St. John's Third-Year Rotations

The third year emphasizes attainment of advanced technical and conceptual medical skills. Continuity of care, comprehensive family medicine, family dynamics, practice management, consultative medicine, and surgery services strengthen the curriculum.

Four to five shifts per week are spent at Phalen Village Family Medicine Clinic.

Advanced surgery

Advanced surgery

One month. Vacation permitted.

Residents achieve competency in the diagnosis and appropriate management of common surgical problems seen in the primary and secondary care settings. This is an opportunity for residents to further their surgical skills and attention on outpatient aspects of surgery.

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.

Colorectal surgery/urology

Colorectal surgery/urology

One month. Vacation permitted. Outpatient.

Colorectal surgery

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

Urology

Residents gain an understanding of a wide variety of urologic conditions, becoming proficient in the diagnosis, treatment, and decision-making process regarding consultation with a urologist. Residents spend time with multiple urologists at four area clinics to ensure a broad exposure.

Gynecology

Gynecology

One month. Vacation permitted. Outpatient.

Residents gain an understanding of gynecologic diseases and conditions that are frequently present in a general family medicine practice.

Hospital chief

Hospital chief

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

As the chief 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. Residents on the chief rotation gain an understanding of the role and duties of a family medicine hospitalist.

Neurology

Neurology

One month. Vacation permitted. Outpatient.

Residents will gain an understanding of outpatient neurology and associated diseases and conditions that are frequently present in a general family medicine practice. Patients may be further referred to the neurologist.

Pediatric emergency

Pediatric emergency

One month. No vacation permitted. Inpatient.

Residents gain an understanding of common neonatal and pediatric diseases and conditions while developing skills in pediatric emergency medicine.

Pulmonary medicine

Pulmonary medicine

One month. No vacation permitted. Outpatient.

Residents gain an understanding of pulmonary diseases and the management of common pulmonary disorders encountered in primary care. Two to three shifts over the month will be spent with a pulmonary sleep medicine specialist, providing residents an understanding of this topic as well.