St. Louis Family Medicine Residency Curriculum

As a resident in the St. Louis family medicine residency program, you will spend time in more than twenty rotations.

Rotations PG-1 PG-2 PG-3
 
Family Medicine Inpatient Three months Two months Two months
Pediatric Inpatient Two months    
Well Baby Nursery One month    
Intro to Ambulatory Care One month    
OB Inpatient Two months    
Medical ICU One month    
General Surgery One month    
Community Medicine One month    
Ambulatory Pediatrics   One month  
Geriatrics   One month  
Behavioral Health   One month  
Gynecology   One month  
Cardiology   One month  
Emergency Medicine - Pediatrics   One month  
Emergency Medicine - Adult   One month One month
Musculoskeletal   One month One month
Pediatric Specialty Clinics     One month
Practice Management     One month
Vascular/Breast Surgery     One month
ENT/Ophtho/Urology     One month
Dermatology     One month
Electives   Two months Three months
 

Longitudinal Underserved Community Curriculum

The Saint Louis University Family Medicine Residency developed the Longitudinal Underserved Community Curriculum to prepare you for community-oriented primary care through focused study of community issues through the three years of residency.

PGY1: During the first month of residency, which is an ambulatory skills month, you will be introduced to our health center and community, including intimate partner violence simulation, neighborhood windshield survey and experiences with our staff.

PGY2: Each month, you will spend a day in Community Health Seminars led by the family physicians, pediatricians and behavioral health professionals at Family Care Health Centers.

PGY1-3: Monthly community-focused lectures in social determinants of health and cultural competency.

This model curriculum was developed through funding from the Health Resources and Services Administration and has been shared with residency programs across the country.

Highlights of LUCC Seminars​

Category Seminar Title Activities
 

Pediatric

Child Abuse and Family Dynamics Patient and family discussions, session with social worker, case studies
Child Developmental and Educational Issues Simulation of learning disabilities, parent panels about experience with children with learning disabilities
Pediatric Nutrition Community tour, exercise buying a healthy lunch for $5 within walking distance from health center
Child and Adolescent Community Resources Visits to community after-school and summer programs, and home for families in crisis

Geriatric

Senior Safety Net Visits to senior housing, senior day care, speech and hearing agency, primer on financial supports
Disabilities Visit to independent living community support and disability agency
Adult Chronic Disease Management: Obesity and COPD Bariatric surgery experience, obesity management, COPD practicum
Addiction and Homelessness Community agency visits, shadowing case workers of clients with insecure housing

Community

Effects of Incarceration Conversations with ex-offenders, site visits
State Health Policy at the Capitol Meeting with Primary Care Association, hearings, conversation with state legislators on health issues
Medical Humanism Reading, writing, and discussion about the practice of medicine, medical errors, and wellness
Neighborhood Health Care Safety Net Visit community health center and settlement house, community tour

 

 

Recent Community-Focused Lectures
 
Cultural Competency (Bosnian, Albanian, Somali, and Latino populations; use of interpreters; citizenship and naturalization)
Health Disparities (Understanding Poverty, Health Outcomes in the Region, LGBTQ health, Health Literacy)
Behavioral (Addiction, Adolescent Risky Behaviors, SBIRT)
Violence (Intimate Partner Violence, Human Trafficking)
Policy (State Health Care Policy, Affordable Care Act)

Family Medicine Behavioral Health Collaborative Curriculum

This residency emphasizes the awareness of social determinants of health and integration of behavioral health care in the care of all of our patients.

Family Care Health Centers offers patients integrated behavioral health with a team of psychiatrists, social workers, psychologists and case managers providing care ranging from same day short intervention to long-term family support. Family Care Health Centers is participating in the Alive and Well STL project to become a trauma-informed organization.

In 2016, the residency was awarded a $1.9 million educational grant from the Health Resources and Services Administration (HRSA) to train Family Medicine Residents and Medical Family Therapy students side-by-side in Integrated Behavioral Health.

The Family Medicine Behavioral Health Collaborative Curriculum includes:

  • PGY1: Introduction to Behavioral Health in the Community
  • PGY2: Community Medicine rotation including Integrated Behavioral Health
  • PGY2: Behavioral Health rotation with the FQHC Interprofessional Team
  • PGY3: Quarterly day-long skill workshops in trauma-informed care and family systems, addiction, psychopharmacology and mood disorders
  • PGY1-3: Monthly integrated behavioral health lectures with emphasis on underserved
  • PGY1-3: Monthly Balint group
  • PGY1-3: Team care with Medical Family Therapy students on the Family Medicine Inpatient Service

Weekly Conferences

Family medicine conferences are held at SSM Health St. Mary’s Hospital - St. Louis every Thursday from 1 to 4:30 p.m.

Core Lecture Series

These presentations cover core family medicine topics given by family physicians and specialists from both SLU and the community.

Longitudinal Board Review

This twice monthly series covers board review topics presented by our core faculty.

 

Resident/Faculty Meeting

This monthly meeting allows residents and faculty to address issues pertinent to the residency. Recommendations for improvement are collectively developed.

Grand Rounds
 

These monthly lectures are for the entire Saint Louis University Department of Family and Community Medicine with guest speakers.

Case Conference
 

Residents present interesting case studies of patients they are currently managing either in the inpatient or outpatient setting.

Resident Consult
 Twice monthly presentations by the residents on core outpatient family medicine topics.
Behavioral Health Conference/LUCC
Monthly series during which residents explore psychosocial, social, and cultural factors relevant to their practice. These lectures are coordinated by our director of behavioral science education, Dr. Gafford, and usually involve guest lecturers from the community. 
Resident Support Group
Residents discuss their experiences in the program and receive support from each other during this monthly meeting. The group is facilitated by the director of behavioral science education.
Balint Group
 Residents discuss challenging patient interactions, moderated by the director of behavioral science education and behavioral family medicine faculty.
Practice Management
These conferences are geared toward preparing residents for contract negotiations, job interviews and effectively managing a practice.
Journal Club
 Quarterly rigorous review of important journal articles presented by our upper-level residents to their peers and faculty.
Root Cause Analysis/Morbidity and Mortality

Quarterly presentations and discussions about challenging cases from both the inpatient and outpatient setting. 

Family Care Provider Meetings
 

Discussion of the practice at Family Care Health Center.