St. John's First-Year Rotations

The first year of residency emphasizes inpatient care. Residents spend one to two shifts per week at Phalen Village Family Medicine Clinic, where they work in teams providing continuity of care. The preceptor to resident ratio in the clinic is 1:3.

Adult inpatient medicine

Adult inpatient medicine

Two non-consecutive months. No vacation permitted. Inpatient.

As a member of the Phalen service/in-patient team, residents gain an understanding of the broad range of medical conditions, which are present in a general family medicine practice and are managed in the hospital by family physicians. Mornings involve rounding on patients on the service.

Cardiology

Cardiology

One month. Vacation permitted. Inpatient

Residents gain an understanding of cardiology and cardiac-associated diseases and conditions, which are frequently present in a general family medicine practice. Patients may be further referred to cardiologists for evaluation and treatment.

 

Emergency medicine

Emergency medicine

Two consecutive months. Vacation permitted. Inpatient.

Residents gain an understanding of conditions that frequently present to the emergency room setting, and will learn how these overlap with and differ from conditions presenting to the family practice center. Residents work a minimum of 200 hours in the ER. Residents may work some evening and/or weekend shifts.

ENT/Podiatry/Radiology

ENT/Podiatry/Radiology

One month. Vacation permitted. Primarily outpatient.

ENT

Spending roughly two shifts per week on ENT, residents gain an understanding of ENT-associated diseases and conditions that are frequently present in a general family medicine practice and may be further referred to ENT specialists. Residents are assigned to work with multiple busy otolaryngologists at three locations over the course of the month to ensure a variety of cases and a mix of adult and pediatric patients.

Podiatry

Spending roughly two shifts per week with a busy community podiatrist, residents gain an understanding of podiatry-associated conditions that are frequently present in a general family medicine practice and may be further referred to specialists.

Radiology

Spending roughly two shifts per week in the St. John’s imaging department, residents gain an understanding of the essentials of diagnostic radiology, particularly types of films frequently encountered in the clinic and emergency room in a general family medicine practice.

 

Pulmonary medicine with ICU

Pulmonary medicine with ICU

One month. Vacation permitted. Inpatient

Residents will gain an understanding of diseases and conditions that are frequently present in the critically ill adult and will learn procedural skills relevant to their care.

 

Neonatal intensive care unit

Neonatal intensive care unit

One month. No vacation permitted. Primarily inpatient.

Residents gain an understanding of common neonatal and pediatric diseases and conditions while spending time in the Level II nursery. Residents are responsible for managing the Phalen newborn, pediatric, and post-partum service, as well as following newborns in the NICU and working with the neonatologists and neonatal nurse practitioners at the hospital.

Obstetrics

Obstetrics

Two non-consecutive months. No vacation permitted. Inpatient.

Residents gain an understanding of maternity care, labor and delivery, and postpartum care as well as the roles of and partnership between the family physician and obstetrician in the care of pregnant women. Residents will develop or refine the knowledge and skills necessary to become competent in the evaluation and management of the pregnant woman in the perinatal period, obtain proficiency in multiple perinatal procedures, and competently triage the moderately ill pregnant woman and recognize urgencies in antepartum care.

Pediatric wards at Children's Hospitals and Clinics of Minnesota

Pediatric wards at Children's Hospitals and Clinics of Minnesota

One month. No vacation permitted. Includes some night float.

Residents will gain an understanding of common inpatient pediatric diseases and conditions.

Surgery

Surgery

One month. Vacation permitted. Primarily inpatient.

Residents achieve competency in the diagnosis and appropriate management of common surgical problems seen in the primary and secondary care settings.