Site Selection Guide 2015
Transcription
Site Selection Guide 2015
Site Selection Guide 2015 A KCOM Student’s Guide to Selecting a Core Regional Site Preface This book is designed to be an informational tool in your region selection process. Each regional site was researched regarding basic areas of interest, and we have attempted to provide the most accurate and up to date information possible. However, we cannot guarantee that the following information will be applicable when you arrive at the site, and it is possible that changes will be made without prior notification. This book has been compiled and prepared by the Academic & Clinical Educational Affairs Department, in conjunction with regional site administration. All students will complete core, required and elective rotations during the third and fourth clinical years. Core rotations are to be completed at the base assigned regional site. Although required rotations will typically be completed at the base assigned site, students may complete required rotations at facilities other than those listed in this guide at the discretion of the Regional Assistant Dean (RAD)/Director of Student Medical Education (DSME). Students frequently ask if core rotations should be completed in the same region as postgraduate programs. This may be helpful in very hard to find programs, however this is not always the case. Students will have time to complete multiple electives prior to the residency selection process. Clinical schedules enable all students to explore areas of medicine to which they have not been exposed and to visit postgraduate sites prior to making an internship or residency selection. Fourth year required rotations will begin in July and run through graduation. Contents A KCOM Student’s Guide to Selecting a Core Regional Site .................................................................................. 1 Letter from the Associate Dean, Academic & Clinical Educational Affairs .......................................................... 3 Academic & Clinical Educational Affairs Department ............................................................................................. 4 Community/Area Information Resources .................................................................................................................. 5 The Regional Selection Process .................................................................................................................................... 6 Choosing a Region .......................................................................................................................................................... 7 Site Selection Table ......................................................................................................................................................... 8 KCOM Student Dress Code Expectations ................................................................................................................. 9 Required Immunizations & Screening during Clinical Training Years ................................................................... 10 CORE Regional Site Map - KCOM 3rd and 4th year ............................................................................................... 11 Arizona Region ................................................................................................................................................................ 13 Arizona ........................................................................................................................................................................ 14 Illinois Region .................................................................................................................................................................. 19 Advocate BroMenn Medical Center and Advocate Eureka Hospital ............................................................... 20 SIU Carbondale - Family Medicine Residency Program ..................................................................................... 24 SIU Quincy - Family Medicine Residency Program ............................................................................................. 27 UnityPoint Health - Methodist ................................................................................................................................ 30 Michigan Region.............................................................................................................................................................. 33 DMC Huron Valley-Sinai Hospital ......................................................................................................................... 34 DMC Sinai-Grace Hospital ...................................................................................................................................... 36 Genesys Regional Medical Center ........................................................................................................................... 40 Metro Health Hospital .............................................................................................................................................. 45 Oakwood Southshore Medical Center ................................................................................................................... 48 St. John Macomb-Oakland Hospital, Macomb Center ........................................................................................ 53 St. John Macomb-Oakland Hospital, Oakland Center ........................................................................................ 57 Missouri Region............................................................................................................................................................... 61 Missouri AHEC Overview ....................................................................................................................................... 62 Cape Girardeau - Saint Francis Medical Center and SoutheastHEALTH ........................................................ 63 Farmington - Mineral Area Regional Medical Center and Parkland Health Center ........................................ 67 Jefferson City - Capital Region Medical Center .................................................................................................... 70 1 Joplin - Freeman Health System.............................................................................................................................. 73 Joplin - Mercy Health System .................................................................................................................................. 76 Kennett - Twin Rivers Regional Medical Center .................................................................................................. 79 Kirksville - Northeast Regional Medical Center ................................................................................................... 82 Rolla - Phelps County Regional Medical Center ................................................................................................... 85 Springfield - CoxHealth and St. John’s Health System ........................................................................................ 88 St. Joseph - Mosaic Life Care ................................................................................................................................... 92 St. Louis - Christian Hospital Northeast ................................................................................................................ 95 St. Louis - Des Peres Hospital ................................................................................................................................. 98 West Plains - Ozarks Medical Center ..................................................................................................................... 101 New Jersey ....................................................................................................................................................................... 105 Bayonne Medical Center ........................................................................................................................................... 106 Ohio Region..................................................................................................................................................................... 109 Ohio Region Overview ............................................................................................................................................. 110 Affinity Medical Center ............................................................................................................................................ 111 Central CORE (Doctors Hospital) ........................................................................................................................ 115 Southeast CORE (O'Bleness Hospital) .................................................................................................................. 120 St. Joseph Warren Hospital ...................................................................................................................................... 124 Western Reserve Hospital ........................................................................................................................................ 128 Pennsylvania..................................................................................................................................................................... 133 Heart of Lancaster Regional Medical Center......................................................................................................... 134 Utah Region ..................................................................................................................................................................... 137 Provo Area .................................................................................................................................................................. 138 Salt Lake Area............................................................................................................................................................. 138 Logan Area ................................................................................................................................................................. 139 2 Letter from the Associate Dean Spring 2015 Class of 2018 Each year, students gather the needed information to make an informed decision related to the “Match” and third and fourth year clinical rotations. It is our hope that the following pages will provide you with valuable information as you begin the selection process for regional site assignment. Although we have made every effort to collect current and appropriate data to facilitate this decision process, please keep in mind that changes may occur based on site-specific circumstances and rotation availability. I will make every effort to inform the class of alterations or changes to site locations as soon as that information becomes available. In addition to this booklet, I encourage each of you to consider an on-site hospital tour, explore the various hospital web pages, visit the KCOM forums to communicate with students, and make every effort to talk with region site student liaisons. Each opportunity to collect information will facilitate your decision making process, leaving little question related to the educational opportunities you might encounter. Finally, as you evaluate and compare sites in your quest to identify the most appropriate location for your personal learning style, educational goals, and future aspirations, I would strongly recommend that you look at all aspects of the site in order to make a final choice. Although educational opportunities and personal goals related to postgraduate programs will play a major role in this process, the reality and logistics of geographic location, cost of living, and family circumstances is equally important. Carefully consider all aspects of a regional site prior to making your “Match” choice. Best wishes as you experience the “Match” process during the next several months. If at any time I, or my staff, can provide you with additional information, please do not hesitate to contact us. Sincerely, Kent A. Campbell, DO Associate Dean, Academic & Clinical Educational Affairs 3 Academic & Clinical Educational Affairs Department Kent A. Campbell, DO Shelley Reed Associate Dean, Academic & Clinical Educational Affairs 660.626.2701 [email protected] Project Coordinator 660.626.2046 [email protected] Tammy Kriegshauser, MBA Project Coordinator 660.626.2513 [email protected] Assistant Dean, Academic & Clinical Educational Affairs 660.626.2268 [email protected] Donna Hettinger Administrative Assistant 660.626.2701 [email protected] Tabitha Sawyer Clinical Technology Coordinator 660.626.2008 [email protected] Jennifer Magruder Amy Schiff Rotation Site Coordinator (Off-Site) 660.626.2568 [email protected] Janet Reed Clerical Support 660.626.2187 [email protected] Department Fax 660.626.2661 or 660.626.2662 Immunization Fax/Email 660.626.2059 [email protected] 4 Community/Area Information Resources SAA Resources The Student Auxiliary Association has compiled resources that may assist you in gathering community or area information related to third and fourth year Core sites. A Guide of Input and Opinions by KCOM Students and Significant Others is the result of questions such as: What do you love about your rotation site? What do you love about where you live? Information about support groups for spouses/families. Physician, resident & student interaction. Hands-on learning experiences. Regional Representatives/Rotation Site Coordinator interactions. Please feel free to contact the SAA president at [email protected] if you have any additional questions. Website Resources The websites below have information that includes community information, cost of living, crime reports, school report card, and salary analyzer; explore neighborhoods, moving tips, packing tips, week by week move planning guide. The Chamber of Commerce links to all local chambers and may include information on utilities such as electricity, housing rental, internet access, license bureau, gas/propane, telephone, television, trash, post office, water, county & city offices, schools, etc. They also list a new resident information section that includes area attractions, education, employment, healthcare, quality of life, recreation and shopping. Community Information www.relocationessentials.com Moving Guide & Tips www.mymovingneeds.com Move Planning Guide www.moversdirectory.com/moving_guide.html Real Estate Guide www.realtor.com Chamber of Commerce links http://www.chamberofcommerce.com/chambers 5 The Regional Selection Process Phase 1: The Personal Statement Process Preparing and submitting a written personal statement allows interested students an opportunity to request region assignment/placement prior to the Match Phase. Phase 2: The Match Phase During this phase, all students will be required to submit your top six regional choices listed in order of preference with your most preferred site first. Phase 3: The Trade Season & Appeals The Academic & Clinical Educational Affairs office will determine a given period of time to be allotted for trading rotation sites and appeals See 2015 Student Guide to Match Selection for details. 6 Choosing a Region There are many reasons to choose a region, ranging from professional concerns to family issues. The region and hospital descriptions on the following pages will explain the differences in each site. All regions will provide the same core rotations. The academic requirements and faculty support will be present in EACH region. Students will receive KCOM didactics, journal clubs, and be required to meet for oral case presentations in each region. Through this structure, we plan to make all regions desirable. At most sites, students are encouraged to utilize Smart Devices (laptops, electronic notebooks, PDAs, iPads, cell phones, etc.) in addition to having access to the facility wireless network (intended for business purposes only) which will enable ready access to medical information. Smart Devices are not to be used by students to carry patient information, rather as a learning tool to enhance the educational experience. Students must follow the policies of the host institution and be ever mindful of HIPAA requirements, electromagnet interference, confidentiality, noise control and overall courtesy when utilizing any type of Smart Device. Please consult with the host institution or your region site representatives for specific policies at each facility. If additional fees are required for elective rotations (completed “out-of-region” during third year and all elective/selective rotations during fourth year) the expense will be the responsibility of the student. However, there are many opportunities and locations to complete these third and fourth year elective/selective rotations without additional cost to the student. Meetings will be arranged between the Academic & Clinical Educational Affairs Associate Dean and students to discuss the different regions. Teleconferences will also be scheduled with students currently in regional sites. Once you have decided upon a site, it is highly recommended that you visit the site during scheduled site tours if you have any specific questions. Selecting your regional site is a big decision requiring lots of thought and a bit of “match process luck.” Once regional sites have been assigned, the regional staff will begin setting up your rotation schedule for the following year. All core rotations will be scheduled before May of your second year, leaving nothing to chance upon arrival. Please note: students may not schedule their own core rotations. Core rotations are scheduled by the Academic & Clinical Educational Affairs Department, Regional Assistant Dean and Rotation Site Coordinator. This manual should not be considered a curriculum manual, but rather a guide to help you make your choice for the match. As you tour the sites and talk with regional representatives, you may wish to consider the following questions. Clinical Experience How much hands-on experience will I have in patient management? Will I work mostly with house staff, attending, or both? What is the patient volume? Will I have time to read? What elective opportunities are available on-site? What opportunities will I have on-call? Faculty Will I work with the preceptor on in-patient rotations or will I mostly report to house staff? How enthusiastic are the physicians about directing student training? Can I expect lots of pimping? Have the preceptors remained stable over the course of the last few years? Are there sufficient osteopathic trainers on site? Didactics What does the regular didactic schedule look like? Will I need to travel off-site to attend lectures and other required conferences? Facilities What library support and computer equipment is available to students? What kinds of meals are offered? Is student housing available to rent? Additional elective/selective fees required? Geographic Location Patient population classified as urban, suburban, or rural? What is the proximity to school systems? Are there adequate spouse employment options? What types of recreation are available? Reputation Is the hospital especially strong or well known in any particular areas? 7 Site Selection Table Prior to touring the regional sites, you may wish to use this table as you consider the importance of each category. This information may be helpful in your decision-making process. Category Clinical experience Patient management experience Supervision Patient volume Reading time Elective options on-site On-call opportunities Faculty Chain of command/reporting Physician enthusiasm Pimping Preceptor stability Osteopathic trainers Didactics Regular didactic schedule Travel to didactics Facilities Library/computer availability Meals Housing Additional elective/selective fees required Geographic Location Type of patient population Proximity to school Spouse employment options Recreation Reputation Strengths of hospital 8 Very Important Moderately Not Important Important Unsure KCOM Student Dress Code Expectations Unless specifically stated otherwise, students should assume the following dress code expectations are required in the clinical rotation environment. Individual sites may have additional requirements. Acceptable Shirts Dress shirts, sweaters, or blouses, neatly pressed Shirts with collars or dress shirts without collars, tucked in neatly, if applicable, and neatly pressed Pants Dress pants that fully cover the leg, neatly pressed (e.g. Dockers, dress slacks, jeans other than the color blue) Skirts & Dresses Professional length with socks or hose, neatly pressed No more than 4″ above the knee Must be in good repair, clean, and, if applicable, polished Close toed shoes Socks that cover exposed skin when seated Dress sandals permitted Minimal jewelry may be worn and should not interfere with clinical activities. Earrings should be no longer or wider than one inch (must present a professional image) Footwear Jewelry Hair Nails ID Badge In General Scrubs Unacceptable (examples of unprofessional/inappropriate dress) Halter tops Spaghetti straps Tube tops Revealing or binding tops Undergarments worn as visible part of dress Sweatshirts T-shirts with logos Tattered, torn, or un-repaired clothing Bare midriff Undergarments worn as visible parts of dress Blue colored denim jeans Shorts, leggings or stirrup pants Tattered or torn clothing Bare midriff Mini skirts Skorts Flip flops Ratty looking or dirty shoes and shoe laces No socks Half socks or anklets Excessive jewelry that present a safety or health hazard Visible body, facial, or oral piercing (example: tongue, nose, lips, brows etc.). Earrings exempt(must present a professional image) Hats or headwear of any kind, unless it serves a religious purpose Excessively long No ID Neatly pressed scrub top and bottom in approved colors Matching top and bottom Neat and clean Facial hair must be neatly trimmed Neat and clean ATSU student identification badge must be worn and visible while on clinical rotation Socially acceptable personal hygiene Make-up acceptable but tasteful and modest Heavy perfume, aftershave, or cologne Offensive body odor Exposed tattoos (must be covered) Exposed skin (inappropriately) Unapproved scrub colors Mismatched top and bottoms Scrubs with logos other than KCOM 9 Required Immunizations & Screenings during Clinical Training Years The immunization and screening status of contagious diseases of KCOM medical students, and likewise for other medical students, has been gaining importance in recent years. Most notably, many areas of the country are requiring proof of varicella and Hepatitis B immunization prior to allowing students to complete clinical training rotations in the hospital. Some hospitals within all the regions are requiring additional immunization status records. These requirements can vary, from vaccinations for diseases not currently required under KCOM’s immunization policy, to obtaining laboratory proof of immunity, i.e. a titer, for specific immunizations. Please read the following information carefully. All immunization and screening information, including updates, should be forwarded, by the student, to the KCOM Immunization Coordinator, phone 660.626.2513, fax 660.626.2059 or via email at [email protected]. Non-compliant students will not be allowed to begin the clinical experience or participate in direct patient care until compliance has been achieved. Policy statement KCOM requires students to have documentation of (1) completion of the following required health care worker immunizations or on file State of Missouri allowable immunization exemption certificates, and (2) tuberculosis annual screening, prior to KCOM clinical training rotations. Required Diphtheria, Tetanus, Pertussis (DTP) series Documentation must be produced or Tdap is required Hepatitis B series Documentation must be produced or titer is required Influenza Documentation must be produced annually Measles, Mumps, Rubella (MMR) series Documentation must be produced or titer is required Meningococcal Documentation must be produced Polio series Documentation must be produced or titer is required Tdap Documentation must be produced Varicella series Documentation must be produced or titer is required TB Screening Annual Tuberculosis Skin Test (TST); if positive, further evaluation is required via physical examination, chest x-ray, or culture. TB status must be updated annually. For more information on the KCOM tuberculosis screening policy, see policy 50-06 in the Academic & Clinical Educational Affairs Procedure Manual. Recommended Hepatitis A series Pneumococcal 10 11 Notes 12 Arizona Region Regional Map About Arizona Capital Phoenix Est. population 6,626,624 – ranked the 15th largest state in the country in 2013 Land area 113,642 mi2 Largest cities Phoenix, Tucson, Mesa, and Chandler Surrounding states California, Colorado, Nevada, New Mexico, and Utah 13 Arizona Region Arizona 5850 East Still Circle Mesa, AZ 85206 480.219.6050 or fax 480.219.6150 Regional Associate Dean Robert Ligorsky, DO, MACOI, FACP, FAHA Director of Student Medical Education Bruce Badaglialacqua, DO Director of Student Medical Education Grace Stewart, MD Director of Student Medical Education Jill Kerr, DO Pediatric Curriculum Consultant Christopher Spiekerman, DO Rotation Site Coordinators Patty Hester Gibson 480.219.6050 [email protected] Marianne McGeady 480.219.6152 [email protected] Administrative Support Nichole Dunn 480.248.8176 [email protected] The Site The Arizona Region offers a uniquely designed program with the aim of providing a well-rounded approach to the practice of medicine that consists of diverse rotational sites, active mentorship, and continuous didactic exposure. The Arizona program prides itself on community partnerships dedicated to KCOM students in the absence of a base hospital. These partnerships allow students to experience the clinical practice of medicine in a variety of environments that include hospitals, clinics, and private practice. Students in the Arizona Region learn both the importance of variable approaches and styles of treatment as well as the flexibility required for patient management. Arizona students work closely with either a teaching service in a hospital or clinic that is comprised of a preceptor, resident, and intern, or one-on-one with a preceptor in an office, clinic, or hospital. These various collaborations provide a dynamic learning environment. The range of learning opportunities in the Arizona Region is virtually limitless. Primary care rotations include Internal Medicine, General Surgery, Family Medicine, and Pediatrics. We offer subspecialty rotations such as Cardiology, Nephrology, and Vascular Surgery. We maintain an excellent relationship with Phoenix Children’s Hospital so that students interested in Pediatric subspecialties can pursue areas like Hematology and Oncology, Endocrinology, and Cardiology. Arizona students find an incomparable variety of sites that not only provide practical experience, but enable students to build a professional network across the medical community in the Arizona Region and beyond. We offer a rigorous, but manageable educational structure designed to ensure that students learn how to practice excellent medicine. Site Statistics Approximate number of preceptors Over 70 preceptors for third year students and over 200 preceptors for fourth year students. There are 2700 licensed DO’s statewide and 1175 practicing in the Phoenix metropolitan area. Approximate number of hospitals Over 25 hospitals; over 10 teaching hospitals are in the area. These hospitals support 3 osteopathic schools and 3 allopathic schools. Average distances for rotations There are many rotation sites throughout the Valley of the Sun, and students should anticipate the need for a reliable car. It is important to understand that the majority of your time will be spent at one location for each rotation. The average commute time is approximately 30-40 minutes. Residency Programs Currently, there are over 150 DO residents in the greater Phoenix area. Residents can be found in almost every subspecialty area throughout the community. Local participating programs include: Banner Good Samaritan Medical Center, Kingman Regional Medical Center, Maricopa Medical Center, 14 Phoenix Baptist Hospital, Phoenix Children’s Hospital, Scottsdale Healthcare System, St. Joseph’s Hospital and Medical Center and University of Arizona. We also have students who have matched and accepted residencies at Georgetown University Hospital, UCLA, Henry Ford, UCSF, University of Indiana, University of Alabama, Bowman Gray, and many others. Fellowship Programs Teaching hospitals offer fellowship programs in a variety of areas, some of which include Cardiology, Gynecology, Neurology, and Pediatrics. Possible Facilities Banner Good Samaritan Medical Center Phoenix Children’s Hospital 1111 E. McDowell Road Phoenix, AZ 85006 www.bannerhealth.com (Nationally ranked 5 Pediatric Specialties) Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits OP Visits 4200 733 beds 37,012 10,813 5,845 61,759 209,381 1919 E. Thomas Road Phoenix, AZ 85016 www.phoenixchildrens.com Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits 3422 363 beds 13,834 15,424 N/A 76,006 Phoenix VA Healthcare System Scottsdale Healthcare - Osborn 650 East Indian School Rd Phoenix, AZ 85012-1894 www.phoenix.va.gov 7400 East Osborn Road Scottsdale, AZ 85251-5672 www.shc.org Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits 155 299 beds 7,861 4,092 N/A 23,500 Maricopa Medical Center 515 beds 21,754 6,422 2,522 67,154 Phoenix Baptist Hospital Scottsdale Healthcare - Shea Size of Hospital Admits Surgeries Deliveries ER Visits 433 beds 24,183 25,072 4,375 51,627 St. Joseph’s Hospital and Medical Center (Nationally ranked in Neurology and Neurosurgery) 2000 West Bethany Home Road Phoenix, AZ 85015 www.baptisthealth.com Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits 337 beds 16,482 6,946 1,738 48,799 9003 East Shea Boulevard Scottsdale, AZ 85260-6771 www.shc.org 2601 E. Roosevelt Phoenix, AZ 85008 www.mihs.org/index.html Size of Hospital Admits Surgeries Deliveries ER Visits Size of Hospital Admits Surgeries Deliveries ER Visits 350 W. Thomas Road Phoenix, AZ 85013 www.stjosephs-phx.org/index.htm 725 262 beds 9,526 4,829 1,867 38,051 Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits OP Visits 1478 586 beds 30,222 10,340 4,708 81,272 397,193 15 Frequently Asked Questions Describe didactics at your facility. The Regional Dean, Dr. Robert Ligorsky, runs the didactic program, which he designed premised on the importance that students learn how to integrate book learning with practical and applied knowledge and experience. In other words, monthly Education Days and other lessons endeavor to bridge the gap between clinical experience and book learning. With that in mind, Case Challenges are designed to teach students how to derive pathophysiologic mechanisms in the patient in order to arrive at the final diagnosis and treatment. Components of these lessons include discussions of physical diagnosis skills, how to formulate a differential diagnosis, and, based on such findings, what the appropriate laboratory tests are and how to interpret the results. Dr. Ligorsky reviews the cases to ensure that each student feels comfortable with this process. During their third year, students give three presentations, including either a discussion of a journal article, a case review, a tumor case or a lesson in physical diagnosis using Osler’s compass points. Fourth year students may choose to make a clinical presentation on Education Day. On Education Day, local specialists lecture and also offer guest seminars on topics in pediatrics, OMM, surgery, and train students to use and read an EKG. A statistician provides a special seminar on medical statistics; in addition, the statistician reviews Journal Club presentations and hosts tutorials to facilitate students’ discussion of data analysis. There is always the opportunity to attend a lecture or discover additional supplementary resources. For example, students may elect to attend lectures in hematologic morphology. The American College of Physicians (ACP) actively hosts events to allow students to build a network in the medical community. The ACP regularly sponsors dinners with student lectures for all medical students in the area. Students are also invited to ACP-sponsored dinners with the medical residents. Some KCOM students decide to attend and participate in the ACP fall meeting where they make poster presentations as part of a larger poster contest and compete in the Doctors’ Dilemma. Our students also participate in AOMA sponsored student writing & poster competitions. How many students, interns, and residents are on a rotation? Teaching services at most hospitals and some clinics usually consist of a staff physician, a resident, an intern, and 1-2 students. Non-teaching services consist of a preceptor and a student. How often are students one-on-one with an attending or resident? In the hospital, students usually work with a team; however, there are many opportunities in the hospital to work oneon-one with an attending or resident. In an office rotation, it is usually a one-on-one experience. 16 Are students offered/encouraged participate in procedures? to actively Students are actively encouraged to fully participate in procedures at all rotation sites. For example, students at hospital sites often participate in surgical site closures, routine deliveries, as well as Internal Medicine procedures such as paracentesis and spinal tap. Office procedures include, but are not limited to, the excision of skin lesions and cerumen removal. Will students have an opportunity to rotate at a Level I trauma center? Emergency Medicine rotations (Level I trauma) are available throughout Arizona to fourth year students. What is the on-call policy for medical students? Students are required to follow the requirements of each clinical rotation site (on-call, availability, patient care, etc.). Is there 24-hour access to the library and Internet resources? The online library is available with 24-hour access. The campus library is open from 6 a.m.-10 p.m. Most facilities also have libraries that can be accessed. Is charting done electronically? This depends largely on the site. Is there a food allowance and how much? Some hospitals will offer some type of food allowance, but every site varies. Are pagers provided to students? This depends largely on the site. Are lockers available for students to use? This depends on the site. What unique qualities/opportunities does your facility have to offer? The strength of the Arizona Region lies in both the rotation network as well as the support from KCOM mentors and the medical community at large. The Arizona mentorship program consists of three core components designed to enhance students’ education. The Regional Dean meets with each student and reviews all schedules. In addition, students are matched with one of our DSMEs who provide guidance and support throughout the program. To help students adapt and encourage connections between students, we organize a Student Ambassador Program in which a fourth-year student-mentor is matched with an incoming third-year student. Our students find that their peer mentors are invaluable resources, especially as they prepare to apply for fourth-year rotations. The success of the mentorship program is evidenced by the confidence and excellence of our students, who are encouraged to apply for rotations at tertiary care centers, sub-I rotations, audition rotations, as well as internationally. Students have had fourth-year rotations at such notable institutions like Harvard, Johns Hopkins, the Mayo Clinic, Stanford, the University of Washington and Yale. There is a special student orientation when students arrive in Arizona designed to familiarize them with the program. Each student will have on-line access to our Arizona Student Manual with all of the important lectures and supplemental information for the year. Among the other workshops, lectures, and activities, our statistician conducts an introductory seminar in basic medical statistics. Our Pediatric experience, which is distinct from Family Medicine, is unique because students can have both inpatient and out-patient rotations during their third year. In addition, students can pursue any Pediatric sub-specialty of their choice. Moreover, our Pediatric Curriculum Consultant conducts life-style interviews and actively participates in our Education Day program to help students develop their skills in Pediatric Medicine. Does your region have any Research Opportunities to offer? If so please describe. Students in the Arizona Region will discover a variety of research opportunities that include; collaboration with physicians in private practice who participate in clinical trials, Maricopa Medical Center’s innovative approaches to Emergency Medicine, cancer studies at TGen, as well as other laboratory research at ASU. We encourage interested students to explore the outstanding opportunities available to them. Site Visits Hospitals do not conduct scheduled tours of their facilities for students. However, students who are interested in scheduling a campus visit may do so by contacting the Rotation Site Coordinator. Area Information Located in the Valley of the Sun, our campus is minutes from Phoenix and Scottsdale. The diverse community is made up of a population of approximately 4 million. The winters are mild while summers tend to be hot and dry. There is an average of 334 days of sunshine per year! The Valley of the Sun offers many forms of entertainment and activities for both families and for those who are single. Outdoor enthusiasts will discover countless walking trails, bike paths, and local mountain hikes. The area boasts numerous world-class golf courses, swimming pools, and tennis facilities in addition to its numerous shopping malls, restaurants, and movie theaters. Sports fans can take in baseball spring training or attend any of the games played by major professional teams that include: the Arizona Diamondbacks, the Phoenix Suns, the Arizona Cardinals, the Phoenix Mercury and the Phoenix Coyotes. People interested in the fine arts enjoy our museums, the Phoenix Symphony Orchestra, and the Arizona Opera. Those students who are unfamiliar with Arizona are surprised by the state’s geographical diversity. Easy weekend getaways to Flagstaff (2 1/2 hrs.) and the Grand Canyon (4 1/2 hrs.) provide opportunities to ski and hike among the Ponderosa Pine Forests. Those interested in exploring the red rock of Sedona find it an easy 2 hour drive. Average cost of housing Starts at $725/month for 1 bedroom. $850/month for 2 bedrooms Nearest major airport Phoenix Sky Harbor International Airport (PHX) is 20 miles from the ATSU campus Nearest expressway I-60 is approximately 1.5 miles from the ATSU campus Informational websites www.atsu.edu http://www.visitphoenix.com/index.aspx http://www.visitarizona.com www.phoenix.gov/visitors/index.html Student Typical Day Although each Arizona student has a schedule tailored to his or her interests, every student will have hands-on-experience working in a hospital, a clinic, and a private practice. Students will spend four weeks at a single rotation site. Weekend rounds and on-call schedules vary with rotation sites. Fourth year schedules vary based on the student’s goals and individual rotationsite selection. The third-year student rotation experience and preparation required varies based on the specialty and site. For example, a student on the Internal Medicine teaching service at Maricopa Medical Center will see assigned patients and report to the resident prior to meeting with the staff physician. After the completion of rounds, patient care will encompass the remainder of the day. Students will review charts, lab, x-rays and actively participate in procedures on their patients. At times, students will attend noon lectures and prepare required presentations. Toward the end of the day, each student will admit those patients assigned to them. 17 Students on Surgery rotations report to their surgical preceptor and participate in the operating room as well as in the surgical care of patients. Those students assigned to OB-GYN should report to their preceptors and be ready to participate in deliveries and obstetrical care. Students on Anesthesia rotations will participate in patient care, including intubation, central line placement and monitoring during anesthesia. Outpatient rotation assignments, including Pediatrics, Family Medicine, and Psychiatry begin when clinics and offices open. Students should be prepared to evaluate patients and report findings to preceptors. Regular discussions with preceptors will enable students to understand evaluation and treatment of those patients. The in-patient Pediatric service follows a schedule similar to that described for Internal Medicine. The Radiology rotation will vary and involves participation in interventional studies as well as x-ray interpretation. While every rotation site schedule varies, there is always time to study and decompress. While we encourage students to maximize their educational experience, we also want our students to learn the importance of healthy living. Students are encouraged to learn how to balance their work, studies, with relaxation by taking advantage of the beauty of Arizona. Students can join the YMCA that is conveniently located on-campus at no cost. There are also Intramural Team Sports sponsored by the SGA (Student Government Association). Notes 18 Illinois Region Illinois Sites Advocate BroMenn Medical Center Bloomington/Normal SIU Carbondale Carbondale SIU Quincy Quincy UnityPoint Health Peoria Regional Map About Illinois Capital Springfield Est. population 12,882,135 – ranked the 5th largest state in the country in 2013 Land area 55,593 mi2 Largest cities Chicago, Aurora, Rockford, Joliet, Naperville, Springfield and Peoria Surrounding states Indiana, Iowa, Kentucky, Missouri, and Wisconsin 19 Illinois Region Advocate BroMenn Medical Center Advocate Eureka Hospital 1300 Franklin Avenue, Suite 110 Normal, IL 61761 309.268.3502 or fax 309.268.3713 www.advocatehealth.com/bromenn Director of Student Medical Education Timothy Buffey, DO [email protected] Rotation Site Coordinator (On-Site) Alicia Brandon 309.268.3502 [email protected] Rotation Site Coordinator (Off-Site) Amy Schiff 660.626.2568 660.626.2662 (fax) [email protected] The Site Advocate BroMenn Medical Center (ABMC) is a regional referral hospital serving Bloomington/Normal, IL with advanced Cardiac and Neurological Surgery departments. Thirty miles west of Bloomington/Normal is Advocate Eureka Hospital located in Eureka, Illinois. It serves the rural area located between Bloomington/Normal and Peoria, IL. (Rural experiences are possible in Eureka via a direct Interstate commute of 30 minutes. The commute involves good roads with light traffic). In addition to these two hospitals, Advocate Medical Group ((http://www.advocatehealth.com/bromenn/body_noFAD.cfm?id=124) has 20+ practice locations and numerous joint ventures in Bloomington/Normal and the surrounding communities. The combination of a rural hospital and regional medical center in one location allows the unique experience of multiple rotations in both environments without the need to relocate. Advocate BroMenn Medical Center lies between the campuses of Illinois State University and Illinois Wesleyan University. Multiple clinics are involved in the training program but travel within Bloomington/Normal is easy; with 15 minutes or less commute time. Electives are available in Peoria and Springfield but are true electives and would be at the student’s request. These rotations would include Trauma Surgery, Level I Emergency Room experience, and Neonatal Intensive Care. While a commute to either is about one hour, many students and residents have made the commute daily without difficulty. Site Statistics Admits In-patient Surgeries Out-patient Surgeries Deliveries ER Visits 10,910 3,352 206,378 1,565 43,235 City Population – Normal City Population – Bloomington Medical Staff Size of Hospital – BroMenn Size of Hospital – Eureka 50,519 74,975 365 224 beds 25 beds Student Rotations Most Core rotations will occur at Advocate BroMenn Medical Center or outpatient clinics in the Bloomington/Normal area. In rare instances, rotations may be scheduled out of town, but within driving distance. One to two rotations could occur at Advocate Eureka Hospital if the student desires a rural hospital/clinic experience. Residency Programs Family Medicine and Neurological Surgery, and Neurology (AOA accredited) 20 Frequently Asked Questions Describe didactics at your facility. Students attend didactic sessions along with the interns and residents. Didactics occur daily over lunch. They consist of faculty physician lectures, journal club discussions, and Osteopathic Medicine and Medical Procedure labs. which is a one hour commute that is drivable without relocation. What is the on-call policy for medical students? There are no formal call requirements for students. How many students, interns, and residents are on a rotation? Is there 24-hour access to the library and Internet resources? Occasionally, a student will be paired with a resident on such rotations as Internal Medicine (Inpatient) or General Surgery. During the student’s Family Medicine (Rural/Underserved) rotation one to two students and two or three interns/residents may be assigned to the same continuity of care clinic. Patient volume is sufficient to provide adequate training for all. 24-hour access is available to the hospital’s library resources, as well as to computers and internet. How often are students one-on-one with an attending or resident? Is charting done electronically? Charting in many outpatient clinics is completely electronic. Transition to an electronic chart is currently in progress in the hospital. All labs, x-rays, and chart documentation can be obtained electronically. Is there a food allowance and how much? The majority of rotations will consist of one student with a faculty physician. No food allowance is provided for students. Are students offered/encouraged participate in procedures? Pagers are provided to students. to actively Are pagers provided to students? Students are encouraged to participate in procedures. With Family Medicine and Neurological Surgery, and Neurology as the three residency programs, there are ample opportunities for procedural experiences. Are lockers available for students to use? Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? What unique qualities/opportunities does your facility have to offer? ABMC is part of the Advocate Health Care system, which is based in Downers Grove, IL. The system has over 200 sites primarily in the Chicagoland area, with 11 hospitals, 2 children’s hospitals, and 80 medical group locations. ABMC is affiliated with Still OPTI/KCOM, but primarily for elective Neurological Surgery rotations. We have no other Core site affiliations at this time. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Our Emergency Department is a Level II trauma center; there is no Level I trauma center in Bloomington/Normal so the acuity of patients is significant. Level I rotations can be arranged as electives in either Springfield or Peoria, Lockers are only available in the surgeon’s locker room during surgical rotations. However, alternative safe storage of belongings is available. The community is large enough to provide a wide range of living arrangements, educational and employment opportunities, but still small enough to have distinct communities feel. The medical learning opportunities are also unique in that the Family Medicine and Neurological Surgery, and Neurology residency programs compliment, rather than compete, with each other. The addition of the rural hospital in Eureka also allows training in a rural environment as well as experiencing medicine in the context of a Regional Medical Center at Advocate BroMenn Medical Center. Does your region have any Research Opportunities to offer? If so please describe. Yes? We have had fourth year students do research for Neurological Surgery rotations. Site Visits When are site visits scheduled? Site visits are available upon request, Monday through Friday. Please schedule your visit at least two weeks in advance. Who should students contact to set up a site visit? Graduate Medical Education office at 309.268.3502 What is the site visit protocol at your site? Bring white coat and school ID. 21 Area Information Located in north Central Illinois, Bloomington/Normal is at the intersection of Interstate routes, 39, 55 and 74. The city is home to the corporate headquarters of State Farm Insurance and Country Financial; as well as AFNI Inc., Electrolux North America, and Mitsubishi Motors North American manufacturing facility, which helps support a regional airport with direct flight connections to several large airports throughout the United States. An Amtrak station makes the city accessible by rail as well. The hospital campus is bordered on the north by Illinois State University and on the south by Illinois Wesleyan University which makes student housing reasonable. The twin cities of Bloomington/Normal, IL are one contiguous metropolitan area with a combined population of over 125,000. The two communities’ share many resources but they do function as separate governmental entities. The economic base is strong due to the presence of State Farm Insurance as the major employer (www.statefarm.com) in the area and by being home to two major universities. Information describing the two communities can be found at www.normal.org and www.cityhall.ci.bloomington.il.us. Excellent schools, cultural events, and a wide range of employment options in an excellent economic climate make the area an excellent choice for medical students with young families or spouses seeking employment or advanced educational opportunities. Two public school districts serve the area including www.unit5.org and www.district87.org. Excellent private schools are also available. Employment opportunities exist in medical fields, the insurance industry, light manufacturing, agriculture, and education. The economy has remained strong for many years due to the mix of business, commerce, and education. Eureka, IL is a small rural community 30 miles northwest of Bloomington/Normal and information is available at www.eurekaillinois.net. Average cost of housing Nearest major airport Cost ranges from $500-1000/mo. with the opportunity to lower costs by sharing with another student if desired. Bloomington Airport (BMI) offers direct flights to several major US cities. Amtrak connections to Chicago and St. Louis offer viable rail travel options. Nearest expressway Three major US interstates, I-39, I-55, and I-74, intersect here. Informational websites www.advocatehealth.com/bromenn http://en.wikipedia.org/wiki/Normal,_Illinois http://en.wikipedia.org/wiki/Bloomington,_Illinois Student Typical Day Rotation days begin at 5-6 a.m., when you wake up and finish any reading for the current rotation. You will arrive at the rotation site by 7 a.m. to meet with your attending or do pre-rounds depending upon the rotation and attending. The commute is very short no matter what side of town you live on. From 7 a.m.-noon you will do rotations. There are lunch/noon conferences at least two times in a month, in addition to the didactic schedule. Lunch is usually provided on those days. From 1-5 p.m. it is back to rotations. The time period depends upon the rotation. On a General Surgery rotation, you are not likely to get away from the hospital until 8 or 9 p.m. Most other rotations, you are done by 5 p.m. Education sessions (didactics) are held daily. Attendance is required. Neurosurgery Case Review/Presentation begins at 7 a.m., followed by rotations until noon. Over the lunch hour there is a guest lecture, and the afternoon is concluded with an attending lecture, resident’s lectures and case presentations, student lectures and case presentations, and journal club. These will usually last until 5 p.m. Although Advocate BroMenn has both Family Medicine and Neurological Surgery, and Neurology AOA-approved Residency programs, there remains an intimate teaching environment which will provide many unique opportunities for the assertive medical student. “During my Internal Medicine hospitalist rotation, I was the only medical student on service and was afforded ample one-on-one time with residents and attendings”. “During OB-GYN, I was able to first assist on several C-sections, laparoscopic procedures, and vaginal deliveries. On General Surgery rotation, I had numerous opportunities to first assist on cholecystectomies, appendectomies, bowel resections, etc. – this is very rare for a medical student. On my Psychology rotation I was again the only student on service and was able to spend ample time interviewing patients both in the clinic and alone in the locked mental health unit. Rotating at the Advocate BroMenn Family Health Clinic will allow you the occasions you need to perfect your examination and OMM skills. At Advocate BroMenn I have opportunities given to me that are usually reserved for first year residents. Just remember your education is, indeed, what you make of it. Don’t expect anyone to care about your education more than you. Seek to clarify expectations that physicians have of you, read more than you think you should, and be a “go getter!” 22 Notes 23 Illinois Region SIU Carbondale – Family Medicine Residency Program Southern Illinois University School of Medicine 305 West Jackson Street, Suite 200 Carbondale, IL 62901 618.536.6621 or fax 618.453.1102 www.siumed.edu/cfpc Director of Student Medical Education Andrew Yochum, DO [email protected] Rotation Site Coordinator (Off-Site) Amy Schiff Rotation Site Coordinator (On-Site) Trinka Pape 618.536.0226 618.453.1102 (fax) [email protected] 660.626.2568 660.626.2662 (fax) [email protected] The Site The site can be described as an unopposed hospital-based preceptorship (no other residency program associated with the hospital). The students benefit from being in an in-patient hospital program participating with residents in Obstetrics and Internal Medicine rotations. The residents are active in the teaching and will let the student participate in procedures as desired. Being unopposed greatly reduces the “procedure competition” among students and residents. The hospital-based aspect also affords excellent didactics with a personal touch. On the flip side, the students benefit from a preceptor-based program in Family Medicine, Pediatrics, Psychiatry, and Surgery rotations, which allows the student to be one-on-one with physicians. This affords excellent learning from faculty. Because of this, students are generally first assist on the Surgery rotation, which allows phenomenal hands-on learning. The Surgery rotation here is second to none in terms of allowing students to participate in the procedures. The sky truly is the limit if the student so desires. Site Statistics City Population Medical Staff Size of Hospital Admits 47,000 387 146 beds 11,969 Surgeries Deliveries ER Visits Outpatient Visits 6,636 2,007 33,356 120,920 Student Rotations A majority of rotations are in Memorial Hospital of Carbondale or physician’s offices within a 20 mile radius. The rest are completed at St. Joseph or Herrin Hospitals. The Psychiatry rotation includes Harrisburg Medical Center. Residency Programs Family Medicine (AOA & ACGME dually accredited) Possible Facilities SIU Family Medicine 305 West Jackson Street Carbondale, IL 62901 West Frankfort Family Medicine 2553 Ken Gray Blvd. West Frankfort, IL 62896 Distance: 30 min St. Joseph Hospital 2 South Hospital Drive Murphysboro, IL 62966 Distance: 10 min 24 Herrin Hospital 201 South 14th Street Herrin, IL 62948 Distance: 20 min Memorial Hospital of Carbondale 405 West Jackson Carbondale, IL 62901 VA Medical Center 2401 West Main Marion, IL Distance: 20 min Frequently Asked Questions Describe didactics at your facility. What is the on-call policy for medical students? Core curriculum lectures and journal club are held Wednesday afternoon in the Family Medicine Center. Typically there will be four to five lectures by faculty, outside physicians, and residents. Students are also included by having them presenting one of their required oral case presentations during this time. This depends on the rotation. Most rotations do not have night call, except night float system during inpatient service. How many students, interns, and residents are on a rotation? Inpatient medicine may involve the student working with three residents and various attendings. How often are students one-on-one with an attending or resident? Most rotations are done on a one-to-one basis between student and attending. There are opportunities where students work with the resident team during Family Medicine and Obstetrics. Are students offered/encouraged participate in procedures? to actively Is there 24-hour access to the library and Internet resources? There is 24-hour access to the small libraries in the hospital and the Family Medicine clinic, and there is 24-hour internet access in hospital and clinic. There is wireless internet available at Memorial Hospital of Carbondale. Is charting done electronically? Yes, SIU Family Medicine uses Practice Partner and SIH uses Next Gen. Is there a food allowance and how much? No Are pagers provided to students? Pagers are provided for the students. Are lockers available for students to use? Yes, faculty often asks the students to perform procedures. Students will be first assist on most surgeries. Storage of personal equipment is in the student area of the student/resident offices. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? What unique qualities/opportunities does your facility have to offer? Memorial Hospital of Carbondale is part of SIH (Southern Illinois Health Care) which also runs Herrin Hospital and St. Joseph Hospital in Murphysboro. The hospital is associated with SIU School of Medicine. What is the trauma level of your emergency department? If your Emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Memorial Hospital is not officially a Level I trauma center, but the acuity approximates that of smaller Level I trauma centers. The hospital has been a teaching facility for 30 years. Both medical school faculty and community physicians are happy to teach the students. Although the hospital is not large, it is the referral center for a wide area. The large international community at SIU brings in medical challenges which would not otherwise be seen in Southern Illinois. Does your region have any Research Opportunities to offer? If so please describe. No information provided. Site Visits When are site visits scheduled? This can be arranged individually with the students. Who should students contact to set up a site visit? Leigh Ann Keyser, Rotation Site Coordinator. What is the site visit protocol at your site? Students will meet with the coordinator, Leigh Ann Keyser; Dr. Sara Malone, DSME; and one KCOM student/or an alumni KCOM resident for a tour of the site and area. Notes 25 Area Information Carbondale is the home of Southern Illinois University. The population of Carbondale is 27,000 with an additional student population of 20,000. Carbondale is a university town located in the heart of rural southern Illinois. SIU is the largest employer in Carbondale, followed by the hospital. Just south of Carbondale is the Shawnee National Forest and Giant City State Park. Five lakes are nearby. An abundance of hiking, boating, hunting, and fishing opportunities exist in the area. Regularly scheduled concerts, art exhibits, and other cultural events are sponsored by the city and the university. The residents of Carbondale find it no surprise to have their city named the Best Small City in Illinois according to “Life in America’s Small Cities,” by G. Scott Thomas. With its wealth of quality, affordable housing choices, residents can discover the home of their dreams without the skyrocketing prices that plague residents of urban areas. Healthcare is perhaps the biggest feather in Carbondale’s cap - with comprehensive healthcare facilities such as SIU Family Medicine Residency Program, Southern Illinois Healthcare (SIH), and the Center for Medical Arts, Abundant Health Resource Center (AHRC), and a number of private Osteopathic, Medical, Podiatric, and Dental practitioners. For many people, education is a critical aspect of life, and Carbondale is proud of its schools and higher education resources. Carbondale’s high school holds the distinction of being included in the top 100 high schools in the country. Southern Illinois University at Carbondale, with its student population of over 20,000, is ranked number one in the automobile/technical field and is also one of the few universities to offer a joint MD/JD degree program. In the neighboring city of Carterville, John A. Logan College, a two-year junior college, has achieved the ranking as one of the top five junior colleges in the United States. Such success is a direct result of the dedication and innovation exhibited by Carbondale’s school officials and teachers. In addition to the affordable housing, technologically advanced healthcare systems, and stellar school systems, Carbondale residents also enjoy many fine restaurants and abundant shopping opportunities. There are restaurants to suit everyone—fine dining, ethnic dining, family dining, and fast food. Carbondale has become the center of retail activity in southern Illinois with a thriving array of stores—both local and national retailers. Shoppers can find everything they need right here in Carbondale. Average cost of housing Approximately $500/month for a 1-bedroom Nearest major airport Williamson County Regional Airport (MWA) is 12 miles; Lambert-St. Louis International Airport (STL) is 2 ½ hours Nearest expressway I-57 is 18 miles away Student Typical Day Inpatient rotations usually start by 6:30 a.m. The student is assigned patients on the inpatient medical service, and sees the patients with the preceptor on other rotations. Outpatient rotations start between 8-9 a.m. The student is expected to attend Monday chart rounds, depending on the location of their rotation, and all Wednesday afternoon lectures/conferences at the Carbondale Family Medicine Center no matter what rotation they are on. Notes 26 Illinois Region SIU Quincy - Family Medicine Residency Program Southern Illinois University School of Medicine 612 N. 11th Street Quincy, IL 62301 217.224.8957 or fax 217.224.7950 www.quincyfp.org Director of Student Medical Education Timothy Ott, DO [email protected] Rotation Site Coordinator (Off-Site) Amy Schiff Rotation Site Coordinator (On-Site) Mary Ann Epley 217.224.8957 [email protected] 660.626.2568 660.626.2662 (fax) [email protected] The Site The SIU Quincy Family Practice Center is located on the Blessing Hospital campus and is within walking distance of the hospital. The Family Practice Center has 30,000 visits per year and a patient base of 11,000. We work closely with the Quincy community physicians. SIU is affiliated with Blessing Hospital. Blessing Hospital and its corporate services provide full medical, social and educational programs for a service area of more than 150,000 people within a 50 mile radius and 275,000 people within a 100 mile radius. It is a not-for-profit institution serving a rural, 23 county markets in the Tri-State area. Blessing has a medical staff of more than 240 physicians and employs greater than 2,000. They place strong emphasis on community wellness and comprehensive care. Blessing is a 435 licensed bed health care facility in which acute medical services are concentrated including medical, pediatric, surgical and obstetric services as well as the intensive care unit and Level II trauma center. Also at this facility are the skilled nursing and rehabilitation units. Blessing has a state of the art cancer treatment center, a comprehensive cardiovascular center, and a recently remodeled emergency medicine center with a heliport complex. Blessing is dedicated to medical education. In addition to the Quincy Family Medicine Residency program it sponsors the Blessing-Rieman College of Nursing as well as training for laboratory, radiology technology, surgical technology, respiratory therapy, phlebotomy, paramedic and EMT programs. Blessing Hospital blends the best of the care and compassion of community hospitals with the latest technology and is the area leader in the development and implementation of innovative hospital and home health services. The new in-patient psychiatric unit will be opening in 2015. Site Statistics Blessing Hospital City population Medical staff Size of hospital Admits In-Patient Surgeries Out-Patient Surgeries Deliveries ER visits Residency Programs 44,000 240 435 14,955 2,917 2,067 1,157 51,425 Family Medicine (Dually accredited) 27 Possible Facilities East Adams Clinic East Adams Clinic located in rural Golden, Illinois is a joint venture between SIU School of Medicine and Blessing Hospital and provides comprehensive medical care to rural under and uninsured patients. Medical students will gain experience in all aspects of patient care and will be exposed to out-patient procedures. Frequently Asked Questions Are students offered/encouraged to actively participate in procedures? Is there 24-hour access to the library and Internet resources? Yes, guidance is provided by attending physicians. Yes, The Blessing-Rieman College of Nursing Library has 24 hour access. Wireless internet is available at Blessing Hospital and Quincy Family Practice Center. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Is charting done electronically? SIU Quincy Family Practice Center is affiliated with Blessing Hospital and SIU-SOM. Yes, Blessing Hospital, SIU QFM Clinic and East Adams Clinic all use Allscripts EHR products. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Is there a food allowance and how much? Our emergency care department is a Level II Trauma Center. If students seek experience at a Level I Trauma Center, this would have to be done as an elective. Yes What is the on-call policy for medical students? Call policy is rotation dependent. No hospital based call is required. No Are pagers provided to students? Are lockers available for students to use? Yes Does your region have any Research Opportunities to offer? If so please describe. None Site Visits Please contact the On-Site Rotation Site Coordinator to arrange site visits. Area Information Quincy is located along the bluffs of the beautiful Mississippi River. Quincy is noted for its natural and architectural beauty. Quincy is ranked by Forbes Magazine as the 8th best small city to raise a family, and 4th in lowest cost of living and 7th in shortest commute time. Quincy offers a wide variety of cultural and recreational opportunities including staged works at the Oakley Lindsey Center, Quincy Symphony Orchestra and Chorus, and exhibits at the Quincy Art Center, and Civic Music Association. Quincy’s 27 parks provide homes for frequent concerts, parades and annual regional events such as the Dogwood Festival. The community provides opportunities for higher education with Quincy University – a four year liberal arts college that awards undergraduate and graduate degrees. Other educational opportunities include John Wood Community College, Blessing-Rieman College of Nursing and Vatterot College. Quincy’s excellent primary and secondary schools have a national reputation for innovative curricula and achievement. In addition to the public schools, an outstanding network of parochial and Christian schools provides quality education. Ray & Joan Kroc Corps Community Center – A $24.5 million dollar 96,000 square foot facility opened September 2011, with programs to promote community wellness. It will be available for all income levels and will include centers for teen activities, fitness and aquatics, worship and community programs. 28 Average cost of housing Housing costs varies depending on the size, number of bedrooms, and location. However, the average cost of housing for an existing family home is $74,000. Quincy provides a very affordable housing market. Nearest major airport Quincy Regional Airport is located in Quincy, Illinois and is owned by the City of Quincy Nearest expressway I-172 and I-110(Chicago-Kansas City)/336 Other modes of transportation Amtrak’s roundtrip to and from Chicago, Trailways Bus System Informational websites: www.quincyfp.org www.seequincy.com Student Typical Day Daily schedules will vary depending on the site where student is doing rotation. Inpatient rotations usually start at 8 a.m. The student is assigned patients on the inpatient medical service, and sees the patients with the preceptor on other rotations. Outpatient rotations start between 8-9 a.m. The student is expected to attend daily noon conference/lectures when on site. Notes 29 Illinois Region UnityPoint Health—Methodist 221 NE Glen Oak Avenue Peoria, IL 61636 309.672.5522 www.mymethodist.net Director of Student Medical Education Amanda Wright, DO 815 Main Street, Suite B Peoria, IL 61602 Phone 309.672.4593 [email protected] Rotation Site Coordinator (On-Site) Mary Durdel 815 Main Street, Suite B Peoria, IL 61602 Phone 309.672.4598 Fax 309.672.4592 [email protected] Rotation Site Coordinator (Off-Site) Amy Schiff 660.626.2568 660.626.2662 (fax) [email protected] The Site “The Point of Unity is you.” With almost 600 board-certified physicians backed by a dedicated team of healthcare professionals who combine high-tech medicine with genuine warmth and caring, UnityPoint Health—Methodist provides coordinated clinic, hospital and homebased care for patients in Central Illinois. UnityPoint Clinic offers comprehensive services in: Family Medicine, Internal Medicine, Pediatrics and a wide variety of specialty services in more than 30 convenient clinic locations throughout the Region to meet all the health care needs of the Community. UnityPoint Clinic puts the patient at the center of care, assisting in every way possible to provide the best level of health and well-being. UnityPoint Health—Methodist is also home to Methodist College of Nursing, dedicated to providing the best nursing education, and the Family Medicine Residency Program of the University Of Illinois College Of Medicine, where we train tomorrow’s family physicians, today. Site Statistics City Population Service Area Population Medical Staff Size of Hospital (beds) Admissions In-patient Surgeries Out-patient Procedures 115,000 375,000 594 329 16,682 3,107 36,684 Student Rotations Deliveries ER Visits Out-patient Visits 1,779 78,031 121,651 **Above information is based on 2010 fiscal year. Volume has been increasing each year. The majority of rotations will take place at UnityPoint Health - Methodist and UnityPoint Clinics with additional opportunities available in the surrounding Central Illinois community. Frequently Asked Questions Describe didactics at your facility. Daily noon conference lectures are presented by faculty, community physicians, and guest speakers. We have recently expanded our OMT offerings to include OMT didactics and OMT clinic up to 5 times a month. 30 How many students, interns, and residents are on a rotation? It varies with each individual rotation. How often are students one-on-one with an attending or resident? Due to the small class size, we do our best to keep all clinical interactions one-on-one with the attending or specialist. There will also be significant exposure to Family Medicine residents, especially on Medicine and Obstetrics. Are students offered/encouraged to actively participate in procedures? Yes, with guidance from an attending physician. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? UnityPoint Health - Methodist is part of the UnityPoint Health System. We are affiliated with the University Of Illinois College Of Medicine at Peoria. Students also have the option to do elective rotation as OSF Saint Francis Medical Center. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? The Emergency Department is a Level II Trauma Center with physicians, operating room staff and laboratory services available 24 hours a day, 7 days a week, 365 days a year. There are over 78,000 ER visits per year. What is the on-call policy for medical students? The on-call policy will coincide with the attending physicians. It varies with each rotation. Is there 24-hour access to the library and Internet resources? Yes, students will have access to Up-To-Date and the University of Illinois College of Medicine’s library. Is charting done electronically? Yes, EPIC is being used for both inpatient and outpatient records. Is there a food allowance and how much? Food will be provided to the student at various on-site noon conference lectures and grand rounds events and at the hospital. Is there a housing allowance and how much? Not at this time. Are pagers provided to students? Not at this time. Are lockers available for students to use? Yes, students will have a common, secure home base area in the Methodist Family Medicine Residency. What unique qualities/opportunities does your facility have to offer? The University Of Illinois College Of Medicine at Peoria encourages medical students to participate in their lectures. This is especially true for the Methodist Family Medicine Residency with Noon Conferences, monthly 3-hour Conferences and Grand Rounds as well as Methodist Psychiatry Residency’s Grand Rounds lectures. Does your region have any Research Opportunities to offer? If so please describe. Yes, with guidance from a faculty member involved in research. Site Visits When are site visits scheduled? As mutually agreed upon by the program coordinator and the student. Who should students contact to set up a site visit? Mary Durdel (see contact information at the start of this section) Area Information Welcome to the Peoria Area where an easily accessible, metropolitan lifestyle meets stunning natural beauty! Prominently located at a crossroads between Chicago, St. Louis, Indianapolis and Des Moines, the greater Peoria metropolitan area has a population of over 375,000 with 1 million people living within a 60-mile radius. Discover for yourself the heart of the city and its endless stretches of wooded riverbanks and hiking trails, while exploring the region’s unique options for shopping, dining and adventure. With hot summers and crisp winters, dazzling fall foliage and brilliant spring blooms, Peoria combines the amenities of the city with the beauty and serenity of the Illinois countryside. Thousands of acres of parks feature attractions such as Glen Oak Zoo, Wildlife Prairie Park, bicycle, golf courses, tennis courts, indoor skating, concerts and a riverfront area complete with steamboat and maritime museum. The Peoria Civic Center hosts live Broadway shows, concerts by well-known entertainers, a civic ballet, an opera company, symphony, Rivermen hockey and Bradley University basketball. Join us and be a part of a vibrant community that enjoys numerous festivals, national and international sporting events, exceptional golf courses and world-class art and culture. Students are attracted by the welcoming atmosphere and reasonable cost of living in this inviting community. Please visit the following websites for more information about the community, schools, and religious organizations. http://www.ci.peoria.il.us http://www.localschooldirectory.com/city-schools/Peoria/IL http://www.usachurch.com/illinois/peoria/churches.htm 31 Student Typical Day Inpatient rotations at UnityPoint Health—Methodist typically begins at 6:30 a.m. where the student would be assigned to their patients to follow under resident/attending supervision. Outpatient rotations typically begin at 8 or 9 a.m. and conclude by approximately 5 p.m. daily. Students are expected to attend daily noon conference lectures in the Department of Family Medicine and attend at least one OMT Clinic per month. Students are also responsible for presenting oral cases, written cases, journal club cases and assisting with at least one OMT lecture. Notes 32 Michigan Region Michigan Sites DMC Huron Valley-Sinai Hospital Commerce DMC Sinai-Grace Hospital Detroit Genesys Regional Medical Center Grand Blanc Metro Health Hospital Grand Rapids Oakwood Southshore Medical Center Trenton St. John Macomb-Oakland Hospital–Macomb Center Warren St. John Macomb-Oakland Hospital–Oakland Center Madison Heights Regional Map About Michigan Capital Lansing Est. population 9,895,622 – ranked the 9th largest state in the country in 2013 Land area 56,809 mi2 Largest cities Detroit, Grand Rapids, Warren, Sterling Heights, and Lansing Surrounding states Indiana, Ohio, and Wisconsin 33 Michigan Region DMC Huron Valley-Sinai Hospital 1 William Carls Drive Commerce, MI 48382 248.937.5085 www.hvsh.org Director Student Medical Education John Sealey, DO 313.871.3751 [email protected] Rotation Site Coordinator Sonya L. Williams 313.745.1480 313.966.0880 (fax) [email protected] [email protected] The Site Huron Valley-Sinai Hospital, located in Commerce Township, Huron Valley-Sinai Hospital is among the area’s top healthcare providers. With the start of its AOA accredited programs in 2004, Huron Valley-Sinai was the first institution in the Detroit Medical Center (DMC) to offer osteopathic graduate and undergraduate training. As the top provider of medical care within its market, Huron Valley-Sinai provides residents and students an excellent opportunity to gain exposure to a wide range of pathology and diagnoses in specialties such as cardiology, pulmonary and critical care medicine, gastroenterology, geriatric, neurology, nephrology, infectious disease as well as the surgical specialties. Huron Valley-Sinai Hospital gives patients access to unparalleled technology, internationally known physicians, and innovative treatments. This hospital features the Harris Birthing Center with all private birthing suites, The Charach Cancer Treatment Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient diagnostic care. For emergency, obstetrics and ambulatory surgery; Huron Valley-Sinai consistently ranks among the top hospitals in the nation. Huron Valley-Sinai Hospital has earned the distinction of being among the top hospitals in the area and nation in patient satisfaction. Its staff continues to provide the warm, personalized care for which it is known. The hospital’s affiliation with the DMC, one of the nation’s leading academic medical systems, provides a depth of resources and expertise available at few community hospitals. Patients benefit from advanced medical technology, new treatments, and expert physicians and nurses – all close to home. The hospital’s spacious campus, adjacent to an orchard in Commerce, provides an unusually pleasant and tranquil environment. The hospital facilities are specially designed to be accessible and comfortable with warm and appealing décor, gardens, and works of art. Site Statistics City Population Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits Outpatient Visits 40,186 643 198 9,328 7,310 1,287 36,184 87,828 Student Rotations Family Medicine, Pediatrics, and Psychiatry may be completed at nearby facilities. Internships Traditional Residency Programs Radiology, Otolaryngology-Facial Plastic Surgery, ENT, Urological Surgery, Internal Medicine and Family Medicine. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). 34 When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Notes 35 Michigan Region DMC Sinai-Grace Hospital 6071 West Outer Drive Detroit, MI 48235 313.745.1480 or fax 313.966.0240 www.sinaigrace.org Director Student Medical Education John Sealey, DO 313.871.3751 [email protected] Rotation Site Coordinator Sonya L. Williams 313.745.1480 313.966.0880 (fax) [email protected] [email protected] The Site The US News and World Report ranked DMC Sinai-Grace Hospital as the 9th best hospital in metro Detroit and the 11th best in the state and one of 10 hospitals in the nation to be awarded a Robert Wood Johnson Foundation grant to set the standards of cardiac care for hospitals and physicians throughout the nation. Sinai-Grace Hospital is the largest healthcare facility of the nine operating within Detroit Medical Center (DMC). Dedicated to providing the ultimate patient experience, Sinai-Grace Hospital is a full-service hospital with over 800 physicians, 700 nurses, and more than 1,800 additional health care professionals. As a demonstration of Sinai-Grace’s commitment to osteopathic medical education, the hospital administrators and staff physicians have enthusiastically embraced this objective and have devoted themselves completely to the training of these future physicians. With more than 214,000 patients annually, Sinai-Grace Hospital offers care for individuals of all ages and stages of life, from a well-regarded Obstetrics Unit for new mothers and their babies, to comprehensive medical and surgical specialties for routine and complex conditions. The hospital is committed to serving the needs of the community through high quality inpatient and outpatient diagnosis and treatment as well as community education to promote good health. Our full spectrum of services encompasses 40 specialties including top rated Cardiology, Emergency Medicine, Oncology, and Orthopaedic Surgery programs. Sinai-Grace operates more than 25 ambulatory sites and surgery centers, including the Lasher Ambulatory and Berry Surgery Centers. Sinai-Grace is completing construction on the new Emergency Department, Intensive Care Units, Radiology Department and lobby that will dramatically upgrade care and comfort for DMC Sinai-Grace patients – while also bringing an economic boost to northwest Detroit. The Emergency Medicine Department currently treats over 84,000 patients each year. The commitment to outstanding customer service is reflected in the 29 minute guarantee in which the hospital promises that you will see a physician within 29 minutes of registering in the Emergency Department. Sinai-Grace Hospital’s kitchen can provide ethnic, kosher or special meals upon request. The hospital provides on-site pastoral care and rabbinical services. The chapel, Hebrew prayer room and Muslim prayer room offer patients and their families a quiet, intimate place to pray and seek peace. Site Statistics City Population Medical Staff Size of Hospital Admits Surgeries Deliveries 713,777 897 382 beds 18,775 415,689 1,512 ER Visits Outpatient Visits 134,755 93,988 Internships Traditional Residency Programs Anesthesiology, Diagnostic Radiology, General Surgery, General Vascular Surgery, Otolaryngology & Facial Plastic Surgery, Orthopaedics, Internal Medicine, and Urological Surgery 36 Possible Facilities DMC Huron Valley-Sinai Hospital DMC Hutzel Hospital 1 William Carls Drive Commerce, MI 48382 248.937.3000 www.hvsh.org/hvsh Distance: 35 minutes 4727 St. Antoine Detroit, MI 48201 Distance: 15 minutes Rotations: OB/GYN Detroit Central City Community Mental Health 3990 John R Detroit, MI 48201 Distance: 15 minutes Rotations: Urology 10 Peterboro Detroit, MI 48201 Distance: 15 minutes Rotations: Psychiatry Primary Care Center 6001 West Outer Drive Detroit, MI 48235 313.966.9444 Distance: Next Door/Sinai-Grace Campus. Rotations: Internal Medicine and Surgery Clinics DMC Harper Hospital DMC Children’s Hospital of Michigan 3901 Beaubien Detroit, MI 48201 Distance: 15 minutes Rotations: Pediatrics, ENT Frequently Asked Questions Describe didactics at your facility. Sinai-Grace Hospital Medicine: Daily at 9 a.m. on Monday-Friday and noon conferences three times a week. Obstetrics/Gynecology: Monday at 8 a.m., Wednesday at noon, Thursday at 8 a.m., and Friday at 8 a.m. Emergency Medicine grand rounds: Thursday at noon. Surgery grand rounds: Friday at noon. Academic Day: KCOM Students ONLY: Every other Wednesdays from 2-5 p.m. Academic Day/OMM Lecture: Every Wednesday at noon (ALL DMC Medical Students). How many students, interns, and residents are on a rotation? The number of students on rotation at one time varies depending on the rotation; however, it is kept to a minimum to ensure a good experience. How often are students one-on-one with an attending or resident? Students are one-on-one with an attending and/or resident throughout the rotation. Are students offered/encouraged to actively participate in procedures? Yes, students are encouraged to participate in a wide variety of procedures. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? The other hospital affiliates of the Detroit Medical Center are Harper Hospital, Children’s Hospital of Michigan, Hutzel Women Hospital, Detroit Receiving Hospital, Rehabilitation Institution of Michigan, Huron Valley-Sinai, and Michigan Orthopedics Specialty Hospital and Pontiac Osteopathic Hospital. The other medical school affiliations are Michigan State University and Wayne State University. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Sinai-Grace is a Level II trauma center. Although this is a Level II trauma center, Level I cases are treated in the department. Huron Valley-Sinai Hospital is a Level II trauma center. What is the on-call policy for medical students? Students take call on Obstetrics/Gynecology, Internal Medicine, and Surgery. Call is assigned by the department. Is there 24-hour access to the library and Internet resources? Yes, students have 24-hour access to the library and internet resources by way of ID badge. The library has a wide range of medical resources, computers, and helpful and knowledgeable staff. Is charting done electronically? Yes Is there a food allowance and how much? Students receive a meal stipend during core and required rotation months. Are pagers provided to students? All students are provided with text pagers. Are lockers available for students to use? All students are provided a locker. 37 What unique qualities/opportunities does your facility have to offer? Does your region have any Research Opportunities to offer? If so please describe. The DMC hospital system offers complete medical education and outstanding learning opportunities in an environment with a wide variety of Pathology. Students are able to get more hands on teaching opportunities. We have a large patient population that gives students the opportunity to get exposure level of training that they may never experience anywhere else. Research opportunities are available to students throughout the Detroit Medical Center on an individual bases. Students must meet with the DSME for approval to participate prior to making a commitment. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information The DMC downtown campuses are not far from many of the Detroit attractions such as the Detroit Renaissance Center, Detroit Historical Museum, the newly redesigned Detroit Institute of Art, Detroit Science Center with IMAX® Dome Theater, the largest African American Historical Museum in the world, Orchestra Place, Detroit Opera House, Fox Theater, Hockey Town, Hard Rock Café, Mexican Village, Greektown, Greektown Casino and Hotel, the new MGM Casino and Hotel, the Motorcity Casino and Hotel, Cobo Arena place for the North American Auto Show, Joe Louis Arena—home to the Detroit Red Wings, Comerica Park—home to the Detroit Tigers, Ford Field—home to the Detroit Lions, the Fisher Theatre, Belle Isle Park, Hart Plaza (summer world festivals and concerts), symphony, ballet, (all within a five mile radius), and an international airport. Average cost of housing Cost varies depending on location. Based on the surrounding suburban area approximately five to seven miles from the hospital: $650 a month for 1-2 bedrooms; $900 a month for 2-3 bedrooms. Nearest major airport Detroit Metropolitan Airport (DTW) is approximately 20 minutes from the hospital. Nearest expressway Hwy. 10 is less than a mile and Hwy. 39 is less than five miles. 38 Informational websites www.detroitchamber.com www.visitdetroit.com www.michigan.gov Student Typical Day There really isn’t a typical day given the fact that each rotation marches to a different beat depending on the preceptor, student expectations, and even teammates. Internal Medicine is a two month rotation and one of the more consistent ones, so here is an idea of a typical day on an IM rotation at DMC. Each student is assigned to a team consisting of an attending, a resident, two interns and another student (PA or Podiatry). The resident is really the one who is in charge of the running the team’s daily responsibilities. While on Internal Medicine, the medical student is assigned about 2-3 patients for whom he/she is responsible for knowing everything. This means that from admission to discharge you should know what is going on with this patient starting from the admission H & P to the discharge status of the patient. This includes daily SOAP notes regarding the patient’s progress, any changes in meds or medical status, recommendations by various consulting physicians, etc. Ask your interns to show you where things are the first time. A typical day in Internal Medicine for the medical student starts between 6:30-7 a.m., (depending on how many patients you are assigned and how long it will take you to write a SOAP note), so that you have seen your patients and are ready to present during team rounds at 7 a.m. Team rounds (and this may change slightly with each team) are between 7-9 a.m. with variation based on attending’s and/or resident’s preference. Each team also has an hour-long Cardiology lecture/discussion once a week based on a current patient. At 9 a.m., there are morning didactics—case-based discussion led by chief medical residents (CMRs)—which everyone is expected to attend. From 10 a.m. - noon, the team goes back to doing whatever floor responsibilities they have. As a medical student, if you are done with your patients, offer to help with any procedure, getting imaging results read in the various departments, calling up, helping out with discharge forms, etc. All this depends on how proactive you are and what your resident and interns feel comfortable assigning to you. At noon, there is another didactic lecture with mandatory attendance. After this, each team goes back to finish loose ends and can leave for the day whenever done. There is no time limit on this, but residents are responsible for making sure that they don’t exceed the 80-hour limit. The medical student may go home as early as 2 p.m. or much later if something complex comes up with the patient he/she is in charge of. Every week, each team has a short-call day, when they admit 5 patients; the medical student may be assigned 1-2 patients on this day. There is also a long call day, during which the team admits 10 patients and does overnight call (7 a.m.-1-2 p.m. the next day). This also includes being the team who responds to all codes. The medical student in this case is expected to assist with CPR and perhaps other procedures as deemed appropriate by the resident who runs the code. The team is also in charge of cross-coverage of taking emergencies/critical values for other teams once they sign off during the long-call day. Having said all of the above, it is worth noting that this may vary from day to day and also depends on the individual team and the way the resident chooses to run things. Notes 39 Michigan Region Genesys Regional Medical Center One Genesys Parkway Grand Blanc, MI 48439 810.606.5000 www.genesys.org Regional Assistant Dean Richard J. LaBaere II, DO, MPH, FAODME Still OPTI Academic Officer 248.840.4503 [email protected] Rotation Site Coordinator Kathy Hall Genesys Regional Medical Center One Genesys Parkway Room 2610 Grand Blanc, MI 48439 810.606.5620 810.606.5625 (fax) [email protected] [email protected] The Site Genesys Regional Medical Center is located on 478 acres in Grand Blanc, Michigan. Surrounded by nature, this 410 bed state-ofthe-art learning institution provides a healing environment with an emphasis on disease prevention and quality care. Genesys is a teaching organization with over 700 DO’s and MD’s working together to provide quality education and excellence in patient care. Genesys is part of the value-based organization, Ascension Health System, where we are called to: Service of the Poor, Reverence, Integrity, Wisdom, Creativity, and Dedication. Genesys Health System is a group of affiliated medical campuses, outpatient centers, primary care locations, and ancillary health care organizations with a mission and history of improving our community’s health for nearly 80 years. As the leading health care provider in mid-Michigan, Genesys is anchored by a 21st century inpatient facility – Genesys Regional Medical Center at Health Park – one of the first medical centers of its kind, built both clinically and architecturally around a patient-focused care philosophy. With annual revenues of over 320 million, Genesys is a regionally integrated health care delivery system comprised of a complete continuum of care, primarily servicing Genesee, Shiawassee, Lapeer, Oakland, Livingston, and Tuscola counties with an additional four counties in the secondary market. Over 130 family physicians in the Genesys network act as health advocates, offering ready resource to outpatient ambulatory care, physical medicine treatment, substance abuse/addiction treatment, and mental health services. Recuperative or extended care is available at Genesys Convalescent Center, and Genesys Hospice provides a much-needed care base for those with a life-limiting diagnosis. In addition, Genesys offers numerous inhome services including home health care, pharmaceutical/medical supplies and equipment, respite care, and other related home care personnel and services. For those immediate urgent or emergent needs, Genesys provides after hours clinics and a state-ofthe-art emergency room ready to handle any major illness or injury. Site Statistics OP Surgeries Ambulatory Surgeries Deliveries ER Visits 10,177 6,468 2,189 64,873 Grand Blanc Area Population Medical Staff Size of Hospital Admits IP Surgeries 350,000+ 675 410 beds 21,199 5,410 Student Rotations Most of the rotations are completed at Genesys Regional Medical Center. Internships Traditional Rotating Residency Programs Emergency Medicine (AOA & ACGME accredited), Family Medicine (AOA & ACGME accredited), General Surgery, Internal Medicine, Obstetrics and Gynecology, Orthopedic Surgery, Podiatry, and Radiology (Diagnostic) Fellowship Programs Pulmonary Medicine/ Critical Care, Gastroenterology, and Hematology/Oncology 40 Possible Facilities Genesys Health Park One Genesys Parkway Grand Blanc, Michigan 48439 810.606.5000 Base Hospital/Most Rotations here Genesys East Flint Campus Family Health Clinic 1460 Center Road Burton, Michigan 48509 810.606.5000 Distance: 10 minutes. Rotations: Underserved McLaren Regional Medical Center Beecher and Ballenger Road Flint, Michigan 48532 Distance: 10 minutes. Rotations: Some Radiology, Internal Medicine Family Medicine rotations are anywhere from less than five minutes away to 30 minutes for some rural rotation sites. Pediatric rotations are 10-20 minutes away from GRMC. The Psychiatry rotation is with a private physician about an hour south of Genesys in Sterling Heights. Frequently Asked Questions Describe didactics at your facility. Morning Report - Daily Noon Lecture - Monday & Wednesday Tumor Board - Tuesday Congdon Lecture Series - 2nd Wednesday of the month Tuesday Academic Day 1-5 p.m. All third year students’ present cases and journal reviews using PowerPoint format, physical exam teaching on most specialties, casting and suture clinics, OMT, EKG and chest x-ray review. Rotation – specific lectures on service. Career Planning – personality profiling, residency application and interview training. How many students, interns, and residents are on a rotation? It just depends on the rotation. Some rotations just have an intern/resident and student. How often are students one-on-one with an attending or resident? There are usually many opportunities for a student to be one-on-one with an attending or a resident. Are students offered/encouraged to actively participate in procedures? Absolutely, with the guidance of the attending or his residents, participation is greatly encouraged. In addition, it is the student’s responsibility to be proactive and show interest in the rotation. There are many opportunities for students to perform procedures or assist residents and attending. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? MSU (Base max 20 students). Visiting students are allowed only 2 rotations. 200+ students visit yearly. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Level II. The only reason we are not a Level I is the absence of a neurosurgeon on duty 24-7. We have neurosurgeons with offices in the hospital. What is the on-call policy for medical students? Obstetrics, Surgery, and some Internal Medicine calls. Students have requested more on-call time to prepare them for their internships. Is there 24-hour access to the library and Internet resources? Yes, plenty of computers and the most helpful library staff and computer techs around. The library is open around the clock and you enter with your ID badge. Is charting done electronically? Electronic charting has successfully been up and running since April of 2005 and only used by nurses and some residents at this time. Is there a food allowance and how much? The students receive $200 a rotation. Plenty of food and meals are available in the physician’s dining room and various journal clubs and lectures also provide meals. Are pagers provided to students? Yes, text pagers are provided to the medical students. Are lockers available for students to use? Yes, there are designated areas for medical student lockers. What unique qualities/opportunities does your facility have to offer? Genesys Regional Medical Center is totally committed to education. 41 On site KCOM Coordinator involved with every aspect of the students’ education and supported by the Genesys Medical Education Staff. Competitive intern/resident salary, benefit package with professional development educational allowance and paid time off. 23 surgery suites, 3 cardiac cath labs, 24 OB/LDRP suites. One of the most technologically advanced hospitals in Michigan. DO’s and MD’s are excellent preceptors enhancing the educational advancement of the students. Electronic Charting. Kodak, AGFA are digital x-ray systems. Genesys has an online “Redbook” for students to schedule and track available rotations. Genesys Medical Education financially supports a membership to our state of the art, on-site athletic center. Everyone takes pride in their role at Genesys Regional Medical Center. Does your region have any Research Opportunities to offer? If so please describe. Full-time Research Department available to students. Comfortable student, intern, and resident on-call rooms are available. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information The city of Grand Blanc is located in southeast Genesee County, 10 miles south of Flint and 60 miles north of Detroit. The city itself occupies an area of approximately four square miles. The population in the city of Grand Blanc is 8,242. The downtown area includes several unique restaurants, shopping malls, and boutiques. Quaint streetlights and brick pathways make it a pleasant place to stroll or browse. In the township of Grand Blanc the population is 32,150. The city and township are much sought-after communities dotted with golf courses, sprawling mature subdivisions, and farmland with over 25 new planned communities under development. Genesys Health Park occupies over 400 acres in the Grand Blanc Township. 42 Employment opportunities are widespread in and around this area. Many businesses offer on the job training to potential employees. General Motors still employs a vast percentage of area people in their plants. Professional health care workers have career opportunities at the three major area hospitals. This area employs many teachers and instructors of schools and colleges. Churches and places of worship are abundant in the area. There is something for everyone. Diversity is demonstrated by the many cultures that offer a place to carry on tradition and spiritual growth. Many provide their own schools as well. Educational opportunities in the Grand Blanc area are top of the line. The elementary, middle, and high schools are always rated in the top three in the state, if not number one. The residents of Grand Blanc have many options when choosing schools for their children. Both public and private institutions are located within and around the city. Charter school options are available nearby. Several major colleges and universities offer off-site campuses in the area for educational advancement. Entertainment in the surrounding area is abundant. The Grand Blanc area alone offers concerts, movie theatres, plays, art fairs, races, and festivals for all ages. There are many wonderful eateries in the area. In just ten minutes you can find the Cultural Center of Flint and enjoy Whiting Auditorium, the Planetarium, and the Flint Art Institute at the University of Michigan (Flint Campus), the Children’s Museum, Flint Public Library, and much more. Twenty minutes south offers mega shopping malls, restaurants, concert venues, museums, libraries, and a very upscale nightlife. Sports in the Grand Blanc area are very competitive for all ages. The high school athletic achievements are outstanding. The area offers many cultural and sport organizations for children and adults outside of school as well. Downtown offers a newly constructed skate park for skateboarding and rollerblading enthusiasts. There is an abundance of parks, ball fields, and basketball courts and soccer fields (indoors and out) available for everyone to enjoy the beautiful outdoors. Hop on I-75 and you can get to a professional basketball game in 20 minutes and a professional baseball, football, or hockey game within 60 minutes. In addition, Grand Blanc offers all of the winter and summer sports activities that keep Michigan known as a “winter and summer wonderland.” Average cost of housing Depends on size, number of bedrooms, location, etc. Most students stay in apartments closest to the hospital. The average apartment may start around $600/month and up. The cost of purchasing a home is wide open depending on the size and location. The Michigan Live website can give you an all-around price range and virtual tours of the sites. Nearest major airport Bishop International Airport (FNT) is 10 minutes away from Genesys Regional Medical Center; Detroit Metropolitan International Airport (DTW) is about 1½ hours. Nearest expressway Genesys Regional Medical Center is located right off I-75, US 23, I-69 and I-475 Informational websites www.mlive.com Student Typical Day The moment you walk into the Genesys Regional Medical Center you will be amazed by both the superficial aesthetics and the underlying medical structure. The atrium is set out much like your standard Ritz-Carlton, with high back chairs in which to rest, waterfalls to calm, and piano twinkling in the background to complete the experience. But beyond the atrium, the cutting-edge technology is abundant. However, the student experience is not lost in what may seem like an overwhelming medical structure. One will find that not only are there didactics and educational opportunities arranged specifically for all third year medical students, but most rotations offer their own complement of “talks” and learning specifically geared toward students. Your schedule will vary greatly from month to month, but laid out below is a typical schedule on an internal medicine rotation. In addition, all students have the support and guidance of their own KCOM Coordinator and Dean, as well as, an outstanding medical education department staff. 7-8 a.m. – morning didactic; 8-9 a.m. – pre-round on your patients; 9 a.m.-noon – round with the “team” (attending, residents, and students); Noon-1 p.m. – noon didactic on Mondays and Wednesdays; 1-5 p.m. – check labs, write orders, read up on your patients’ pathology, and hopefully, discharge patients; 5-6 p.m. – go work out at the massive gym and run into everyone from the hospital! The Surgical rotations tend to require the greatest time commitment, but are also very rewarding. For Surgery, you will arrive at the hospital before dawn (5-5:30 a.m. to be exact), round on your patients, meet for sign-out, and hustle off to the OR. Then, you are assigned to work with a surgeon and his designated resident, and will scrub in on all of their surgeries (incredibly variable; from two to five). If your interest lies in the area, you can always hunt down more surgeries in the afternoon with another attending. Thankfully, there is plenty of time between surgeries to read or better yet, round with the attending and residents and learn about the medical management of surgical patients. You also find yourself contributing a lot to the care of your Obstetrics/Gynecology patients, and the schedule is fairly similar to that of Surgery. Arrival is 6 a.m. (6:30 if on GYN) to round on the Obstetrics patients, and sign-out at 7 a.m. Then get ready to 43 start delivering babies! It is amazing how much they will let you do on this service, as you will be able to catch a baby or two just about every day. Also, there are daily didactics with the attending, and weekly conferences with the residents. Gynecology is very similar to Surgery in that you will typically be second assist (so you can actually see and do quite a lot!) on 3-5 surgeries daily. Finally, Anesthesia starts early at 7 a.m., where you will work mainly with the nurse anesthetists, and will actually get to intubate patients as well as learn about the pharmacology and multiple other procedures of the science. Thankfully, you have a bit of a reprieve with Anesthesia, finishing up by 3 p.m., whereas most days on Surgery or Obstetrics/Gynecology will end at 4:30-5 p.m. All of your out-patient rotations have a much kinder schedule. Family Medicine allows you to attend morning didactics at the hospital and then work in the clinic until 4:30-5 p.m. You will be able to both work with an attending or resident, visiting their patients first, and then presenting them to your preceptor before seeing the patient together. There is normally plenty of time between patients to discuss interesting cases. Pediatrics offers an incredible amount of variety in activities. Mornings will consist of rounding on the pediatric patients, and perhaps attending a C-section or assisting with a circumcision. The pediatricians are great teachers, both with the patients and families, and during the daily talks about various topics. Afternoons will be spent at the pediatrics clinic, where, like Family Medicine, you will be able to see patients independently and then have a doctor follow you to see how you did. Psychiatry offers a taste of out-rotation life that will become routine by fourth year. You will work at a private psychiatric office and several days a month in a hospital setting. This rotation is among the most interesting, as your patients will have varying disorders including schizophrenia, bipolar disorder, and substance abuse. Much like Pediatrics, this is roughly some hospital and more office rotation, with your role being more observatories due to the complex nature of the patients. Students without a doubt love their Radiology rotation as they spend the entire morning working with a resident reading films, and then have their afternoon free to work on presentations, study for exams/boards, and read up on their patients. Overlying the entire architecture of the rotation structure are your third-year presentations which are one afternoon a week. These offer a multitude of topics, the bulk of which will be student presentations, but also OMM once a month, chest X-ray reviews, EKG interpretation, interview strategies, match strategy sessions, and run-down of seemingly the entire human body by the various attendings. You will be required to give a total of four presentations throughout the year, which truly prepares one for speaking in a non-threatening scholarly environment. Also, once a month there will be a day-long conference on-site about various topics – you will be excused from your rotation for that day so you may attend and fill up on the scrumptious buffet. Genesys offers a multitude of experiences, allowing students to be very involved in patient care and their own education. Your third year will race by, and looking back you will appreciate how well Genesys prepared you for your fourth year and its potential out-rotations, and how confident you will be to face residency and the challenges ahead. Notes 44 Michigan Region Metro Health Hospital 5900 Byron Center, S.W. Wyoming, MI 49519 616.252.7200 or 800.968.0051 www.metrohealth.net Regional Assistant Dean Susan C. Sevensma, DO, FAODME Rotation Site Coordinator (Off-Site) Kathy Hall Genesys Regional Medical Center [email protected] Rotation Site Coordinator (On-Site) Julie Didion 5900 Byron Center, SW Wyoming, MI 49519 616.252.7419 616.252.0751 (fax) [email protected] One Genesys Parkway Room 2610 Grand Blanc, MI 48439 810.606.5620 [email protected] The Site The story of Metro Health Hospital dates back to 1942 when a group of West Michigan physicians pooled their resources to form the area’s first Osteopathic-teaching hospital. Osteopathic philosophy is the foundation upon which Metro Health Hospital was built. Over the years, Metro Health Hospital has expanded to a full-service health system serving the greater West Michigan area. Established in 1985, our 43-bed Assisted Breathing Center (ABC) was the state’s first acute care, hospital-based center for individuals who cannot breathe without the assistance of a ventilator. Metro Health Hospital moved to a brand new, state-of-theart facility in October 2007. The facility is the center of the 150-acre Metro Health Care Village. The facility is LEED (Leads in Energy Efficient Design). Metro Health Hospital has 13 Metro Health neighborhood out-patient centers. Together, 2,372 Metro Health Hospital employees, including neighborhood outpatient center employees, 506 DO’s and MD’s, and 350 volunteers, make up what we call the Metro Family. Site Statistics City Population Medical Staff Size of Hospital Admits 266,394 580 208 beds 9,346 In-patient Surgeries Out-patient Surgeries Deliveries ER Visits 2,996 8,067 1,929 64,280 Student Rotations Third and fourth year student rotations are scheduled through Metro Health Hospital. Internships None Residency Programs Emergency Medicine, Family Medicine, General Surgery, Integrated Family Medicine/NMM, Internal Medicine, Obstetrics & Gynecology, Otolaryngology & Facial Plastic Surgery, Orthopedic Surgery, and Urological Surgery, (all AOA accredited) Fellowship Programs Cardiology and Sports Medicine Frequently Asked Questions Describe didactics at your facility. There are daily didactics at 7 a.m. and noon. Other opportunities include journal club, research opportunities, and residency-specific education days including Statewide Campus System (SCS) programs, and workshops for students. How many students, interns, and residents are on a rotation? The number of students on a rotation varies. How often are students one-on-one with an attending or resident? A student may be one-on-one or may be assigned to a team. 45 Are students offered/encouraged to actively participate in procedures? Students are encouraged to participate to the level of their comfort and competence. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Metro is affiliated with Grand Rapids Medical Education Partners (GRMEP), which includes the other teaching hospitals in Grand Rapids (Spectrum Blodgett, Spectrum Butterworth, and St. Mary’s). We are also affiliated with MSU-COM and the hospitals that are part of the Statewide Campus System. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? There is a Level I trauma center in the city and available through our affiliation with Grand Rapids Medical Education Partners (GRMEP). What is the on-call policy for medical students? Students are on-call and are scheduled Monday through Thursday, two nights per month. Is there 24-hour access to the library and Internet resources? Is charting done electronically? Metro has implemented EPIC electronic medical record and it is fully integrated in the inpatient as well as outpatient settings that are part of Metro Health. Is there a food allowance and how much? Yes, base students receive a food allowance. Are pagers provided to students? Yes, all base students receive a pager for the duration of their time. Are lockers available for students to use? Lockers are assigned to base students. What unique qualities/opportunities does your facility have to offer? Metro Health Hospital is known for its family friendly working environment, highest standards in patient care, and cutting edge technology. Metro Health moved to a new hospital in the fall of 2007 on the campus of the Metro Health Care Village. The full integration of an electronic medical record for inpatient and outpatient care provides high quality patient care. Does your region have any Research Opportunities to offer? If so please describe. No information provided. Yes, the library has Metro ID badge card access 24/7 and computers are available. Computers are also available in the resident on-call lounges. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). It is also recommended you wear your white coat, as you will be touring in patient areas. When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) 46 Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information Grand Rapids combines the characteristics of a big city with the charm of a small town. The West Michigan area offers a growing, diversified economic base, four beautiful seasons, award-winning public and private schools and colleges. It also offers country, lakeside, urban, suburban, and historical housing. For entertainment, the area offers museums, opera, symphony, and ballet performances. The West Michigan area also offers professional baseball, basketball, hockey, and more. The Grand Rapids area offers wonderful shopping at its many indoor and outdoor malls. Nearest major airport Gerald R. Ford International Airport (GRR) is located approximately 10-12 miles from Metro Health Hospital Nearest expressway Metro Health Hospital is located off M-6 and may be easily accessed from US131, I-96, and I-196 Informational websites www.metrohealth.net www.visitgrandrapids.org www.grandrapids.org Student Typical Day 6 a.m.: For the General Surgery, Obstetrics/Gynecology and Pediatrics rotations, this will be the required starting time. Students will round on all service-specific patients assigned to them by the corresponding resident(s). 7 a.m.: This is the start time for the hour-long morning lecture. Lectures are given by attending or resident physicians from any medical specialty. Selected lectures may include topics pertaining to OMM, Family Medicine, Internal Medicine, Obstetrics/Gynecology, Pediatrics, Emergency Medicine, and General Surgery. 8 a.m.: Rotations, whether hospital-based or ambulatory, will generally begin at this time. Internal Medicine will begin to round on assigned patients. Students will be expected to write SOAP note after seeing/examining each patient, complete with formulating a proposed assessment and plan for the patient’s condition(s). After all of your assigned patients have been seen, you will round as a team (attending physician, resident, intern, student) on all patients under the care of your attending physician. Noon: Students will be required to attend the daily Noon lecture. In addition to the topics listed for the morning lecture, weekly topics from Cardiology and ICU will be presented from residents and attending physicians. 1 p.m.: Following Noon lecture, students will rejoin their team and return to rounding with the attending physician. Upon completion of rounding, responsibilities include checking on lab results, viewing results of imaging studies, assisting with procedures, and assisting with new hospital admissions. You may also wish to reassess your patient later in the afternoon, if necessary. Students are asked to stay and assist with “team” related issues until 5 p.m., after which time students are generally dismissed by the attending physician for the day. In addition to the typical day as described, students may be expected to attend activities outside of the typical workday. Specifically, students are often asked to attend journal club. Each service has its own unique journal club for the month. While students are not typically asked to present an article, students should review the article(s) and be familiar with the important concepts presented in it prior to arriving at the Journal Club. At Metro Health, students are required to take call twice monthly. When on-call, the student will work with the intern who is on for the night. The student should be available to assist with admissions and floor calls (or the assessment of females in labor, or help with the delivery and relevant paperwork, if on OB call) as assigned by your particular intern and/or the resident physician on-call for the evening. After being on-call, you will be asked to attend all morning activities relevant to your rotation and to attend Noon lecture. You are then free to leave for the day. Notes 47 Michigan Region Oakwood Southshore Medical Center 5450 Fort Street Trenton, MI 48183 734.671.3297 www.oakwood.org Regional Assistant Dean John E. Bodell, DO, FACOS Rotation Site Coordinator Rosalind Gerich Professor of Surgery 734.676.3575 [email protected] Medical Education Department 734.246.8789 734.246.8795 (fax) [email protected] The Site Oakwood Hospital – Southshore is located in southeast Michigan, a state where osteopathic medicine has been embraced for decades. Michigan boats nearly 4,000 osteopathic practitioners in 33 American Osteopathic Association (AOA) – accredited healthcare facilities. Oakwood Hospital – Southshore has more than 400 physicians, including more than 130 osteopathic physicians, as part of the experienced teaching faculty who welcomes the next generation of osteopathic practitioners. Oakwood Shoreshore Medical Center, a 193-bed community hospital, opened its doors to Trenton and surrounding communities over 40 years ago. A recipient of the Governor’s Award of Excellence for Improving Care in Hospital surgical and Emergency Department settings, OSMC provides comprehensive health care with a personal touch. Oakwood Southshore is part of the Oakwood Healthcare System that includes four hospitals and 44 outpatient facilities throughout southeast Michigan. The flagship hospital, Oakwood Hospital & Medical Center in Dearborn, has a long history of medical education providing a solid base of resources and experiences for Oakwood Southshore’s educational programs. The Oakwood system provides primary and tertiary care for a diverse population of more than 1.2 million people. We are committed to primary care and supporting wellness, education and enhancement of community health. Site Statistics City Population Medical Staff Size of Hospital Admits 418,562 418 193 beds 8,660 In-Patient Surgeries Out-Patient Surgeries Deliveries ER Visits 2,093 11,199 657 30,058 Student Rotations Rotations include a comprehensive range of clinical opportunities onsite and at select private practices. Internships Traditional Rotating Residency Programs Dermatology, Emergency Medicine, Family Medicine (AOA & ACGME accredited), General Surgery, Internal Medicine, Obstetrics, Gynecology, Ophthalmology & Diagnostic Radiology Possible Facilities Oakwood Southshore Medical Center 5450 Fort Street Trenton, MI 48183 734.671.3297 Base Hospital/Most rotations completed here. Advantage Family Health Center 4669 East Eight Mile Road Warren, MI 48091 Distance: 20 minutes Rotation: Rural/Underserved Family Medicine 48 Preceptor Based Rotations Private practice preceptors are located within the surrounding communities. Third Year pediatric rotation may be completed outside of base site with travel time approximately one hour. Third Year psychiatry rotation is completed with a private physician approximately one hour north of Southshore in Sterling Heights. Elective Opportunities OMM Clinic Oakwood Southshore Medical Center is geographically located in southeastern Michigan. Our location enables students to pursue elective rotations throughout Michigan and Toledo, Ohio within an hour’s drive. John Bodell, DO., KCOM Regional Assistant Dean 2871 West Road Trenton, MI 48183 Frequently Asked Questions Describe didactics at your facility. Monday-Friday 7:30 a.m. - 8:30 a.m. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Tuesdays Noon -1 p.m. Level II Trauma Center Academic Education Days/Lecture includes: 1st & 3rd Monday of the month: Dermatology; Tuesdays of each month: Internal Medicine topics; Tuesdays noon: Grand Rounds; 1st Wednesday: OMM; 2nd Wednesday: Trauma; 3rd Wednesday: Emergency Medicine; 4th Wednesday: Radiology; 1st Thursday: Surgery; 2nd Thursday: OB/GYN; 3rd Thursday: Tumor Board; 4th Thursday: Radiology; Fridays: Cardiology Suture Clinic-held monthly Rotation – specific lectures, journal clubs held on service KCOM journal club, oral case presentations and OMM sessions held monthly How many students, interns, and residents are on a rotation? The number of students placed on a rotation will vary according to the preceptor preference and the volume of the service. Depending on the service, there are usually one-two students and one intern or resident. How often are students one-on-one with an attending or resident? What is the on-call policy for medical students? Individual preceptors and departments dictate on-call schedules. Is there 24-hour access to the library and Internet resources? Students have 24-hour access to the library and Internet resources. The institution’s medical library houses a complete collection of references and electronic media, including online library catalog, databases, PubMed, MDConsult and many other continuing education resources. Is charting done electronically? Yes Is there a food allowance and how much? Yes, medical students are given a food allowance of $60 per month to be used in the hospital’s cafeteria. Are pagers provided to students? Yes The student may have the opportunity to be one-on-one with an attending throughout the rotation. Each service will vary. Are lockers available for students to use? Are students offered/encouraged to actively participate in procedures? Dedicated KCOM Regional Coordinator and Assistant Dean are available to guide students through every aspect of their medical education along with the support of the Oakwood Southshore Medical Education Staff. Definitely, students are strongly encouraged to be involved in each of their rotations and are able to participate in procedures. It is the student’s responsibility to be proactive and show interest. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Yes, the hospital is part of the Oakwood Healthcare System that includes four hospitals and 44 outpatient facilities throughout southeast Michigan. Other medical school affiliations are MSU, LECOM, Kansas City and visiting students from a diverse range of national programs. Yes What unique qualities/opportunities does your facility have to offer? Located in Southeast Michigan, a state where osteopathic medicine has been embraced for decades. Many training sites are within an hour’s drive. A 26,000 – square foot, $5 million project relocated 38 beds from elsewhere in the hospital, providing 14 surgical intensive care unit beds. 15 orthopaedic unit beds and 9 surgical unit beds- all private and complete with the latest technology and personal amenities. The campus recently completed a $64 million renovation and upgrade of the facility which includes technological upgrades together with five fully integrated surgical suites, private rooms, a new Emergency Department and a new auditorium for OSMC’s medical education program. 49 Fully digital mammography, PET/CT imaging services Advanced heart catheterization lab Oakwood Southshore continues to bring forth the latest in health services including emergency angioplasty procedures, PET/CT imaging, Picture Archiving and Communication System (PACS) – a computer based system that digitally processes and displays images, as well as state-of-the art 64 slice CT scanner. Students participate in monthly OMM Clinic allowing students to practice & enhance their OMM skills. Does your region have any Research Opportunities to offer? If so please describe. May be available on a limited basis. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information The Downriver community of Trenton was founded in 1834. Trenton's frontage on the Detroit River is an invaluable asset, and provides plenty of room for water recreation and for future industrial and commercial expansion. The large and prosperous city of Trenton is served by railroads, interstates, and a nearby major airport. Elizabeth Park, the oldest of the Wayne County parks, is located in the heart of Trenton. Boat, fish, or just enjoy the view of the region’s many rivers, channels, and lakes. Take time to visit the many museums or sporting events in the Detroit area. Sources for family fun include bicycling, boating, arts, museums, music, camping, cider mills, festivals and events, snowmobiling, cross-country skiing, golf, fishing or many of the other cultural sites to see in Michigan. Churches and places of worship are abundant in the area. There is a place of worship for everyone. From crayons to careers, the education system in SE Michigan offers a wide range of charter, public, private and parochial schools. Most school systems offer school-of-choice. Visit www.collegesearch24.com/mi/colleges to learn about colleges and universities in the area. 50 Average cost of housing A variety of housing options are readily available within close proximity to the hospital. The average apartment is available for lease in the range of $550/month and homes are available for rent in the $1,000 to $1,200/month range. The cost of purchasing a home is wide open depending on the size and location. An average home for sale is priced in the range of $130,000 to $200,000 and up. Most medical students, interns, residents and their families live in Trenton and the surrounding Downriver Communities. Please visit www.livingdownriver.com Nearest major airport Detroit Metropolitan International Airport (DTW) is approximately 30 minutes from the hospital. Nearest expressway The hospital is located near I-75, I-94, I-96, and I-275 Informational websites www.mlive.com (Everything Michigan) www.michigan.gov Student Typical Day Oakwood Southshore Medical Center offers students a wealth of educational opportunities. A caring and friendly atmosphere permeates the hospital. From the moment you enter the front door, you can sense the extreme dedication and commitment to the well-being of the patients. The teaching faculty is dedicated to providing quality clinical and didactic education to medical students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach. A recipient of the Governor’s Award of Excellence for Improving Care in Hospital Surgical and Emergency Department settings, OSMC provides comprehensive health care with a personal touch. The preceptors, residents, interns, KCOM Coordinator and Dean, as well as the Oakwood medical education staff are readily available to assist you throughout your clerkship every step of the way. Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 a.m. didactic lectures are held in the expansive and comfortable lecture hall. All students and residents are expected to attend while on service in the hospital. Grand Rounds are once a week lectures that are held over the lunch hour on a variety of topics and lunch is catered. The hospital is currently using an electronic medical records system that contains lab results, radiological images, and transcriptions of exams. Daily progress notes are completed in paper charts but will be fully electronic in the future. The Internal Medicine program provides excellent community based General Internal Medicine training. Students will gain an enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The program’s philosophy and approach to its students is the same – to teach in a humane, encouraging and friendly environment. Obstetrics & Gynecology: Students will be exposed to the different aspects of OB/GYN, including pre-, peri-, and post- partum care, gynecological surgery, and occasional office setting experiences. Students will attend OB/GYN daily didactics/signoff in addition to the scheduled morning lectures. The rotation also includes a week of night call and the student is often first or second assist on all procedures at this time. General Surgery rotation is geared to a hands-on approach with teaching in the operating suite and at the bedside. Students work closely with a core group of surgeons and have progressive responsibility as they gain knowledge and skill. This rotation requires more time, usually beginning with patient rounds before the morning lecture. Additionally students are asked to do some weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing techniques, trauma cases, intraoperative procedures, and Pre and Post-Op care. Family Medicine: Students will work in office settings to develop skills necessary for diagnosis and management of a vast array of pathologies. Rural/Underserved Family Medicine rotation is completed at a community health center serving the indigent population of Detroit. The pathologies and presentation of patients will be a strong contrast to those encountered in the base hospital and clinics. While on Pediatrics rotation, you will work in an office setting and be exposed to patients from newborn to young adult. Students will develop the skills required to perform an exam on a pediatric patient and gain knowledge on the care and management of common illness and disease. The Psychiatry clerkship consists of primary inpatient experience. The student will complete an in-patient psychiatry rotation that provides opportunities to sit in on group therapy, one-on-one sessions, as well as allowing the student to interview patients on their own to develop rapport. This rotation will be completed at Henry Ford Wyandotte. The student will work closely with residents during Diagnostic Radiology, reading a variety of radiological images. The student will also be able to participate in some interventional radiology procedures. Students are expected to attend the department’s inservice didactic sessions. 51 Anesthesia: Students will observe and participate in the pre-op evaluation of a patient, insertion of artificial airways, intraoperative management of anesthetic, post-operative care, and regional anesthetic techniques. Osteopathic Manipulative Medicine includes monthly OMM lectures and workshops. Opportunities are available daily in the hospital and clinic to provide OMM care for patients at the student and faculty’s discretion. Students also participate in a monthly outpatient OMM Clinic serving the downriver population. While this is just a brief description of some of the rotations, each rotation offers the opportunity for a student to gain knowledge and experience in each field. At Oakwood Southshore Medical Center medical students are welcomed with opened arms and will feel like a part of the health care team the moment they step into the hospital. Third Year & Fourth Year rotations are hospital based or preceptor based with travel time five to twenty minutes. Student feedback regarding site: “This is a great location that is close to Ann Arbor, Cleveland, Detroit and Toledo. There are also a lot of AOA residency sites near this area.” “The attendings are generally really nice and interested in teaching students. The interns are all very helpful and approachable.” “In my opinion the hospital is not too big and not too small.” “Osteopathy is well represented at Southshore. This is a nice thing to encounter everyday as a DO student.” “Southshore’s daily a.m. didactics are a great way to keep up on topics and stay connected with other students.” “Southshore has an outstanding reputation in the community, the doctors are great educators, and the didactics are unmatched.” “I chose it because it was a smaller hospital with an ER residency program and plenty of Family Medicine opportunities in the area.” Notes 52 Michigan Region St. John Macomb-Oakland Hospital-Macomb Center 11800 E. 12 Mile Road Warren, MI 48093 248.967.7795 Opt. 1 www.stjohnprovidence.org/Macomb-Oakland Director Student Medical Education Rotation Site Coordinator (Off-Site) Rafael Barretto, DO Rosalind Gerich Medical Education Department 734.246.8789 734.246.8795 (fax) [email protected] Rotation Site Coordinator (On-Site) Melissa Rassey 248-967-7795 Option 1 248-967-7794 (fax) [email protected] The Site St. John Macomb-Oakland Hospital, Macomb Center, is a 376-bed facility offering a full array of medical and surgical specialties, including Centers of Excellence in cardiovascular services, including open heart surgery, cancer care, and neurosciences. We offer a wide range of inpatient and outpatient services, including Physical Medicine and Rehabilitation, Women’s Health and cancer treatment through our Webber Cancer Center. St. John Macomb-Oakland Hospital, Macomb Center has earned the prestigious three-star rating from the Society of Thoracic Surgeons and is an Accredited Chest Pain Center with Percutaneous Coronary Intervention. The hospital is an Advanced Primary Stroke Center, and has been recognized as a Blue Cross Blue Shield Blue Distinction Center for joint replacement, spine, and cardiovascular services. St. John Macomb Hospital and St. John Oakland Hospital merged in 2007, and is now known as St. John Macomb-Oakland Hospital – one hospital, two campuses, 535 beds, 3,436 nurses and associates, 600 volunteers, 195 residents and more than 1,200 physicians in over 45 specialties; and a sister site to St. John Health's Riverview Center and Conner Creek Campus. St. John Macomb-Oakland Hospital features two campuses to conveniently serve patients: Whether at the Macomb Center or the Oakland Center, St. John Macomb-Oakland Hospital will continue to deliver state-of-the art health care in an environment of respect and compassion. Site Statistics City Population Medical Staff Size of Hospital Admits 134, 873 combined staff of 1200 376 beds 20,460 In-Patient Surgeries Out-Patient Surgeries Deliveries ER Visits 3848 5960 1354 50,599 Student Rotations Rotations include a comprehensive range of clinical opportunities onsite and at select private practices. Internships Traditional Rotating Residency Programs Emergency Medicine*, General Surgery*, Internal Medicine, Ob/Gyn, Podiatry, Interventional Cardiology Fellowship, Cardiology Fellowship, Gastroenterology Fellowship*, Hematology/Oncology Fellowship, Nephrology Fellowship *Also available at the Oakland Campus 53 Possible Facilities Hospitals St. John Macomb-Oakland Hospital, Oakland Campus Preceptor Based Rotations Private practice preceptors are located within the surrounding communities within 40 minutes from the hospital. Elective Opportunities St. John Macomb-Oakland Hospital is geographically located in southeastern Michigan. Our location enables students to pursue elective rotations throughout Michigan and Toledo, Ohio within an hour’s drive. Frequently Asked Questions Describe didactics at your facility. Students are required to attend daily morning and afternoon lectures. Students will also be required to participate in a day-long didactics on a monthly basis and the didactics of the service they are rotating on. How many students, interns, and residents are on a rotation? The number of students placed on a rotation will vary according to the preceptor preference and the volume of the service. Depending on the service, there are usually one-two students and one intern or resident. How often are students one-on-one with an attending or resident? Is there 24-hour access to the library and Internet resources? Students have 24-hour access to the library and Internet resources. Collection includes approximately 2,000 book titles and 100 journal print titles. Electronic resources include library catalog, Medline, MD Consult, First Consult, UpToDate, Health Business Elite, New England Journal of Medicine, Access Medicine, Access Surgery, Internet access, Micromedix, Cinahl, JAMA & the archives and several hundred full text journals and books. Is charting done electronically? Yes Is there a food allowance and how much? The student may have the opportunity to be one-on-one with an attending throughout the rotation. Each service will vary. Yes, $200/month Are students offered/encouraged to actively participate in procedures? Are lockers available for students to use? Definitely, students are strongly encouraged to be involved in each of their rotations and are able to participate in procedures. It is the student’s responsibility to pursue and show interest. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? St. John Macomb-Oakland Hospital, Oakland Campus, St. John Providence Hospital and St. John Hospital and Medical Center. Michigan State University, Kansas City University and Des Moines University. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Trauma level 3. No opportunity to rotate at a Level 1. What is the on-call policy for medical students? Individual preceptors and departments dictate on-call schedules. 54 Are pagers provided to students? Yes No What unique qualities/opportunities does your facility have to offer? An Advanced Primary Stroke Center certified nationally by the Joint Commission. Audiology Cardiac Care Childbirth Services da Vinci Robotic Surgical System Emergency Care Eye Surgery Center of Michigan Interventional Radiology Joint Replacement Neurological Recovery Systems Physical Medicine and Rehabilitation Podiatry and Podiatric Surgery Webber Cancer Center Webber Healing Arts Center Does your region have any Research Opportunities to offer? If so please describe. Yes, students have the opportunity to participate in ongoing and new research. The Head of Research will facilitate the opportunities. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information Nearby Attractions include: Chene Park, an outdoor site featuring a seawall, walkways and a riverside amphitheater, Greektown, Detroit’s liveliest entertainment district, Detroit-Windsor Tunnel, one of two vehicular international sub-aqueous border crossings in the world, Ford Field, Home of the Detroit Lions, Palace of Auburn Hills, home of the Detroit Pistons, Joe Louis Arena, home of the Detroit Red Wings, Comerica Park, home of the Detroit Tigers,Cobo Hall Conference/Exhibition Center, General Motors World Headquarters, Detroit Institute of Art, Belle Isle Park, one of the most unique urban parks with the only public beach in Detroit along the Detroit River, Theatre District and the magnificently restored Fox and Gem Theaters, Henry Ford Museum and Greenfield Village and Detroit Metro Airport. Average cost of housing A variety of housing options are readily available within close proximity to the hospital. The average apartment is available for lease in the range of $550/month and homes are available for rent in the $1,000 to $1,200/month range. The cost of purchasing a home is wide open depending on the size and location. An average home for sale is priced in the range of $130,000 to $200,000 and up. Most medical students, interns, residents and their families live in Royal Oak, Ferndale, Madison Heights, Warren and the surrounding communities. Nearest major airport Detroit Metropolitan International Airport (DTW) is approximately 45 minutes from the hospital. Nearest expressway The hospital is located near I-696, I-75 and I-94. Informational websites www.mlive.com (Everything Michigan) www.michigan.gov 55 Student Typical Day St. John Macomb-Oakland Hospital offers students a wealth of educational opportunities. A caring and friendly atmosphere permeates the hospital. From the moment you enter the front door, you can sense the extreme dedication and commitment to the well-being of the patients. The teaching faculty is dedicated to providing quality clinical and didactic education to medical students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach. Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 and at 12 noon, didactic lectures are held in the Macomb Medical Education Building Classroom. All students and residents are required to attend while on service in the hospital. In addition to the daily didactics requirements, students are also required to attend a day-long didactics session on a monthly basis and attend the didactics of the service they are rotating on. The hospital is currently using an electronic medical records system that contains lab results, radiological images, and transcriptions of exams. The Internal Medicine program provides excellent community based General Internal Medicine training. Students will gain an enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The site has 2 inpatient Internal Medicine services available for the students to rotate on. Students will work closely with attending physicians and residents while rotating on Internal Medicine. The program’s philosophy and approach to its students is the same – to teach in a humane, encouraging and friendly environment. Obstetrics & Gynecology: All students will complete their OB/GYN rotations at the Macomb Campus. Students will be exposed to the different aspects of OB/GYN, including pre-, peri-, and post-partum care, gynecological surgery and office setting experiences. Students will attend OB/GYN daily morning didactics. The rotation also includes a week of night call and the student is often first or second assist on all procedures at this time. Students are expected to give presentations while on this service. Students will work closely with attending physicians and residents while rotating on OB/GYN. General Surgery rotation is geared to a hands-on approach with teaching in the operating suite and at the bedside. Students work closely with a core group of surgeons and the residency program, and have progressive responsibility as they gain knowledge and skill. This rotation requires more time, usually beginning with patient rounds before the morning lecture. Additionally students are asked to do some weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing techniques, trauma cases, intra-operative procedures, and Pre- and Post-Op care. Family Medicine: Students will work in office settings to develop skills necessary for diagnosis and management of a vast array of pathologies. Rural/Underserved Family Medicine rotation is completed at a community health center serving the indigent population of Detroit. The pathologies and presentation of patients will be a strong contrast to those encountered in the base hospital and clinics. While on Pediatrics rotation, you will work in an office setting and be exposed to patients from newborn to young adult. Students will develop the skills required to perform an exam on a pediatric patient and gain knowledge on the care and management of common illness and disease. The Psychiatry clerkship consists of primary inpatient experience. The student will complete an in-patient psychiatry rotation that provides opportunities to sit in on group therapy, one-on-one sessions, ECT, as well as allowing the student to interview patients on their own to develop rapport. The student will work closely with attending physicians during Diagnostic Radiology, reading a variety of radiological images. Students are expected to give presentations while on this service. Anesthesia: Students will observe and participate in the pre-op evaluation of a patient, insertion of artificial airways, intraoperative management of anesthetic, post-operative care, and regional anesthetic techniques. Osteopathic Manipulative Medicine includes monthly OMM lectures. Opportunities are available daily in the hospital and clinic to provide OMM care for patients at the student and faculty’s discretion. Notes 56 Michigan Region St. John Macomb-Oakland Hospital-Oakland Center 27351 Dequindre Madison Heights, MI 48071 248.967.7795 Opt. 1 www.stjohnprovidence.org/Oakland Director Student Medical Education Rotation Site Coordinator (Off-Site) Rafael Barretto, DO Rosalind Gerich Medical Education Department 734.246.8789 734.246.8795 (fax) [email protected] Rotation Site Coordinator (On-Site) Melissa Rassey 248-967-7795 Option 1 248-967-7794 (fax) [email protected] The Site St. John Macomb-Oakland Hospital, Oakland Center, is a 261-bed acute care, osteopathic teaching hospital. With a 400member medical staff, St. John Macomb-Oakland Hospital, Oakland Center, offers more than 35 medical and surgical specialties, with a focus on advanced diagnostics and treatment for cancer, cardiac, psychiatric and aging patients. The hospital also features a Sleep Disorders Clinic that diagnoses and treats people with sleeping problems and related illnesses such as sleep apnea. The Oakland Center offers a full range of adult medical and surgical services provided by board-certified physicians with a majority having university appointments. They conduct medical research as part of university-directed programs in family practice, emergency medicine, otolaryngology, gastroenterology, orthopedics, urology, ophthalmology, and cardiovascular care. St. John Macomb Hospital and St. John Oakland Hospital merged in 2007, and is now known as St. John Macomb-Oakland Hospital – one hospital, two campuses, 535 beds, 3,436 nurses and associates, 600 volunteers, 195 residents and more than 1,200 physicians in over 45 specialties; and a sister site to St. John Health's Riverview Center and Conner Creek Campus. Whether at the Macomb Center or the Oakland Center, St. John Macomb-Oakland Hospital will continue to deliver state-of-the art health care in an environment of respect and compassion. Site Statistics City Population Medical Staff Size of Hospital Admits 29,694 combined staff of 1200 261 beds 7604 In-Patient Surgeries Out-Patient Surgeries Deliveries ER Visits 1426 3424 no birthing center 31,214 Student Rotations Rotations include a comprehensive range of clinical opportunities onsite and at select private practices. Internships Traditional Internship Residency Programs Emergency Medicine*, Family Medicine, General Surgery*, Internal Medicine*, Neurology, Ophthalmology, Orthopedic Surgery, Otolaryngology/Facial Plastic Surgery, Urologic Surgery, Gastroenterology Fellowship, Otolaryngic Allergy Fellowship *Also available at the Macomb Campus 57 Possible Facilities Hospitals Elective Opportunities St. John Macomb-Oakland Hospital, Macomb Campus St. John Macomb-Oakland Hospital is geographically located in southeastern Michigan. Our location enables students to pursue elective rotations throughout Michigan and Toledo, Ohio within an hour’s drive. Preceptor Based Rotations Private practice preceptors are located within the surrounding communities within 40 minutes from Frequently Asked Questions Describe didactics at your facility. Students are required to attend daily morning and afternoon lectures. Students will also be required to participate in a day-long didactics on a monthly basis and the didactics of the service they are rotating on. How many students, interns, and residents are on a rotation? The number of students placed on a rotation will vary according to the preceptor preference and the volume of the service. Depending on the service, there are usually one-two students and one intern or resident. How often are students one-on-one with an attending or resident? The student may have the opportunity to be one-on-one with an attending throughout the rotation. Each service will vary. Are students offered/encouraged to actively participate in procedures? Definitely, students are strongly encouraged to be involved in each of their rotations and are able to participate in procedures. It is the student’s responsibility to pursue and show interest. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? St. John Macomb-Oakland Hospital, Oakland Campus, St. John Providence Hospital and St. John Hospital and Medical Center. Michigan State University, Kansas City University and Des Moines University. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Trauma level 3. No opportunity to rotate at a Level 1. What is the on-call policy for medical students? Individual preceptors and departments dictate on-call schedules. Is there 24-hour access to the library and Internet resources? Students have 24-hour access to the library and Internet 58 resources. Collection includes approximately 4,500 book titles and 200 journal print titles. Electronic resources include 5,00 full-text books, 4,600 full-text journals, Access Emergency Medicine, Access Medicine, Access Surgery, Allied & Complementary Medicine, CINHAL, CynaMED, Health Business Elite, OVID MEDLINE with LWW FullText Journals, MD Consult, ProceduresConsult (Anesthesia, Emergency medicine, Family Medicine, Internal Medicine, Surgery), PUBMED with EBSCO Fulltext journal, Thieme E-book Library, Springer E-book, UpToDate. Is charting done electronically? Yes Is there a food allowance and how much? Yes, $200 per month. Are pagers provided to students? Yes Are lockers available for students to use? No What unique qualities/opportunities does your facility have to offer? An Advanced Primary Stroke Center certified nationally by the Joint Commission. Audiology Cardiac Care Childbirth Services da Vinci Robotic Surgical System Emergency Care Eye Surgery Center of Michigan Interventional Radiology Joint Replacement Neurological Recovery Systems Physical Medicine and Rehabilitation Podiatry and Podiatric Surgery Webber Cancer Center Webber Healing Arts Center Dedicated Off-Site KCOM Regional Coordinator is available to guide students through every aspect of their medical education along with the support of the St. John Macomb-Oakland Hospital Medical Education Staff. Does your region have any Research Opportunities to offer? If so please describe. Yes, students have the opportunity to participate in on- going and new research. The Head of Research will facilitate the opportunities. Site Visits What is the site visit protocol at your site? Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately and professionally, (no jeans, sandals, etc.). When are site visits scheduled? The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC. The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are subject to change. The tours will take place as follows: Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m. Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m. Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m. St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m. St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m. DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only) DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only) Who should students contact to set up site visits? Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, [email protected], or [email protected] for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be sent to each student who signs up for a tour. Area Information Nearby Attractions include: Chene Park, an outdoor site featuring a seawall, walkways and a riverside amphitheater, Greektown, Detroit’s liveliest entertainment district, Detroit-Windsor Tunnel, one of two vehicular international sub-aqueous border crossings in the world, Ford Field, Home of the Detroit Lions, Palace of Auburn Hills, home of the Detroit Pistons, Joe Louis Arena, home of the Detroit Red Wings, Comerica Park, home of the Detroit Tigers,Cobo Hall Conference/Exhibition Center, General Motors World Headquarters, Detroit Institute of Art, Belle Isle Park, one of the most unique urban parks with the only public beach in Detroit along the Detroit River, Theatre District and the magnificently restored Fox and Gem Theaters, Henry Ford Museum and Greenfield Village and Detroit Metro Airport. Average cost of housing A variety of housing options are readily available within close proximity to the hospital. The average apartment is available for lease in the range of $550/month and homes are available for rent in the $1,000 to $1,200/month range. The cost of purchasing a home is wide open depending on the size and location. An average home for sale is priced in the range of $130,000 to $200,000 and up. Most medical students, interns, residents and their families live in Royal Oak, Ferndale, Madison Heights, Warren and the surrounding communities. Nearest major airport. Detroit Metropolitan International Airport (DTW) is approximately 45 minutes from the hospital. Nearest expressway The hospital is located near I-696, I-75 and I-94 59 Informational websites www.mlive.com (Everything Michigan) www.michigan.gov Student Typical Day St. John Macomb-Oakland Hospital offers students a wealth of educational opportunities. A caring and friendly atmosphere permeates the hospital. From the moment you enter the front door, you can sense the extreme dedication and commitment to the well-being of the patients. The teaching faculty is dedicated to providing quality clinical and didactic education to medical students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach. Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 and at noon, didactic lectures are held in Classroom #2. All students and residents are required to attend while on service in the hospital. In addition to the daily didactics requirements, students are also required to attend a day-long didactics session on a monthly basis and attend the didactics of the service they are rotating on. The hospital is currently using an electronic medical records system that contains lab results, radiological images, and transcriptions of exams. The Internal Medicine program provides excellent community based General Internal Medicine training. Students will gain an enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The site has 2 inpatient Internal Medicine services available for the students to rotate on. Students will work closely with attending physicians and residents while rotating on Internal Medicine. The program’s philosophy and approach to its students is the same – to teach in a humane, encouraging and friendly environment. Obstetrics & Gynecology: All students will complete their OB/GYN rotations at the Macomb Campus. Students will be exposed to the different aspects of OB/GYN, including pre-, peri-, and post-partum care, gynecological surgery and office setting experiences. Students will attend OB/GYN daily morning didactics. The rotation also includes a week of night call and the student is often first or second assist on all procedures at this time. Students are expected to give presentations while on this service. Students will work closely with attending physicians and residents while rotating on OB/GYN. General Surgery rotation is geared to a hands-on approach with teaching in the operating suite and at the bedside. Students work closely with a core group of surgeons and the residency program, and have progressive responsibility as they gain knowledge and skill. This rotation requires more time, usually beginning with patient rounds before the morning lecture. Additionally students are asked to do some weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing techniques, trauma cases, intra-operative procedures, and Pre- and Post-Op care. Family Medicine: Students will work in office settings to develop skills necessary for diagnosis and management of a vast array of pathologies. Rural/Underserved Family Medicine rotation is completed at a community health center serving the indigent population of Detroit. The pathologies and presentation of patients will be a strong contrast to those encountered in the base hospital and clinics. While on Pediatrics rotation, you will work in an office setting and be exposed to patients from newborn to young adult. Students will develop the skills required to perform an exam on a pediatric patient and gain knowledge on the care and management of common illness and disease. The Psychiatry clerkship consists of primary inpatient experience. The student will complete an in-patient psychiatry rotation that provides opportunities to sit in on group therapy, one-on-one sessions, ECT, as well as allowing the student to interview patients on their own to develop rapport. The student will work closely with attending physicians during Diagnostic Radiology, reading a variety of radiological images. Students are expected to give presentations while on this service. Anesthesia: Students will observe and participate in the pre-op evaluation of a patient, insertion of artificial airways, intraoperative management of anesthetic, post-operative care, and regional anesthetic techniques. Osteopathic Manipulative Medicine includes monthly OMM lectures. Opportunities are available daily in the hospital and clinic to provide OMM care for patients at the student and faculty’s discretion. Notes 60 Missouri Region Missouri Sites SoutheastHEALTH Cape Girardeau Northeast Regional Medical Center Kirksville Saint Francis Hospital Cape Girardeau Phelps County Medical Center Rolla Mineral Area Regional Medical Center Farmington CoxHealth Springfield Parkland Health Center Farmington Mercy Health System Springfield Capital Region Medical Center Jefferson City Mosaic Life Care St. Joseph Freeman Health System Joplin Christian Hospital Northeast St. Louis Mercy Health Systems Joplin Des Peres Hospital St. Louis Twin Rivers Regional Medical Center Kennett Ozarks Medical Center West Plains Regional Map About Missouri Capital Jefferson City Est. population 6,044,171 – ranked the 18th largest state in the country in 2013 Land area 68,898 mi2 Largest cities Kansas City, St. Louis, Springfield, Independence, and Columbia Surrounding states Arkansas, Illinois, Iowa, Kansas, Kentucky, Tennessee, Nebraska, and Oklahoma 61 Missouri AHEC Overview The Missouri AHEC system is part of the national AHEC network. The Area Health Education Centers (AHEC) program was developed by Congress in 1971 to recruit, train and retain a health professions workforce committed to underserved populations. The AHEC program helps bring the resources of academic medicine to address local community health needs. The strength of the AHEC Network is its ability to creatively adapt national initiatives to help address local and regional healthcare issues. AHECs provide community placements, service learning opportunities and clinical experiences for medical, dental, physician assistant, nursing, pharmacy and allied health students in rural and urban underserved communities. AHEC placements give students the opportunity to experience health care in a real world setting far removed from their health science centers. Students interact one-on-one with a rich variety of patients including those in rural settings, community health centers, county health departments, homeless clinics, local practitioner’s offices and other community primary care sites. Students learn firsthand about economic and cultural barriers to healthcare and the specific needs of socially, culturally, ethnically diverse and underserved populations. AHECs, with their linkages to local community resources and organizations, are uniquely qualified to facilitate these placements. Current research has shown that health care professions students who have participated in these experiences have a better understanding of the complex needs of underserved communities. They are also motivated to provide additional community services and set up practices in underserved areas after graduation. The Missouri AHEC System is a health care workforce development initiative which: 1) provides health careers exploration programs for youth, 2) works with communities to improve the practice environments and, most important in this context, 3) supports clinical training for health professions students. The Missouri AHEC System includes three medical schools: ATSU-KCOM, The University of Missouri at Columbia and Saint Louis University and seven community-based offices (centers) serving specific geographic regions of the state. Resources from the three sponsoring medical schools and local educational institutions/programs are shared at regional clinical training sites to provide excellent training opportunities for students. Students in Missouri sites have opportunities to request rotations in a variety of AHEC-affiliated sites around the state. Sites currently coordinated by AHEC staff include: NORTHEAST MISSOURI (NEMO) AHEC KCOM Program Office - Northeast Regional Medical Center – Kirksville MID-MISSOURI (MID-MO) AHEC Capital Region Medical Center – Jefferson City Phelps County Medical Center – Rolla NORTHWEST MISSOURI (NWMO) AHEC Mosaic Life Care – St. Joseph SOUTHEASTERN MISSOURI (SEMO) AHEC SoutheastHEALTH/Saint Francis Hospital – Cape Girardeau Mineral Area Regional Medical Center/Parkland Health Center – Farmington Twin Rivers Regional Medical Center – Kennett Ozarks Medical Center – West Plains SOUTHWEST MISSOURI (SWMO) AHEC Mercy Health System – Joplin CoxHealth/Mercy Health System – Springfield The KCOM sites at Christian Hospital Northeast and Des Peres Hospital in St. Louis; and Freeman Health System in Joplin are coordinated through the hospital’s Medical Education office and function more like independent sites in other regions. 62 Missouri Region Cape Girardeau - SoutheastHEALTH Saint Francis Medical Center SEMO AHEC 1701 Lacey Street Cape Girardeau, MO 63701 573.334.4822 or fax 573.651.5832 www.sehealth.org 211 Saint Francis Drive Cape Girardeau, MO 63701 573.331.3000 or fax 573.651.5832 www.sfmc.net Director of Student Medical Education Matt Shoemaker, DO Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 [email protected] Rotation Site Coordinator (On-Site) Cindy Robinett SEMO AHEC 506D Hazel Street Poplar Bluff, MO 63901 573.785.2444 ext. 3 573.785.5568 (fax) [email protected] Sandra Ortiz, Executive Director SEMO AHEC [email protected] The Site Students training at the Cape Girardeau site will work mainly with two local hospitals: SoutheastHEALTH and Saint Francis Medical Center. Rotations may also be done at Missouri Delta Medical Center in Sikeston, MO. SoutheastHEALTH is a far-reaching network of providers and facilities including Southeast Hospital in Cape Girardeau, Mo., which provides a regional system of healthcare services throughout a multi-state area. SoutheastHEALTH serves patients in southeast Missouri, as well as residents in parts of southern Illinois, western Kentucky and northern Arkansas. SoutheastHEALTH has multiple campuses and facilities, such as HealthPoint Fitness in Cape Girardeau and Jackson, Southeast Home Health, Southeast Hospice and Southeast Endocrinology at Doctors’ Park, and Southeast Medical Plaza with locations on Broadway and Mount Auburn Road. In February 2011, the new Southeast Cancer Center, the largest construction project in the health system’s history, opened on SoutheastHEALTH’s West Campus. In addition, SoutheastHEALTH operates satellite outpatient Cardiac Rehab services in Sikeston and Dexter, Mo., and the SoutheastHEALTH Center of Ripley County in Doniphan, Mo., and its associated family clinic. Southeast's specialized centers of care include: Southeast Heart Center, Southeast Cancer Center, Southeast Brain and Spine Center, Center for Women and Children’s Services, Emergency Services, Orthopedics and Joint Replacement Center. Each year, tens of thousands of patients see the difference at SoutheastHEALTH in technology, services and care. Saint Francis Medical Center is a 280-bed facility serving more than 650,000 people throughout Missouri, Illinois, Kentucky, Tennessee and Arkansas. Their major service lines, which have received national recognition, include the Neurosciences Institute; Orthopedic Institute; Family BirthPlace, featuring the region’s first Level III Neonatal Intensive Care Unit; Heart Hospital; Level III Emergency and Trauma Center with Convenient Care; Cancer Institute; and Fitness Plus. They recently completed the construction of a 208,000-square-foot combined Heart Hospital and Cancer Institute, where patients have access to advanced treatments and technology – under one convenient roof. Saint Francis Medical Center has been named one of the top 100 “Best Places to Work in Healthcare” by Modern Healthcare magazine for the fifth consecutive year – an honor no other employer/hospital in Missouri has achieved. The prestigious program is open to companies across the healthcare industry – hospitals, service companies, suppliers, payers and others – with at least 25 employees. Missouri Delta Medical Center is a popular site for surgery rotations. While general surgery rotations in Cape Girardeau are great general surgery rotations, they are just that…general surgery. Mostly gall bladder, appendectomies and other general surgeries. Students who complete their general surgery rotations at Missouri Delta participate in a variety of surgeries including but not limited to ENT, Cardio, and Ortho. Missouri Delta Medical Center also offers the latest in spine surgery with the addition of the PARE Minimally Invasive Neurospine Institute, led by Joel W. Ray, MD, FACS, a neurosurgeon with Cape Neurosurgical Associates, PC, in Cape Girardeau, MO. Providing the latest in surgical innovations, Dr. Ray and the medical 63 center’s team of qualified healthcare professionals can help reduce pain associated with back and spinal conditions through minimally invasive techniques. Rotations with Dr. Ray/Neurosurgery are only available as 4th year electives. Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to the student. Students with a strong interest in Poplar Bluff Regional Medical Center may have the opportunity to complete multiple rotations at this site with the appropriate approval of the regional staff by contacting the Rotation Site Coordinator, Cindy Robinett. Possible Facilities Size of Hospital Admits Surgeries Deliveries ER Visits SoutheastHEALTH 1701 Lacey Street Cape Girardeau, MO 63701 573.334.4822 www.sehealth.org Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits 212 266 beds 11,487 8,002 1,273 37,690 211 St. Francis Drive Cape Girardeau, MO 63701 573.331.3000 www.sfmc.net City Population Medical Staff 38,544 204 Student Rotations Missouri Delta Medical Center 1008 North Main Street Sikeston, MO 63801 573.471.1600 www.missouridelta.com City Population Medical Staff Size of Hospital Admits Surgeries Deliveries ER Visits Local DME Saint Francis Medical Center 258 beds 10,364 8,462 681 35,125 16,330 53 186 beds 5,375 4,856 524 17,241 Jennifer Waller, MD All rotations are completed one-on-one with preceptors. Students get a variety of both inpatient and outpatient rotations. At this site all preceptors work with students on a volunteer basis and do so because they enjoy working with students. Physicians are never “required” to take students. They do so because they want to give back to their profession and a community in which they have chosen to live and raise their family. Frequently Asked Questions Describe didactics at your facility. Preceptor lectures, CMEs, journal club, and student case conferences are provided. Student case conferences are monthly (except in summer months), and a schedule of lectures and CMEs is provided annually. Students do morning rounds with attendings and are often given reading assignments. Overnight ER experiences are also provided as part of the Cape didactic schedule. How many students, interns, and residents are on a rotation? Cape Girardeau only hosts medical students. How often are students one-on-one with an attending or resident? Students are always one-on-one with an attending physician. Medical students do not have to compete with interns and residents for procedures and assisting in surgeries and obstetrics. 64 Are students offered/encouraged to actively participate in procedures? This is one of the best parts of completing your clinical training in a smaller community. Students are allowed to participate in many procedures. When students complete their Obstetrics/Gynecology rotations, they are allowed to deliver babies. Students can serve as first assist in surgeries as there are no interns/residents at this site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? There are two independent private hospital facilities in this training site, SoutheastHEALTH and Saint Francis Medical Center. They are linked by the Cape Girardeau Area Medical Society whose member physicians serve as preceptors for student training. Medical schools that send students to this site include: KCOM in Kirksville, KCUMB in Kansas City, University of Missouri-Columbia, and UMKC in Kansas City. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Saint Francis has a Level III trauma center. There are no Level I trauma centers in this region. Students who would like to rotate at a Level I trauma center may complete an ER rotation at one of the many hospitals with which ATSU has affiliation agreements. What is the on-call policy for medical students? The on-call policy varies by rotation. Most rotations do not have night call. Students with strong interests in surgery, OB/GYN and other specialties which have a lot of call may talk with individual physicians and be put on the call lists to be called in for “interesting cases”. Is there 24-hour access to the library and Internet resources? Yes. Students are given their own usernames and passwords to access resources at any time of the day or night. Is charting done electronically? Yes Is there a food allowance and how much? Courtesy meals are provided in the doctors’ lounges at both hospitals. Are pagers provided to students? No. Most preceptors use cell phones and take student cell phone numbers as well as give students their cell phone numbers. Are lockers available for students to use? Students are given access to the doctor’s lounge which is a locked, secure area, but lockers are not provided. What unique qualities/opportunities does your facility have to offer? The Cape Girardeau County Area Medical Society sponsors the students to attend all Symposiums sponsored by the medical society. The medical society also sponsors the student’s attendance at the monthly meetings which are held at one of the finer restaurants in town. Additionally the medical society publishes a monthly newsletter and includes all medical students written case studies. Both hospitals are expanding at an astonishing rate. Cape Girardeau is the ‘medical hub’ for southeast Missouri with a wide range of sub-specialties. Both hospitals are very competitive which makes for better medical care for patients and outstanding training for medical students. The Cape Girardeau sites give students the hands on and oneon-one training as well as an excellent preceptor base of primary care and specialty rotations. Does your region have any Research Opportunities to offer? If so please describe. Cape Girardeau is not a major research site. However, physicians will occasionally involve students in research projects. Site Visits When are site visits scheduled? Site visits can be scheduled at almost any time except for holidays. Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator, Cindy Robinett, at 573.785.2444 Ext 3. What is the site visit protocol at your site? Students must contact the Rotation Site Coordinator at least two weeks before the planned visit. The coordinator will make arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will be considered, but may not be able to be arranged due to time constraints. Area Information Offering many modern amenities including retail shops, malls, over 100 restaurants, cinemas, water slides, go-cart tracks, and much more, visitors to this community never lack for things to do. Home to Southeast Missouri State University, the Cape Girardeau community enjoys many musical, theatrical, and visual art exhibitions at the “Show Me Center” as well as at the “River Campus Performing Arts Center” on the college campus which brings in major comedy acts, bands, along with Division 1AA athletics. Also known for its wealth of fishing, parks, and other types of recreational areas, it is an area of impressive natural history and beauty and the National Trail of Tears State Park is nearby. Additionally, his river community is often frequented by visits from the Delta Queen Steamboat Company. Visit www.capechamber.com for more community information. Via I-55, Cape Girardeau is less than two hours south of St. Louis, a major metropolitan area with a wealth of activities, sports events, shopping, and restaurants. The Missouri Delta Medical Center is located in Sikeston, a rural farming community with over 17,000 people. Sikeston offers the Annual Jaycee Bootheel Rodeo along with the Redneck Barbecue in August and the Cotton Carnival in September. The 65 community has also long been known as the “Home of the Throwed Rolls” because of the famous Lambert’s Café. There are many more community events that take place throughout the year. To learn more about Sikeston, please look on the web at www.sikeston.net. Average cost of housing Rental units range from $400-$650 per month; houses range from $100,000 to $150,000, although nice smaller homes can be found for under $90,000. This is a major benefit to training in southeast Missouri. Nearest major airport Cape Girardeau Regional Airport (CGI). Memphis International Airport (MEM) and Lambert-St. Louis International Airport (STL) are each approximately a two to three hour drive time. Nearest expressway Cape Girardeau is located directly on I-55 Informational websites www.capechamber.com http://www.showmecenter.biz/Default.aspx Student Typical Day An average day in Cape Girardeau starts between 7-8 a.m., depending on whether there are morning didactics that day. Coming in early to pre-round before your preceptor arrives is always a good idea, however many of the preceptors will actually have you pre-round on your patients while they see other patients. Depending on the rotation and the volume of patients that you see with your individual preceptor, you will usually be done and free to go home anywhere from 5-6 p.m. Every rotation is with an individual attending physician, so your exposure to each patient is definitely increased. Because of this, when the attending is comfortable with your abilities, you will find yourself becoming more responsible for individual patients that are assigned to you. Student feedback regarding site: “Being from this area it was nice to work one-on-one with the attendings who someday may be those I work hand-in-hand with for my patients. The close contact with the attendings is priceless – there’s no standing in line behind residents to suture, cut, interact with patients… People in the area, as a whole, have been very supportive and encouraging towards me as a medical student.” “Cape is a great rotation site for several reasons. First are one-on-one interactions with physicians who are excited to teach and mentor. The physicians here teach by making you an active participant in patient care. Second, are hands-on opportunities. Physicians and staff at both hospitals allow you to participate in procedures and surgeries. Lastly, Cape is a great family town with excellent schools, plenty to do, great restaurants, decent nightlife, and is only 1.5 hours from St. Louis.” Notes 66 Missouri Region Farmington – Mineral Area Regional Medical Center Parkland Health Center SEMO AHEC 1101 W. Liberty Street Farmington, MO 63640 573.756.6451 or fax 573.756.1408 www.parklandhealthcenter.org 1212 Weber Road Farmington, MO 63640 573.454-2401 or fax 573.756.5834 www.mineralarearegional.com Director of Student Medical Education Scott Kirkley, MD 573.756.6751 Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 (fax) [email protected] Rotation Site Coordinator (On-Site) Cindy Robinett SEMO AHEC 506D Hazel Street Poplar Bluff, MO 63901 573.785.2444 ext. 3 [email protected] Sandra Ortiz, Executive Director SEMO AHEC [email protected] The Sites Students training at the Farmington, MO site will work with two local hospitals: Mineral Area Regional Medical Center and Parkland Health Center. Students will work in physician private practice clinics and follow attendings at both hospital facilities. Each health care facility also has hospitalists who often host clinical rotations for students. Parkland Health Care is part of the BJC HealthCare System which is one of the largest nonprofit health care organizations in the United States, and is focused on delivering services to residents primarily in the greater St. Louis, southern Illinois and midMissouri regions. With 2010 net revenues of $3.6 billion, BJC serves the health care needs of urban, suburban and rural communities and includes 13 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. Mineral Area Regional Medical Center is an affiliate of Cappella Healthcare which has 13 hospital affiliations. With nationally recognized leaders and proven track records in operating highly successful hospitals of all sizes and market types – from large tertiary teaching hospitals in metropolitan markets to small community hospitals in rural markets. Both facilities offer a full range of core and specialty rotations and work together to provide the clinical requirements for third and fourth year students training in the Farmington area. Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to the student. Students with a strong interest in Poplar Bluff Regional Medical Center may have the opportunity to complete multiple rotations at this site with the appropriate approval of the regional staff by contacting the regional site coordinator, Cindy Robinett. Possible Facilities Mineral Area Regional Medical Center ER Visits 1212 Weber Road Farmington, MO 63640 573.454.2401 www.mineralarearegional.com Parkland Health Center City Population Medical Staff Size of Hospital Admits Deliveries Surgeries 17,796 93 135 beds 3,260 321 3,718 17,253 101 W. Liberty Farmington, MO 63640 573.756.6451 www.parklandhealthcenter.org Medical Staff Size of Hospital Admits Deliveries 48 98 beds 6,200 653 67 Surgeries 3,000 ER Visits 36,000 Frequently Asked Questions Describe didactics at your facility. CMEs, Student Case Conferences, Journal Club and other occasional didactic activities are included in the learning experiences at this site. Student case conferences and journal club meetings are monthly (except during summer months). Local CMEs sponsored by each hospital are also offered monthly on a variety of learning topics. Student’s complete morning (and sometimes evening) rounds with attendings and are often given reading assignments by preceptors. How many students, interns, and residents are on a rotation? Farmington only hosts medical students. How often are students one-on-one with an attending or resident? Students are always one-on-one with an attending physician. Medical students do not have to compete with interns and residents for procedures and assisting in surgeries and obstetrics. Are students offered/encouraged to actively participate in procedures? This is one of the best parts of completing your clinical training in a smaller community. Students are allowed to participate in many procedures. When students complete their Obstetrics/Gynecology rotations, they are allowed to deliver babies. Students can serve as first assist in surgeries as there are no interns/residents at this site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Mineral Area Regional Medical Center is an affiliate of Cappella Healthcare which has 13 hospitals affiliations. Parkland Health Center is part of the BJC network which is one of the largest nonprofit health care organizations in the United States. Medical schools that send students to this site include: KCOM in Kirksville, KCUMB in Kansas City, and University of Missouri SOM-Columbia, Washington University-SOM in St. Louis What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? There are no Level I trauma centers in this region. Students who would like to rotate at a Level I trauma center may complete an ER rotation at one of the many hospitals with which ATSU has an affiliation agreement. What is the on-call policy for medical students? The on-call policy varies by rotation. Students with strong interests in surgery, OB/GYN and other specialties which have a lot of call may talk with individual physicians and be put on the call lists to be called in for “interesting cases”. Is there 24-hour access to the library and Internet resources? Yes. Students are given their own usernames and passwords to access resources at any time of the day or night. Is charting done electronically? Electronic charting is done in some areas of the hospital. EMR is rapidly being added to all departments of the hospital and clinics. Is there a food allowance and how much? Courtesy meals are provided in the cafeterias at both hospitals. Are pagers provided to students? No. Most preceptors use cell phones and take student cell phone numbers as well as give students their cell phone numbers. Are lockers available for students to use? Students are given access to the medical lounge which is a locked, secure area, but lockers are not provided. What unique qualities/opportunities does your facility have to offer? This training site is a collaborative initiative of Parkland Health Center and Mineral Area Regional Medical Center. Parkland Health Center is part of the BJC Healthcare Systems (Barnes Hospital in St. Louis) one of the largest healthcare systems in the United States. At this site you get the one on one training with your preceptors as well as access to some of top physicians in the United States. Does your region have any Research Opportunities to offer? If so please describe. Farmington is not a major research site. However, physicians will occasionally involve students in research projects. Site Visits When are site visits scheduled? Site visits can be scheduled at almost any time except during holidays. 68 Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator, Cindy Robinett, at 573.785.2444 Ext 3. What is the site visit protocol at your site? Students must contact the site coordinator at least two weeks before the planned visit. The site coordinator will make arrangements and let students know who/when/where to meet. Any requests made less than two weeks in advance will be considered, but may not be able to be arranged due to time constraints. Area Information The population of Farmington is 17,796 and the four county service area populations are 113,000. Known for its wealth of fishing, parks, and other types of nearby recreational areas, it is an area of impressive natural history and beauty. Taum Sauk Mountain, Elephant Rocks, Washington, Sam A. Baker and Johnson Shut-Ins State Parks are some of the outdoor areas located within short driving distances. In addition, many local rivers and streams offer excellent fishing, boating, and floating opportunities in the great outdoors. The region is also home to historic early settlements and wineries. Located within an hour drive of urban St. Louis, MO, this rural community provides many modern amenities including retail shops, malls, excellent restaurants, cinemas, water slides, off-road vehicle tracks, stock car racing, and much more! Visitors to this southeastern Missouri community never lack for things to do. Visit http://growingfarmington.com/ for more community information. Due to its close proximity to St. Louis, students training in Farmington enjoy easy access to many additional museums, theatrical or sporting events. For all the Cardinal fans out there, you are a mere 90 minutes away from a Cardinals game or any other sporting event in the St. Louis area. During your off time, Farmington has plenty of things of interest to see and do. There are some beautiful golf courses around town, movie theaters, recreational events, and local shopping opportunities. With the low cost of living in Farmington you can certainly afford to take part in these activities. Farmington is a great place to live and work, and the lack of traffic jams make personal and family time easy to enjoy. Average cost of housing Rental units range from $500-750 per month; Houses range from $100,000 to $150,000, although nice smaller homes can be found for under $90,000. This is a major benefit to training in southeast Missouri. Nearest major airport The Farmington community has a small local airport and Lambert-St. Louis International Airport (STL) is a short 90 minute drive north Nearest expressway Farmington is located directly on Hwy 67 about 30 minutes south of Interstate 55 at Crystal City Informational websites Visit http://growingfarmington.com Student Typical Day Students will pre-round with patients in the mornings and follow typical 9-5 office hours to see patients in preceptor clinics. Evening or weekend call is at the discretion of each individual preceptor. Didactic opportunities are provided at each hospital. Depending on the rotation and the volume of patients that you see with your individual preceptor, you will sometimes have late afternoons for reading and study time. Every rotation is with an individual attending physician, so exposure to patients is definitely increased. When the attending is comfortable with your abilities, you will generally find yourself becoming more responsible for individual patients that are assigned to you, however all care is monitored and supervised by your preceptor. Student feedback regarding site: “Rotations in Farmington are very hands-on. I have delivered babies, sutured, was first assist on C-sections and other operations, inserted a chest tube, and have done a lumbar puncture… all in my first four rotations. I really enjoy the one-on-one focus with the attendings.” “The one-on-one training I received from my preceptors taught me more than any prepared lecture could. I know my board scores definitely reflected this training. They brought medicine out of the text book and into real life.” Notes 69 Missouri Region Jefferson City - Capital Region Medical Center MID-MO AHEC 1125 South Madison Street Jefferson City, MO 65102 573.632.5013 or fax 573.632.5904 www.crmc.org Director of Student Medical Education Nancy A. Howe, DO 573.632.2777 [email protected] Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 (fax) [email protected] Rotation Site Coordinator (On-Site) Debbie Rehagen 573.632.5013 [email protected] Jan Shipley, Executive Director MID-MO AHEC 1110 West 11th Street Rolla, MO 65401 573.458.7576 573.364.8972 (fax) [email protected] The Site Capital Region Medical Center offers a great variety of rotations and has excellent physicians, which enables students to learn and have fun all at the same time. Site Statistics City Population Medical Staff Size of Hospital Admits 43,079 250 114 beds 5,440 Surgeries Deliveries ER Visits 4,614 907 32,035 Student Rotations Obstetrics/Gynecology rotations for male students are set up in Ft. Leonard Wood, Missouri, or Carbondale, or Quincy, Illinois. Female students can do Obstetrics/Gynecology at Capital Region. Internships Traditional Rotating Residency Programs Family Medicine (AOA accredited) Possible Facilities SIU Medical Center SIU Carbondale, IL Distance: approximately 3½ hours. Rotations: Obstetrics Quincy, IL Distance: approximately 3 hours. Rotations: Obstetrics Frequently Asked Questions Describe didactics at your facility. We have a lecture/interactive meeting every morning at 7-8 a.m. Sometimes there is lecture over the noon hour. How many students, interns, and residents are on a rotation? Generally, on a Medicine rotation there is a student and a resident or intern. Each person is assigned patients that they review with the attending. On other rotations there is routinely only one trainee. 70 How often are students one-on-one with an attending or resident? On the majority of the rotations, one-on-one is routine. Are students offered/encouraged to actively participate in procedures? When the attending feels the students are capable of participating in the procedures, he/she will allow them to assist with supervision. Majority of the attendings are “hands-on.” Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Is charting done electronically? We have an affiliation with the University Of Missouri Hospital. We also have an affiliation with KCUMB and take some of their students. Is there a food allowance and how much? What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Students get pagers while they are on certain rotations – Medicine, Surgery, Cardiology, etc. Not a designated trauma center. Students can rotate at the University of Missouri a Level I trauma center (30 minutes away). Students are expected to contact MU to set this rotation up. Yes, there are lockers available. What is the on-call policy for medical students? Generally, there is one night of call per month during the third year and two nights per month during the fourth year. Is there 24-hour access to the library and Internet resources? Yes, in the hospital. Hospital is transitioning to all electronic medical records. Generally, the students eat for free while they are on duty. Are pagers provided to students? Are lockers available for students to use? What unique qualities/opportunities does your facility have to offer? There are many hands-on learning opportunities. This is a busy hospital with 90%-plus occupancy. The physicians and staff enjoy having the students and see them as an asset. Does your region have any Research Opportunities to offer? If so please describe. No information provided. Site Visits When are site visits scheduled? Visits will be scheduled at the convenience of the student and the medical education office. Who should students contact to set up a site visit? Debbie Rehagen, Capital Region Medical Center at 573.632.5013. What is the site visit protocol at your site? Casual dress – slacks, dress, shirt without tie, but no blue jeans. Area Information Jefferson City is conveniently located near Columbia (30 min), Lake of the Ozarks (45 min), Rolla (hr.) and Sedalia (1 hr.). The city is easy to get around in, considering you can get anywhere within 15 minutes. The State Capitol, Governor’s Mansion, Runge Conservation Nature Center, Memorial Park, and Capital Mall are just a few things to enjoy while in Jefferson City. For many around Mid-Missouri, Jefferson City has become a favorite for shopping. Jefferson City offers many chain stores as well as “mom and pop” specialty stores that offer almost everything you’re looking for. If you can’t find it here, Columbia is close enough to be a convenient shopping alternative. New restaurants are opening in Jefferson City all the time. If you like outside dining, try the downtown area or one of our wineries. Central Dairy and Arris Pizza are two popular stops for visitors. Jefferson City offers many opportunities. There is always something to do, yet there is a friendly atmosphere, unlike some big cities. Jefferson City is a growing and vital city in the heart of Missouri and the Midwest with an ever-expanding economy. The major economic sectors are government, trade, and services. A beautiful and industrious city, Jefferson City offers much to its citizens and businesses. Some job options include state jobs, teaching, nursing, and many more. There are several colleges in Jefferson City, including Lincoln University and Columbia College – Jefferson City. The Jefferson City public school district includes eleven elementary schools, two middle schools, the Simonsen 9th Grade Center, one high school, as well as two career centers. There are also 10 private schools. Average cost of housing 2-bedrooms between $450-$600/month Nearest major airport Lambert-St. Louis International Airport (STL) – 2½ hours Kansas City International Airport (MCI) – 3 hours Nearest expressway 30 minutes to I-70 Informational websites www.newstribune.com 71 Student Typical Day Prior to 7 a.m. (depending on the service you are on): pre-round and progress notes are completed in preparation for presenting your patients to your attending during rounds. On some services you will not do the pre-rounds or write notes (but that is only very few). 7 a.m.: Morning report with third and fourth year med students, interns, and residents. We get breakfast and bring it to the education room where we eat during the lecture. We generally have two days of interactive case presentations per week. Lectures provided by attendings, Medical Knowledge Self-Assessment Program (KXSAP), tumor boards, resident issues, etc., are provided on other mornings. After morning report, which usually concludes by 8 a.m., you meet up with your attending and complete the morning rounds, go to surgery or to the office, etc. depending on the rotation. Most attendings allow you to go to lunch at noon, but later in the third year and especially in the fourth year; the rotations you choose will dictate your lunch schedule. As for the afternoon schedule, again it is driven by the rotation. If you have an office based rotation you will obviously be seeing patients in the afternoon. Students meet weekly with the DSME for case presentations or journal club. Assignments are generally given the week prior to allow ample preparation time. You can expect to lead one journal club and two case presentations during your third year. Fourth year students will often demonstrate proper case presentation and journal club format in the beginning of the year so that third year students have a template on which to base their own presentations. Capital Region Medical Center offers a Traditional Rotating Internship and a Family Medicine Residency. This means that students are often one-on-one with their attending. This translates into lots of hands on experience. Often your Internal Medicine rotation will include a maximum of two students and one intern/resident. This allows the workload to be split up reasonably without overwhelming green third year students. As your speed and skill levels improve you will be challenged with additional responsibilities. For people who are eager to do extra for the experience, this site provides opportunities to get extra OR time, etc. Just find an attending in the specialty of your choice, ask them to call you if they get called in, leave your name and phone number with the switchboard and presto—you will get all the extra time you desire. FUN!!! Student feedback regarding site: “I have really enjoyed having rotations in Jefferson City. For the majority of rotations you get to be one-on-one with the physician and I have yet to find a physician that does not enjoy their job and teaching students. They are all highly trained and a large number are also osteopathic physicians. As a student you are able to be directly involved in patient care, whether that is in the operating room, hospital, or clinic setting. You also have the unique experience to be involved with the residency/intern program which includes daily morning report from residents and physicians. This is a great smaller town site and I have gotten a lot out of each rotation here.” “During some of my hospital-based rotations, I had the afternoon to read and/or follow up on the patients while my attending was in his/her office. After office, they would return to the hospital for evening rounds or just to follow-up. Most rotations allow you to leave by 5 p.m. As expected though, some kept us later and some allowed us to leave earlier depending on the patient load. Some evening and weekend work is required. You are required to take one overnight call per month. On Medicine, we are required to come in on one weekend as well.” Notes 72 Missouri Region Joplin - Freeman Health System 1102 West 32nd Street Joplin, MO 64804 417.347.1111 www.freemanhealth.com Director of Student Medical Education William Hughes, DO 702 East 34th, Suite 202 Joplin, MO 64804 417.347.2526 Rotation Site Coordinator (Off-Site) Marcy Brockett Rotation Site Coordinator (On-Site) Stephanie Lea Freeman Health System 1031 McIntosh Circle Joplin, MO 64804 417.347.5665 [email protected] 319.750.2497 660.626.2928 (fax) [email protected] The Site Freeman Health System is a not for profit, locally owned hospital system located in southwest Missouri. Inpatient facilities are located on three campuses: Freeman East and Freeman West both located in Joplin, and Freeman Neosho in Neosho, Missouri. The system service area serves a population of 450,000 lives. The medical staff is comprised of over 300 staff physicians, over 150 of whom are employed in the Freeman physician group. Freeman Health System has been recognized by Solucient® as a “100 Top Hospital” in the teaching category. U.S. News & World Report recently ranked Freeman as the #1 hospital in Southwest Missouri and #4 hospitals in the State of Missouri. In addition, Freeman was recognized and received special designation in 5 high-performing specialties, including Gastroenterology, Nephrology, Neurology/Neurosurgery, Orthopaedics, and Pulmonology. Site Statistics City Population Medical Staff Size of Hospital Admits 50,150 311 517 beds 21,717 Surgeries Deliveries ER Visits Outpatient Visits 14,570 2,625 110,298 398,219 Student Rotations The majority of rotations are clinic based with rounds and procedures done at Freeman Health System West Campus and East Campus. Residency Programs Emergency Medicine, Internal Medicine, and Otolaryngology & Facial Plastic Surgery Frequently Asked Questions Describe didactics at your facility. Didactics of some type are scheduled every day. These include: Internal Medicine Didactic Lectures; Morning Report; Journal Club; Oncology Network; H & P Workshop; Coding Club; OMM series presentation; EKG conference; Cardiology review. How often are students one-on-one with an attending or resident? The students are one-on-one with an attending or resident the majority of the time on the rotation. Are students offered/encouraged to actively participate in procedures? How many students, interns, and residents are on a rotation? Yes, but that also depends on what attending you have. There could be anywhere from one to three people on a service at a time, depending on what rotation you are on. We try to keep a minimal number of house staff on one service; it is a better teaching environment. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Freeman Health System is not affiliated with any other hospital. Our school affiliates for Core students are 73 Kirksville (KCOM) and Kansas City (KCUMB) and our OPTI is OMECO (Osteopathic Medical Education Consortium of Oklahoma). Is charting done electronically? What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Meals are provided from the cafeteria as long as you have your Freeman Health System name badge on. Level II, students who would like to rotate at a Level I trauma center may do an ER rotation at one of the many hospitals with which ATSU has an affiliation agreement. No What is the on-call policy for medical students? Medical students are required to be on-call two times per month with a resident. The other call nights will depend on the attending of the rotation you are on. Is there 24-hour access to the library and Internet resources? Internet access is provided with institution login; you can login to any computer and have access within the hospital. Wireless internet is available throughout the hospital and library. Yes Is there a food allowance and how much? Are pagers provided to students? Are lockers available for students to use? Lockers are available. What unique qualities/opportunities does your facility have to offer? We have teaching physicians who truly care about teaching the next generation of doctors. We have outstanding doctors practicing medicine within Freeman Health System. We completed our Tower expansion of the hospital, which includes a 42 bed Emergency Room Department, a new Helipad, patient rooms, and admissions. Does your region have any Research Opportunities to offer? If so please describe. No information provided. Site Visits When are site visits scheduled? No specific time. Who should students contact to set up a site visit? Stephanie Lea, GME Medical Student Coordinator at 417.347.5665 or [email protected] What is the site visit protocol at your site? Call to make arrangements, preferably in small groups instead of individuals. Area Information Located in the Southwest corner of Missouri, Joplin boasts a small town community within a rural setting. The city is home of Missouri Southern State University. Many outdoor recreational activities are available. Life is good in Joplin! With a population of more than 50,000, Joplin still has a “hometown” feel of safe, pleasant, residential areas, friendly people, and neighborhood schools. Thanks to a market area of nearly 500,000 people, Joplin offers a wide variety of shopping, medical care, services, and job opportunities typically found in much larger cities. Yes, the secret’s out: the Joplin area is a wonderful place to work and live! The cost of living in Joplin is highly competitive. In fact, the American Chamber of Commerce Research Association Cost of Living Index repeatedly places Joplin’s cost of living at nearly twelve percent below the national average, assuring Joplin’s role as a community with the lowest cost of living metropolitan area in Missouri and one of the lowest cost metro areas in the country. Average cost of housing $500-$800/month Nearest major airport Springfield-Branson National Airport (SGF) is the closest airport, which is about 60 miles away. There are two larger airports that are within a 90 mile radius Tulsa International Airport (TUL) and Northwest Arkansas Regional Airport (XNA) Nearest expressway I-44 runs just south of town Informational websites www.joplincc.com www.joplinmo.org 74 www.visitjoplinmo.com www.joplin.com Student Typical Day During your third and fourth year rotations at Freeman Hospital, your schedule will vary depending on the specialty in which you are rotating that month. The didactic schedule, however, is very consistent. If you rotate in Joplin, you will attend Oncology Conference every Thursday morning 7-8 a.m. Morning report is scheduled every Monday at 7 a.m. There are required lectures presented by various specialists on Mondays noon-1 p.m., Tuesdays noon-1 p.m. and on Fridays noon-1 p.m. On the second Thursday of the month you will attend EKG conference from 7-8 a.m. Then on the third and fourth Thursday of the month, there are scheduled Cardiology reviews from 8-9 a.m. If you decide to rotate and/or move to Joplin, your morning commute may take anywhere from 5 to 25 minutes depending where you live. Most of the rotations in your third year in Joplin are clinically based with hospital experience, except Internal Medicine which is completely hospital based. Freeman East is another hospital located in Joplin where you will spend some of your time, including your four week Psychiatry rotation. Notes 75 Missouri Region Joplin–Mercy Health System SWMO AHEC Director of Student Medical Education Rotation Site Coordinator (On-Site) William Hughes, DO Katie Harden Program Coordinator Mercy Hospital Joplin 417.659.6939 [email protected] Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 (fax) [email protected] Kami Gollhofer SWMO AHEC 417.836.3284 [email protected] The Sites Mercy Joplin and Carthage Mercy Hospital is a non-profit hospital located in southwest Missouri. Inpatient facilities are located on two campuses: Mercy Hospital Joplin in Joplin Missouri and Mercy Hospital Carthage in Carthage, Missouri. The system service area serves a population of 500,000 lives. The medical staff is comprised of over 350 physicians. Mercy is the fifth largest Catholic health care system in the U.S. and serves millions annually. Mercy includes 33 acute care hospitals, four heart hospitals, two children’s hospitals, three rehab hospitals and one orthopedic hospital, nearly 700 clinic and outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy also has outreach ministries in Louisiana, Mississippi and Texas. Site Statistics City Population 50,000 Mercy Hospital Joplin Medical Staff Size of Hospital Student Rotations 360 207 Admits Surgeries Deliveries ER Visits Outpatient Visits Rotations available in most specialties including Anesthesia, Cardiology, Cardiovascular Surgery, Critical Care, Dermatology, Emergency Medicine, Endocrinology, Family Medicine, Gastroenterology, General Surgery, Infectious Disease, Internal Medicine, OB/GYN, Ophthalmology, Orthopedic Surgery, Pathology, Pediatrics, Podiatry, Psychiatry, Pulmonology and Radiology. Some are completed at one of our local hospitals, while others are completed at clinics. Most clinics are in Joplin and Carthage. However, AHEC does cover 21 counties and opportunities exist for rotations at many different types of sites. Possible Facilities Mercy Hospital Joplin 2817 St. John’s Blvd. Joplin, MO 64804 417.781.2727 76 8,016 3,509 503 30,263 88,904 Mercy Hospital Carthage 3125 Dr Russell Smith Way Carthage, MO 64836 417.358.8121 Frequently Asked Questions Describe didactics at your facility. Didactics are not currently offered at Mercy Joplin, however there are opportunities for monthly recordings that are KCOM Sponsored. How many students, interns, and residents are on a rotation? Each rotation is a one-on-one experience with the precepting physician. In a typical month, there are 8-12 medical students completing rotations with various providers. How often are students one-on-one with an attending or resident? The students are one-on-one with an attending during all rotations at Mercy. Are students offered/encouraged participate in procedures? to actively Yes, the degree varies by site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Mercy Hospital Joplin is a part of the Mercy Health System located throughout Missouri, Kansas, Oklahoma, and Arkansas. Medical school affiliates include Des Moines University, Kansas City University of Medicines and Biosciences, Kirksville College of Osteopathic Medicine, University of Missouri – Kansas City School of Medicine, University of Missouri – Columbia School of Medicine What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Mercy Hospital Joplin has applied for Level II trauma designation. We are scheduled for a survey in our new hospital April 2015. Students who would like to rotation at a Level I trauma center may do an ER rotation at one of the many hospitals with which ATSU has an affiliation agreement. What is the on-call policy for medical students? Medical students are required to be on-call with their attending. The amount of call depends upon the rotation. Is there 24-hour access to the library and Internet resources? Internet access is provided with institution login; you can login to any computer and have access within the hospital. Additionally, UpToDate is accessible through Epic. Wireless internet is available throughout the hospital. Is charting done electronically? Yes, Mercy uses Epic. Is there a food allowance and how much? Medical Students are provided a $6 per meal allowance. Are pagers provided to students? No. Are lockers available for students to use? Varies by site. What unique qualities/opportunities does your site have to offer? The ability to rotate one-on-one with the preceptor, be first assist and experience hands-on opportunities not afforded to those rotating with other medical students and residents. Additionally, Mercy Hospital Joplin opens doors to a brand new state-of-the-art hospital in March 2015. Students will have the opportunity to utilize the latest technologies. Does your region have any Research Opportunities to offer? If so please describe. No information given. Site Visits When are site visits scheduled? Site visits will be scheduled as requested. Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator. Site visits will be scheduled; information will be given to the requesting student. Whenever possible, rotation site coordinator will meet with student as well. Area Information Joplin is located in southwest Missouri, 158 miles south of Kansas City and 284 miles southwest of St. Louis. The Southwest Missouri Area Health Education Center (SWMO AHEC) is hosted by Missouri State University located in Springfield and Joplin and includes service to 21 counties in southwest Missouri. 77 Located in the Southwest corner of Missouri, Joplin boasts a small town community within a rural setting. The city is home of Missouri Southern State University. Many outdoor recreational activities are available. Life is good in Joplin! With a population of more than 50,000, Joplin still has a “hometown” feel of safe, pleasant, residential areas, friendly people, and neighborhood schools. Thanks to a market area of nearly 500,000 people, Joplin offers a wide variety of shopping, medical care, services, and job opportunities typically found in much larger cities. Yes, the secret’s out: the Joplin area is a wonderful place to work and live! The cost of living in Joplin is highly competitive. In fact, the American Chamber of Commerce Research Association Cost of Living Index repeatedly places Joplin’s cost of living at nearly twelve percent below the national average, assuring Joplin’s role as a community with the lowest cost of living metropolitan area in Missouri and one of the lowest cost metro areas in the country. Average cost of housing Nearest major airport Approximately $500-$900/month for a rental apartment Springfield Regional Airport (SGF) is located in Springfield, about 60 miles away. Kansas City International Airport (MCI), Tulsa International Airport (TUL) and Northwest Arkansas Regional Airport (XNA) are the closest major airports. Nearest expressway Mercy Hospital Joplin is located on I-44. Informational websites www.mercy.net www.joplincc.com www.joplinmo.org www.visitjoplinmo.com www.joplin.com Student Typical Day The Joplin site is preceptor based, so students are one-on-one with a preceptor. This means that students get a lot of hands-on learning without having to compete with residents or other students. While on a rotation, students take the schedule that their preceptor has. Therefore, there is no set schedule from month to month. Because Joplin is not hospital-based, the responsibilities and expectations are not standardized and can be different, depending on the preceptor. Notes 78 Missouri Region Kennett - Twin Rivers Regional Medical Center SEMO AHEC 1301 First Street Kennett, MO 63857 573.888.4522 or fax 573.888.8447 www.twinriversregional.com Director of Student Medical Education Karl Shanstrom, DO Rotation Site Coordinator (On-Site) Cindy Robinett Rotation Site Coordinator (Off-Site) Marcy Brockett SEMO AHEC 506D Hazel Street Poplar Bluff, MO 63901 573.785.2444 ext. 3 [email protected] 319.750.2497 660.626.2928 (fax) [email protected] Sandra Ortiz, Executive Director SEMO AHEC [email protected] The Site Twin Rivers Medical Center offers excellent learning experiences for medical students in the areas of Surgery, Obstetrics/Gynecology, Internal Medicine, Pediatrics, Family Medicine, Cardiology, and Emergency Medicine. Fifty percent of hospital physicians serve as community preceptors hosting student clinical rotations. Because Twin Rivers is one of our smaller hospitals, students get to know their preceptors on a personal level as well as professional. Preceptors work to make sure students get some of the best training in Missouri. It is a very hands-on site and students deliver babies, first assist in surgeries and work directly with interventional radiologists as well as participate in many procedures. Students training at this site work with private practice physicians affiliated with the local community hospital system. Local medical faculty members operate private practice clinics that are located in medical buildings very close to the hospital facility. The hospital does have a few hospitalists with offices directly on site. This site also provides primary care clinical training experiences at the local Federally Qualified Health Center (FQHC) and Migrant Health Center, which serves a significant migrant Hispanic population. Complimentary AHEC student housing is provided for students completing short term rotations and is located a short 5-10 minute drive from the hospital. Karl Shanstrom, DO a family medicine physician and 2008 graduate of KCOM is an extremely popular preceptor (and now DSME) in Kennett. He completed his 3rd and 4th year rotations in nearby Cape Girardeau and was very happy with his site until he came to Kennett to complete his psychiatry rotation. He was so impressed by the training and staff in Kennett he asked to complete more of his rotations in Kennett. He was made to feel so at home he decided to practice in Kennett instead of going back home to Colorado. Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to student. Students with a strong interest in Poplar Bluff Regional Medical Center may have the opportunity to complete multiple rotations at this site with the appropriate approval of the regional staff by contacting the regional site coordinator, Cindy Robinett. Site Statistics City Population Medical Staff Size of Hospital Admits Student Rotations 10,932 85 116 beds 4,932 Surgeries Deliveries ER Visits Medical Coordinator 2,756 469 22,027 Rhonda Hamlett All rotations are completed one-on-one with preceptors. Students get a variety of both inpatient and outpatient rotations. At this site all preceptors work with students on a volunteer basis and do so because they enjoy working with students. Physicians are never “required” to take students. They do so because they want to give back to their profession and a community in which they have chosen to live and raise their family. 79 Frequently Asked Questions Describe didactics at your facility. What is the on-call policy for medical students? Preceptor lectures, CMEs, journal club, and student case conferences are provided. Student case conferences are monthly (except in summer months), and a schedule of lectures and CMEs is provided annually. Students do morning rounds with attendings and are often given reading assignments. The on-call policy varies by rotation. Most rotations do not have night call. Students with strong interests in surgery, OB/GYN and other specialties which have a lot of call may talk with individual physicians and be put on the call lists to be called in for “interesting cases”. How many students, interns, and residents are on a rotation? Kennett only hosts medical students. How often are students one-on-one with an attending or resident? Students are always one-on-one with an attending physician. Medical students do not have to compete with interns and residents for procedures and assisting in surgeries and obstetrics. Are students offered/encouraged to actively participate in procedures? One of the best parts of completing your clinical in a smaller community is that students are allowed to participate in many procedures. When students complete their Obstetrics/Gynecology rotations, they are allowed to deliver babies. Students can serve as first assist in surgeries as there are no interns/residents at this site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Twin Rivers Medical Center is part of Health Management Associates and is affiliated with Poplar Bluff Regional Medical Center. Medical schools that send students to this site include: KCOM in Kirksville, KCUMB in Kansas City, University of Missouri-Columbia, and UMKC in Kansas City What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? There are no Level I trauma centers in this region. Students who would like to rotate at a Level I trauma center may complete an ER rotation at one of the many hospitals with which ATSU has an affiliation agreement. Is there 24-hour access to the library and Internet resources? Yes. Students are given their own usernames and passwords to access resources at any time of the day or night. Is charting done electronically? Yes. Students are given their own usernames and passwords to access resources at any time of the day or night. Is there a food allowance and how much? Student meals are provided free of charge in the hospital cafeteria. Students can utilize their school issued name badges to receive meals. Are pagers provided to students? No. Most preceptors use cell phones and take student cell phone numbers as well as give students their cell phone numbers. Are lockers available for students to use? Students are given access to the medical lounge which is a locked, secure area, but lockers are not provided. What unique qualities/opportunities does your facility have to offer? Twin Rivers Regional Medical Center is a smaller hospital which serves a large area with a variety of pathology that surprises many students as well as new physicians joining the medical community. Students are treated more like physicians than students and are made to feel at home from the first day of their rotations. Does your region have any Research Opportunities to offer? If so please describe. Ozarks Medical Center is not a major research site. However, physicians will occasionally involve students in research projects. Site Visits When are site visits scheduled? Site visits can be scheduled at almost any time except for holidays. Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator, Cindy Robinett at 573.785.2444 Ext 3. 80 What is the site visit protocol at your site? Students must contact the site coordinator at least two weeks before the planned visit. The site coordinator will make arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will be considered, but may not be able to be arranged due to time constraints. Area Information Located less than 100 miles north of Memphis, Tennessee, Kennett is the hometown of nine-time Grammy Award winner Sheryl Crow, who sometimes provides concerts for the local community. Kennett boasts many recreational activities, such as golfing, tennis, swimming, boating, fishing, water-skiing, and also has many public park facilities. Local sporting events are also very popular in the community. Kennett is home to several local shops and specialty stores, and major shopping venues in Paragould, Arkansas are about 30 minutes away, Memphis, Tennessee is about an hour and a half away http://www.memphistn.gov/ Average cost of housing Rental units range from $450-650/month Average housing costs range from $100,000-150,000, although smaller nice homes can be found for under $90,000. This is a major benefit to training in southeast Missouri. Nearest major airport Kennett Memorial Airport (TKX); Memphis International Airport (MEM) is about a 2 hour drive away Nearest expressway The hospital is located on Hwy 412, about 20 minutes west of I-55 Informational websites www.kennettmo.com Student Typical Day Upon arriving at this small community hospital, one is met with the most friendly, accommodating medical staff. They are very excited to have medical students and often provide parties and student social activities. On your first day you will report to Rhonda Hamlett in the Medical Coordinator’s office on your way to the patient care area, Rhonda provides a student orientation to training protocols and welcomes you to the hospital. Most rotations are preceptor-based, so the schedule will vary somewhat for every rotation; however, most rotation days begin at 8 a.m. If you are on a surgical rotation or an Obstetrics/Gynecology rotation you may get called back into the hospital during off hours. Call depends on your preceptor’s schedule but you will still have plenty of study time. Students at this site may get permission to have more exposure in the emergency room, surgery department and/or labor and delivery if you would like to catch interesting cases. Twin Rivers is home to Dr. Edmund Landry, an outstanding orthopedic surgeon who spent several years at the Honolulu Unit of the Shriner's Crippled Children's Hospital and at the Walter Reed Army Institute. Another Kennett preceptor, Dr. Nelson Dr. Perez was recently awarded rural track preceptor of the year by the University of Missouri-Columbia School of Medicine. When asked, how did a small town like Kennett get such extraordinary physicians? The answer is simple. The people in Kennett are so friendly you feel like you have known them forever and feel right at home. Kennett is our southernmost training site and is definitely the epitome of southern hospitality. Student feedback regarding site: “Kennett is the hidden jewel of southeast Missouri! I came to Kennett for a single rotation because I heard there was a great OB/GYN preceptor that would allow me lots of hands on exposure. I had such a great experience there I did a total of six rotations at Twin Rivers Regional Medical Center. If I had known what a great site Kennett was, it would have definitely been my first choice in the match. I would have never guessed I would have learned so much at this small but very well staffed hospital.” “My husband and I both completed our third and fourth year rotations in Kennett. We picked Kennett because it was closest to home. We had no idea at the time what a great choice we had made. We received great training and were able to perform as well any intern and most residents while on our audition rotations.” Notes 81 Missouri Region Kirksville - Northeast Regional Medical Center NEMO AHEC -KCOM Program Office 315 South Osteopathy Street Kirksville, MO 63501 660.785.1000 660.785.1713 (fax) www.nermc.com Director of Student Medical Education Gemma Ciesemier, DO Rotation Site Coordinator Amanda Mills Co-Director, KCOM AHEC Janet Head, RN, MS, EdD 660.626.2887 660.626.2928 (fax) [email protected] 660.626.2887 [email protected] The Site Northeast Regional Medical Center is a 115-bed hospital offering a full-range of healthcare services including a 24/7 Emergency Department, Level III Trauma Center, Heart Center, Orthopedics/Sports Medicine, General and Vascular Surgery, Obstetrics, and is accredited by the American Osteopathic Association Society of Chest Pain Centers. Northeast is home to ten Osteopathic residency programs. In addition, Northeast Regional has been named America’s 50 Best Hospitals by Becker’s Hospital Review and is a two year winner of the Thomson-Reuters Top Hospital Award. For more information, visit www.nermc.com Site Statistics City Population Medical Staff Size of Hospital Admits 17,505 160 115 beds 2,925 In-patient Surgeries Out-patient Surgeries Deliveries ER Visits 1,138 4,933 504 11,439 Student Rotations Most Core rotations are available at the hospital or at clinics in town. Some Psychiatry rotations are completed in Hannibal, Joplin, Springfield and Quincy, IL. Required Rural Family Medicine rotations are completed in Bloomfield, IA (1 hour), Memphis (45 minutes) and other AHEC supported sites in Missouri. Internships Traditional Rotating Residency Programs Anesthesiology, Dermatology, Family Medicine, General Surgery, Integrated Family Medicine/Neuromusculoskeletal Medicine, Internal Medicine, Integrated Internal Medicine/Neuromusculoskeletal Medicine, Neuromusculoskeletal Medicine “Plus One”, Otolaryngology & Facial Plastic Surgery Fellowship Programs MOHS Fellowship (Post-Dermatology training) Program in Tulsa, Oklahoma is affiliated with NRMC Frequently Asked Questions Describe didactics at your facility. Organized within a systems approach, 7 a.m. and noon lectures are presented by attendings, residents, and guest speakers. At monthly sessions, students present oral case reviews and reviews of important research reports from professional literature (journal club). How many students, interns, and residents are on a rotation? The number of students on each rotation varies according to the preceptor’s request. 82 How often are students one-on-one with an attending or resident? A majority of the time it is one-on-one. Are students offered/encouraged to actively participate in procedures? This is preceptor dependent. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? No What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Level III. Students can, if they choose to, rotate out. What is the on-call policy for medical students? One or two nights a month. Is there 24-hour access to the library and Internet resources? Students may access the A. T. Still Memorial Library on the KCOM campus during their open hours and students has electronic access to the ATSU library 24 hours a day. Internet access is available throughout the hospital and includes references such as Up-To-Date. Is charting done electronically? Yes, charting is done electronically via HMS Clinvu. Is there a food allowance and how much? Yes - $200/month while on rotation at NRMC – or prorated if only on rotation at NRMC for partial month. Are pagers provided to students? Yes, these are picked up at the beginning of the third year rotations, during orientation. Are lockers available for students to use? Yes What unique qualities/opportunities does your facility have to offer? Northeast Regional shares a campus with A. T. Still University-Kirksville College of Osteopathic Medicine, the founding osteopathic medical school which offers resources for research and the basic sciences. A new dental school was added to the ATSU campus fall of 2013. Northeast Regional and its attending physicians actively participate in the students’ teaching experience. The medical center completed a $3.9-million renovation of the obstetrics/nursery unit in 2010 and a $2.7-million dollar expansion in the Critical Care Unit. A new cardiac cath lab and 64-slice CT scanner was added in 2011, along with opening the Northeast Regional Heart Center. The Heart Center offers two full time cardiologists and a robust cardiac service line. The Northeast Regional Vein Center opened in 2013 and surgery renovations will begin on site in 2015. NRMC has embraced the Studer Group’s Nine Principles as a part of its commitment to excellence in not only patient care, but a facility where employees want to work and physicians want to practice. Due to the small town rural location, housing can be found close to the campus. Students in the Kirksville region have the opportunity to participate in a weekly simulation lab held in the Human Patient Simulation Center on the ATSU-KCOM campus. Students will take part in simulation scenarios involving BLS, ACLS, airway interventions and central lines with the hospital interns and residents. They will have the opportunity to work with the endoscopy simulator, TraumaMan, and the OB simulator. Does your region have any Research Opportunities to offer? If so please describe. Yes, we offer a Research Rotation that students may complete as a general elective. Site Visits When are site visits scheduled? Planned for August, September and October. Who should students contact to set up a site visit? Debbie Darr, Administrative DME, at 660.785.1400 or the Rotation Site Coordinator, Amanda Mills at 660.626.2887. What is the site visit protocol at your site? Students should contact hospital or site coordinator to schedule a visit. Visits include presentation by current students/interns/residents, the education coordinator, and site coordinators. A tour and question and answer session is also included. Area Information Kirksville, Missouri is a thriving community that offers the best of both worlds – small town values with city amenities. Located in the northeast corner of Missouri, Kirksville is home to both Truman State University and ATSU. Many outdoor recreational activities are available at Thousand Hills State Park and Forest Lake. You can reach the Chamber of Commerce at 660.665.3766, or visit their website, www.kirksvillechamber.com. Outdoor enthusiasts, sporting enthusiasts, artist, or craftsperson—whatever your interests, Kirksville is for you. Kirksville boasts seven public parks, a 30-acre six field baseball/softball complex, and an Aquatic Center. Thousand Hills State Park and the 573acre Forest Park Lake offer fishing, boating, swimming, water skiing, sailing, hiking and biking trails, camping, cabin rentals, picnic areas, marina and rentals, playground facilities, and a great restaurant. Area lakes, rivers, and forests such as Hazel Creek Lake and Big Creek State Forest house some of the nation’s best public hunting and fishing opportunities. Hunters from all over 83 the nation use northeast Missouri for hunting wild turkey and deer, as the area is home to thousands of acres of public and private hunting grounds. Cultural events such as Truman State University’s Kohlenberg Lyceum Series bring world-renowned performances to Kirksville. In addition, the university offers plays, concerts, recitals, and debates which are all open to the public. The Red Barn Arts and Crafts Festival in the fall draw national artisans and include entertainment, children’s activities, and dance revues. The Northeast Missouri Fair is a week-long event held in July. It features 4-H and FFA exhibits, commercial exhibits, a wide variety of food vendors, a carnival, and nationally known country music acts. Camping facilities are also available. An assortment of local festivals and activities are also held throughout the year such as; Red, White & Blue 4th of July Festival, Round Barn Blues Festival, Heyday Fall Festival, St. Patrick’s Day Festival, Air Festival, Red Barn Art Festival, Daddy Daughter Dance, Mother and Son Stampede, Breakfast with Santa, NEMO Triathlon and other fun runs, art exhibits, Easter Egg hunts, numerous parades, Scottish Highland Games and summer on the square concerts to name a few. Average cost of housing: $500/month (Depending on specific requirements, prices will vary) Nearest major airports: Kirksville Regional Airport (IRK) - 6 miles south of Kirksville offers daily flights to St. Louis Columbia Regional Airport (COU) - 100 miles south of Kirksville Quincy Regional Airport (UIN) - 90 miles east of Kirksville Des Moines International Airport (DSM) - 130 miles northwest of Kirksville Kansas City International Airport (MCI) - 170 miles southwest of Kirksville Lambert-St. Louis International Airport (STL) - 200 miles southeast of Kirksville Nearest expressway: Kirksville can be accessed via a four-lane divided highway from I-70 at Columbia, Missouri Nearest railway: LaPlata Amtrak Station (LaPlata, MO) – 15 miles south of Kirksville Informational websites: www.kirksvillechamber.com www.visitkirksville.com www.kirksvillecity.com Student Typical Day If the student is on an inpatient hospital rotation, the day begins around 6 a.m. with pre-rounds. For Internal Medicine services, this involves checking in on assigned patients and writing notes in their charts. For Surgery and Anesthesia services, this includes performing outpatient H & Ps and starting IVs. Then, mandatory morning didactic lectures are at 7 a.m.; afterwards, the student meets with the attendings and residents for rounds. Surgery services may have cases scheduled to begin at 8 a.m., so rounds may not occur until later in the day. Lunch lecture (also mandatory) is at noon. Afternoons may be spent finishing rounds, in the OR, in the Wound Clinic, or reading, depending on the service and how busy things get. For both Internal Medicine and Surgery, procedures and admits may happen at any time and are worked into the schedule. These days can be long, depending on the attending; Internal Medicine tends to go until 6-7 p.m. and Surgery can go even later. For outpatient rotations, the student is generally able to attend morning and lunch lectures. Most offices see patients from (8 a.m.-5 p.m.). Many Family Medicine and specialty physicians have hospital practices and students may be required to follow inpatients, doing rounds or procedures, or helping to deliver babies. Some doctors have surrounding area clinics and the student may have the opportunity to accompany them. The student will take call about once per month. This involves serving a 6 p.m.-7 a.m. shift, helping the intern-on-call with admission H & P’s and calls from the floors. During call, food and drinks are provided in the 6th floor student lounge. There is a secure sleeping room available, should the opportunity present itself. The hospital provides a cafeteria account for each student for breakfast and lunch during the week. Pagers are also provided, and computers with internet access and Up-To-Date are available throughout the facility. Journal Clubs in Family Medicine, Internal Medicine, Surgery, and Anesthesia are typically held throughout the week at varying times/days. On Wednesday morning students, interns and residents work with the Human Patient Simulations reviewing ACLS and procedures. Occasionally, Grand Rounds are scheduled; and a visiting physician gives a presentation. Tumor Board and Morbidity and Mortality conferences are held once a month. Notes 84 Missouri Region Rolla - Phelps County Regional Medical Center MID-MO AHEC 1000 West Tenth Street Rolla, MO 65401 573.458.8889 or fax 573.364.8972 www.pcrmc.com Director of Student Medical Education Hugh Schuetz, DO Rotation Site Coordinator (On-Site) Mary Beth Cook, Clinical Education Coordinator Rotation Site Coordinator (Off-Site) Marcy Brockett 573.458.7578 573.364.8972 (fax) [email protected] 319.750.2497 660.626.2928 (fax) [email protected] Jan Shipley, Executive Director MID-MO AHEC 1110 West 11th Street Rolla, MO 65401 573.458.7576 Main# 573.364.8972 (fax) [email protected] The Site Phelps County Regional Medical Center (PCRMC) in Rolla is the host hospital. Students complete their required, specialty, and rural rotations with clinicians in the Rolla area. Phelps County Regional Medical Center has recently undergone a 72,000 sq. ft., $12 million expansion. There is also a brand new Medical Office Building, housing several private practices, as well as a state of the art Ambulatory Surgery Center. Services provided by PCRMC include Cardiac Catheterization, Cardiac Rehabilitation, Cardiopulmonary, comprehensive breast cancer care, Emergency Department, Endoscopy, Home Health, Hospice, Inpatient nursing, Maternity services, Medical Imaging, outreach laboratory, Pediatric care, Psychiatric services, Radiation Oncology, Rehab and Inpatient services, and Outpatient Rehabilitation services. Students from University of Missouri-Columbia and University of Health Science-Kansas City also do core rotations at PCRMC. Mid-Missouri AHEC facilitates student rotations at PCRMC, as well as the neighboring Mercy hospital here in Rolla. Mid-MO AHEC can also facilitate rotations at Lake Regional Hospital at Osage Beach and Fitzgibbon Hospital in Marshall. The Mid Missouri Region offers one of the strongest primary care clinical training sites for students. Sites vary from primarily city to almost totally rural in their location. This geographic diversity allows students the opportunity to experience rural medicine at its very best. Each student has a one-on-one learning experience with each of their preceptors. Rural Family Medicine rotations might require travel to St. James (15 min), or Salem (30 min). Site Statistics City Population Medical Staff Size of Hospital Admits 19,559 90 242 beds 9,224 Student Rotations Surgeries Deliveries ER Visits 6,503 904 30,259 Almost all student rotations are completed at the hospital. Most Family Medicine rotations are scheduled in St. James, eight miles from Rolla, Some Psychiatric and Obstetric rotations are scheduled at Ft. Leonard Wood which is also within 30 minutes of Rolla. Frequently Asked Questions Describe didactics at your facility. Student didactics are held each Wednesday morning with physicians, allied health personnel, and others presenting 85 programs pertinent to student clinical rotations, Board Review, Case Presentations. How many students, interns, and residents are on a rotation? Is there 24-hour access to the library and Internet resources? Yes, we have a complete student library with 24-hour access to Internet and resources and the MAHEC digital library. Only one student is scheduled with each preceptor at a time. Is charting done electronically? How often are students one-on-one with an attending or resident? Is there a food allowance and how much? Students always have a one-on-one relationship with their preceptor. Are students offered/encouraged to actively participate in procedures? Students are encouraged to actively participate in procedures, i.e. suturing, acting as first assistant in Surgery, and delivering babies in Obstetrics. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Phelps County Regional Medical Center (PCRMC) is not affiliated with other hospitals; however, PCRMC is affiliated with MU School of Medicine. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Level III trauma center with 30,000 visits annually. None of our rotation sites are Level I trauma centers. What is the on-call policy for medical students? Yes At PCRMC, students are given a badge to receive the employee discount on meals. Some meals are furnished at affiliated sites in Fitzgibbon Hospital (Marshall, MO) and Lake Regional Hospital (Osage Beach). Are pagers provided to students? We don’t have pagers. Are lockers available for students to use? Our students usually leave their belongings in the student library, which is inside the physician lounge, and has restricted access. What unique qualities/opportunities does your facility have to offer? Our facility offers a team spirit between physicians, nursing, allied health services and administrative staff, unique rural medicine experiences, a one-on-one student/preceptor ratio, and a commitment to excellence in patient treatment and care. Does your region have any Research Opportunities to offer? If so please describe. No information provided. On-call depends upon each individual preceptor. Site Visits When are site visits scheduled? Site visits must be scheduled in advance, but can be scheduled for anytime during the week. Who should students contact to set up a site visit? Please contact Mary Beth Cook at 573.458.7578 or [email protected] What is the site visit protocol at your site? Business casual dress, no blue jeans. Area Information Rolla recently received the designation of one of the 100 Best Small Cities in the U.S. and boasts a population of 17,000. It is the home of the Missouri University of Science & Technology, formerly known as the University of Missouri-Rolla. While Missouri Science & Technology is known primarily as an engineering school, it has a strong pre-medical program and is building in technology and business programs. The Rolla community offers affordable housing. Rolla has a strong school system and is committed to providing a safe and protected environment. The Rolla public school system includes three elementary schools, a middle school, junior high, and high school. There are a couple of private school options, as well as several technical schools/colleges. Job opportunities for spouses are varied, but the majority of openings in the area are medical, educational, or service based. Rolla is situated within 100 miles of 86 Springfield, St. Louis, and Columbia if one wants more shopping and entertainment facilities; however, the university has many cultural opportunities at reduced rates for medical students and their families. Meramec Springs, other state parks, and the Mark Twain National Forest offer a variety of recreational options including hiking, camping, and canoeing. Average cost of housing 1 or 2 bedroom apartment with appliances for $450+ some include dishwasher, disposals, water and trash pickup and washer/dryer hookups in the rent. They usually require a deposit which may include the first and last month’s rent. Most do not allow pets. Nearest major airport Lambert-St. Louis International Airport (STL) is about 90 miles from Rolla. Springfield Regional Airport (SGF) is about 110 miles from Rolla Nearest expressway Rolla is located directly off of I-44, halfway between St. Louis and Springfield Informational websites www.rollacity.org Student Typical Day The student’s typical day begins with rounds at 7 a.m. with the preceptor. After rounds, student and preceptor usually return to the office and see patients until noon. They may see a patient at the hospital during this time and office hours begin again around 1 p.m. and run until 5 p.m. or whenever the last patient is finished. Students always have the opportunity to be on-call with the preceptor, but it is seldom required. Students typically do one or more H & Ps each day, examine patients, and consult with the doctor. Medical students are afforded an increasing level of autonomy and involvement in patient care, which has proven to prepare them very well for internship. To round out the medical education, preceptors will often assign reading on topics encountered for discussion the next day. Students have access to internet and medical library resources including Up-To-Date. Wednesday mornings are devoted to didactics from 7 a.m.-1 p.m. Students are required to do either a Journal Club Presentation, Case Presentation, or board review questions following the first hour of lecture from a local or visiting physician. Previous fourth year students have developed a curriculum designed to best prepare third year students for post rotation exams and the COMLEX Level 2 exam. Students have the opportunity to attend the Tumor Board meetings every Thursday morning at 7 a.m. Students have many opportunities to get involved with the community. Last year students volunteered to do OMM at a bike race to benefit diabetes research; they had the opportunity to work at a free clinic on Tuesday evenings; and they were event leaders at the Science Olympiad for middle school students. There is time to study. Some preceptors may invite students to their homes for dinners and holiday parties. MID-MO AHEC hosts at least two holiday events for students and their families. Student feedback regarding site: “I did out-rotations at sites with residency programs that I wanted to match to, but I was able to do much more in Rolla than I did at these sites. I received excellent one-on-one training at my core hospital and I was always treated exceptionally well. Plus you will have more ‘free time’ here which allows you to tailor your education according to your own needs.” “You can get any residency program you want even if you do not choose that site as your core site. It is better to get your medical education at a smaller site with more hands-on training and then wow programs when you do out-rotations.” Notes 87 Missouri Region Springfield – CoxHealth Mercy Health System SWMO AHEC Director of Student Medical Education Logan Banks, DO Rotation Site Coordinator (On-Site) Cassandra Henne Faculty Physician-Cox Family Medicine Residency 417.269.8787 SWMO AHEC – Missouri State University Missouri State University 901 South National Springfield, MO 65897 417.836.3229 Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 (fax) [email protected] Kami Gollhofer [email protected] SWMO AHEC 417.836.3284 [email protected] The Sites CoxHealth provides care to a 24 county primary service area in southwest Missouri and Northern Arkansas, and employs over 10,000 people. CoxHealth includes a network of regional clinics Oxford Health Care, a home health agency; Burrell Behavioral Health; Meyer Orthopedic and Rehabilitation Hospital; Ferrell Duncan Clinic; Cox HPS of the Ozarks, a home parenteral infusion agency; Home Support Services, providing home care equipment; ambulance stations in seven counties; and various other physician office buildings and facilities. Cox North is a community hospital in north Springfield and offers a full spectrum of services including urgent care and emergency services. Cox South is a full-service facility located on the southern edge of Springfield. The growing campus of Cox South includes many physician offices, a Level I Trauma Center and numerous other special services. An extension of the Cox South campus, Cox Walnut Lawn, offers urgent care, skilled nursing, and rehabilitation services such as the Comprehensive Wound Healing Center. Cox Monett is a 46-bed community hospital in Monett, Missouri. Mercy Hospital in Springfield is a not-for-profit tertiary hospital. Mercy Springfield and its sister hospitals in Lebanon, Aurora, Cassville, and Mountain View, MO and Berryville, AR are part of the much larger Mercy Health System. In addition to Mercy Springfield, the system includes 33 Acute Care hospitals, 700 clinics and outpatient facilities, 40,000 co-workers, and 2,100 integrated physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy is the only state-designated Level I trauma center for adult and pediatric patients in the region, and is host to the region’s only accredited Burn Center. Mercy has received several recognitions and awards: recognized by “U.S. News & World Report” as a top urology center in the United States; recognized twice as a quality respiratory care provider by the American Association of Respiratory Care; received a Certificate of Distinction for Primary Stroke Centers by the Joint Commission on accreditation of Healthcare Organizations, one of only three stroke centers in Missouri to have received this certificate. Mercy has been named multiple times to Solucient® “Top 100 Hospitals,” including a rare back-to-back repeat ranking in 1994-95. Most clinical training sites are located in the city of Springfield. The majority of the rotations are clinic based and many of the Springfield physician clinics are located near the hospitals. However, the second Internal Medicine rotation is usually completed in one of our two major hospitals. Typically, one of the Family Medicine rotations is completed with the residency program located within a clinic at Cox North hospital. Rotations may also be completed in surrounding communities across the 21-county SWMO AHEC region such as Bolivar, Branson, Joplin, Cassville, Aurora, and Mt. Vernon. All rotations are completed one-onone with the preceptor and offer excellent hands on opportunities not available at other sites. Site Statistics CoxHealth System Medical Staff Size of Hospital Admits Surgeries Deliveries ER, Urgent, Trauma Visits 88 City Population 331,000 677 954 beds 187,104 30,842 3,970 204,775 Outpatient Clinic Visits 858,183 Mercy Health System Mercy Clinic Physicians Size of Hospital Admits Surgeries Deliveries 523 758 beds 33,475 32,703 3,118 ER Visits 95,352 Outpatient Visits 1,960,000 Student Rotations Some are completed at one of our local hospitals, while others are completed at clinics. Most clinics are in Springfield. However, AHEC does cover 21 counties and opportunities exist for rotations at many different types of sites. Students may be placed in any of the 21 county region based on preceptor availability. Residency Programs Cox Family Practice Residency (ACGME accredited) Possible Facilities Cox South Cox Walnut Lawn 3801 South National Avenue Springfield, MO 65807 417.269.6000 www.coxhealth.com 1000 East Walnut Lawn Springfield, MO 65807 417.269.9800 www.coxhealth.com Cox North Cox Medical Center Branson 1423 North Jefferson Avenue Springfield, MO 65802 417.269.3000 www.coxhealth.com 525 Branson Landing Blvd. Branson, MO 65616 417.335.7000 www.coxbranson.com Mercy Health System Ozark Community Hospital 1235 East Cherokee Springfield, MO 65804 417.820.2000 http://www.mercy.net/springfieldmo 2828 N. National Ave. Springfield, MO 65803 417.837.4000 www.ochonline.com Frequently Asked Questions Describe didactics at your facility. Students attend weekly didactic sessions with the Cox Family Medicine program on Wednesdays. How many students, interns, and residents are on a rotation? All students are one-on-one with preceptors. There may be occasions, where medical students also learn with PA’s and NP’s within an interdisciplinary setting. How often are students one-on-one with an attending or resident? What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Cox – Level I. Third or fourth year students may rotate at this site. Mercy – Level I. Fourth year students may rotate at this site. What is the on-call policy for medical students? Varies by site. All students are one-on-one with preceptors. Is there 24-hour access to the library and Internet resources? Are students offered/encouraged to actively participate in procedures? Is charting done electronically? Varies by site. Yes, the degree varies by site. Varies by site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Is there a food allowance and how much? Cox has no affiliations with other hospitals; Mercy Hospital is part of a large multi-state system. Medical students from KCUMB are also at the Core site. Varies by site. Cox provides 30% discount and some meals are provided when rotating with the residency program. Are pagers provided to students? Varies by site. Are lockers available for students to use? Varies by site. 89 What unique qualities/opportunities does your site have to offer? Does your region have any Research Opportunities to offer? If so please describe. Didactic teaching opportunities through the Residency program; experienced Family Medicine Residency faculty. The ability to rotate one-on-one with the preceptor, be first assist and experience hands-on opportunities not afforded to those rotating with other medical students and residents. Research opportunities may be available at this site in the future. Site Visits When are site visits scheduled? Site visits will be scheduled as requested. Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator, Cassandra Henne at 417.836.3229 What is the site visit protocol at your site? Site visits will be scheduled; information will be given to the requesting student. Whenever possible, rotation site coordinator will meet with student as well. Area Information Springfield is located in southwest Missouri, 167 miles south of Kansas City and 215 miles southwest of St. Louis. The Southwest Missouri Area Health Education Center (SWMO AHEC) is hosted by Missouri State University located in Springfield and includes 21 counties in southwest Missouri. The Springfield Metropolitan Statistical Area (MSA) is comprised of Greene, Christian, Webster, Polk, and Dallas counties and has a population of over 436,712 people based on the 2010 census bureau demographic profile data. The health care industry employs 25,000 people (15% of the total workforce) with an economic impact of over $3 billion. The cost of living in Springfield stays consistently 10% below the national average. The Springfield metropolitan area offers a variety of educational, cultural, and recreational opportunities. Several area lakes, nearby Branson, Bass Pro Shops headquarters, Wilson’s Creek National Battlefield, and the Wonders of Wildlife American Fish and Wildlife Museum are among many attractions. Springfield is a great place to live and raise a family. A great source of Springfield information can be found by visiting www.springfieldchamber.com; public school information is available at http://springfieldpublicschoolsmo.org/; and entertainment information can be found at www.itsalldowntown.com, along with community calendars on the city website. There are also several links on the MSU AHEC website at www.ahec.missouristate.edu in the “About Us” page. Average cost of housing Nearest major airport Approximately $400-$600/month for a rental apartment Springfield Regional Airport (SGF) is located in Springfield. Kansas City International Airport (MCI), Lambert-St. Louis International Airport (STL), and Tulsa International Airport (TUL) are the closest major airports. Nearest expressway Cox South is located off James River Expressway. The other two hospitals, Cox North and Mercy are located within the city of Springfield, not near an expressway. Informational websites www.springfieldchamber.com www.coxhealth.com www.mercy.net Student Typical Day The Springfield site is preceptor based, so students are one-on-one with a preceptor. This means that students get a lot of handson learning without having to compete with residents or other students. The only residency program in Springfield is a Family Medicine program, and students generally spend one month on service with them. There are some students from the Osteopathic school in Kansas City, but students are rarely on the same rotation together. Medical students attend didactics with the Family Medicine Residency program. There are also some physician assistant students, nurse practitioner students, and nursing students that rotate in the hospitals, but again, you generally would not rotate with them. While on a rotation, students take the schedule that their preceptor has. Therefore, there is no set schedule from month to month. Because Springfield is not hospital-based, the responsibilities and expectations are not standardized and can be different, 90 depending on the preceptor. This is still a relatively new rotation site and the hospitals and preceptors are still getting used to having medical students. Self-motivation is definitely a feature to have at all times. Student feedback regarding site: “This is by far the most hands-on clinical rotation I have had so far. The physician and the office staff were excellent in helping me sharpen my physical exam skills, injection technique, blood draws etc. I was allowed to take increased responsibility in patient management and I walked out of this rotation more confident than I was going in.” Notes 91 Missouri Region St. Joseph – Mosaic Life Care NWMO AHEC 5325 Faraon St. Joseph, MO 64506 816-271-7950 or fax 816-271-6786 www.mymosaiclifecare.org Director of Student Medical Education Alan W. Brewer, DO Rotation Site Coordinator (On-Site) Janice Neumann, Clinical Training Coordinator Rotation Site Coordinator (Off-Site) Marcy Brockett 816.271.7950 phone 815.271.6786 fax [email protected] 319.750.2497 660.626.2928 (fax) [email protected] Paula Overfelt, Executive Director Northwest Missouri AHEC [email protected] The Site Mosaic Life Care (formerly Heartland Health) is an integrated health delivery system, which includes a medical center; and physician practices. Mosaic Life Care’s vision for the 21st century includes a patient-centered, fully integrated regional health delivery system inclusive of all payers and providers and is on course to become a benchmark as one of the best health organizations in the nation. Mosaic Life Care is a member of the Mayo Clinic Care Network. Mosaic Life Care is a physician-led life care company that is introducing a new kind of health care. With a focus on preventive care and overall wellness, Mosaic Life Care is traditional health care plus life care, which looks at the person as a whole instead of just focusing on illnesses and conditions. Mosaic offers a reinvented, reimagined experience for consumers. With a goal of helping individuals achieve their best health, Mosaic provides a comfortable, innovative approach to health and life improvement. Mosaic Life Care includes a physician-led, multi-specialty medical group practice, whose calling is to provide excellent service and quality outcomes for our community. Mosaic Life Care includes more than 100 primary care and specialty physicians with clinics in the northwest Missouri and northeast Kansas area and in Clay and Platte counties. As an organization made up of people dedicated to continuous improvement, Mosaic Life Care constantly measures its performance against other regional and national hospitals, to ensure that it provides the best possible care to its patients and demonstrates quality in all that it does. The health care consumer today expects and deserves ever–higher levels of quality and safety in health organizations. Mosaic Life Care is committed to constant evaluation and improvement to best serve the community and the region. A few designations and awards are listed below: 92 2014 – Ingram’s magazine one of the Top 100 Privately Held Companies 2014 - Heartland Health/Mosaic Life Care was given an “A” rating by The Leapfrog Group. The Leapfrog Hospital Survey is the Gold standard for comparing hospitals’ performance on the national standards of safety, quality and efficiency that are most relevant to consumers and purchasers of care. 2013 - Heartland Health/Mosaic Life Care was named Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health–care organizations in America. 2013 - Recognized as one of Becker's Hospital Review's "100 Accountable Care Organizations to Know." 2013 - “Most Wired” hospitals list by Hospitals & Health Networks Magazine 2013 – Healthgrades Excellence Awards 2012 – Ingram’s magazine Best Places to work in Healthcare list 2012 - Becker’s Hospital Review 100 Great Community Hospitals list 2009 - Malcolm Baldrige National Quality Award - Named after Malcolm Baldrige, the 26th Secretary of Commerce, the Baldrige Award was established by Congress in 1987 to enhance the competitiveness and performance of United States businesses. The award promotes excellence in organizational performance, recognizes the achievements and results of U.S. organizations, and publicizes successful performance strategies. The President of the United States presents the winner with this prestigious award. 2009 - Foster G. McGaw Prize - one of the most respected community service honors in healthcare Site Statistics City Population Medical Staff Size of Hospital Admits Surgeries 77,147 285 352 beds 17,884 11,179 Student Rotations In-patient Surgeries Out-patient Surgeries Deliveries ER Visits Outpatient Visits 4,219 6,969 1,637 55,229 887,011 Most Core rotations are available at the hospital or at clinics in town. Some physicians may have outpatient clinics in other communities. Rural Family Medicine rotations may be completed in Gower (20 minutes), Maysville/Stewartsville/Cameron (approximately 30 minutes), Platte City (30 minutes), Maryville (45 minutes), Hamilton (50 minutes) or Chillicothe (1 hour). Frequently Asked Questions Describe didactics at your facility. It is a systems approach with 7 a.m. lectures presented by members of the medical staff or guest speakers. Students present reviews of important research reports from the professional literature at monthly Journal Club sessions and give case review presentations at monthly Education Days. How many students are on a rotation? Each year, two students are accepted from KCOM for third year rotations with six or seven students from other medical schools. The number of fourth year students generally varies. How often are students one-on-one with an attending? A majority of the time it is one-on-one; there are two students on Neurology and Psychiatry rotations. Are students offered/encouraged to actively participate in procedures? This is preceptor and student dependent. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Mosaic Life Care works collaboratively with all regional hospitals and is the largest hospital in the region. Medical students from the University of Missouri-Columbia School of Medicine, Kansas City University of Medicine and Biosciences, and the University of Missouri-Kansas City School of Medicine are routinely on site for rotations. Length of time students are in our region varies. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Level II trauma center. There are three Level I trauma centers in Kansas City just 40 minutes away. What is the on-call policy for medical students? The on-call policy is dependent on the preceptor. Is there 24-hour access to the library and Internet resources? Students have 24-hour access to the medical library at Mosaic Life Care and to the MAHEC Digital Library. The Mosaic Life Care librarian will assist students with searches or acquiring resources. Is charting done electronically? Yes, in most hospitals and clinics. Training on an electronic medical record is a mandatory part of medical student orientation. Is there a food allowance and how much? Students are given a meal card to use while on site. The card is to be used only while “on-duty” for rotations. Other participating hospitals vary in their approach to meal costs. Are pagers provided to students? Yes, they are used on a limited number of rotations only. Are lockers available for students to use? No Does your region have any Research Opportunities to offer? Based on an individual interest or situation. Site Visits For a site visit, contact Janice Neumann, Clinical Training Coordinator at 816.271.7950 or Marcy Brockett, KCOM Campus Small Site Coordinator at 319.750.2497. 93 Area Information St. Joseph, Missouri is famous for being the place where the Pony Express began in 1860 and where the life of Jesse James ended in 1882. St. Joseph combines its rich history with many diverse museums and life today with shopping, dining, and a variety of activities. Besides visiting our 15 museums and experiencing the history of St. Joseph, cultural activities include events through the St. Joseph Symphony, the Historic Missouri Theater, and the Allied Arts Association. Other events in St. Joseph include the Apple Blossom Festival with a large colorful parade, concerts, dances, and a local 10K run. In the summer, concerts are held downtown and in August, Trails West includes 3 days of art, stage productions, reenactments, and a variety of musical entertainment events for the whole family including nationally known country music performances. Sporting venues include Phil Welch Baseball Stadium, Heritage Park Softball Complex, Bode Sports Complex for basketball and ice skating, Fairview Golf course, St. Joseph Soccer Association, Missouri Western State University, St. Joseph Water Park and more. Visitors and residents can truly see why St. Joseph was recently voted one of the top 10 communities in Missouri to raise a family. St. Joseph is located in northwest Missouri with the Missouri River serving as the western boundary of town. St. Joseph is known for its beautiful parkway system with 26 miles of running and biking paths throughout the city. Average cost of housing: $500/month (Depending on specific requirements, prices will vary) Nearest major airports: Kansas City International Airport (35 miles south of St. Joseph) Nearest expressway: St. Joseph can be accessed from Kirksville via 63 Hwy south for 32 miles and 36 Highway West for 130 miles Informational websites: www.stjomo.com Student Typical Day When a student is scheduled for a rotation such as Family Medicine, Internal Medicine, Pediatrics, and Neurology, the student may do rounds (depending on the preceptor) before the clinic opens. The students then spend the day, normally (8 a.m.-5:30 p.m.), in the clinic. The hours may vary depending on the rotation and the preceptor. During an Obstetrics/Gynecology rotation, time is split between the clinic and the Maternity Unit. This rotation includes taking call. The Psychiatry rotation is an inpatient and outpatient experience. We ask medical students to help with workshops for students interested in health careers. This involvement provides an opportunity to become acquainted with the community. Student feedback regarding site: “I came to St. Joe because I wanted a site that was preceptor based. I was also very impressed by the hospital and the staff during my site visit. So far, my experience has been great, and I feel lucky to be rotating here. Mosaic Life Care (formerly Heartland) is a great hospital that takes good care of its employees and provides exceptional care to its patients.” “I appreciate how skillful the doctors I have rotated with are and their interest and commitment in taking on students.” Notes 94 Missouri Region St. Louis – Christian Hospital Northeast 11133 Dunn Road St. Louis, MO 63136 314.653.5000 www.christianhospital.org Director of Student Medical Education Rotation Site Coordinator Kimberly Perry, DO, MBA, MHCM, FACOEP, FACEP 314.653.5685 (office) 314.402.4379 (cell) [email protected] Katherine Foglesong 314.653.5195 314.953.8074 (fax) [email protected] The Site Christian Hospital Northeast is part of a two-division facility in north St. Louis County and a founding member of BJC HealthCare. The original hospital was founded in 1903 and today offers a full range of health-care services. Christian Hospital Northeast Division is part of a 265-bed, two-division facility in north St. Louis County, Missouri. The nonprofit hospital offers a full range of health care services and an array of medical and surgical specialties. Christian Hospital’s medical staff both MD and DO educational backgrounds comprises more than 600 area physicians. Additionally, the hospital employs a diverse workforce of more than 3,000 health care professionals – people committed to the BJC mission of improving the health of the people and communities it serves. Well known for its cardiology department and services, Christian Hospital boasts more than 25 cardiologists and a team of specially trained health care professionals with a long tradition in high-quality heart care services. In 1981, Christian Hospital performed the first open heart surgery in a community hospital in the St. Louis area. During the year, physicians at Christian performed more than 5,000 heart procedures – from angioplasty to open-heart surgery. Christian Hospital is a certified stroke and STEMI Center, with comprehensive team care. Christian Hospital is also known for outstanding cancer care and diabetic services, as well as psychiatric and substance abuse programs through Center for Mental Health. The Hospital’s Cancer Care Program received a three-year accreditation from the American College of Surgeons, recognizing Christian Hospital’s commitment to the best cancer care available. Only 23% of hospital cancer programs in the United States have approved programs. Christian Hospital also plays a vital role in providing emergency care. As part of renovation efforts, the Christian Hospital Northeast Emergency Department now includes expanded and updated treatment areas that have doubled the previous capacity to provide quality patient care. Christian’s Emergency Department serves over 112,000 patients per year. Site Statistics City Population Medical Staff Size of Hospital Admits 2,504,400 625 485 beds 18,000 In-patient Surgeries Out-patient Surgeries ER Visits Outpatient Visits 6,000 3,015 112,000 95,600 Student Rotations Core rotations are available in General Surgery, Internal Medicine, Emergency Medicine, Anesthesia, Radiology, Psychiatry and Family Medicine. General Medicine subspecialties include Critical Care, Nephrology, Neurology, Cardiology, Gastroenterology, Pulmonary and Hospitalists Medicine. Our Federally Qualified Health Center (FQHC) is Myrtle Hillard Davis Comprehensive Health Center, with three sites nearby. We also offer rotation experiences at SSM Health Care, Mercy Health, St. Louis University Hospital and Barnes Jewish Hospital & St. Louis Children’s Hospital. Internship Programs None Residency Programs This site does not currently have an active residency program in place, although plans are being explored for development. However, The St. Louis Graduate 95 Medical Education Consortium (affiliated with Christian Hospital) offers; Family Medicine, Internal Medicine and Psychiatry Programs. Frequently Asked Questions Describe didactics at your facility. What is the on-call policy for medical students? Christian Hospital provides its students with many opportunities to expand their medical knowledge. Students attend weekly Tumor Board, Grand Rounds and Thursday Didactic Sessions. Students may be required to do overnight, in-house call. Shifts are from 7 p.m.-7 a.m., and occur one to three times a month or as a month rotation. How many students, interns, and residents are on a rotation? There are generally one or two students on a rotation. How often are students one-on-one with an attending or resident? One-on-one time may vary. Are students offered/encouraged to actively participate in procedures? Is there 24-hour access to the library and Internet resources? Yes, the e-library is always available for student use. A full time Medical Librarian supports the medical education program. There are several computers with internet access in the library. Is charting done electronically? Yes Is there a food allowance and how much? Yes, students are encouraged to participate in a wide variety of procedures when the situation permits. Students are provided with all meals while on service. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? We do use student’s personal cell phone numbers for texting and immediate/urgent communication. Christian Hospital is part of the BJC community hospitals and we have affiliations with many of those hospitals for electives and core rotations (pediatrics, obstetrics & psychiatry). Christian has a wonderful partnership with CenterPointe psychiatric services, offering students exposure to inpatient, outpatient, geropsychiatry, child and adolescent psychiatry as well as chemical dependency programs. Are lockers available for students to use? What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Christian Hospital’s Emergency Department is not a certified trauma center, however, is one of the busiest in the Metropolitan St. Louis Area. With its high acuity and various medical cases, the Emergency Medicine program is an excellent educational experience. Are pagers provided to students? The students have an office with space to store valuables. What unique qualities/opportunities does your facility have to offer? Christian is a large community hospital with big perks. Students enjoy the experience of having an on-site DSME and Rotation Site Coordinator. The hospital employs strong osteopathic and allopathic teaching staff, who does their best to provide ample learning experiences for each student. Does your region have any Research Opportunities to offer? If so please describe. Orthopedic research is available off-site and cardiology research is available on-site. Site Visits When are site visits scheduled? Students may visit Christian Hospital at any time. We ask for at least a week’s notice so we can coordinate time to show you around the hospital. These site visits should be set up through the 3rd year student liaisons with an email to the Rotation Site Coordinator with the date and time you are visiting so that we can get you a guest badge (you will be visiting clinical areas where a badge is required). Students may arrive at the preset time, in Room 2241 at Christian Hospital NE. Katherine Foglesong and student liaisons will meet with you and show you around. If the DSME is available, she will meet with you also. Guest accommodations are provided at no cost at Village North. Who should students contact to set up a site visit? Those interested should pre-register the week before to schedule a visit by contacting Katherine Foglesong at 314.653.5195 or [email protected] 96 Area Information With the great city of St. Louis at their doorway, North County residents enjoy a rolling landscape with a picturesque variety of neighborhoods. From large and small single-family homes, condominiums, town houses, and modern apartment complexes with recreational amenities to magnificent mansions with spectacular views of the Missouri River, together with well-kept homes dating back to the 1800’s, plus bungalows and American Foursquare gaining popularity in the early decades of the twentiethcentury, North County’s wide selection of housing has a home for any budget and desire. North County communities have within their boundaries many private schools in addition to the public schools; moreover, high school graduates have easy access to several excellent colleges, universities and technical schools enabling them to continue their education without having to leave the region. For recreation, North County offers its people several extraordinary facilities. The YMCA, the Florissant Parks and Recreation Department with pool and workout facilities, an outdoor ice rink for the winter months, and a variety of fantastic golf courses, such as Norwood Hills, Glen Echo, and the Old Florissant Golf Course just to name a few. Jointly with the excellent local and county parks located throughout the area, residents of North County will always be able to pursue their passion of leisure and past time. Average cost of housing Areas closer to the hospital often prove to be more expensive than those located farther away. Rent for houses or apartments can usually be found in the $600 to $1000 range. Christian Hospital has on campus housing for a month to month rental program for $500/month for a one or two bedroom, no children or pets. Nearest major airport Lambert-St. Louis International Airport (STL) is located approximately 15 minutes away Nearest expressway Interstate 270/Highway 367 north and immediately exits at Dunn Road Informational websites www.explorestlouis.com www.christianhospital.org , Student Typical Day Each medical student is expected to report to their rotation at the time designated by their preceptor. Tumor board meetings are required and are held at Christian Hospital NE at 7:30 a.m. on Wednesday. Scheduled didactic sessions are held on Thursdays from 2-4 p.m. and Grand Rounds on Fridays at 11:30 a.m. with the entire house staff. Students are encouraged to attend reading clubs and the department meetings of their current rotation or individual interests. Grand Rounds are offered and mandatory for all students on campus. Education Days are held every last Thursday of the month from 1-3 p.m., starting in August and lasting through May. Clinical case presentation will be presented by the students and journal articles will be reviewed. These Education Days are an open exchange of information between the students and the DSME. During Educations Days, preparation is made for the COMLEX CE and PE. Notes 97 Missouri Region St. Louis – Des Peres Hospital 2345 Dougherty Ferry Road St. Louis, MO 63122 314.966.9100 www.despereshospital.com Regional Assistant Dean Kenneth Ross, DO 314.966.9511 Rotation Site Coordinator Philip Grunder 314.966.9510 [email protected] [email protected] The Site Des Peres Hospital, in the suburbs of St. Louis, is a 167 bed acute care mixed DO and MD staff facility. This hospital provides the core rotations in General Surgery, Internal Medicine, Emergency Medicine, Anesthesia, Radiology and Family Medicine. General Surgery services include the subspecialties of Urology, Cardiovascular Surgery and Robotic Surgery. The Internal Medicine service includes the subspecialties of Gastroenterology, Nephrology, Neurology, Pulmonology, Geriatric Medicine, and the Intensive Care Unit. Emergency Medicine service is not trauma designated but includes a wide range of emergency services seen at any major metropolitan hospital. Anesthesia service offers an opportunity to develop the skills of intubation and intravenous access. Family Medicine is both an in-patient service as well as a rural health initiative of five out-patient clinics. The Core rotations in Obstetrics and Gynecology are provided at Mercy Medical Center, which is the largest provider of Obstetrical services in the metropolitan St. Louis area. It is located within a 15 minute drive of Des Peres Hospital. Core Pediatric services are provided at several private office based ambulatory sites. Psychiatric service rotations are either with a private medical staff psychiatrist or at CenterPointe Hospital. In-patient Psychiatric services are provided at CenterPointe Hospital and DePaul Medical Center. Third year medical students are exposed to a wide range of medical services that help them prepare for residency. Des Peres Hospital provides ample opportunity to experience the different practice patterns of both osteopathic and allopathic physicians. Students are encouraged to utilize the Regional Assistant Dean’s “open door policy.” There are numerous support services available to help students successfully complete their clinical rotations while at Des Peres in St. Louis. Site Statistics City Population Medical Staff Size of Hospital Admits 2,812,896 477 167 beds 5,502 In-patient Surgeries Out-patient Surgeries ER Visits 2,888 4,146 9,060 Student Rotations Although many Core and Required rotations are available at Des Peres Hospital, it is necessary to travel out for certain rotations. Most facilities are within 15 minutes from the base hospital, and all are easily accessible. Internships Traditional Rotating (if available) Residency Programs Anesthesiology, Family Medicine, Internal Medicine, General Surgery, Orthopedic Surgery, Otolaryngology & Facial Plastic Surgery, all are AOA accredited Frequently Asked Questions Describe didactics at your facility. Des Peres Hospital provides its students with many opportunities to expand their medical knowledge. Morning didactics are held each Monday through Friday morning starting at 7 a.m. There is also Tumor Board, as well as monthly osteopathic manipulative medicine (OMM) practice sessions. Each of the six residency programs has formal didactic programs and students are encouraged to attend. 98 How many students, interns, and residents are on a rotation? There are generally one to three students on rotation at a given time. Depending on the specialty, the ratio tends to be one resident, and perhaps one intern, per student. How often are students one-on-one with an attending or resident? Community preceptor rotations are frequently one-on-one. One-on-one time may vary. Are students offered/encouraged to actively participate in procedures? Yes, students are encouraged to participate in a wide variety of procedures when the situation permits. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Yes, Des Moines University College of Medicine (DMU), Kansas City University of Medicine and Biosciences (KCUMB), and Saint Louis University (SLU). What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Des Peres Hospital’s Emergency Department is not a certified trauma center, but students will have the opportunity to choose from several hospitals in the St. Louis area for a trauma experience. What is the on-call policy for medical students? Students are required to do overnight, in-house call with the in-house intern. Shifts are from 7 p.m.-7 a.m., and occur one to three times a month. Is there 24-hour access to the library and Internet resources? Yes, the library is always available for student use. A full time Medical Librarian supports the medical education program. There are several computers with internet access in the library. Des Peres also has a computer lab, which can be accessed by the students. Is charting done electronically? Des Peres Hospital currently uses Progress Notes. Students have access to Cerner and document electronically. All notes are reviewed and approved by their preceptor, or a resident. Is there a food allowance and how much? Students are provided free meals while on service. Are pagers provided to students? Yes, all core students receive pagers at orientation. Are lockers available for students to use? Yes What unique qualities/opportunities does your facility have to offer? Des Peres is a small community hospital with big perks. Students enjoy the experience of having an on-site Regional Assistant Dean and Site Coordinator. The hospital employs strong osteopathic and allopathic teaching staffs, whom do their best to provide ample learning experiences for each student. Des Peres Hospital provides quality medical and surgical services, including geriatrics, cardiology, bariatric (surgical weight loss management), orthopedics, wound care and emergency care. We offer patients less invasive surgical options by performing DaVinci robotic state of the art surgery. Fully-accredited Chest Pain Center, as recognized by the Society of Chest Pain Centers Bariatric Surgery Center of Excellence as recognized by the American Society for Metabolic Surgery. The Joint Commission’s Gold Seal of Approval and is accredited by the AOA. Does your region have any Research Opportunities to offer? If so please describe. Limited research opportunities are available; please contact the Rotation Site Coordinator for possible preceptor and specialty options. Site Visits When are site visits scheduled? Students may visit Des Peres Hospital at any time. We ask for at least a week’s notice so we can coordinate time for a student, intern or resident to show you around. Students may arrive at 7 a.m. for morning report. Usually all tours begin at 8 a.m. in the Medical Education Office. Who should students contact to set up a site visit? Those interested in attending should pre-register by contacting Philip Grunder, Rotation Site Coordinator at 314.966.9510 or emailing [email protected] by the Monday before the tour. Area Information Des Peres Hospital is located in the suburbs of St. Louis known as West County, which is about 20 minutes from the city of St. Louis. There is a wide variety of entertainment for every age, including the St. Louis Zoo, Science Center, St. Louis Art Museum, History Museum, Gateway Arch, City Museum, Laclede’s Landing, and Grant’s Farm to name just a few. St. Louis is recognized as one of the most active sports centers in the country and local fans are noted for their enthusiastic support of their teams. Professional teams include the Cardinals, Rams, and the St. Louis Blues. Music, dance, and theatre thrive at venues such the Powell Symphony Hall, The Muny Opera, Fox Theater, Opera Theatre of St. Louis, Blanche M. Touhill Performing Arts Center, and Repertory Theatre of St. Louis. St. Louis is famous for its thousand one-of-a-kind restaurants. There is always something good to eat in St. Louis’ neighborhoods. “Bon Appetite” magazine praised St. Louis as a “two-fisted eater” that offers a “smorgasbord of globe-trotting specialties.” 99 Average cost of housing Areas closer to the hospital often prove to be more expensive than those located further away. Rent for houses or apartments can usually be found in the $600 to $1000 range. Nearest major airport Lambert-St. Louis International Airport (STL) is located approximately 20 minutes north of Des Peres Hospital. Nearest expressway The hospital sits right next to I-270, between I-44 and I-64, off the Dougherty Ferry exit. Informational websites www.explorestlouis.com www.despereshospital.com Student Typical Day Students arrive on Surgery and Internal Medicine rotations at the hospital at approximately 6 a.m., and round on a couple of their patients prior to morning report. Morning report starts at 7 a.m. and is usually a brief 30 minute lecture given by an upper level resident from one of the various residency programs at Des Peres (Ortho/ENT/Surgery/Internal Medicine/Family Medicine). After this, the intern on night float usually gives a 5-10 minute handoff (ISBAR) on any interesting events that occurred overnight. Some rotations will have a lecture once a week after a morning report session. Otherwise, teams break up and finish seeing their patients, report to their resident/preceptor about anything that needs attention, and then either go to the OR, wait for admissions to come through the Emergency Department, or direct admissions. Noon lectures are provided three to four times per month and a noon OMT lecture once a month. The Surgery day ends (depending on the number of cases) anywhere from 4-6 p.m. Internal Medicine day ends (depending on how busy the service, the number of students on rotation and admissions that need attention) anywhere from 3-6 p.m. Each medical student is expected to attend morning report that begins at 7 a.m. Morning report is a resident driven didactic program where medical topics or patient case reviews are analyzed. Noon didactics are provided three to four times per month. Catered lunch is occasionally provided at these meetings. Students are also encouraged to attend the individual residency reading clubs in Anesthesia, Family Medicine, General Surgery, Internal Medicine, ENT, and Orthopedic Surgery. Tumor board and monthly OMT committees meet and student participation is required. Education Days are held weekly or every other week, Wednesday afternoon from 1-5 p.m. starting in August and lasting through April. Journal articles and patient case reviews are presented by the medical students during education days. The journal articles and case presentations are an open exchange of information between other medical students and the Regional Assistant Dean. During Education Days, preparation is made for COMLEX CE and PE. The DME will examine a simulated patient and medical students will write SOAP notes. Other issues of clinical, technical, and medical policy are presented. Notes 100 Missouri Region West Plains - Ozarks Medical Center SEMO AHEC 1100 North Kentucky St. West Plains, MO 65775 417.257.6714 417.527.5998 (fax) www.ozarksmedicalcenter.com Director of Student Medical Education Scott Roush, DO 417.255.8645 [email protected] Rotation Site Coordinator (Off-Site) Marcy Brockett 319.750.2497 660.626.2928 (fax) [email protected] Rotation Site Coordinator (On-Site) Cindy Robinett SEMO AHEC 506D Hazel Street Poplar Bluff, MO 63901 573.785.2444 ext. 3 [email protected] Sandra Ortiz, Executive Director SEMO AHEC [email protected] The Site This is a wonderful teaching environment for medical students. Students are provided a thorough orientation to Ozarks Medical Center, security access codes, free meals at the Medical Center, and access to all library services. Students are given access to the doctor’s lounge and given the little “perks” normally only given to physicians. The physicians and staff at Ozarks Medical Center are very student friendly and do their best to make students feel at home. Students feel more like physicians than students when training at OMC. Dr. Scott Roush the DSME in West Plains and both partners in his medical practice completed their rotations through AHEC rural rotations. Ozarks Medical Center covers an eleven county area with a population base of over 150,000, which makes for a variety of pathology that can compete with any major training facility. Ozarks Medical Center has a large education department which provides numerous CME programs for physicians and staff. Students are always invited to attend all CME programs free of charge. Medical education is very important to the staff and physicians of OMC. Every year OMC hosts a “MASH Camp” for local high school students interested in healthcare. Several physicians and staff members give their time to help with this hands-on experiential activity. The education department also asks medical students to help facilitate dissection labs, suturing workshops, and Q&A sessions about medical school. Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to student. Students with a strong interest in Poplar Bluff Regional Medical Center may have the opportunity to complete multiple rotations at this site with the appropriate approval of the regional staff by contacting the regional site coordinator, Cindy Robinett. Site Statistics City Population Medical Staff Size of Hospital Admits Student Rotations 11,986 106 114 7,126 Surgeries Deliveries ER Visits Medical Coordinator 4,196 792 19,542 Colleen Schmidt All rotations are completed one-on-one with preceptors. Students complete a variety of both inpatient and outpatient rotations. At this site all preceptors work with students on a volunteer basis and do so because they enjoy working with students. Physicians are never “required” to take students. They do so because they want to give back to their profession and a community in which they have chosen to live and raise their family. 101 Frequently Asked Questions Describe didactics at your facility. What is the on-call policy for medical students? Preceptor lectures, CMEs, Journal Clubs, and Student Case Conferences are provided. Students do morning rounds with attendings and are often given reading assignments by their preceptors. The on-call policy varies by rotation. Most rotations do not have night call. Students with strong interests in surgery, OB/GYN and other specialties which have a lot of call may talk with individual physicians and be put on the list to be called in for “interesting cases”. How many students, interns, and residents are on a rotation? West Plains only hosts medical students. Students are always trained by physicians and never by interns or residents. This makes for an optimal training site for medical students. How often are students one-on-one with an attending or resident? Students are always one-on-one with an attending physician. Residents do not train in West Plains. Medical students do not have to compete with interns and residents for procedures and assisting in surgeries and obstetrics. Are students offered/encouraged to actively participate in procedures? One of the best parts of completing your clinical training in a smaller community is that students are allowed to participate in many procedures. When students complete their Obstetrics/Gynecology rotations, they are actually allowed to deliver babies. Students can serve as first assist in surgeries as there are no interns/residents at this site. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? This is a single site hospital. Medical schools that send students to this site include: KCOM in Kirksville, KCUMB in Kansas City, and University of Missouri – Columbia. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? There are no Level I trauma centers in this region. Students who would like to rotate at a Level I trauma center may complete an ER rotation at one of the many hospitals with which ATSU has an affiliation agreements with. Is there 24-hour access to the library and Internet resources? Yes. Students are given their own usernames and passwords to access resources at any time of the day or night. Is charting done electronically? Electronic charting is done in some areas of the hospital. EMR is rapidly being added to all departments of the hospital and clinics. Is there a food allowance and how much? Student meals are provided in the hospital cafeteria. Students can utilize their school issued name badges to receive meals. Are pagers provided to students? No. Most preceptors use cell phones and take student cell phone numbers as well as give students their cell phone numbers. Are lockers available for students to use? No. Students are given access codes to the doctor’s lounge which is locked and only students and physicians have access. What unique qualities/opportunities does your facility offer? Ozarks Medical Center is a smaller hospital which serves a large area with a variety of pathology that surprises many students as well as new physicians joining the medical community. Students are treated more like physicians than students and are made to feel at home from the first of their rotations. Does your region have any Research Opportunities to offer? If so please describe. Ozarks Medical Center is not a major research site. However, physicians will occasionally involve students in research projects. Site Visits When are site visits scheduled? Site visits can be scheduled at almost any time except for holidays. Who should students contact to set up a site visit? Please contact the Rotation Site Coordinator, Cindy Robinett at 573.785.2444 Ext 3. What is the site visit protocol at your site? Students must contact the Rotation Site Coordinator at least two weeks before the planned visit. The Rotation Site Coordinator will make arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will be considered, but may not be able to be arranged due to time constraints. 102 Area Information West Plains is nestled in the “Heart of the Ozarks” and offers breathtaking scenery and a wealth of recreational activities. If you are interested in outdoor activities this area has some of the best fishing in the state. If you enjoy hunting then West Plains is definitely for you. You can also pick up the pace at one of the finest dirt track facilities in the nation. The West Plains Motor Speedway’s premier event is the “Show Me 100,” where late model drivers from across the country compete to start the Memorial Day weekend race. The season begins mid-March and runs through August with events for crowds as large as 17,000. People also come from miles away to attend concerts and family activities at the West Plains Civic Center. With 30,000 square feet of exhibit space, 7,400 square feet of meeting rooms, a 2,900-seat arena and a 450-seat theater, there’s certainly room for everybody. The center boasts a collegiate-sized swimming pool, hot tub, sauna, and a professionally designed fitness room. The state-of-the art Civic Center hosts expos and conventions, athletic events, stage shows, and performing arts theatre. It has developed a solid reputation for staging quality family entertainment and cultural events. For more information about West Plains, visit their website at http://wpchamber.org/ Average cost of housing Rental units range from $450-650/month Average housing costs range from $100,000-150,000, although smaller nice homes can be found for under $90,000. This is a major benefit to training in southeast Missouri. Nearest major airport Springfield Regional Airport (SGF) is approximately 100 miles from West Plains Nearest expressway I-44 is approximately 100 miles from West Plains Informational websites www.westplains.net Student Typical Day Most rotations are preceptor-based, so the schedule will vary somewhat for every rotation. Medical students may be expected to pre-round before the attending gets to the hospital. Students will report to attendings once they arrive and continue rounding with their attending. Depending on the rotation, once rounds are completed the student will join their preceptor in the OR, clinic, labor and delivery or where ever the rotation requires. Students actively participate in scopes, surgeries, deliveries and other procedures. There are no residents or interns at Ozarks Medical Center, so the student will be allowed to do many of the H & Ps as well as progress notes to report to the attending just as the intern or resident would do at a large training site. The preceptors enjoy teaching and work hard to train and prepare students for their audition rotations during their fourth year. Preceptors in West Plains take special interest in students and act as mentors to the students. Students who have interests in specialties which require technical and procedural skills will benefit greatly in West Plains. Students are allowed to work side by side with the preceptor and gain these skills. The DSME in West Plains, Scott Roush, DO, trained in West Plains while in medical school. When Dr. Roush entered residency, he had already delivered more babies than the chief OB resident had at that time. Student feedback regarding site: “The clinical rotations at West Plains are top notch. The physicians at the hospital and surrounding clinics are fantastic teachers. All rotations are one-on-one with the physician, so the clinical experience is excellent. I was able to perform all procedures with the physician looking over my shoulder, patiently instructing. The hands-on experience you will receive is invaluable and for those reasons, I highly recommend West Plains.” It's hard to explain the amazing opportunities afforded to medical students that train at an AHEC community site. You can get didactics anywhere, but you can only get this much hands on training in rural communities. There is no doubt in my mind that I will be more prepared for the rigors of residency because of the autonomy I received while training in West Plains with SEMO AHEC." Notes 103 Notes 104 New Jersey Region New Jersey Sites Bayonne Medical Center Bayonne Regional Map About New Jersey Capital Trenton Est. population 8,899,339 – ranked the 11th largest state in the country in 2013 Land area 7,419 mi2 Largest cities Newark, Jersey City, Paterson, and Elizabeth Surrounding states Delaware, New York State, and Pennsylvania 105 New Jersey Region Bayonne Medical Center 29th Street & Avenue E Bayonne, NJ 07102 201.858.7342 www.bayonnemedicalcenter.org Regional Assistant Dean Howard S. Levine, DO 201.978.1348 Rotation Site Coordinator Martha Truglio 201.424.9258 [email protected] [email protected] The Site Established in 1888, Bayonne Medical Center is a 278-bed, fully accredited, acute-care hospital located in Hudson County. Since opening its doors more than a century ago, it has been committed to providing quality, comprehensive, communitybased healthcare services to more than 70,000 people annually. With its finger on the pulse of the community, Bayonne Medical Center continually develops new and expanded services to meet the changing needs of the people it serves. Placing great value on the lives and wellness of every segment of the community, Bayonne Medical Center offers a complete spectrum of healthcare specialties. Among the services offered are behavioral health, cardiac care, cardiovascular services, diabetes education and support groups, dialysis, radiology and the Center for Wound Care and Hyperbaric Therapy. Additionally, the medical center offers comprehensive inpatient and same day surgical services and a family health center that is operated by the Horizon Health Centers, a federally qualified healthcare provider. CarePoint Health brings together three Hudson County hospitals: Bayonne Medical Center, Christ Hospital in Jersey City; and Hoboken University Medical Center. Site Statistics City Population Medical Staff Size of Hospital Admits 63,024 275 278 beds 6,496 Surgeries Deliveries ER Visits 1,312 N/A 28,244 Student Rotations Core rotations are completed at Bayonne Medical Center, Hoboken University Medical Center for OB and private practices for Family Medicine, Rural Family Medicine and Pediatrics. Residency Hoboken University Medical Center and Christ Hospital offer Family Medicine Residencies. Possible Facilities Christ Hospital Hoboken University Medical Center 176 Palisade Avenue Jersey City, NJ 07306 201.795.8200 www.carepointhealth.org 308 Willow Avenue Hoboken, NJ 07030 201.418.1000 www.carepointhealth.org Medical Staff Size of Hospital 500+ 376 beds Medical Staff Size of Hospital 284 204 beds Frequently Asked Questions Describe didactics at your facility. Didactics vary by department to department. There are both weekly and monthly lectures and Education Day activities monthly with the Regional Dean. How often are students one-on-one with an attending or resident? How many students, interns, and residents are on a rotation? Are students offered/encouraged to actively participate in procedures? In most cases there will be one student per rotation. It varies with different attending physicians. 106 Each rotation varies. Are pagers provided to students? Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Christ Hospital and Hoboken University Medical Center. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Bayonne is not a trauma center. The nearest trauma center is Jersey City Medical Center. What is the on-call policy for medical students? Options are available on selected rotations. Is there 24-hour access to the library and Internet resources? Yes Is charting done electronically? Yes Is there a food allowance and how much? There is a physician’s lounge where food is available. No Are lockers available for students to use? No What unique qualities/opportunities does your facility have to offer? Students benefit from experiences with a diverse patient population on rotations in both rural and urban environments. On some private practice rotations, students will also make nursing home visits and house calls with the preceptor. Monthly Education Day activities are held at the home of the Regional Assistant Dean, Dr. Howard Levine. During Education Day students present Oral Case, Journal Club, and interact with Dr. Levine. Students also receive in depth OMM training provided by Dr. Levine at these meetings. Students should feel free to contact the Regional Assistant Dean or Regional Coordinator for additional information about the region. Does your region have any Research Opportunities to offer? If so please describe. No information provided. Site Visits When are site visits scheduled? Visits can occur at any time throughout the year, please avoid holidays. You must call and make an appointment. Who should students contact to set up a site visit? Students should contact Dr. Howard Levine at 201.978.1348 or [email protected] Area Information Average cost of housing $1000-$1200; price depends on size and community Nearest major airport Newark Liberty International Airport (EWR/KEWR) and is 12 miles from the center of Hoboken. LaGuardia Airport (LGA/KLGA) is 13 miles from Hoboken. Nearest expressway The 14th Street Viaduct connects Hoboken to Paterson Plank Road in Jersey City Heights. Two highway tunnels that connect New Jersey to New York are located close to Hoboken. The Lincoln Tunnel is north of the city in Weehawken. The Holland Tunnel is south of the city in downtown Jersey City. Informational websites www.CarePointHealth.org Student Typical Day A typical day in the New Jersey region varies widely from one rotation to another. A student on the Internal Medicine rotation will pre-round on all patients. Formal rounds with the attending begin at 7 a.m. and the student is given an opportunity to practice writing history and physicals as well as practice writing progress notes. Other in-patient rotations usually begin the day at 8 a.m. Most preceptors assign students reading materials which they are urged to read during down time. Obstetrics and Gynecology takes place at Hoboken University Medical Center. The students spend the day in the Pre-Natal Clinic as well as in Labor and Delivery. They often observe deliveries and spend time in the procedure clinic with gynecological cases. They can also do call with the Family Medicine OB Night Float resident. 107 Out-patient rotation schedules vary but most take place between 8 a.m.-5:30 p.m. All rotations are directly supervised by attending physicians. Notes 108 Ohio Region Ohio Sites Affinity Medical Center Massillon Central CORE (Doctors Hospital) Columbus St. Joseph Warren Hospital Warren Southeast CORE (O’Bleness Hospital) Athens Western Reserve Hospital Cuyahoga Falls Regional Map About Ohio Capital Columbus Est. population 11,570,808 – ranked the 7th largest state in the country in 2013 Land area 40,953 mi2 Largest cities Columbus, Cleveland, Cincinnati, Toledo, Akron, and Dayton Surrounding states Indiana, Kentucky, Michigan, Pennsylvania, and West Virginia 109 Ohio Region Overview In choosing one of the hospital-based sites in the Ohio Region, you will have the unique opportunity to participate in an integrated statewide medical education consortium formed by affiliations between the Ohio University Heritage College of Medicine (OU-HCOM), 20+ Ohio teaching hospitals, and six colleges of osteopathic medicine, one of which is Kirksville College of Osteopathic Medicine (KCOM). The CORE (Centers for Osteopathic Research and Education) will be the foundation of your educational source creating one united group of medical students focused on clinical rotations and osteopathic teaching principles. In addition to training third and fourth year medical students, the CORE internship and residency programs provide over 454 postdoctoral training opportunities. Within this infrastructure you will experience an exceptional osteopathic medical education that extends through residency training and beyond into continuing medical education. Weekly didactic programs are an essential component of clinical training at each site, with instructional programs in medical school required activities, OMM, combined medical education lectures, as well as distant learning opportunities. Kirksville College of Osteopathic Medicine (KCOM) is an integral part of the CORE system and has representation on the CORE board. Our KCOM campus and regional staff work closely with the CORE staff located at the OU-HCOM main campus in Athens, OH as well as CORE staff located at each of the five base hospital sites where we host students. We share Assistant Dean support with the CORE Assistant Dean serving as the KCOM Regional Assistant Dean. Our collegial relationship is focused on providing all CORE students an exceptional clinical experience in the Ohio Region. KCOM students may choose to be assigned to one of the five participating KCOM-CORE base hospital sites. The number of spots and location of Ohio Region hospitals where KCOM students are assigned are given to us by the OU-HCOM CORE. All assigned hospitals offer a range of training experiences, each within diverse hospital and socioeconomic settings. Currently, three of the assigned hospitals are located in northeast Ohio areas of Akron, Canton, and Warren. The remaining hospital sites are located in Columbus (Central Ohio) and Athens (Southeast Ohio). The five base sites of choice are: Affinity Medical Center in Massillon; Western Reserve Hospital in Cuyahoga Falls; Central CORE (Doctors Hospital) in Columbus; Southeast CORE (O’Bleness Hospital) in Athens and St. Joseph Warren Hospital in Warren. Additionally, each of their affiliate partner hospitals will play a role in your clinical education. In the fourth year, all COM students have the opportunity to complete rotations at all CORE hospitals or their affiliates. Students interested in the Ohio Region are asked to contact the KCOM Ohio Rotation Site Coordinator noted below for more specific information and site tours. We ask that you not call the hospital or CORE staff directly. Rotation Site Coordinator Juliann Riley 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] 110 Ohio Region Affinity Medical Center 875 Eighth Street, NE Massillon, OH 44646 330.834.4783 330.832.0675 (fax) www.affinitymedicalcenter.com Regional Assistant Dean Andrew Culver, DO Rotation Site Coordinator Juliann Riley OU-HCOM CORE Office 330.834.4783 330.832.0675 (fax) Director of Student Medical Education Kerrie David, DO 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] The Site Affinity Medical Center is a full service, acute care, unique community hospital with many features normally found in more tertiary-type facilities. For over 146 years, the hospital has built a tradition of medical excellence in the local community. From the comprehensive inpatient programs, and trauma-certified emergency department, to the compassionate ambulatory care clinic, pain management and wound care services, inpatient rehabilitation unit and more; the caring staff at Affinity Medical Center are dedicated to providing the highest quality care to meet the needs of their patients and their loved ones. As we have grown to meet the increasing needs of the community, a state-of-the-art, 22,000 square foot ER opened in July 2014. Additional advances at the hospital will be particularly important for patients needing specialized cardiac and orthopedic care. Lastly, the hospital proudly continues to function as a teaching facility in collaboration with the Ohio University Heritage College of Osteopathic Medicine training medical students and residents. Each year, approximately 10-15 third and fourth year medical students from Ohio University Heritage College of Osteopathic Medicine, associated affiliate COM’s, and A.T. Still University-KCOM, are based here for clinical rotations Affinity Medical Center and OU-HCOM co-sponsor approximately 38 postgraduate positions sanctioned by the American Osteopathic Association for interns and residents in Family Medicine, Emergency Medicine, General Surgery and Orthopedic Surgery. Site Statistics City Population Medical Staff DOs MDs Size of Hospital Admits 32,315 168 75 93 183 active bed 5,266 In-patient Surgeries Out-patient Surgeries Deliveries ER Visits Outpatient Visits 1,582 5,506 N/A 25,649 117,044 Student Rotations Third year required rotations are primarily at the hospital or a local office. Rural Family Medicine may require a drive of up to 55 minutes and Pediatrics, Internal Medicine subspecialties and Psychiatry may have a 20-30 minute drive. Internships Traditional Rotating Residency Programs Family Medicine, Emergency Medicine, General Surgery, Orthopedic Surgery (AOA accredited) Possible Facilities Third Year Aultman Hospital Most of your clinical rotations are conducted within the Affinity Medical Center network of facilities. Some preceptor based rotations will also be assigned in the Massillon/Canton area and Psychiatry possibly in the Akron area (30 minutes away). Rural Family Medicine may be assigned in the Orville area (45 minutes away) and Uniontown (35 minutes away). 2600 Sixth Street, SW Canton, OH 44710 330.452.9911 Distance: 17 minutes (6.54 miles) www.aultman.com 111 Mercy Medical Center 1320 Mercy Drive, NW Canton, OH 44708 www.cantonmercy.com 330.498.1000 Distance: 15 minutes (6.92 miles) Rotations: Fourth year elective rotations Fourth Year: Rotations depend on your personal rotation selection with many local options in the Canton, Akron, and Cleveland areas, such as Aultman Hospital, Mercy Medical Center, Summa Health Systems in Akron, Akron General Hospital, Akron Children’s Hospital, Cleveland Clinic, University Hospital Systems, MetroHealth, and Rainbow Babies and Children’s. Frequently Asked Questions Describe didactics at your facility. Is charting done electronically? Didactics are held on Monday and Tuesday from 7-8 a.m., Wednesday from Noon to 4 p.m. and Tumor Board is the first Thursday of the month at noon. Lectures include hands-on OMM and discussion; Internal Medicine, Surgery, Orthopedics topics; Medical Ethics and Medical Jurisprudence, as well as oral case conferences and guest lecturers. Skills lab are bi-monthly. Yes Bi-annual meetings with the Regional Assistant Dean occur during years 3 and 4. Yes KCOM requires presentations of Oral Cases and Journal Club articles, students meet in a small group setting with the KCOM DSME (Dr. Kerrie David). The small group meetings generally begin in October through January and occur once a month on Wednesday evening from 6-8 p.m. How many students, interns, and residents are on a rotation? Per attending there is usually one resident, one intern, and one student. This differs by rotation and number of residents in house. How often are students one-on-one with an attending or resident? Depends on rotation; typically no more than two students assigned to a service. Are students offered/encouraged to actively participate in procedures? Yes Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? No additional hospital affiliations. Our facility is also affiliated with OU-HCOM and KCOM at the present time. What is the trauma level of your emergency department? If your emergency department is not a Level-I trauma center, will students have an opportunity to rotate at a Level-I trauma center? Level III. With a sub-acute Fast Track section. Level I is available in Akron or Cleveland if preferred. What is the on-call policy for medical students? Two weekends a month. Is there 24-hour access to the library and Internet resources? Yes 112 Is there a food allowance and how much? Food is free at this time. Are pagers provided to students? Yes, as needed Are lockers available for students to use? What unique qualities/opportunities does your facility have to offer? Students receive one-on-one training with the attending about 80 percent of the time. We offer a very friendly environment; strong didactics and are near metropolitan areas with a sense of community. Affinity Medical Center hosts an Orthopedic and Spine Center which provides innovative treatment, state of the art surgical procedures and a dedicated team of board certified orthopedic surgeons, experienced nurses, physical therapists and occupational therapists who work closely with patients and their families to restore mobility, encourage independence and promote healing. This 10 room specialized unit is a unique addition for our orthopedic residents and student trainees. Also unique to AMC includes their percutaneous interventional cardiology and heart center. In July 2014, Affinity Medical Center to open their new, state of the art, $9 million expanded trauma level III emergency room. Does your region have any Research Opportunities to offer? If so please describe. Research is available through the Ohio CORE (site host school). Research projects may include, but are not limited to ongoing research done by the current residents and CORE staff. Please contact Dr. Grace Brannan, CORE Research Executive Director, for more details. [email protected] or 740.593.2325. Site Visits When are site visits scheduled? Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break). Specific dates, times and locations will be sent to your class in February 2015. Who should students contact to set up a site visit? KCOM Ohio Rotation Site Coordinator – Juliann Riley at [email protected] or 330.608.1296. Please do not contact the hospital, CORE or any fellow students to arrange site visits. What is the site visit protocol at your site? All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following requests: NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability. NO site visits will be available the last week in June or the first week in July due to intern and third year medical student orientation week. Area Information The adjacent cities of Massillon and Canton, within a one-hour drive of Cleveland, offer the convenience of big city living without losing the charm of small town life. Recreational, cultural, and educational opportunities are plentiful, as are comfortable neighborhoods with affordable housing. Local university opportunities include Kent State University-Stark Campus; Stark State College of Technology, Walsh University and Malone College, all are within a 30 minute drive from the hospital. Area schools are highly regarded. The people of Massillon are enthusiastic supporters of their community – big football town. Massillon and the surrounding communities provide many activities: Shopping, dining, music, art shows, Yankee Peddler Craft Show, theater, shows, bike trails. There are numerous community parks available to residents which include walking tracks and a park for dogs. A short drive to Cleveland will provide professional sports including MLB, NFL, and the NBA Average cost of housing Apartments typically run about $500/month., depending on where you live. The real estate market is very conducive to home purchases at the current time. Nearest major airport Akron-Canton Regional Airport (CAK) is 15-20 minutes from AMC. ClevelandHopkins International (CLE) is about 1¼ hour from Massillon. Nearest expressway I-77 is about 15-20 minutes Informational websites http://www.affinitymedicalcenter.com/affinity-medicalcenter/graduateresidencyprogram.aspx www.massillonohchamber.com www.cantonrep.com (Local Paper) www.indeonline.com (Local Paper) www.ohio.gov Student Typical Day Your typical day depends heavily on what your rotation is but there are a few constants. Didactics are on Monday and Tuesday mornings from 7-8 a.m. or 8:30 a.m. and Wednesday 12-4 p.m. All your preceptors are familiar with this schedule so it will be understood if you “come late or leave early” on those days. Wednesday afternoons usually include some form of lab, such as intubation, physical restraints, or laparoscopic surgery. There is tumor board on the first Tuesday of every month. Attendance is required for all didactics unless there is a rare procedure that you may miss (surgery, baby birth); just let the CORE coordinator know. Meals are provided for free at the cafeteria for any of these. Internal medicine begins after didactics of 8 a.m. afterwards; you will see patients with the hospitalist’s physicians. This will include rounding on patients and doing H&P’s. The day ends when you are excused by the doctor (usually midafternoon/early evening). You can always ask to stay later to learn more. All the hospitalists are wonderful teachers and allow a lot of autonomy. 113 Surgery starts at 7:30 a.m. or 8 a.m. on days you are in OR. See patients before you go to the OR. This may mean you have to get to the hospital by 6:30 a.m. or so. Generally, do not wake up patients at an insane hour in order to ask them how they are doing. Round with attending when there is time during the day. If you are in office, round on patients at 7 a.m. (this means that your notes are completed by this time) and go to office around 8:30 a.m. You will go to noon lecture if in office, but usually not if in the OR. Days in office end earlier than if in OR. Call is split between students on the service, and you will be called only if there will be surgery after hours. You are required to stay until at least 5 p.m., but it may be later if you are in the OR. For Anesthesia, you will review the surgery schedule in advance. Generally you do not attend morning lecture and are actively performing intubations, etc. If you are not doing much, ATTEND LECTURE! The general feeling in Anesthesia is to go to where the action is! Days usually start at 6:30 a.m. and end around 4-5 p.m. You can come in between 6-6:30 a.m. to start IVs on patients in pre-op. Most Radiology procedures are in the morning. You can expect to review films with an in-house radiologist all morning long. Afternoons are generally yours. You can spend time with the ultrasound techs, assist with autopsies, observe echoes, go home, read in library, etc. Pediatrics and Family Medicine are out of hospital rotations and vary with each preceptor. These may be up to an hour drive away. However, these rotations usually offer the most liberty to work with patients and are very well worth the time. Obstetrics/Gynecology at Affinity Medical Center is an interesting month. You will be placed with a doctor associated with Mercy/Aultman hospital instead of based in Affinity (no maternity floor). This is a hands on and procedure friendly rotation. Time at the office is spent seeing multiple patients. It is expected that the student be able to take pertinent Obstetrics/Gynecology history, understand the Obstetrics/Gynecology physical exam, and know how to perform certain tests such as PAP smears and Fetal Heart Tone measurements. Labor and Delivery time is exactly what it sounds like. You can spend time up on the floor delivering with different doctors, participating in C-sections, and if desired can go to the pediatric side and participate in circumcisions. Overall this is a demanding rotation, requiring call at least two weekends during your four week rotation and usually about half of the other days will be on call. You will be expected to come in and assist with deliveries and C-sections whenever called in. Remember – your rotations are what you make of them; staying late isn’t always mandatory or even expected, but you may learn a lot. Generally staying at the office/hospital/library until 5-5:30 p.m. will make a full day of learning! It is suggested you read at least an hour every night, resources can be found in KCOM library in the CORE coordinator’s office. Remember that you will only see a certain population of your specific specialty so what you see in clinic will not completely encompass what will be on your COMAT test at the end of the month. Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with students on a Thursday after rotations – typically around 4-4:30 p.m. All KCOM students based at Affinity Medical Center meet in the Library area for group discussion of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 4, challenges with rotations, ideas for other opportunities, etc. Notes 114 Ohio Region Central CORE (Doctors Hospital) Hospital - 5100 West Broad Street Columbus, OH 43228 614.544.1790 614.544.1799 (fax) www.ohiohealth.com Dublin OU-HCOM Campus 6775 Bobcat Way Dublin, OH 43016 614.793.5600 614.793.5613 (fax) Regional Assistant Dean Director of Student Medical Education Peter Bell, DO Columbus CORE/Ohio Health 614.544.1795 614.544.1799 (fax) Regional Site Coordinator Juliann Riley 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] The Site OhioHealth owned Doctors Hospital (DH), as well as Grant Medical Center (GMC), Dublin Methodist (DM), Riverside Methodist (RM) and Grady Memorial Hospital (GMH) are part of the Central Ohio CORE (Centers for Osteopathic Research and Education) clinical offerings from the Ohio University Heritage College of Osteopathic Medicine (OU-HCOM). Additionally the Central CORE uses clinical resources from the Mt. Carmel Health System and Veteran’s Affairs System, as well as numerous private practices and clinics. The Columbus Central CORE site currently hosts approximately 30-35 OU-HCOM students in each class year 3 and 4 in addition to 8-10 affiliated college of medicine trainees. In addition to KCOM, this CORE site is host to Des Moines University College of Osteopathic Medicine and Surgery and Kansas City University of Medicine & Biosciences. Unique to Central CORE (Doctors Hospital) is the Heritage Center for Osteopathic Medical Education, and its Simulation Center, we are taking osteopathic medical education to a new level. The Heritage Center addition consolidated all post-graduate medical education and research programs into a training facility that features human patient simulators, an anatomical laboratory, medical library, wireless internet access, a 300-seat auditorium and administrative offices for the Department of Graduate Medical Education. In addition to the Doctors Hospital main base hospital site, students in the Central CORE will get to experience the new OUHCOM Dublin campus resources and staff. Currently hosting their first class of 50 OMSI OU-HCOM students, the Central CORE also integrates the OMSIII/OMSIV students rotating in the area for monthly “Fabulous Friday” didactic sessions. Our medical education facility upgrade, the new OU-HCOM Dublin Campus, coupled with our award winning staff and educational faculty, will help establish Doctors Hospital/Central CORE as one of the nation’s premiere osteopathic teaching sites enabling central Ohio to meet the increasing demand from patients and their professional staff to deliver the highest quality of care and the best available training. We invite you to become a part of our Ohio Health/Central CORE family! Site Statistics City Population Medical Staff DOs MDs Size of Hospital 769,332 427 291 99 256 active beds Admits In-patient Surgeries Out-patient Surgeries Deliveries ER visits 9,338 1,895 3,897 960 78,013 Student Rotations Central CORE (Doctors Hospital) has an extensive network of hospitals and offices. We arrange rotations within Columbus, the surrounding metropolitan area: Central Ohio and SE Ohio in the rural communities. There may be travel of over an hour for some rotations with possible housing options for out of area and rural rotations. Internships Traditional Rotating, as available 115 Residency Programs Anesthesiology, Emergency Medicine, Family Medicine, General Surgery, Internal Medicine-Emergency Medicine, Neurological Surgery, Obstetrics & Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology & Facial Plastic Surgery, Pediatrics, Radiology-Diagnostic Fellowship Programs Cardiology, Pediatric Radiology, Pulmonary/Critical Care, Surgical Critical Care, Vascular Surgery Residency Programs (Grant) Family Medicine, Podiatry Fellowship Programs (Grant) Breast Surgery, Colon & Rectal Surgery, Hospital Medicine, Orthopedic Trauma, SICU, Sports Medicine, Trauma Emergency Surgery Possible Facilities Riverside Methodist Hospital Numerous private practices Distance: Columbus metropolitan area Distance: within 70 miles Grant Medical Center VA Facilities in Columbus and Chillicothe Distance: Columbus metropolitan area Dublin Methodist Distance: Columbus metropolitan area Grady Memorial Hospital Distance: Columbus metropolitan area Mt. Carmel West Distance: Columbus metropolitan area Mt. Carmel St. Ann’s Distance: Columbus metropolitan area Distance: 10-50 mile radius Rural Family Medicine Distance: 90 mile radius with possible housing Fourth Year Rotations depend on your personal rotation selection with many local options in the Columbus, Dayton, and Cincinnati areas, such as Grant Medical Center, Riverside Methodist Hospital, The Ohio State University, Mount Carmel Health System, Wright-Patterson Air Force Medical Center, Kettering Hospitals in Dayton, and Cincinnati Children’s Hospital Medical Center. Frequently Asked Questions Describe didactics at your facility. Third and fourth year didactics are scheduled every Wednesday afternoon from September through May, from 1-5 p.m. Didactics consist of lectures, oral case and journal club presentations (including the KCOM required oral case and journal presentations) and various ITV educational seminars. At the end of each monthly rotation, the CORE hosts “Fabulous Fridays”; at the Dublin OU-HCOM campus where you will complete your post rotation exam, attend OMM didactic sessions, participate in lunch/learn discussions, meet with the Regional Assistant Dean and staff to review your most recent rotation, confirm completion of all associated assignments (i.e. logs, oral cases, etc.) and follow up with a review of your clinical performance evaluation. Additionally, Bi-annual Regional Assistant Dean meetings are scheduled through the CORE office. Students meet with the CORE Assistant Dean oneon-one for a review of student progress and discussion of student self-evaluation. 116 How many students, interns and residents are on a rotation? Some rotations will have residents and/or interns assigned. The house staff also teaches in addition to the attendings. Each service has a different number of residents based on the size of the residency program. How often are students one-on-one with an attending or resident? Approximately 50% of rotations include one student per preceptor, so that the student does have the opportunity to have one-on-one time with the attending or resident. Are students offered/encouraged to actively participate in procedures? Students are given the opportunity to participate in procedures. Protocol is observed because of the large number of house staff. Simulation labs are scheduled regularly. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Doctors Hospital is affiliated with the Ohio Health system which also includes Grant Medical Center Riverside Methodist Hospital, as well as the new Dublin Methodist Hospital. Additionally, the Central CORE region has affiliation with the Mt. Carmel Health System. Both network systems and the Veteran’s Affairs System as well as Nationwide Children’s Hospital are DO friendly. Our affiliations include the following schools: Ohio University Heritage College of Medicine in Athens, Ohio, A.T. Still University – Kirksville College of Osteopathic Medicine, Des Moines College of Osteopathic Medicine and University of Health Sciences College of Osteopathic Medicine in Kansas City. What is the trauma level of your emergency department? If your emergency department is not a level-one trauma center, will students have an opportunity to rotate at a level-one trauma center? Doctors Hospital is a Level III trauma center. Grant Medical Center is a Level I trauma center. What is the on-call policy for medical students? Student call requirements vary by rotation. Is there 24-hour access to the library and internet resources? There is a staff librarian who is available from 9 a.m.-5 p.m. All students have 24 hour access to the library, computers and Internet resources. There are student computers in the library and an adjacent computer/study room that students can utilize. In addition, the CORE office houses two student computers. Is charting done electronically? Yes, the Veterans Affairs facilities and many preceptors’ offices also have electronic charting. Is there a food allowance and how much? Students currently receive a monthly food allowance of $100 to be used in Doctors Hospital cafeteria. Are pagers provided to students? All students are given pagers. Are lockers available for students to use? Yes, these are located in the Heritage Center house staff lounge complete with computers, sleep rooms, shower/bathroom facilities, and exercise room. What unique qualities/opportunities does your facility have to offer? Doctors Hospital is a moderate size hospital with small hospital feel, and big hospital teaching programs. We have active OMM sessions offered monthly at our Fabulous Friday didactic session. Most residency programs have their own academic programs for students as well. Outstanding programs of note include: Emergency Medicine, Orthopedics, Radiology (1 of only 2 DO programs in Ohio), Internal Medicine, and ENT Osteopathic Heritage Foundation: $18M grant was given to Medical Education to support paid faculty and to enhance education. Ohio Health was recognized as one of Fortune’s Top 100 Companies to Work. Doctors Hospital was named #15 on Thomson Reuters List of Top 100 US Hospitals in 2010 (determined by Medicare data with emphasis on Quality, Customer Service, and Cost Effectiveness). Full-time Research Office is part of Medical Education at Doctors Hospital. The newest education facility of the CORE with state-ofthe- art simulation lab, anatomy lab, micro lab, and resident/student suite with sleep rooms, showers, work-out facility, lounge and lockers. Year 4 sub-internship rotations available at Riverside Methodist Hospital and Nationwide Children’s Hospital (must request thru Ohio State). Access is available to Riverside Methodist Hospital’s Center for Medical Education and Innovation (CME&I) Simulation Lab in addition to the Simulation Lab at the Heritage Center at Doctors Hospital. Does your region have any Research Opportunities to offer? If so please describe. Research is available through the Ohio CORE (site host school). Research projects may include, but are not limited to ongoing research done by the current residents and CORE staff. Please contact Dr. Grace Brannan, CORE Research Executive Director, for more details. [email protected] or 740.593.2325. Site Visits When are site visits scheduled? Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break). Specific dates, times and locations will be sent to your class in February 2015. 117 Who should students contact to set up a site visit? KCOM Ohio Rotation Site Coordinator – Juliann Riley at [email protected] or 330.608.1296. hospital, CORE or any fellow students to arrange site visits. Please do not contact the What is the site visit protocol at your site? All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following requests: NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability. NO site visits will be available the last week in June or the first week in July due to intern and third year medical student orientation week. Area Information Columbus is the 16th largest city in country. It is a large but primarily suburban city (sprawling development). Traffic has its rush hour surges but is very manageable. Public transportation is available. There are many colleges and universities in the area such as the Ohio State University, Otterbein, Capital and Columbus State. Columbus also has NHL hockey, minor league baseball, arena football, Ohio State University sports and other local college sports. Cincinnati and Cleveland are within a two hour drive and there are numerous museums, cultural events, and other amenities offered by large cities. Average cost of housing 2 bedroom apartments averages $500-$700/month with large variety Nearest major airport Port Columbus International Airport (CMH) is 10 minutes from the hospital area Nearest expressway I-70 (east/west), I-71 (north/south), I-270 (belt around Columbus) Informational websites https://www.ohiohealth.com/medicaleducationdoctors www.cityofcolumbus.org www.experiencecolumbus.com www.dispatch.com (Local Paper) www.ohio.gov Student Typical Day Your day starts anywhere from 5:30-8 a.m. and the end of your day can vary considerably depending on which rotation you are doing. Hospital rotations are done at any of the area hospitals such as Doctors Hospital, Grant Medical Center, of the Mount Carmel Health System. Family/Rural Family Medicine, Psychiatry and Pediatrics being preceptor based. Night and weekend call also varies depending on specialty with Internal Medicine, General Surgery and Obstetrics/Gynecology requiring call. When assigned to hospital rotations you will be working with residents, attendings and sometimes other medical students. Internal Medicine - Most days will start with attending in-house lecture/didactics at 7:30 a.m. At 8:30 a.m., you will begin seeing patients rounding with an attending and one or more interns. A resident may also be on service along with one or more medical students. After rounds, you assist in typing up progress notes and wait for consults. Morning and noon lectures are held daily for the interns, residents and all medical students. Surgery - Days usually start around 5:30 a.m. with pre-rounds. Then, you will round with the residents at 6 a.m. Cases start around 7:30 a.m. and you can split the cases of the day up amongst you and the other medical students that are on the same service. You will also have time to follow an attending in the office setting. 24-hour call is required on some of the Surgery rotations. Some Surgery rotations also have required didactics. Preceptor based rotations usually involve seeing patients in the office all day often with drug rep lunches and quick “lectures”. Rotations may also involve “mobile medicine” making nursing home rounds or urgent care assignments depending on who you are working with. Ob/Gyn - Days usually start at 6 a.m. Your duties may include writing notes, attend morning report and noon lectures, scrub in on all surgeries, observe labor & delivery, or go to the clinic. 118 Radiology - Days usually start around 7 a.m. where you will sit with an attending and listen and learn as they read radiographs. Some days you may be able to follow an IR and see procedures. Anesthesiology- Days usually start around 6:45 a.m. You will assist in patient pre-op. The amount of involvement in each case will vary. Preceptor based rotations usually involve seeing patients in the office all day often with drug rep lunches and quick “lectures”. Rotations may also involve “mobile medicine” making nursing home rounds or urgent care assignments depending on who you are working with. Every Wednesday the students have didactics from noon to 5 p.m. These didactics will include oral case conferences, lectures from interns, residents and attending, hospital staff lectures on ethics and medical law, as well as various other topics designed for students both professionally and personally. The last Friday of every rotation, “Fabulous Fridays”, is when you will not report to service and instead will have a day filled with testing, OMT, ethics lunch discussion, and checking out with the CORE. The day starts at 7 a.m. at the new Dublin campus and usually ends around 3 p.m., but can be as late as 5 p.m. Fabulous Fridays are designed to follow up on all rotation paperwork, exams, evaluations, etc., so that once your rotation and paperwork is done, you can be assured of a free weekend prior to starting the next rotation. Keep in mind, if you match at Doctors Hospital, you will probably be in house on rotation at Doctors for only two-three months. Your other rotations may be based at an affiliate hospital site (i.e. Grant Hospital – Level I trauma center for Central Ohio) or various physician offices who are affiliated with the Central CORE. Bi-Annual meetings with Dr. Bell (Regional Assistant Dean) are scheduled to discuss overall performance, concerns, questions and general well-being. Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Wednesday after didactics. All KCOM students based at Doctors Hospital/Central CORE meet for group discussion of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 4, challenges with rotations, ideas for other opportunities, etc. Remember these rotations are what you make of them; staying late is not always mandatory or even expected, but you may learn a lot. Should you have down time during the day, be prepared with supplemental reading material. The new education center hosts a great library with on-site librarian and expanded resources, conference rooms, auditoriums, and break-out rooms, in addition to new simulator labs. Doctors Hospital is a fantastic site that offers endless possibility for experience and residencies. Columbus is a great town with great food, festivals, sports and lots more. Contact Juliann Riley if you have any questions! Notes 119 Ohio Region Southeast CORE – (O’Bleness Hospital) 55 Hospital Drive Athens, OH 45701 740.566.4865 330.592.9286 (fax) www.ohiohealth.com/obleness Director of Student Medical Education Jody Gerome Zuchowski, DO OU-HCOM CORE Office 740.566.4865 740.592.9286 (fax) Rotation Site Coordinator Juliann Riley 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] The Site OhioHealth O’Bleness Hospital in Athens, base site of the Southeast CORE, is committed to providing care to a vibrant, growing community and everybody in it, but we’re also an exceptional place to grow in the medical field. We are an academic environment with a strong resource base providing ample support for the continued quest for knowledge. The rural setting of southeastern Ohio fosters a broad range of inpatient and outpatient clinical experiences in managing patients with a wide spectrum of health problems. Didactic seminars are incorporated into the structure, which complements the clinical experience, enhancing the academic flavor. Extended training sites for allow for student rotations at Adena Health System and Chillicothe VA in Chillicothe, OH; Fairfield Medical Center in Lancaster, OH; and Marietta Memorial in Marietta, OH. As a member of the Ohio University-Heritage College of Osteopathic Medicine CORE system, O’Bleness Hospital is an acutecare hospital fully accredited by the Joint Commission, and teaching site for new physicians. Each year, about 15-20 third and fourth year medical students from OH-HCOM and, A.T. Still University-KCOM, are based here for clinical rotations. OhioHealth O’Bleness and OU-HCOM co-sponsor approximately 18 postgraduate positions sanctioned by the American Osteopathic Association for interns and residents in Family Medicine, Obstetrics & Gynecology, Dermatology and "Plus One" residency training in Neuromusculoskeletal Medicine (NMM) and Osteopathic Manipulative Medicine (OMM). Site Statistics City Population Medical Staff DOs MDs Size of Hospital Admits 32,149 230 72 158 132 licensed beds 2,914 In-patient Surgeries Out-patient Surgeries Deliveries ER Visits Outpatient Visits 3427 4576 687 25,838 49,102 Student Rotations Third year required rotations are primarily at the hospital or a local office. Some Emergency Medicine, Geriatrics, Internal Medicine and subspecialty rotations may have a 30-60 minute drive. Internships Traditional Rotating Residency Programs Family Medicine, Dermatology, Obstetrics & Gynecology, Orthopedic Surgery and "Plus One" residency training in Neuromusculoskeletal Medicine (NMM) and Osteopathic Manipulative Medicine (OMM) (AOA accredited) Possible Facilities Third Year Adena Health System Most of your clinical rotations are conducted within the Southeast CORE network of facilities. Some preceptor based rotations will also be assigned in the Athens, Marietta and Lancaster area with elective possibilities in the Chillicothe area (71 minutes away). Rural Family Medicine may be assigned in the Athens area (upwards of 45-60 minutes away). 727 Hospital Road Chillicothe, OH 45601 740.779.7500 Distance: 71 minutes (61 miles). www.adena.org 120 Rotations: Third/Fourth year rotations elective. Chillicothe VA 17237 State Route 104 Chillicothe, OH 45601 www.chillicothe.va.gov 740.773.1141 Rotations: Third year elective rotations. Distance: 72 minutes (62 miles). Fairfield Medical Center 401 North Ewing Street Lancaster, OH 43103 www.fmchealth.org 740.687.8000 Rotations: Third/Fourth year rotations elective. Distance: 58 minutes (50 miles). Marietta Memorial /Memorial Health System 401 Matthew Street Marietta, OH 45750 www.mhsystem.org 740.374.1400 Rotations: Third/Fourth year rotations elective. Distance: 58 minutes (50 miles). Fourth Year: Rotations depend on your personal rotation selection with many local options in the southeastern Ohio area, as well as Columbus. Columbus sites would include Nationwide Children’s the OhioHealth family of hospitals, OSU teaching facilities, as well as the Mount Carmel Health system. Frequently Asked Questions Describe didactics at your facility. Didactics are held weekly on Friday afternoon at OhioHealth O’Bleness Hospital, Medical Education Classroom 014. Lectures include topics from the following disciplines: Pulmonology, Cardiovascular, OB/GYN/GU, Pediatrics, ENT/Allergy, Endocrine/DM, GI, Sports Medicine, Orthopedics, Rheumatology, Dermatology, Hematology, Neurology, Ophthalmology, and Psychiatry. Hands-on OMM and discussion are also provided monthly; Medical Ethics and Medical Jurisprudence are specialty lectures. Bi-annual meetings with the Director of Student Medical Education (DSME) occur during years 3 and 4. KCOM year 3 clinical experience requires presentation of two Oral Cases and one Journal Club article with students presenting as part of monthly didactics beginning September through May. What is the trauma level of your emergency department? If your emergency department is not a Level-I trauma center, will students have an opportunity to rotate at a Level-I trauma center? We are a 75-bed, 24 hour emergency department. Level-I trauma emergency department training is available in Columbus. What is the on-call policy for medical students? Call is expected on general surgery and Ob/Gyn. Other services are dependent on the physician. Is there 24-hour access to the library and Internet resources? Yes Is charting done electronically? Yes Is there a food allowance and how much? How many students, interns, and residents are on a rotation? One meal/rotation/day - $5 This varies from service to service, but it is common to have only one learner working with an attending physician. Only on Ob/Gyn. Ob physician will provide as needed. How often are students one-on-one with an attending or resident? 90% of the time the students are one-on-one with an attending or resident. The other 10% is time spent with the entire team. Are students offered/encouraged to actively participate in procedures? Yes Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? The hospital is affiliated with the OhioHealth System. Our facility is also affiliated with OU-HCOM and KCOM at the present time. Are pagers provided to students? Are lockers available for students to use? Yes. Upon request. What unique qualities/opportunities does your facility have to offer? We have a diverse population with a variety of hospitals to rotate in and access to unique rural opportunities. A great variety with one-on-one access to preceptors in a university/medical research based community. Does your region have any Research Opportunities to offer? If so please describe. Research is available through the Ohio CORE (site host school). Research projects may include, but are not limited to ongoing research done by the current residents and CORE staff. Please contact Dr. Grace Brannan, CORE Research Executive Director, for more details. [email protected] or 740.593.2325. 121 Site Visits When are site visits scheduled? Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break). Specific dates, times and locations will be sent to your class in February 2015. Who should students contact to set up a site visit? KCOM Ohio Rotation Site Coordinator – Juliann Riley at [email protected] or 330.608.1296. hospital, CORE or any fellow students to arrange site visits. Please do not contact the What is the site visit protocol at your site? All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following requests: NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability. NO site visits will be available the last week in June or the first week in July due to intern and third year medical student orientation week. Area Information Home to Ohio University and the primary campus for the Ohio University Heritage College of Osteopathic Medicine, this site offers unique opportunities to have first class research opportunities, rural medicine exposure, and a variety of great medical facilities in the 60 mile radius while surrounded by the beauty of the Appalachian foothills in Southeast Ohio. With exposure to the university, you will have exciting access to Division I sports from the Mid-America Conference; great music, theater, and art; and renowned academic exposure. Local shopping and dining bring in native works and culinary fair; recreation includes wonderful bike trails, hiking and river/lake activities.. There are numerous community parks available to residents which include walking tracks and a park for dogs, and Athens is certainly not lacking in seasonal festivals and entertainment. A scenic 70 minute drive to Columbus will provide a larger venue of fun including professional hockey and soccer, the world renowned Ohio State Buckeye sports and education, major shopping and concert venues and the state fair grounds. Average cost of housing Apartments typically run about $500/month, depending on where you live. The real estate market is very conducive to home purchases at the current time. Nearest major airport Mid-Ohio Valley Regional Airport (52 miles) is 58 minutes from Athens, OH. Columbus International Airport (78 miles) is about 1¼ hour from Athens, OH. Cleveland Nearest expressway US-33 and US-50 run through Athens, OH. Informational websites www.ohiohealth.com/oblenessmeded/ www.athenschamber.com www.athensohio.com www.ci.athens.oh.us/ www.athensohiotoday.com (Local Paper) www.ohio.gov Student Typical Day Your day starts anywhere from 5:30-8 a.m. and the end of your day can vary considerably depending on which rotation you are doing. Night and weekend calls also vary depending on specialty with Internal Medicine, Pediatrics, General Surgery and Obstetrics/Gynecology requiring call. When assigned to hospital rotations you will be working with residents, attendings and sometimes other medical students. Internal Medicine- Most days will start with attending in-house lecture/didactics at 7:30 a.m. At 8:30 a.m., you will begin seeing patients rounding with an attending and one or more interns. A resident may also be on service along with one or more medical students. After rounds, you assist in typing up progress notes and wait for consults. 122 Surgery- Days usually start around 6:30 a.m. with pre-rounds. Cases start around 7:30 a.m. and you can split the cases of the day up amongst you and the other medical students that are on the same service. You will also have time to follow an attending in the office setting. 24-hour call is required on some of the Surgery rotations. Ob/Gyn- Days usually start at 6 a.m. Your duties may include writing notes, attend morning report and noon lectures, scrub in on all surgeries, observe labor & delivery, or go to the clinic. Anesthesiology- Days usually start around 6:45 a.m. You will assist in pre-oping the patient. The amount of involvement in each case will vary. Every Friday the students have didactics from noon to 5 p.m. along with the residents and interns. These didactics will include oral case conferences, lectures from interns, residents and attending, hospital staff lectures on ethics and medical law, as well as various other topics designed for students both professionally and personally. Bi-Annual meetings with Dr. Gerome (Director of Medical Education & CORE Assistant Dean) are scheduled to discuss overall performance, concerns, questions and general well-being. Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) will meet with students on a Friday prior to didactics– typically around 10 am. All KCOM students based at the Southeast CORE site will meet in the Library area for group discussion of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 3 electives, Year 4, challenges with rotations, and ideas for other opportunities, etc. Notes 123 Ohio Region St. Joseph Warren Hospital 667 Eastland Avenue Warren, Ohio 44484 330.841.4784 330.841.4207 (fax) www.mercy.com/Youngstown Regional Assistant Dean Director of Student Medical Education Philip A. Starr III, DO OU-HCOM CORE Office 330.841.4784 330.841.4207 (fax) Rotation Site Coordinator Juliann Riley 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] The Site St. Joseph Warren Hospital (SJWH) is a major osteopathic teaching facility within the Ohio University CORE. The hospital is located about an hour drive from Cleveland, Akron, and Pittsburgh. The mission of Mercy Health (formerly Humility of Mary Health Partners) has remained steadfast since the Sisters of the Humility of Mary began providing health care services more than 100 years ago. Mercy Health’s core values of compassion, excellence, human dignity, justice, sacredness of life and service are promoted within each entity, blending pioneering technology and innovative equipment to provide the best care possible to the residents of Mahoning, Trumbull and Columbiana counties. Mercy Health strives to deliver clinical excellence, combined with unsurpassed service in an atmosphere of comfort, individualized attention and spirituality. Mercy Health is the largest health system in Ohio and one of the largest Catholic health systems in the United States. Osteopathic third and fourth year students from Ohio University, Des Moines, Kirksville, and Kansas City are based at SJWH. A teaching relationship with our affiliate sister hospital, St. Elizabeth Youngstown Hospital, allows our students to complete many of their medical subspecialty rotations through St. Elizabeth’s. The two hospital’s joint staff of MD’s and DO’s exposes students to both allopathic and osteopathic medicine. Site Statistics City Population Medical Staff DO’s MD’s Size of Hospital Admits 40,723 323 83 238 141 active beds 7,849 In-patient Surgeries Out-patient Surgeries Deliveries ER Visits Outpatient Visits 1,549 802 733 32,121 N/A Student Rotations General Internal Medicine, Surgery, Orthopedics, Emergency Medicine; some Family Medicine, Obstetrics/Gynecology, and Anesthesiology is completed at St. Joseph. Other Core rotations (i.e. Pediatrics, Psychiatry, Internal Medicine subspecialties, Obstetrics/Gynecology, Radiology, and Anesthesiology) are completed through local affiliate institutions or ambulatory physician offices. Internships Under new AOA guidelines, St. Joseph Warren Hospital will offer internship slots as needed, at department discretion. Most slots will be residency program. Residency Programs Emergency Medicine, Family Medicine, Internal Medicine, and Orthopedics. St. Elizabeth Youngstown Hospital offers residencies in Family Medicine, General Surgery, and Internal Medicine. All are AOA accredited programs. Possible Facilities Third Year Most clinical rotations are conducted in the Mercy Health network in the Warren and Youngstown areas. Additional preceptor based rotations will be assigned with the area within the ValleyCare Health System, The 124 Surgical Hospital at Southwoods, as well as those hospitals listed below. Most of the rotation sites are located approximately 1545 minutes from the base hospital; rural medicine rotations are located within 50 minutes of the hospital. Driving time may vary. St. Elizabeth Youngstown Hospital Fourth Year 1044 Belmont Avenue Youngstown, OH 44501 www.hmpartners.org 330.746.7211 Distance: 15 minutes Rotations: Internal Medicine subspecialties and some surgical training. Rotations depend on your personal preferences, with many local options and opportunities in the Akron and Cleveland areas, such as the Cleveland Clinic, University Hospital Systems, MetroHealth, Rainbow Babies and Children’s, Summa Health System, Akron General Medical Center, and Akron Children’s Hospital in Akron, as well as Boardman, OH Belmont Pines Hospital 615 Churchill-Hubbard Road Youngstown, OH 44505 www.psysolutions.com/facilities/belmontpines/ 330.759.2700 Distance: 15 minutes Rotations: Psychiatry Frequently Asked Questions Describe didactics at your facility. Didactics are held Tuesday mornings and attendance is mandatory for students, interns, Family Medicine and Internal Medicine residents. CORE-sponsored didactics include blood borne pathogens update, HIPAA overview, introduction to evidence-based medicine, medical jurisprudence, medical ethics, monthly OMM review/practice sessions, clinical case conferences, various skills labs, and hospital sponsored student didactics which cover a variety of clinical topics. KCOM required presentations of Oral Cases and Journal Club articles are scheduled in conjunction with didactics. Students are assigned to present two oral cases during Tuesday didactics. Journal Club article presentation is assigned during the Family Medicine rotation with the Regional Assistant Dean (Dr. Starr). How many students, interns, and residents are on a rotation? Varies by service; multiple students are often assigned to Internal Medicine, Orthopedics and Emergency Medicine will sometimes take two students per service, along with an intern or resident. How often are students one-on-one with an attending or resident? Students are usually assigned one-on-one with attending physicians for General Surgery, Obstetrics/Gynecology, Pediatrics, Psychiatry, Anesthesiology, Radiology, most Internal Medicine subspecialties (including Critical Care). Are students offered/encouraged to actively participate in procedures? Yes, in most instances. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? St. Joseph Warren Hospital is affiliated with St. Elizabeth Youngstown Hospital, Mercy Health partner’s site. SEYH is also an associate member of the CORE. Psychiatry rotations are conducted at Belmont Pines Hospital. Other medical school affiliations include Des Moines and Kansas City. Further, students from a variety of other non-CORE osteopathic schools rotate through the hospital on an elective basis. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotation at a Level I trauma center? St. Joseph is a Level III trauma center; St. Elizabeth’s is a Level I. Students can petition to do Emergency Medicine rotations through SEYH, although most Emergency Medicine rotations are completed at SJWH. What is the on-call policy for medical students? There is no general on-call schedule for medical students, though students are often on-call during Obstetrics/Gynecology and General Surgery services. General hours of service vary by rotation. Emergency Medicine assigns students to various work-shifts during the duration of the service. Is there 24-hour access to the library and Internet resources? Yes Is charting done electronically? Yes Is there a food allowance and how much? Yes, not to exceed $200 per month. Are pagers provided to students? Yes Are lockers available for students to use? Yes What unique qualities/opportunities does your facility have to offer? We host an onsite clinical skills lab for students, interns, and residents. St. Joseph Warren Hospital offers many opportunities for quality one-on-one clinical training for 125 osteopathic medical students. Located on site is a new employee fitness center. Great additions for staff/students complete with lockers and shower facilities. The atmosphere is warm and relaxed. Both the medical education office and CORE site staff are readily available to assist students as needed. Does your region have any Research Opportunities to offer? If so please describe. Research is available through the Ohio CORE (site host school). Research projects may include, but are not limited to ongoing research done by the current residents and CORE staff. Please contact Dr. Grace Brannan, CORE Research Executive Director, for more details. [email protected] or 740.593.2325. Site Visits When are site visits scheduled? Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break). Specific dates, times and locations will be sent to your class in February 2015. Who should students contact to set up a site visit? KCOM Ohio Rotation Site Coordinator – Juliann Riley at [email protected] or 330.608.1296. Please do not contact the hospital, CORE or any fellow students to arrange site visits. What is the site visit protocol at your site? All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following requests: NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability. NO site visits will be available the last week in June or the first week in July due to intern and third year medical student orientation week. Area Information Located in northeastern Ohio’s Trumbull County, Warren offers many of the advantages of a larger city while still keeping a small-town environment and affordable cost of living. The city and its surrounding communities offer comfortable residential areas with diverse opportunities for work, education, worship, and recreation. The cities of Cleveland and Akron are both just a short drive from Warren, with quick access to both the Ohio and Pennsylvania turnpikes and several interstate highways. Warren is conveniently located between the Pittsburgh, Cleveland, and Akron-Canton airports. Average cost of housing Approximately $500 for apartments to $800 for houses. The Warren area has one of the most affordable housing markets in the state. Several students opt to purchase homes because mortgage rates are so favorable. Nearest major airport Cleveland-Hopkins International Airport (CLE), Akron-Canton Regional Airport (CAK), and Pittsburgh International Airport (PIT) are all conveniently located within an hour drive. Nearest expressway The hospital is located near the Ohio Turnpike (I-80). Informational websites http://www.mercy.com/Youngstown/sjhc_residency.aspx www.warren.org www.tribtoday.com (Local Paper) www.ohio.gov 126 Student Typical Day Most days will start between 6-8 a.m. Each rotation will vary slightly, but more often than not you will begin by meeting your attending or resident. When you’re in the hospital, you’ll start the morning rounding on patients with your attending (often in the ICU). She/he will then direct you to a particular floor and you will see several patients by yourself, being sure to look at pertinent lab results and perform a complete exam. After seeing each patient you will write a note in the chart including your findings and assessment as well as a plan for treatment. Often times, you will keep these notes with you and use them to present the patient to the attending later in the day. Typically you will have a resident or two working with you and they will often review patients with you, as well as your written note, and provide lots of helpful feedback. They also help you keep up with your reading by assigning certain topics and reviewing them with you the next day – it’s usually pertinent to a patient you see during the day. You usually eat midday then spend the rest of the afternoon rounding on patients. Throughout the day, there are often opportunities to perform H&Ps on patients that are admitted. Anytime there are procedures performed, you will be encouraged to observe/participate in them. When you are in clinic, you will start by seeing any patients you have in the hospital. You’ll spend the rest of the day seeing patients in clinic, presenting them to the attending/resident and writing or dictating your notes. Your days will usually end around 5:30-6 p.m., but this will vary depending on the rotation and the patient load. You’re only on call for certain rotations (like OB), but when you are, you may end up having to go in at any hour of the day. For the most part, your rotations are here in Warren at St. Joseph’s. There are certain rotations that are based in Youngstown or the surrounding communities. You should never have to travel for more than 30-45 minutes for a rotation (unless you choose to for an elective). Didactics are held every Tuesday morning at the hospital, starting at 7:30 a.m. They usually consist of 4-5 lectures: three from attending, second semester, one or two student case conference. The emergency medicine residents also present EKG reading quizzes and common radiologic images at every didactic day. KCOM students are required to present at least two oral cases during your third year. Didactics usually end between 10:30-11:30 a.m. About once a month, didactics is devoted to OMT. On these days, you’ll have a mix of lectures and technique practice time with the physician. Depending on what rotation you’re on, you may have an extra morning of didactics specific to that rotation. You’re expected to attend and participate in these sessions as well. Other learning opportunities include tumor board and journal clubs. Internal Medicine, Family Medicine and Orthopedics often have one journal club each month and you are encouraged to attend these, even if you’re aren’t on that service at that time (you’ll usually get a free dinner too). Beyond didactic events, St. Joseph Warren Hospital CORE and Medical Education offices host family events such as baseball games, picnics, holiday parties, and such. Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Tuesday after didactics typically around 10-10:30 a.m. All KCOM students based at St. Joe’s meet in the Medical Education area for group discussion of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 4, challenges with rotations, ideas for other opportunities, etc. Overall, you’re rotations provide you with plenty of one-on-one and small group learning as well as hands on experience, and you receive great support from the Ohio University CORE staff, Regional Assistant Dean, as well as the KCOM Regional staff. Notes 127 Ohio Region Western Reserve Hospital 1900 23rd Street Cuyahoga Falls, OH 44223 330.971.7439 330.971.7457 (fax) www.westernreservehospital.org Regional Assistant Dean Director of Student Medical Education Ronald Russ, DO OU-HCOM CORE Office 330.971.7439 330.971.7457 (fax) Rotation Site Coordinator Juliann Riley 1967 East Maple Street #312 North Canton, OH 44720 330.608.1296 330.244.0939 (fax) [email protected] The Site Western Reserve Hospital (WRH) is a physician owned suburban community hospital located in northeastern Ohio featuring a strong osteopathic Graduate Medical Education program. Our program is all-inclusive, enabling physicians to grown in their chosen area of medicine. We are affiliated with The Centers for Osteopathic Research and Education (CORE), which interlinks over 20 teaching hospitals/sites and the Ohio University Heritage College of Osteopathic Medicine. In Keeping with our vision to provide quality patient care in a patient centered environment, we look forward to expanding our hospital in the near future. Construction plans of a new hospital located in the Seasons Road interchange on Route 8, just north of the current location are presently underway. Western Reserve Hospital offers the following programs accredited by the American Osteopathic Association – an internship program and residency programs which include Emergency Medicine, Family Medicine, General Surgery, Internal Medicine, Orthopaedic Surgery, Dermatology (LECOM program) and Otolaryngology/Facial Plastic Surgery (ENT). Additionally, Western Reserve Hospital offers a three year residency program in Podiatric Medicine and Surgery as outlined by the Council on Podiatric Medical Education. Our students rotate among several area teaching institutions, including Summa Health System, the Cleveland Clinic outreach centers, Akron General Hospital and Metro Health Medical Center. Site Statistics City Population Medical Staff DOs MDs Size of Hospital Student Rotations Internships Residency Programs 50,398 358 93 265 252 licensed beds Admits In-patient Surgeries Out-patient Surgeries ER Visits Outpatient Visits/Testing 3,241 882 3,241 22,579 540,101 Most are available at this hospital; the Rural Family Medicine may be 20 to 30 minutes away. Pediatrics may be a 50 minute drive. Traditional Rotating Emergency Medicine, Family Medicine, General Surgery, Internal Medicine, Orthopedic Surgery, Dermatology and Podiatric Medicine Possible Facilities Third Year Akron City Hospital Most of your clinical rotations are conducted within the Western Reserve/Unity Health Network and Summa Health Systems facilities and physicians. Some preceptor based rotations will also be assigned in the Akron and Hartville. Pediatrics may be in the Cleveland, Wooster, Aurora or Stow areas. 525 East Market Street Akron, OH 44304-1619 www.summahealth.org 330.375.3000 Distance: 15 minutes. Rotations: Radiology, Family Medicine, Internal Medicine subspecialties. 128 St. Thomas Hospital Robinson Memorial Hospital 444 North Main Street Akron, OH 44310-3110 www.summahealth.org 330.375.3000 Distance: 10 minutes Rotations: Psychiatry 6847 Chestnut Street Ravenna, OH 44266 www.robinsonmemorial.org 330.297.0811 Distance: 35 minutes. Rotations: recently added to Summa Health System affiliations – Rural Family Medicine. Summa Barberton Hospital 155 Fifth Street, NE Barberton, OH 44203 www.barbhosp.com 330.615.3000 Distance: 35 minutes. Rotations: recently added to Summa Health System affiliations – TBA Fourth Year Rotations depend on your personal rotation selection with many local options in the Akron and Cleveland areas, such as the Cleveland Clinic, University Hospital Systems, MetroHealth, Rainbow Babies and Children’s, Akron General Medical Center and Akron Children’s Hospital. Frequently Asked Questions Describe didactics at your facility. The medical education staff, in collaboration with the VPME, put together a strong didactic program on Tuesday and Thursday with house staff lectures that include Morning Report, Noon Lecture, and Grand Rounds Lectures spotlight local clinicians, house staff and various professionals in medicine, law, ethics, etc. The CORE office also provides medical student didactics on Wednesday mornings which incorporate medical topics, medical law; professional and personal financial planning and simulation medicine; a DEA agent, pharmacists, and other professionals may speak. OMM lecture/practice is presented twice a month. This is a diverse didactic program specializing in students’ needs. students are assigned as SWRH CORE base site students. A variety of other CORE and non-CORE osteopathic schools rotate through the hospital on an elective basis. What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? Level III trauma center; Akron City Hospital a Level I, is 15 minutes away. What is the on-call policy for medical students? Two weekends a month when on Surgery and Internal Medicine. Emergency Medicine has scheduled shifts. Is there 24-hour access to the library and Internet resources? KCOM required presentations of Oral Case and Journal Club articles are scheduled in conjunction with Wednesday didactics. Students are assigned dates to present two oral cases during didactics. Journal Club article presentation is assigned during the Family Medicine rotation with the Regional Assistant Dean (Dr. Russ). Yes How many students, interns, and residents are on a rotation? Are pagers provided to students? Depending on the rotation, there is usually one resident and one student per attending. Are lockers available for students to use? How often are students one-on-one with an attending or resident? What unique qualities/opportunities does your facility have to offer? Yes, most of the time. Are students offered/encouraged to actively participate in procedures? Yes, most experiences are hands-on. Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? Summa Health System-Akron City Hospital, St. Thomas Hospital, Barberton Hospital, Summa Rehab Hospital and Robinson Memorial Hospital. OU-HCOM and KCOM Is charting done electronically? Yes Is there a food allowance and how much? Students are given a $50/week food allowance. Yes Yes The award winning WRH is one of the only physicianowned, full service osteopathic teaching hospitals in the country. Our doctors are dedicated to teaching students and realize their role in the practice of medical education. Medical students are first assist on most rotations, with exposure to some of the area’s leading experts on disease management. WRH was recognized by ERC’s NorthCoast 99 award as one of the best places to work in NE Ohio. 129 Lastly, unique to our Internal Medicine curriculum, students participate in the DURSE program which is designed to develop a positive working relationship between doctors and nurses. Does your region have any Research Opportunities to offer? If so please describe. Research is available through the Ohio CORE (site host school). Research projects may include, but are not limited to ongoing research done by the current residents and CORE staff. Please contact Dr. Grace Brannan, CORE Research Executive Director, for more details. [email protected] or 740-593-2325. Site Visits When are site visits scheduled? Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break). Specific dates, times and locations will be sent to your class in February 2015. Who should students contact to set up a site visit? KCOM Ohio Rotation Site Coordinator – Juliann Riley at [email protected] or 330.608.1296. Please do not contact the hospital, CORE or any fellow students to arrange site visits. What is the site visit protocol at your site? All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following requests: NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability. NO site visits will be available the last week in June or the first week in July due to intern and third year medical student orientation week. Area Information Cuyahoga Falls is a charming community that derives its name from the Cuyahoga River, which winds its way through the downtown area. Located adjacent to Akron and only a short drive from Cleveland, Cuyahoga Falls offers cultural, recreational, and residential diversity. Cuyahoga Falls has all the benefits of big city living while retaining its small town feeling of community. Cuyahoga Falls is a very family oriented city. Rent is reasonable and you can find reasonably priced “starter” homes to purchase. Living in the Falls puts you minutes from everything-Cleveland: 40 min., Canton: 30 min., Akron: 10 min. You are the center of Ohio’s northeast area. The Falls has numerous parks which have free wading pools, sports fields, and play grounds. There are a plethora of Metro parks in the surrounding area with hiking and biking trails, including winter sports such as skiing and tubing. The Zoos are associated with the Metro parks too. Weekends throughout the year have something going on at the Cuyahoga Falls River Front, from Santa Claus and ice skating in the winter, to festivals, concerts, and car shows during the summer and fall. Hungry? There are a lot of places to eat. All of your favorite chains (Applebee’s, TGI Friday’s, Outback, Olive Garden, etc.) are available, not to mention numerous local favorites! There is enough shopping variety for all nearby with a number of grocery stores, malls, discount stores, and specialty stores. There are mixed opinions about the schools, mostly positive, but you can make the call. You can reach the Chamber of Commerce at 330.929.6756. Average cost of housing $550/month for 1-bedroom; $625/month for 2-bedroom; $800-900 for 3-4 bedroom house Nearest major airport Cleveland Hopkins International Airport (CLE) is about 30 minutes away to the northwest. Akron-Canton Regional Airport (CAK) is also about 30 minutes away to the south. Nearest expressway Route 8 is about five minutes away from the hospital Informational websites www.westernreservehospital.org www.cityofcf.com www.ci.akron.oh.us www.ohio.com (Local Paper) www.cfchamber.com www.ohio.gov 130 Student Typical Day Most days will start between 6-8 a.m. unless you’re rotating through an Emergency Room, where you receive an individualized schedule. At the hospital you start the day by rounding on patients, writing a progress note after each encounter. The interns and residents follow behind you reading and sometimes adding to your notes. When the attending arrives you present your pertinent findings and plan to them and they visit the patient with you. They will either agree with or amend your plan and use this time to discuss their reasoning and teach. Be prepared to defend your ideas and answer questions regarding the patient and their condition, if you have suggested OMT be prepared to perform it. After rounds, you start procedures when you are on General Surgery or Orthopedic Surgery. Internal Medicine rounds continue until the late morning or early afternoon when the attending has to return to clinic, and the rest of the day is spent following up on tests from rounds, preparing patients for discharge, and doing new admissions. It’s always good to have some reading material with you for those moments when you have a little down time. There’s a good library in the hospital with lots of texts, journals and computer access. Time and schedule permitting, you usually break for lunch in the middle of the day. As of 2015, we receive $50 per week as a food stipend. Your day will end when the chief resident or attending dismisses you. The time varies by the rotation you are on. A safe bet is to plan on being at the hospital until 5-6 p.m. Office rotations usually start between 8-9 a.m. In most cases you will see the patient on your own first, and then present the case to the attending. You will be expected to take a thorough history, perform a focused physical exam, and then come up with a differential diagnosis and plan. After reviewing this with the attending you will then see the patient together. Down time is less at the clinic and most attendings take such opportunities to teach if you show interest. Time and schedule permitting, you usually break for lunch in the middle of the day and the time you are dismissed at the end of the day varies between attendings Every Wednesday morning we have student didactics which usually begin at 8 a.m. The topics are interesting in that they vary depending on who will be presenting that day. Different presenters from the different residency programs such as General Surgery, Internal Medicine, Dermatology, Orthopedic Surgery, or emergency medicine will present for students. Many times these presentations include hands-on skills labs, such as casting, suturing, intubation, or catheterization. Attending physicians and other ancillary staff will also present different topics, such as pharmacology, neurology, medical law, and financial planning to give us a different view of medicine and our future. Medical students also present case studies during Wednesday didactics. Our Regional Assistant Dean (Dr. Ron Russ) is one of the best assets to the program- in that he is very dedicated to students making sure we get the most out of our time. He arranges games for us such as "medical jeopardy," gives lectures on current medical topics, and is always available to answer questions or give advice. From 12-12:15 p.m., there is a break to grab lunch and bring it into the classroom. We eat while listening to the OTM lecture which is followed by practical skills from roughly 12:45-1:15 p.m. OTM lectures are twice a month. Depending on what rotation we are on, after Wednesday didactics we study in the library, go home for the day or finish upon service after a full morning of learning. We also have “Quarterly Pit Stop” didactics. Pit Stops occur every three months and include students and residents. Pit Stops are specially designed didactics that aim to teach more effective and efficient ways to be a physician. Monthly, we are given the opportunity to provide feedback and areas of concern to various administrative personnel at the Medical Student Round Table luncheons. Students are encouraged to participate in a variety of community/civic volunteer activities such as hosts for the Polar Express train ride, medical stations at local running/biking events, etc. Each month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Tuesday’s after rotations typically around p.m. All KCOM students based at Western Reserve Hospital meet in the Library area for group discussion of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 4, challenges with rotations, ideas for other opportunities, etc. With all of the additional work KCOM requires of students during third year – outside of rotations, Juliann helps to ensure the students’ work gets done in a timely manner. Juliann is also a great resource for information regarding out rotations, KCOM requirements, and information regarding hospitals and residencies in the area. Notes 131 Notes 132 Pennsylvania Region Pennsylvania Heart of Lancaster Regional Medical Center Lancaster/Lititz Regional Map About Pennsylvania Capital Harrisburg Est. population 12,773,801 – ranked the 6th largest state in the country in 2013 Land area 44,820 mi2 Largest cities Philadelphia, Pittsburgh, Allentown, and Erie Surrounding states Delaware, Maryland, Ohio, New Jersey, New York, and West Virginia 133 Pennsylvania Region Heart of Lancaster Regional Medical Center 1500 Highlands Drive Lititz, PA 17543 717.625.5646 www.heartoflancaster.com Director of Student Medical Education Lisa Fritz, DO 1500 Highlands Drive Lititz, PA 17543 717.625.5646 [email protected] Rotation Site Coordinator Anne Rickert 6300 High Street East Petersburg, PA 717.531.1443 [email protected] The Site Heart of Lancaster is a small community based hospital. Located in the town of Lititz, in Lancaster County, Pennsylvania, this state-of-the-art facility stands as a leader of healthcare services in the community. The hospital has been an osteopathic teaching site for 75 years. We accept osteopathic students from schools throughout the country. One of the assets of the hospital is its sustained DO training at the site and within in the community. At Heart, old school meets new school when it comes to training. OMM is practiced by many of the Family Medicine physicians and is incorporated into the curriculum at the hospital. Rotations include opportunities to round with many of the medical specialists in the area. Most rotations are conducted in the community. The student will be expected to travel to various physician sites. Site Statistics City Population Lancaster Population Medical Staff Size of Hospital Admits 10,000 507,000 370 148 beds 3,600 Surgeries Deliveries ER Visits DME 6,000 840 13,200 Lisa Fritz, DO Internships None Residency Programs Anesthesiology, Family Medicine and Internal Medicine, (AOA accredited) Frequently Asked Questions Describe didactics at your facility. Morning report is conducted each weekday from 7-8 a.m. Other lectures include hands on OMM session; Board Review; Harrisons Club; Journal Club. Students will be expected to present one lecture at morning report during the course of their rotation. Are students offered/encouraged to actively participate in procedures? Yes, we are a teaching hospital. As long as the student is directly supervised by an attending the student may participate in procedures. How many students, interns, and residents are on a rotation? Is the hospital affiliated with other hospitals? What other medical school affiliations does your facility have? This varies month to month for Internal Medicine and Family Medicine. Generally there are no more than three trainees on an Internal Medicine or Family Medicine. For other Core rotations there will be one student and possibly one resident. For electives, students will be one-on-one with the attending. We utilize two additional hospitals in our area (within a 10 mile radius), Ephrata Community Hospital and our sister hospital Lancaster Regional Medical Center. We also have an affiliation with Penn State Hershey Medical Center. PCOM is our primary affiliate, however we accept students from many Osteopathic schools. How often are students one-on-one with an attending or resident? This does vary for each rotation and each month, but overall students are frequently one-on-one with an attending. As a small site, residents are not always on a service with a student. 134 What is the trauma level of your emergency department? If your emergency department is not a Level I trauma center, will students have an opportunity to rotate at a Level I trauma center? We are not a trauma site. There is not an opportunity for students to rotate at a Level I trauma center. What is the on-call policy for medical students? Are lockers available for students to use? Students will be on call for General Surgery and Obstetric services. The call schedule will be dictated by the primary preceptor. Buddy call with a resident while on Internal Medicine service is encouraged but not required. Call for other services will most likely not be necessary. No Is there 24-hour access to the library and Internet resources? Yes Is charting done electronically? The hospital is moving towards electronic medical records. Is there a food allowance and how much? Currently, there is a $300 food allowance per one month rotation. Two week rotations will receive a pro-rated allowance. Are pagers provided to students? What unique qualities/opportunities does your facility have to offer? Our most unique attraction is the one-on-one, hands on training. Students are immediately immersed in the care of patients. The direct access to attendings makes it easy to ask questions and have impromptu discussions on patient care. The other asset at this site and in the community is the technology – DaVinci Robotic Surgery; Digital Mammography; Would Care Center with hyperbaric chamber to name a few. All physicians in the area are anxious to teach. The smaller census allows ample time to read research and hone your skills. Does your region have any Research Opportunities to offer? If so please describe. Research opportunities are limited, but available. No Site Visits When are site visits scheduled? Visits can occur at any time throughout the year, just call ahead to schedule a date. Who should students contact to set up a site visit? Students should contact Anne Rickert, Rotation Site Coordinator at [email protected] or Dr. Lisa Fritz at [email protected] Area Information Lititz/Lancaster is close to major cities on the east coast. Baltimore, Philadelphia, Atlantic City, New York and more are accessible by car or train. Average cost of housing Rental apartments are plentiful. There is a preferred complex approximately 6 miles from the hospital. Rates range from $800-$1200 based on size and amenities you choose. Nearest major airport Harrisburg/Middletown International Airport is 40 minutes from our site. It’s a small very convenient airport with easy access in and out. Philadelphia Airport is around 90 minutes away, based on traffic. It is a much larger airport with more flight options, but not as convenient. Nearest expressway There are several major expressways surround us. In Lancaster County the primary expressway is Route 30. This leads to adjoining major expressways Route 283, Route 222 and the Pennsylvania Turnpike. The primary road in Lititz is Route 501. Informational websites www.lititzpa.com www.cityoflancasterpa.com www.padutchcountry.com Student Typical Day A typical day would start with morning lecture at 7 a.m. Following morning didactics you will begin your rotation. Each rotation is designed to provide you with an in depth experience to the practice of clinical medicine. You will be directly involved with the evaluation and management of patients. Since you will be working side-by-side with the attending, you will also learn the business aspects of medicine; coding; resource management; core measures. As your day draws to a close, you will have ample time to read and prepare for the next day. 135 Notes 136 Utah Region Utah Sites Provo Salt Lake City Logan Regional Map About Utah Capital Salt Lake City Est. population 2,900,872 – ranked the 33rd largest state in the country in 2013 Land area 82,168 mi2 Largest cities Salt Lake City, West Valley City, Provo, and West Jordan Surrounding states Arizona, Colorado, Idaho, Nevada, New Mexico, and Wyoming 137 Utah Region Utah is a preceptor-based region with about 200 preceptors and 30 hospitals and clinics with which we have agreements. We continually add preceptors to our list and have a very fluid preceptor base to choose from. Most of our preceptors are in private practices and clinics. Depending on the specialty, these physicians have privileges at one or more of the hospitals in the area in which they practice. Therefore, the students will have a well-rounded experience in the office or clinic as well as the hospitals. The Utah Region consists of three separate areas: Provo (including all of Utah County-aka Utah Valley), Salt Lake City (including the Salt Lake/Davis/Weber Counties), and Logan (including all of Cache County-aka Cache Valley). Each area is overseen by its own Regional Assistant Dean or Director of Student Medical Education (DSME). Didactics/Education Days are held separately under the direction of the respective Regional Assistant Dean/DSME for each area. Travel distance to rotation sites depends upon where the student chooses to live. Logan, travel will be minimal with one or two exceptions. Salt Lake City and Provo will have up to a 40 mile travel distance depending on where the student lives. But, most of the rotations will be within a reasonable distance. The Regional Assistant Dean for the Utah Region is Stuart B. Porter, DO, a KCOM graduate (Class of 1988); he is Board Certified by the American Board of Family Practice. The DSME for the Salt Lake area is John M. Nichols, DO; he is Board Certified in Obstetrics/Gynecology. The DSME for the Logan area is Barrett Labrum, DO; a KCOM graduate (Class of 2008); he is Board Certified in Pediatrics. They are always ready to help our students succeed. Education Days are held separately twice a month for each of the three sites: Generally on the first and third Fridays of the month for the Provo and Logan students. Generally on the first and third Wednesdays of the month for the Salt Lake City students. Other days may be designated for special didactics or conferences available to the KCOM Utah Region students. Post-Clerkship exams are proctored on the last Friday of each rotation. All Provo and Salt Lake area third year students take exams together at Jordan Valley Medical Center at 9 a.m. The Logan area students take their exams later that day in Logan at the Cache Valley Specialty Hospital. Provo Utah Area Office: 1145 South 800 East, STE 123 Orem, UT 84097 801.932.0139 801.447.2428(fax) Regional Assistant Dean Stuart B. Porter, DO Rotation Site Coordinator Mona Porter [email protected] 801.932.0139 801.447.2428 (fax) [email protected] Salt Lake City 3570 W. 9000 S. Ste. 210 West Jordan, UT 84088 801.569.2626 Regional Assistant Dean Stuart B. Porter, DO Rotation Site Coordinator Mona Porter [email protected] 801.932.0139 801.447.2428 (fax) [email protected] Director of Student Medical Education John M. Nichols, DO [email protected] 138 Logan 550 East 1400 North, Suite D Logan, UT 84321 435.752.7122, ext. 3 435.755.9579 (fax) Regional Assistant Dean Stuart B. Porter, DO Rotation Site Coordinator [email protected] Director of Student Medical Education Barrett Labrum, DO Mona Porter 801.932.0139 801.447.2428 (fax) [email protected] [email protected] Site Statistics Approximate number of preceptors Over 200 throughout the Utah Region Approximate number of hospitals Over 30 throughout the Utah Region (13 are more frequently used than others) Average distances for rotations Travel distance to rotation sites depends upon where the student chooses to live. Logan, travel will be minimal. Salt Lake City and Provo will have up to a 40 mile travel distance depending on where the student lives. But, most of the rotations will be within a reasonable distance. Internships Transitional Year, you may contact the Residency Coordinator at the Intermountain HealthCare System at 801.357.7926, or check the website for information: www.ihc.com Residency Programs The University of Utah offers many allopathic residencies. There are Family Medicine residencies also at McKay-Dee Hospital, Utah Valley Regional Medical Center, St. Mark’s Hospital, and Ogden Regional Medical Center - all are allopathic. We have had students accepted into each of those residencies in the past. Fellowship Programs There are many fellowship programs available in Utah. Here are a few specialties to check: Anesthesiology, Cardiology, Sports Medicine, Gastroenterology, Hematology/Oncology, Infectious Disease, Neonatal/Perinatal, Nephrology, Neurosurgery, Nuclear Medicine, Orthopaedics, Pathology, Pediatric Critical Care, Pharmaceutics, Utah Moran Eye Center, and Vascular Interventional Radiology. Possible Facilities Our preceptors may have privileges at multiple hospital sites (listed below) with which we currently have agreements (see ATSU portal: Clinical Educational Affairs; Hospital/Preceptor Agreements). Bear River Valley Hospital (IHCHS) Alta View Hospital (IHCHS) Behavioral Health Institute (IHCHS) 9660 South 1300 East Sandy, UT 84094 www.intermountainhealthcare.org/hospitals/altaview American Fork Hospital (IHCHS) 170 North 1100 East American Fork, UT 84003-2096 www.intermountainhealthcare.org/hospitals/americanfork 440 West 600 North Tremonton, UT 84337-1129 http://intermountainhealthcare.org/hospitals/bearriver 4401 Harrison Blvd Ogden, UT 84403 http://intermountainhealthcare.org/services/behavioral Brigham City Community Hospital (MountainStar Healthcare) 950 South Medical Drive Brigham City, UT 84302 www.brighamcityhospital.com 139 Cache Valley Specialty Hospital McKay-Dee Stewart Rehabilitation Center (IHCHS) 2380 North 400 East North Logan, UT 84341 www.cvsh.com 3903 Harrison Blvd, STE 400 Ogden, UT 84403 http://intermountainhealthcare.org/hospitals/valleyview Central Utah Surgical Center Mountain View Hospital (MountainStar Healthcare) 1067 N. 500 West Provo, UT 84604 www.ucsurgical.com 1000 East 100 North Payson, UT 84651 www.mvhpayson.com Davis Hospital and Medical Center Ogden Regional Hospital (MountainStar Healthcare) 1600 West Antelope Drive Layton, UT 84041 www.davishospital.com 5475 South 500 East Ogden, UT 84405 www.ogdenregional.com Davis Surgical Center LLC Orem Community Hospital (IHCHS) 1544 W. Antelope Drive Layton, UT 84041 www.healthcare.com Dixie Regional Medical Center (IHCHS) 1380 E. Medical Center Drive St. George, UT 84790 http://intermountainhealthcare.org/hospitals/dixie Heber Valley Medical Center (IHCHS) 1480 South Highway 40 Heber City, UT 84032 http://intermountainhealthcare.org/hospitals/heber Jordan Valley Medical Center 3580 West 9000 South West Jordan, UT 84088 www.jordanvalleyhospital.com Lakeview Hospital (MountainStar Healthcare) 331 North 400 West Orem, UT 84057 www.intermountainhealthcare.org/hospitals/orem Park City Medical Center (IHCHS) 900 Round Valley Drive Park City, UT 84060 http://intermountainhealthcare.org/hospitals/parkcitymedical Riverton Hospital (IHCHS) 3741 West 12600 South Riverton, UT 84065 http://intermountainhealthcare.org/hospitals/rivertonhospital Riverwood Surgical Center 320 River Park Drive Provo, UT 84604 www.rwsurgery.com Timpanogos Regional Hospital (MountainStar 630 East Medical Drive Bountiful, UT 84010 www.lakeviewhospital.com Healthcare) 750 West 800 North Orem, UT 84057 www.timpanogosregional.com LDS Hospital (IHCHS) TOSH-The Orthopedic Specialty Hospital 8th Avenue & C Street Salt Lake City, UT 84143 http://intermountainhealthcare.org/hospitals/lds Logan Regional Hospital (IHCHS) 1400 North 500 East Logan, UT 84321 www.intermountainhealthcare.org/hospitals/logan McKay-Dee Medical Center (IHCHS) 4401 Harrison Boulevard Ogden, UT 84409 www.intermountainhealthcare.org/hospitals/mckaydee 140 (IHCHS) 5848 South 300 East Murray, UT 94107 http://intermountainhealthcare.org/hospitals/tosh Utah Valley Regional Medical Center (IHCHS) 1034 North 500 West Provo, UT 84604 www.intermountainhealthcare.org/hospitals/uvrmc Valley View Medical Center (IHCHS) 1303 N. Main Street Cedar City, UT 84720 http://intermountainhealthcare.org/hospitals/valleyview Frequently Asked Questions Describe didactics at your facility. Is charting done electronically? We hold Education Days twice a month (the first and third Fridays of the month in the Provo and Logan, and the first and third Wednesdays of the month in the Salt Lake City. Charting is done electronically in some hospitals, and becoming more prevalent with physicians in our region. Guest lecturers are physicians in the area who are especially passionate about teaching and sharing their knowledge and experiences with our students. They are asked to participate in Education Days. Our Regional Assistant Dean/DSME’s will also lecture during Education Days. We also use this time for students’ Oral Case Presentations, Journal Club presentations, fourth year lectures, as well as Small Group Societies Modules. Post-Clerkship Exams are scheduled on the last Friday of each rotation. Many of our preceptors have also set up didactic programs for our students at their facility on an ongoing basis. Annually, we attend the IHC Update in Medicine Conference and a Suture Course. These are mandatory for our third year students, and suggested for fourth year students. These have been received very well by the students in the past. How many students, interns, and residents are on a rotation? Since we are preceptor-based, nearly all rotations are oneon-one with the preceptor. How often are students one-on-one with an attending or resident? Since we are preceptor-based, nearly all rotations are oneon-one with the preceptor. Is there a food allowance and how much? No food allowance provided. Are pagers provided to students? No Are lockers available for students to use? No What unique qualities/opportunities does your facility have to offer? The Utah Region is a preceptor-based region with three separate areas: Provo, Salt Lake City, and Logan. Our region office is located within the Provo area, in the city of Orem. The student will be first in line to have hands-on experiences because he will be the only student with the preceptor. The student will also have the unique opportunity of observing the daily life of private practices, group clinics, and hospitals alike. The Utah Region has preceptors who enjoy teaching our students and are dedicated to our medical education program. Does your region have any Research Opportunities to offer? If so please describe. Research Elective opportunities are available; please talk with the Rotation Site Coordinator. Are students offered/encouraged to actively participate in procedures? Current and past students report that in most cases, they are encouraged to actively participate. Student initiative however, is also an important factor in having opportunities for participation. Preceptors often suggest in clinical evaluations that the students should be more aggressive in volunteering and taking advantage of hands-on opportunities during rotations. Will students have an opportunity to rotate at a Level I trauma center? We do have Level I trauma centers in Utah. We also have excellent Emergency Room rotation opportunities at many of our bigger hospitals. What is the on-call policy for medical students? Each preceptor has his own on-call policy, and most of them expect the student to be on-call as well. Is there 24-hour access to the library and Internet resources? Yes, in some of the hospitals and clinics. 141 Site Visits When are site visits scheduled? Because Utah is a preceptor based region, we are not able to give regular site tours. The best way to get to see our region and get a feel for how it is here would be to attend one of our Education Days. You’ll get to meet everyone including the Regional Assistant Dean/Director of Student Medical Education and students of the particular area you are interested in. If our scheduled Education Day dates do not work with your schedule, we can work something else out for you. Who should students contact to set up a site visit? Please contact the Utah Rotation Site Coordinator for specific Education Day dates and times for the area you are interested in. Mona Porter at 801.932.0139 or [email protected] What is the site visit protocol at your site? Please contact the Utah Rotation Site Coordinator – Mona Porter at 801.932.0139 or [email protected] Area Information Provo includes all of Utah County (also known as Utah Valley). Utah County has a population of 531,442. This area is surrounded by the Wasatch Range of the Rockies, Mount Timpanogos, and Utah Lake, with easy access to Deer Creek-a popular water sport playground, and Sundance Ski Resort through the Provo Canyon. Utah Valley offers an abundance of scenic and recreational opportunities. It is also the home to Brigham Young University and Utah Valley University. Salt Lake City includes all of Salt Lake County, Davis County, and Weber County with a cumulative population of 1,577,040. It is the home to University of Utah, and Weber State University. This area is surrounded by the beautiful Uinta Mountains with easy access to some of the best ski resorts in the world, including the Park City resorts. Opportunities for outdoor activities are plentiful no matter what the season. Logan includes all of Cache County (also referred to as Cache Valley). It has a population of 114,276. It is surrounded on all sides with beautiful mountains and pastoral landscapes. Bear Lake - a popular water sport playground and Beaver Mountain Ski Resort are close-by. It is also the home to Utah State University. The “college town” atmosphere is evident in all three areas, which presents great opportunities for social, cultural, and sporting experiences. Utah, in general, is considered very family oriented. Average cost of housing Salt Lake County Salt Lake City – population: 183,171, average rent: $707 West Valley City – population: 125,093, average rent: $815 Sandy – population: 97,177, average rent: $951 West Jordan – population: 76,024, average rent: $924 Taylorsville – population: 59,102, average rent: $840 South Jordan – population: 54,631, average rent: $1,451 Draper – population: 43,217, average rent: $1,001 Riverton – population: 40,420, average rent: $1,142 Utah County Provo – population: 119,775, average rent: $691 Orem – population: 95,248, average rent: $765 Lehi – population: 48,993, average rent: $1,051 Davis County Layton – population: 66,746, average rent: $812 Bountiful – population: 44,477, average rent: $703 Weber and Cache Counties Ogden – population: 83,296, average rent: $653 Logan – population: 49,534, average rent: $640 Regardless of where you rent in Utah, the State is a good place to live. The climate here is very predictable with the fiercest winters being in the north and the warmest summers 142 being far to the south. Rent in the State ranges from $640 per month in Logan all the way to $1,451 in South Jordan, a wealthy suburb of Salt Lake City. Nearest major airport Salt Lake International Airport (SLC) is about a 60 mile drive from Utah County and 100 miles from Logan. Nearest expressway Utah has an excellent UTA bus service and the TRAX (Utah’s Light Rail Service) is ever increasing its services. Go to www.rideuta.com Informational websites www.harktheherald.com – Utah county www.utah.gov www.deseretnews.com/cn - Salt Lake county www.sltrib.com www.byu.edu/offca.m.pushousing - Utah County http://www.uvu.edu/campusconnection/services/housing.html - Utah County uuhsc.utah.edu/som/studentaffairs/housing.htm -Salt Lake County www.co.slc.ut.us - Salt Lake County www.daviscountyutah.gov -Davis County Information Student Typical Day The typical day in the Utah Region varies greatly from one rotation to another. A student’s daily schedule is determined by the preceptor. Except for Education Days and a couple of annual classes, the student should be with the preceptor during his normal work hours which are determined by each rotation site. With rotations which require mornings in the hospital, physicians typically want the students to round on patients by or before 7 a.m. Clinic will generally begin by 8-9 a.m., so you will need pre-rounds and notes finished no later than 7:30 so that you can then round with the physician and be back to the clinic on time. Other rotations have no early morning rounds and you are generally to clinic by 8 a.m. In the clinic, the preceptor generally sees 25-35 patients per day. Initially, most preceptors will have the student doctor see all patients of the day with them. You will then transition to taking on more responsibilities for approximately 10-15 of those patients per day. The student doctor will be required to take a thorough history, and perform a physical exam based upon the rotation specialty, report back to the doctor with an initial assessment and differential, and then accompany the physician during his visit with the patient. Often physicians will also require that you complete a handwritten note for your patients, some will have you do dictations, and others will give you access to the Electronic Medical Record and have you complete your documentation there. Lunch is generally scheduled for an hour, beginning anywhere from noon to 1 p.m. However, if the preceptor is running behind, you may or may not get that time. Lunch is frequently provided by drug reps or the hospitals. However, it is always wise to have a few extra dollars on hand or a granola bar. After lunch, you generally resume seeing patients, and clinic will usually end between 5-5:30 p.m. Generally, your day is done, unless there is a new admission at the hospital, at which time you would return to the hospital with your preceptor. Most preceptors give student doctors specific reading assignments. If there is any down time, or the preceptor is unavailable, you are expected to study on your own. For the most part Utah preceptors are very reasonable to work with. Communication is the key. Notify your preceptor of your upcoming Education Day, Personal Day, etc. Notify him/her immediately if you are sick and unable to show up. Your preceptor and coordinator should know where you are at any given time. You are responsible and accountable for the use of your time. Your experience as a student doctor in the Utah region will be exactly what YOU make of it. Notes 143 Notes 144