Methodist Rotations

First year

Cardiology 1

Cardiology 1

Setting: One month inpatient rotation at Methodist Hospital with cardiology staff

Learning: Inpatient cardiology consults, EKG reading, echocardiography, stress tests, cardiac MRI, angiography

Emergency medicine

Emergency medicine

Setting: One month inpatient rotation in the Methodist Hospital emergency department with emergency physicians

Learning: Triage of acutely ill patients, evaluation and management of typical emergency room visits, suturing

Family medicine inpatient

Family medicine inpatient

Setting: A total of three months of inpatient family medicine at Methodist Hospital

Learning: Admission, management, and discharge of typical hospital patients, daily sit-down rounds, presentation required by the team at a noon conference based on a case seen during the month

Hemotology / Oncology / Palliative care / Hospice

Hemotology / Oncology / Palliative care / Hospice

Setting: One month mixed inpatient/outpatient rotation at Methodist Hospital and community clinics with hemotology/oncology, palliative care, and hospice care staff

Learning: Inpatient management of complications of oncologic disease, management of pain and suffering, end-of- life care discussions, family conferences, fundamentals of hospice care

Neurology

Neurology

Setting: One month mixed inpatient/outpatient rotation at Methodist Hospital and at general and specialty neurology clinics

Learning: Inpatient consults for acute stroke/TIA, intractable headache, neuromuscular disease, EMG clinic, outpatient management of Parkinson’s and other movement disorders, evaluation of seizures

Obstetrics 1

Obstetrics 1

Setting: One month inpatient rotation at Methodist Hospital labor and delivery with ob/gyn staff

Learning: Triage of antenatal patients and management of antenatal complications, active management of labor, delivery, management of labor complications, obstetrical procedures (such as artificially rupturing membranes, placing internal monitors, repairing lacerations), lactation rounds, perinatology clinic learning about management of high risk OB patients, performing OB ultrasound

Obstetrics 2

Obstetrics 2

Setting: One month inpatient rotation at Methodist Hospital labor and delivery with ob/gyn staff

Learning: Continuation of developing mastery of the same topics from Obstetrics 1

Pediatrics 1

Pediatrics 1

Setting: One month outpatient clinic rotation with pediatricians at Park Nicollet Clinic – Bloomington

Learning: Acute and well-child care, effective communication with families, health promotion, care for chronic childhood disease, clinic ADHD management

Pediatrics 2

Pediatrics 2

Setting: Two weeks of pediatric emergency medicine at Children’s Hospitals and Clinics of Minnesota in Minneapolis; two weeks of mixed experiences inpatient at Methodist Hospital (Level II nursery care, hospital rounds) and outpatient with Park Nicollet Child and Family Behavioral Health

Learning: Pediatric emergency care, management of at risk neonates in the Level II nursery, management of pediatric patients in a non-specialty hospital, and on rounds with the rounding pediatrician at Methodist Hospital, management of children with neurobiological disorders

Surgery 1

Surgery 1

Setting: One month outpatient surgery clinic, with occasional OR time, with surgery staff

Learning: Outpatient evaluation and management of common surgical concerns, including breast lesions, vascular problems, general surgical concerns, and bariatric evaluations; time at a family medicine obesity medicine clinic also included

Second and third year

Cardiology 2 (third year)

Cardiology 2 (third year)

Setting: One month rotation multiple clinic locations

Learning: Ongoing review of management of cardiac conditions with focus on specialty outpatient conditions such as outpatient management of CHF, management of warfarin dosing, management of dyslipidemia, EKGs, echocardiograms, cardiac imaging

Community health (third year)

Community health (third year)

Setting: One month rotation, location to be determined by resident's interest

Learning: Residents typically choose one of the following three tracks:

  • A practice search track in which residents examine a community where they are interested in practicing after residency
  • An adventure or global track where residents travel to a community of interest somewhere in the world to study determinants of that community’s health
  • A Creekside track where residents select a local population of interest (e.g. GLBT, adolescents, urban underserved, etc.) and study that community while continuing to see patients at Creekside

Critical care (second year)

Critical care (second year)

Setting: One month rotation at Methodist Hospital with critical care staff

Learning: Management of common critical care conditions such as acute respiratory failure and fundamentals of ventilator management, acute renal failure and determining need for dialysis, sepsis and shock, acute GI hemorrhage, diabetic ketoacidosis, and others

Elective (second/third year)

Elective (second/third year)

Setting: Dependent on elective

Learning: Dependent on elective

Family medicine clinic (third year)

Family medicine clinic (third year)

Setting: One month

Learning: Through the provision of continuity care for patients in a model clinic, residents will gain an understanding of the full spectrum of diseases and conditions that are present in general family medicine, and will understand essential practice management tools which will enable them to graduate from residency ready to practice as effective clinicians.

Family medicine inpatient (second year/third year)

Family medicine inpatient (second year/third year)

Setting: One month (second year) and two months (third year) rotation at Creekside

Learning: Ongoing integrative care in the outpatient clinic setting, developing mastery of the breadth of topics required by a family medicine physician, care of everyone for everything

Gynecology (second/third year)

Gynecology (second/third year)

Setting: One month outpatient rotation at various clinic sites throughout Park Nicollet with ob/gyn and urogynecology staff

Learning: 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, management of cystocele/rectocele

Infectious disease (second year)

Infectious disease (second year)

Setting: One month

Learning: Residents will gain an understanding of hospital infectious disease that are frequently present in patients on a family medicine service and may be referred to an infectious disease consultant.

Obstetrics 3 (second year)

Obstetrics 3 (second year)

Setting: One month

Learning: Residents will gain an in-depth understanding of maternity care, labor and delivery, postpartum care, and of the roles of the family physician and obstetrician as partners in the care of pregnant women.

Orthopedics 1 (second year)

Orthopedics 1 (second year)

Setting: One month outpatient rotation at the TRIA acute orthopedic injury clinic in with orthopedic staff (includes CAQ sports medicine family physicians)

Learning: Evaluation and management of acute orthopedic injuries, joint injections, casting, splinting

Orthopedics 2 (third year)

Orthopedics 2 (third year)

Setting: One month rotation at the orthopedic clinic with orthopedic surgery staff

Learning: Clinic evaluation and management of common orthopedic concerns, casting, splinting

Pediatrics 3 (second year)

Pediatrics 3 (second year)

Setting: One month inpatient rotation at Children’s Hospitals and Clinics of Minnesota with attendings, pediatricians, and medicine and pediatrics senior residents

Learning: Hospital management of acutely ill pediatric patients, RSV bronchiolitis, rotovirus infections, neonatal febrile illness, asthma exacerbations, post-streptococcal glomerulonephritis, seizure disorders, and other common presenting concerns

Pediatrics 4 (third year)

Pediatrics 4 (third year)

Setting: One month outpatient rotation at Park Nicollet Clinic - Shakopee with pediatricians

Learning: Continuing developing mastery of outpatient pediatric care, option for spending time in pediatric subspecialty clinics

Psychiatry (second/third year)

Psychiatry (second/third year)

Setting: Two month longitudinal rotation in the G2 or G3 years at Creekside

Learning: Evaluation and management of presenting psychiatric concerns, including depression, anxiety, OCD, panic disorder, schizophrenia, ADHD, personality disorders, and others

Pulmonary (second year)

Pulmonary (second year)

Setting: One month mixed inpatient/outpatient experience with pulmonary staff

Learning: Hospital management of pulmonary disease, clinic management of chronic pulmonary disease, asthma, COPD, BOOP, IPF

Subspecialty rotation (second/third year)

Subspecialty rotation (second/third year)

Setting: Two months for both second and third year at various locations with Park Nicollet subspecialists

Learning: Dependent on rotation, but generally learning details of medicine specialties as they pertain to primary care

Surgery 2 (second year)

Surgery 2 (second year)

Setting: Ridgeview Medical Center, Waconia, Minnesota, with a surgeon

Learning: Seeing patients in surgery clinic, evaluating patients for surgery, first assisting during surgical cases, doing office-based procedures

Elective opportunities

  • Clinical teaching elective
  • Colposcopy
  • Eating disorders
  • Emergency medicine
  • Endocrinology
  • Gastroenterology
  • Global health
  • High risk OB
  • Infectious disease
  • Obstetrics
  • Oncology/hematology
  • Palliative care
  • Parental
  • Procedures
  • Physical medicine and rehabilitation
  • Rheumatology
  • Sports medicine
  • Surgery (outpatient)
  • Urgent care