasectomies, and other urologic issues.