Mankato Second-Year Rotations

Cardiology

Cardiology

Length: three weeks, longitudinal

Location: MCHS Specialty Clinic

This is a longitudinal, primarily inpatient rotation scheduled during family medicine rotations; you will work with the Mayo Clinic Health System Cardiologists throughout PGY2.  During this experience residents will see new consult patients scheduled with your attending physician, perform the consult, and then give a full oral presentation to the attending. Residents are responsible for completing a consult note for every patient seen.

Elective

Elective

Length: four weeks

Location: resident’s choice

Choose from local and away electives; or design your own based on individual education plan.

Emergency medicine

Emergency medicine

Length: four weeks

Location: MCHS Hospital, Mankato and Allina ED, New Ulm, MN

As part of their second year emergency medicine rotation, residents are required to do a minimum of three 12 hour shifts in the New Ulm Medical Center Emergency Department. This rural emergency medicine experience will introduce the resident to the different resources and challenges of rural emergency medicine not experienced in Mankato. We require a minimum of 100 total ED hours, nine shifts minimum.

Example: four to five shifts in Mankato and four to five shifts in New Ulm. This balance can be changed according to individual education plan and with approval of faculty advisor and program director.

Family medicine inpatient service

Family medicine inpatient service

Length: four weeks

Location: MCHS Hospital, Mankato

Residents on inpatient service do admissions, consults, discharges and daily progress notes, and are required to carry a minimum average of five adult patients daily. G2 and G3 residents have the added responsibility of assisting and mentoring G1 residents. Residents are supervised by the IM hospitalists and family physicians to which they are assigned. Residents are on service from 7 am to 7 pm, Monday through Friday, and every other weekend.

Family medicine

Family medicine

Length: twelve weeks

Location: MCHS Eastridge Clinic

This rotation is essentially your continuity clinic and hands-on practice management. While the residents’ acquisition of knowledge, skills, and attitudes of family medicine will take place during all curricular elements, the primary setting for this training is in the family medicine clinic, as residents provide continuing, comprehensive care to their panels of patients. Residents will develop and maintain a continuing relationship with a panel of patients throughout their three years of residency in their continuity clinic.  It is during this time that you spend part of the day with various business aspects of the practice or practice management.

Rural family medicine

Rural family medicine

Length: four weeks

Location: MCHS in Waseca or St. James, MN

This rotation focuses on rural urgent and emergent care in which a physician works with an Advanced Practice Provider (APP); a common model of emergency room coverage in rural communities. More expensive resources found in urban areas may not be present in rural communities on a “24/7/365 basis”.  It is imperative that rural physicians become skilled at knowing when additional advanced care is needed and how to access that care for the patient. This rotation will expose residents to knowledge needed for emergency medical leadership in a small community and advance their skills in rural emergency medical management. Residents are on 24 hour call in the Waseca Hospital Emergency Department two times per week, while clinic is in Mankato at the family medcine clinic.

Gynecology

Gynecology

Length: four weeks

Location: MCHS Specialty Clinic, Mankato

During this rotation the resident will be under the supervision of the MCHS OB/GYN faculty and actively involved in the inpatient or surgical care, as well as outpatient practice of delivering women’s health care at the Specialty Clinic Department of OB/GYN.

Common topics include contraceptive management and counseling, management of abnormal pap smears/HPV tests, common office gyn procedures, urinary incontinence, sexual health topics, management of meno/metrorrhagia, evaluation of abnormal vaginal bleeding, and management of cystocele/rectocele.

Obstetrics

Obstetrics

Length: four weeks

Location: MCHS, Mankato

The PGY2 rotational experience in obstetrics is a four-week inpatient labor and delivery rotation at MCHS Hospital Mankato with the Mayo Clinic Health System obstetricians. Residents round daily on laboring and postpartum patinets. Residents are on call two 24 hours shifts, usually Tuesday and Friday. Sundays are off.

Orthopedics

Orthopedics

Length: two weeks

Location: Ortho & Fracture Clinic, Mankato

The second year orthopedic rotation is structured as one, two-week block with an additional two weeks of sports medicine.

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 resident who is to bring it to clinic each day.

Pediatrics, inpatient

Pediatrics, inpatient

Length: four weeks

Location: MCHS Hospital, Mankato

Residents participate in any inpatient pediatric admissions, consults, deliveries, nursery admissions etc. as requested by the pediatric hospital attending physician from 7 am to 7 pm, Monday through Saturday. 

Pediatrics, outpatient

Pediatrics, outpatient

Length: four weeks

Location: MCHS Specialty Clinic, Mankato

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.

Sports medicine

Sports medicine

Length: two weeks

Location: Minnesota State University, Mankato

This rotation usually takes place in the fall and winter, and follows the PGY2 two-week orthopedic rotation. This aspect of the musculoskeletal curriculum is supervised by a sports medicine-trained family physician and will focus on aspects of sports medicine relevant to family physicians, including opportunities for courtside, rinkside, and sideline event experiences.

For those residents who have an interest in more sports medicine training, there are many elective opportunities to get involved in area school sports and community recreation.