St. John's Second-Year Rotations

Residents learn to manage a wide spectrum of medical problems, including those characteristic of the traditional specialty disciplines. This occurs in both hospital and clinic settings and includes an emphasis on office procedures, patient care, and office management.

Residents are scheduled three to four shifts per week at Phalen Village Family Medicine Clinic, providing care to their own panel of patients, including a panel of continuity OB patients.

Acute Orthopedic at Regions Hospital

Acute Orthopedic at Regions Hospital

One month. No vacation permitted. Mix of inpatient and outpatient.

The acute orthopedic experience will provide extensive exposure to orthopedic trauma, foot and ankle, upper extremity, and adult reconstruction. Each resident will be integrated into the orthopedic department as a participating team member. They will participate in clinic, the operating room, morning patient rounds, and department conferences. Residents will review radiographic imaging, attend weekly didactic and grand rounds lectures, and practice splinting, casting, and immobilization techniques. This rotation will be structured to foster proficiency in the basic evaluation and assessment skills of orthopedic patient care.

Behavioral medicine

Behavioral medicine

One month. No vacation permitted. Outpatient

Residents will recognize interrelationships among biological, psychological, and social factors in all patients and will promote healthy behavioral responses to health and disease in patients, colleagues, and themselves. Residents will spend time with a psychiatrist and clinic behavioral medicine specialist. Locations include the UMN Program in Human Sexuality Center for Sexual Health and one week at the Hazelden addiction treatment center in Center City, giving residents an understanding of the identification and treatment of substance abuse and addiction.

Community health

Community health

One month. Vacation permitted. May include inpatient and/or outpatient.

Community health is learned longitudinally over the three years of residency. The goal of the community health month is for the resident to understand how a community is defined and the various components of community health, and to develop an appreciation of how a practicing physician can integrate care of the community into practice.

Dermatology

Dermatology

One month. Vacation permitted. Outpatient.

Residents gain an understanding of dermatology and skin-associated diseases and conditions that are frequently present in a general family medicine practice and may be further referred to the dermatologist. Residents have the opportunity to perform dermatologic procedures and exams independently and under supervision.

Geriatrics

Geriatrics

One month. Vacation permitted. Primarily outpatient.

Working with family medicine physicians at a home visit service, residents gain an understanding of the common health and aging issues of the geriatric population that will enable them to provide competent care to elderly patients in a general family medicine practice. One day per week will be spent with palliative care specialists to ensure residents gain an understanding of palliative care as a discipline and philosophy of care and how it's applied in both inpatient and outpatient settings.

Neurology and ophthalmology

Neurology and ophthalmology

One month. Vacation permitted. Primarily inpatient.

Inpatient neurology

Rounding with a neurologist most mornings, residents gain an understanding of neurology and associated diseases and conditions that are frequently present in a general family medicine practice and may be further referred to the neurologist.

Ophthalmology

Spending one-half day per week with a busy ophthalmologist, residents gain an understanding of ocular function, including the eye, optic nerve, and brain, and associated diseases. Residents will also learn the role of visual acuity testing and the instruments commonly used in diagnosis of eye disease by the family physician and the ophthalmologist.

Orthopedics and sports medicine

Orthopedics and sports medicine

One month. Vacation permitted. Outpatient.

Residents will gain an understanding of orthopedics, sports medicine, and associated diseases and conditions that are frequently present in a general family medicine practice and may be further referred to the orthopedic surgeon or sports medicine specialist. This is an outpatient rotation, and the orthopedic surgery component is primarily observational. Topics include management of musculoskeletal disorders and fractures, casting, splinting, x-ray evaluation, and injection techniques.

Pediatric inpatient service

Pediatric inpatient service

One month. No vacation permitted. Primarily inpatient.

Residents gain an understanding of pediatric diseases and conditions as well as normal growth and development. Residents are responsible for managing the Phalen newborn, pediatric, and post-partum service. Some afternoons will be spent in the training room at a nearby high school.

Phalen service/inpatient adult medicine

Phalen service/inpatient adult medicine

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

As a member of the Phalen service/inpatient 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.