North Memorial Longitudinal Curriculum

The longitudinal curriculum includes integrated training in behavioral medicine and community health. Elective tracks are in the following topic areas:

  • Underserved and international medicine
  • Sports medicine
  • Research
  • Osteopathic medicine

These tracks involve a few days per month, dependent upon resident availability. Residents opt-in to as much or as little in each elective track as they wish. Some residents have participated in all tracks.

Integrated

Behavioral medicine

Behavioral medicine

Behavioral health teaching is fully integrated into our clinic curriculum and didactics.

Our behavioral health team is more than just colocated—they are an integral part of our interprofessional education. The team includes two behavioral health faculty and three pre-doctoral interns, who support numerous grants and research projects. Current examples include evaluating mothers for postpartum depression during well-child visits, childhood obesity prevention, and group prenatal visits.

Elements of behavioral health teaching include the following:

  • Family medicine service teaching rounds
  • Weekly interprofessional team meetings
  • Clinic precepting
  • Videotaped reviews
  • Workshops
  • Lectures

Behavioral health faculty also provide integrated care within clinic appointments, and see their own panels of patients for therapy.

Community health

Community health

Our clinic has several programs and resources aimed at improving patients' abilities to access and benefit from medical services. These include a patient advocate, a social work care coordinator, an OB nurse educator, pharmacy residents, and behavioral health interns available for immediate interventions and counseling.

Our clinic also hosts monthly seminars for staff and providers, featuring community partners such as:

Our newest venture has been group prenatal classes and visits, which are resident-initiated and grant-funded. We model our groups after CenteringPregnancy and includes training from the Centering Healthcare Institute.

We also partner with the Minnesota Department of Health to integrate and research postpartum depression screening at well-child visits.

Our clinic sponsors a farmers market in our parking lot, and our residents, faculty, and staff participate in numerous community events each year.

Elective tracks

Sports medicine

Sports medicine

Group picture of winter race officials, 2014North Memorial has a strong reputation in sports medicine, having successfully matched several residents to sports medicine fellowships, most recently at Duke University and the University of Minnesota. David Olson, MD, with support from Mike Broton, MD, directs sports medicine education at North Memorial. Olson also serves as the associate director of the University of Minnesota Family Medicine and Community Health Sports Medicine Fellowship.

First year

Second and third years

  • Primary care sports medicine rotation and USA Soccer Cup elective
  • Run a sports medicine clinic Wednesday afternoons at Broadway Family Medicine Clinic
  • Provide sideline and training room coverage at local high school and the University of Minnesota

Research

Research

Research is an exciting aspect of education, but lack of time and other residency demands can pose challenges in implementing studies. At North Memorial, we have developed an interesting strategy to encourage scholarly activity. We call it the Percolator.

Meetings are conducted monthly to discuss research ideas and provide interested individuals with opportunities to participate in studies or help with research projects already in progress. This initiative has led to active collaboration and a synergy of ideas. To sustain the momentum and support technical aspects of resesarch, we have family medicine research staff in clinic two days a week.

Research focus areas include educational innovation, clinical medicine, and care delivery.

Osteopathic medicine

Osteopathic medicine

Slattengren with studentsOur program is a supportive, thriving environment for osteopathic physicians. We have two core DO faculty: Tanner Nissly, DO, and Andrew Slattengren, DO. The clinic is equipped with three manipulation tables, including one that is portable.

Clinic faculty and residents meet regularly to share osteopathic medicine training ideas and introduce osteopathic principles and services to MD faculty and residents. DO faculty and residents also teach osteopathic manipulation and medicine to their MD peers at two workshops integrated into our didactics training.

The University of Minnesota also sponsors an annual, all-day osteopathic medicine skills course led by Slattengren. It's open to all University of Minnesota family medicine residents.

Note for DO students: Past residents have received American Osteopathic Association recognition for their internship year.

Procedure

Procedure

Residents have the opportunity to gain competency in procedures through longitudinal electives. Recent graduates have been able to incorporate colonoscopy and colposcopy into their practice.