the Program

PROGRAM FACTS

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CURRICULUM

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SELECT A ROTATION FROM THE CHART FOR A DESCRIPTION

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CURRICULUM

The main focus of our training is centered in the Family Medicine clinics in order to train expert clinicians in the outpatient office setting. Both of our resident clinics provide outstanding yet unique experiences tailored to your educational needs. The Family Medicine clinic experience is supported by the Family Medicine residency curricular lecture series, and the University of Arizona Integrative Medicine Curriculum.

There is much more to Family Medicine than the office experience and we surround our outstanding office training with high volume, high acuity inpatient rotations in Adult Medicine, Pediatrics, and Obstetrics. Our residents are able to further augment their knowledge and skill through our specialty rotations at some of the finest community hospitals and clinics in the Midwest.

Finally, our curriculum includes sufficient time for electives. Residents may choose focused areas of interest including international rotations. Residents have chosen to do rotations in Uganda, Brazil, Canada, Belize, Slovakia, and Ecuador.

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AMTS (Adult Medicine Teaching Service) and FMTS (Family Medicine Teaching Service):

These excellent, high-volume, high-acuity experiences provide Family Medicine residents with outstanding training in inpatient medicine. Family Medicine residents progress in responsibility throughout their training, with interns taking call with an in-house senior resident, second-year residents working directly with faculty to provide care for our clinic patients, and finally the third-year resident who oversees care and coordinates educational offerings for the team. Our residents are responsible for adult medicine, pediatric and gynecologic admissions at Aurora St. Luke's Medical Center. Other responsibilities include covering ACLS codes and other procedures including central lines, arterial lines, paracentesis, thoracentesis, intubation and lumbar punctures.

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Peds Office (Pediatric Office):

A one-month rotation designed to enhance training in ambulatory pediatric medicine. The resident spends time with a community based general gediatrician as well as with pediatric specialists in the areas of endocrinology, allergy/immunology, dermatology, and orthopedics.

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MOHS (Management of Health Systems):

A required block rotation covering the areas of health care economics, performance improvement, and health care personnel issues. Our experience engages residents in the process of examining and improving their own clinical practice and understanding how to implement performance improvement at any site. We tailor the health care economics training to the resident's plans for future practice in order to best meet their needs. Second and Third Year residents participate in an acclaimed series of practice management workshops directed by a financial planning expert who specializes in the needs of physicians. Finally, the Aurora Resident Council sponsors an annual series of speakers on personal financial management topics such as managing debt, evaluating a contract and securing a position.

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Electives:

A wide variety of electives are available including international experiences. A list of available electives is below. One away elective is allowed in each of the PG2 and PG3 years. Residents also have the opportunity to create their own unique elective rotation experience by working with their faculty advisor on a tailor-made curriculum.

Family Medicine Procedures

Wound Care/Hyperbaric Medicine

Palliative Care

Rheumatology

Plastic Surgery

Nephrology

Parenting

Integrative Medicine

Neurology

International Medicine

Peds, GI, Neuro, Endo, Cards, Heme, ICU, ID

Gastroenterology

EBM/Informatics

Stress Testing

Endocrinology

Women’s Health

Pulmonology

Family Therapy

Occupational Medicine

Hematology/Oncology

Rural health

Underserved Medicine

Allergy/Immunology

Osteopathic Manipulation Treatment

Adolescent Medicine

Radiology

Infectious Disease

Pain Management

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Orientation (Orientation to Family Medicine Residency):

This one-month experience is designed to assure that every new resident is well-equipped to begin clinical rotations in our program. The month also offers each resident ample time to orient to their new home in the Milwaukee area and bond with their new colleagues. Each resident spends time in each of the core rotations in Family Medicine: Inpatient Medicine, Obstetrics, Pediatrics, and Family Medicine. During each morning the resident spends time with Family Medicine residents and faculty to learn the basic information specific to each rotation necessary to "hit the ground running". Afternoons are spent in group discussion sessions learning about core clinical topics as well as the administrative aspects of Family Medicine residency training such as the ACGME and ABFM residency training requirements as they relate to our curriculum. Our annual White Coat Ceremony is a key part of the rotation when each resident is presented their long white coat by their advisor and is welcomed into the tradition of Family Medicine.

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Com Health (Community Health):

This one month block rotation is designated to give each resident a firsthand experience with our partners who provide patient-centered services in the community.  This includes the Visiting Nurses Association, Public Health STD and TB clinics, school-board health, WIC, and Family Therapy Services.  Residents learn to apply concepts of population health, epidemiology, health disparities, and utilize community health resources for common problems in Family Medicine.  They also have the opportunity to work at Walker’s Point Community Clinic and learn to provide high quality care to patients who lack health insurance and employ cross-cultural skills including the use of medical interpreters. 

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Cards (Cardiology Consult Service):

This rotation provides opportunities for the resident to learn how to manage acute and chronic cardiac problems in the inpatient setting. The resident works with a team of providers, including residents, cardiology fellows, and attending cardiologists managing such problems as ACS, congestive heart failure, cardiomyopathy, post-cardiac catheterization medical issues, and atrial fibrillation.

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OB (Obstetrics):

The Family Medicine resident on call is responsible for the care of the obstetrical patients and newborns at Aurora Sinai Medical Center. With approximately 240 deliveries each month, Family Medicine residents become comfortable with procedures and obstetrical situations, including vaginal deliveries, postpartum emergencies, labor induction, IUPCs, amnioinfusions, circumcisions, diabetes, pre-eclampsia management, and C-section assists. Triaging pregnant women who present with concerns to the Women's Assessment Center affords abundant opportunities for management of common problems of pregnancy. With in-house OB faculty back up, Aurora Sinai is able to support family physicians caring for Vaginal Birth After Cesarean (VBAC) patients.

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ER (Emergency Medicine):

Rotating through Aurora St. Luke's ER, one of the state's busiest departments, allows each resident to develop the skills and experience to manage the most common urgent/emergent problems, including lacerations, fractures, and life threatening conditions requiring hospitalization. The highly respected ER physicians take great pride in teaching and are frequent presenters at Family Medicine resident conferences. To develop a balanced perspective, residents also rotate during this block to Aurora St. Luke's South Shore campus, which offers a more suburban/rural model of emergency care.

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NICU (Neonatal Intensive Care Unit):

This is a structured, supervised, busy inpatient experience at Aurora Sinai's level III nursery. Family Medicine residents are exposed to all aspects of care of the high-risk neonate, including placement of umbilical line catheters, neonatal resuscitation and intubation, ventilator management and attendance at high-risk deliveries. Family Medicine residents on NICU round on all of our department's newborns, and all newborns on our newborn hospitalist service, thus developing a great sense of normal development and common problems in the neonatal period.

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Surg (Surgery):

This rotation offers a structured preceptorship in general surgery designed to provide our residents with experience in the diagnosis and management of surgical emergencies, pre- and post-op care, surgical assisting, office surgery and technical skills for the family physician. Two unique learning opportunities are working at the Aurora Breast Care Center; where Family Medicine residents develop skills in physical exam, cancer risk counseling, fine needle aspiration and cancer care coordination, and experiences at the Aurora St. Luke's Wound Care/Hyperbaric Center; where Family Medicine residents learn cutting edge approaches to wound care management, ulcer prevention and advanced healing techniques.

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Peds ER (Pediatric Emergency Medicine - Children's Hospital of Wisconsin):

Family Medicine residents evaluate and initiate acute treatment of the pediatric patient in the 3rd ranked Pediatric ER in the country. Our residents perform procedures such as lumbar punctures and suturing, manage fluid resuscitation and initiate medical therapy. Perhaps most importantly, you will walk away from this rotation with a highly developed "gestalt" of the severity of illness in a child. This is consistently one of our residents' favorite rotations.

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GYN (Gynecology) and Women's Health:

Our residents work with Family Medicine and Obstetrician-Gynecology faculty in multiple outpatient settings, integrating block rotations and longitudinal experiences in the primary care of women. Didactic, experiential, and self-study learning methods are utilized to explore a diversity of issues which include gender differences in self-esteem, adolescent medicine, childbirth, menopause, and domestic violence. A unique feature of the rotation is working with our Women's Health Fellowship faculty and fellows at the Aurora Women's Pavilion of West Allis Medical Center.

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ICU (Intensive Care Unit):

This rotation with critical-care specialists familiarizes the Family Medicine resident with central line placement, invasive hemodynamic monitoring, ventilators, intubations and exposure to hyperbaric medicine. Family Medicine residents learn to manage severely ill patients and to deal with the psychosocial aspects of caring for patients and their families. The experience, therefore, is tailor-made for the family physician.

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GER (Geriatrics):

This rotation utilizes several sites to augment the resident's care of seniors. Residents work with our Geriatrics Fellowship faculty in the Center for Senior Health and Longevity, learning to perform functional assessments, screen and treat mental and cognitive problems, assess medication safety and adherence, and evaluate the need for home care and community resources. Our residents also evaluate the older inpatient on the nationally recognized Acute Care for the Elderly (ACE) service. Our residents care for their nursing home patients one-on-one with one of our faculty who specializes in the care of the older patient in the long term care setting.

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Peds (Pediatric Wards at Children's Hospital of Wisconsin):

During this rotation at the 4th ranked Children's Hospital in the country, the Family Medicine resident sees a wide variety of pediatric diseases. Strong didactic educational experiences are emphasized. Family Medicine residents become proficient in the management of asthma, bronchiolitis, gastroenteritis, rule-out-sepsis, failure to thrive and other common acute pediatric problems.

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Ortho (Orthopedics):

This rotation is a combined six weeks in length. The resident works with Orthopedic specialists and learns how to perform comprehensive musculoskeletal examinations, appropriate use of imaging modalities, and the surgical and non-surgical management of musculoskeletal injuries. Residents learn proper use of casting and splinting as well as diagnostic and therapeutic joint injections.

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Uro (Urology):

A two-week rotation designed to expose residents to the medical and surgical treatment of diseases of the urogenital system. Key areas covered include BPH and prostate cancer, renal issues such as nephrolithiasis and renal cancers, as well as male and female urinary incontinence.

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Behav Med (Behavioral Medicine):

Family Medicine residents work with a community psychiatrist, seeing both outpatient and inpatient medical-psychiatric consultations. They learn to treat mental and behavioral health conditions most commonly seen in primary care, including depression, anxiety, insomnia, and alcohol/chemical dependency. Family Medicine residents also learn to evaluate and manage mental status changes, agitation, and withdrawal in the hospitalized patient.

Behavioral Medicine is also taught from multiple aspects of the curricula. In the Family Medicine clinics, residents discuss and learn with family physician mentors and behavioral science faculty how to help patients change their behavior. This includes avoiding unhealthy behaviors such as smoking, adopting behaviors such as checking blood sugars, and following up with recommendations for cancer screening. Other longitudinal learning methods include Ambulatory Report, where the resident presents a 'bio-psycho-social' perspective on patient care; and videotaping, where residents receive feedback about skills in the areas of professionalism and communication skills.

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Derm (Dermatology):

A one-month outpatient rotation with a focus on dermatologic procedures. Time is spent with a leading dermatologic surgeon and melanoma specialist. The resident gains experience in excisional biopsy, suturing techniques, and cryotherapy. Additional time is spent with general dermatologists learning diagnosis and medical treatment for common skin diseases.

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ENT (Ear, Nose & Throat):

A two-week outpatient rotation working with otolaryngologists and otorhinolaryngoloists. Residents learn to manage various ENT problems including hearing loss, acute and chronic otitis media, acute and chronic rhinosinusitis, and obstructive sleep apnea. The residents also learn pre- and post operative care of various ENT related surgical patients.

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Ophtho (Ophthalmology):

A two-week rotation designed to expose each resident to the diagnosis and treatment of common eye conditions. The resident learns how to perform a comprehensive eye exam, including foreign body examination, slit lamp exam, glaucoma testing and visual acuity testing. The resident has the opportunity to observe and participate in various surgical procedures.

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Sports Med (Sports Medicine):

This rotation focuses on the primary-care physician's role in the care of the athlete. A multidisciplinary approach is used, providing experiences with family physicians, sports physicians, orthopedic surgeons, rehabilitation and physical medicine physicians, physical therapists and athletic trainers. In addition to common musculoskeletal problems encountered by athletes, medical and psychosocial aspects of the patient's care are addressed as well. The Family Medicine resident spends one afternoon per week working one-on-one with one of our faculty, and presents a resident conference on a Sports Medicine topic of her/his choice. In addition, our faculty who work with the Aurora Sports Medicine Institute serve as team physicians for Marquette University Athletics. Our residents also have the opportunity to moonlight at local sports events under the supervision of one of our graduates; a Sports Medicine fellowship trained Family Physician. We have an excellent track record of placing interested Family Medicine residents in the Sports Medicine fellowship of their choice.

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First Year Second Year Third Year

Orientation

FMTS

AMTS

AMTS

FMTS

AMTS/FMTS

AMTS

OB

DERM#

AMTS/FMTS

Peds

ENT#/Ophtho#

OB

GYN

Ortho2/Women's Health

OB

Peds ER

Sports Med#

Peds

Cards

Peds Office#

Com Health

GER

Uro#/Elective#

ICU

Ortho 1

MOHS/Elective

ER

Behav Med#

Elective or OB*

NICU

Surg 2#

Elective#

SURG 1

Elective#

Elective#


* High track OB

# Can be taken second or third year
Elect MOHS Peds Office Sports Ophtho Ent Derm Behav Uro Ortho GER ICU GYN Peds ER Surg NICU ER Cards Com Orient Peds OB AMTS Integrative Medicine in Residency FAM MED