Saint Louis Saint Louis University Family University Family

Medicine Medicine Residency ProgramResidency ProgramBelleville, IllinoisBelleville, Illinois

Scott AFB, IllinoisScott AFB, Illinois

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Residency Mission and History Our Partners Curriculum, Call, and Clinic What Makes Us Unique Graduate and Faculty Experience The Local Area Contact Us

Residency Mission & Residency Mission & PhilosophyPhilosophy

Blend the strengths of Blend the strengths of university, community, university, community, militarymilitary

Develop “full-scope” FPsDevelop “full-scope” FPs Ready for rural, urban, Ready for rural, urban,

austere, underserved austere, underserved environmentsenvironments

Promote ownership of & Promote ownership of & responsibility for patientsresponsibility for patients

Develop “physician- Develop “physician- leaders”leaders” Future commanders/facultyFuture commanders/faculty

A Fully Integrated A Fully Integrated ProgramProgram

AF and civ. AF and civ. residents have same residents have same core rotations at core rotations at same sitessame sites

AF, civ., and AF, civ., and volunteer faculty volunteer faculty precept all residentsprecept all residents

AF and civ. AF and civ. residents on same residents on same clinic floor, different clinic floor, different hallways hallways

Residency HistoryResidency History

Scott AFB Family Practice Residency est. Scott AFB Family Practice Residency est. 19721972

Southern Illinois University Family Southern Illinois University Family Practice Residency est. 1981Practice Residency est. 1981

Merged in 1996 under St. E, SLU in Merged in 1996 under St. E, SLU in 19971997

Scott AFB Inpatient Services closed 2005Scott AFB Inpatient Services closed 2005 Southern Illinois Health Foundation took Southern Illinois Health Foundation took

civilian clinic oversight in 2006civilian clinic oversight in 2006

Residency HistoryResidency History Current site of military Current site of military

and civilian clinicsand civilian clinics Downtown Belleville, ILDowntown Belleville, IL Across from hospitalAcross from hospital Clinical space on 3Clinical space on 3rdrd floor floor

split by AF and SIHFsplit by AF and SIHF AF here since 1996AF here since 1996 Over 25K of space totalOver 25K of space total

Office and educational Office and educational space on 4space on 4thth floor used by floor used by faculty and residentsfaculty and residents

Our PartnersOur Partners

375375thth Medical Group, Scott AFB, IL Medical Group, Scott AFB, IL St. Elizabeth’s Hospital, Belleville, ILSt. Elizabeth’s Hospital, Belleville, IL

Primary site for clinical rotationsPrimary site for clinical rotations Southern Illinois Health FoundationSouthern Illinois Health Foundation

Oversees the civilian clinicOversees the civilian clinic Saint Louis University School of Saint Louis University School of

MedicineMedicine Academic sponsorship and supportAcademic sponsorship and support

375375thth Medical Group Medical Group Oversees USAF Oversees USAF

clinicsclinics Site for some Site for some

outpatient rotationsoutpatient rotations ““Super-clinic” Super-clinic”

(outpatient services (outpatient services only) since 2005only) since 2005

Still offers Still offers Radiology, OB/GYN, Radiology, OB/GYN, Minor Procedures, Minor Procedures, Derm, IM, Peds, Derm, IM, Peds, Flight MedicineFlight Medicine

St. Elizabeth HospitalSt. Elizabeth Hospital Primary site for Primary site for

clinical rotations clinical rotations (medicine/OB)(medicine/OB)

Over 180 patient bedsOver 180 patient beds Over 40 medical Over 40 medical

specialties on staffspecialties on staff To include To include

neurosurgery, neurosurgery, interventional interventional cardiology, neonatal cardiology, neonatal intensive care, plastic intensive care, plastic surgery, and moresurgery, and more

Southern Illinois Health Southern Illinois Health FoundationFoundation

Oversees the civilian Oversees the civilian clinicclinic

Over 25 primary Over 25 primary care clinic sites in care clinic sites in So. IllinoisSo. Illinois

Community service Community service and elective and elective opportunitiesopportunities

Mission to increase Mission to increase access to healthcare, access to healthcare, especially for the especially for the underservedunderserved

Saint Louis UniversitySaint Louis University

Academic sponsorAcademic sponsor Some clinical Some clinical

rotationsrotations Peds Inpatient/E.R.Peds Inpatient/E.R. Outpatient SurgeryOutpatient Surgery

On-line library On-line library accessaccess

Opportunity to Opportunity to teach medical teach medical studentsstudents

Curriculum—PGY 1Curriculum—PGY 1 4 wks “core month”4 wks “core month” 16 wks inpatient 16 wks inpatient

medicinemedicine 4 wks inpatient OB4 wks inpatient OB 4 wks inpatient nursery4 wks inpatient nursery 4 wks inpatient peds4 wks inpatient peds 4 wks emergency room4 wks emergency room 4 wks outpatient OB4 wks outpatient OB 4 wks outpatient peds4 wks outpatient peds 4 wks orthopedics4 wks orthopedics 4 wks inpatient surgery4 wks inpatient surgery 4 wks geriatrics4 wks geriatrics

Curriculum—PGY 2Curriculum—PGY 2 4 wks inpatient medicine4 wks inpatient medicine 4 wks ICU4 wks ICU 4 wks cardiology4 wks cardiology 4 wks OB night float4 wks OB night float 4 wks scholarly project4 wks scholarly project 4 wks peds E.R.4 wks peds E.R. 4 wks outpatient surgery4 wks outpatient surgery 4 wks outpatient peds4 wks outpatient peds 4 wks behavioral med4 wks behavioral med 4 wks outpatient 4 wks outpatient

proceduresprocedures 4 wks rural medicine4 wks rural medicine 4 wks gynecology4 wks gynecology

Curriculum—PGY 3Curriculum—PGY 3 4 wks inpatient 4 wks inpatient

medicinemedicine 4 wks inpatient “faculty”4 wks inpatient “faculty” 6 wks surgical subs6 wks surgical subs

urology, ophtho, ENTurology, ophtho, ENT 2 wks neurology2 wks neurology 4 wks G.I.4 wks G.I. 4 wks sports medicine4 wks sports medicine 4 wks practice mgt4 wks practice mgt 4 wks community med4 wks community med 4 wks dermatology4 wks dermatology 20 elective wks (PG2-3)20 elective wks (PG2-3)

Military Unique Military Unique CurriculumCurriculum

Combat Casualty Care Combat Casualty Care Course (with ATLS)Course (with ATLS) 2 wks, PGY3, in Texas2 wks, PGY3, in Texas

CSTARS (Trauma CSTARS (Trauma Course)Course) 2 wks, PGY3, at SLU2 wks, PGY3, at SLU

Goal 36 hours of formal Goal 36 hours of formal didactics by graduationdidactics by graduation Profiles, deployments, etcProfiles, deployments, etc

Elective opportunitiesElective opportunities Aerospace Medicine Aerospace Medicine

Primary Course, infect. Primary Course, infect. disease, etcdisease, etc

Call ScheduleCall Schedule PGY-1PGY-1

1 week of night float during inpatient months1 week of night float during inpatient months 7 days of short call during inpatient medicine 7 days of short call during inpatient medicine

monthsmonths PGY-2PGY-2

Q4 on inpatient medicine and ICUQ4 on inpatient medicine and ICU Q7-14 on remaining rotationsQ7-14 on remaining rotations

PGY-3PGY-3 Q4 on inpatient medicine and “faculty” Q4 on inpatient medicine and “faculty”

rotationsrotations No other scheduled overnight callsNo other scheduled overnight calls

Continuity ClinicContinuity Clinic

Will easily exceed RRC Requirement of Will easily exceed RRC Requirement of 1650 clinic patient encounters over 3 yrs of 1650 clinic patient encounters over 3 yrs of trainingtraining

PGY-1: 1-2 half days per weekPGY-1: 1-2 half days per week PGY-2: 2-3 half days per weekPGY-2: 2-3 half days per week PGY-3: 3-4 half days per weekPGY-3: 3-4 half days per week Color Team Structure (1 nurse, 4 docs, 4 Color Team Structure (1 nurse, 4 docs, 4

techs) allows for better continuity and techs) allows for better continuity and opportunity for process improvement opportunity for process improvement projectsprojects

What Makes Us UniqueWhat Makes Us Unique Four “partners” offer Four “partners” offer

extensive extensive opportunities for opportunities for rotations and rotations and electiveselectives Additional medical Additional medical

subspecialty training subspecialty training through St. E’s or through St. E’s or SLUSLU

Additional Peds/GYN Additional Peds/GYN training through SIHFtraining through SIHF

Additional opportunity Additional opportunity for scholarly activityfor scholarly activity

What Makes What Makes Us UniqueUs Unique

““Unopposed” Unopposed” ResidencyResidency All inpatient All inpatient

medicine, OB, and medicine, OB, and nursery patients nursery patients managed by FM managed by FM servicesservices

Most subspecialty Most subspecialty rotations (including rotations (including surgery, cardiology, surgery, cardiology, dermatology, etc) are dermatology, etc) are one-on-one with one-on-one with community preceptorscommunity preceptors

What Makes Us UniqueWhat Makes Us Unique Unparalleled Inpatient Unparalleled Inpatient

Medicine ExperienceMedicine Experience 200+ admissions/month to 200+ admissions/month to

our unopposed serviceour unopposed service Pathology of a mostly Pathology of a mostly

underserved populationunderserved population 20-30 ICU admits/month20-30 ICU admits/month Unopposed opportunity for Unopposed opportunity for

inpatient proceduresinpatient procedures Central lines, vents, LP, Central lines, vents, LP,

intubation, thoracentesis intubation, thoracentesis

What Makes Us UniqueWhat Makes Us Unique Unparalleled OB and Unparalleled OB and

Procedural TrainingProcedural Training OB fellow on staffOB fellow on staff Most Residents exceed 70 Most Residents exceed 70

deliveries/15 continuitydeliveries/15 continuity Skin biopsy, colposcopy, Skin biopsy, colposcopy,

LEEP, EMB, vasectomy, LEEP, EMB, vasectomy, injections, IUD, Implanoninjections, IUD, Implanon

Colonoscopy/C-Section Colonoscopy/C-Section precepted by FPprecepted by FP

Add’l opportunities have Add’l opportunities have given some grads 200+ given some grads 200+ c-scopes/50+ c- c-scopes/50+ c-sectionssections

What Makes Us UniqueWhat Makes Us Unique

Sports Med Sports Med CurriculumCurriculum Workshops with Workshops with

sports med facultysports med faculty Opportunity to be Opportunity to be

team physician at team physician at area high schools area high schools and collegesand colleges

Ultrasound guided Ultrasound guided injections, gait injections, gait analysisanalysis

What Makes Us UniqueWhat Makes Us Unique

Faculty Dedicated to Faculty Dedicated to TeachingTeaching Weds afternoons set Weds afternoons set

aside for conferencesaside for conferences Daily Morning Report Daily Morning Report

on inpatient serviceson inpatient services Variety of faculty Variety of faculty

strengths and strengths and interestsinterests

Women’s Health, Women’s Health, endoscopy, endoscopy, acupuncture, acupuncture, osteopathy, obstetricsosteopathy, obstetrics

What Makes Us UniqueWhat Makes Us Unique

““Family Atmosphere”Family Atmosphere”

What Makes Us UniqueWhat Makes Us Unique

““Family Atmosphere”Family Atmosphere”

What Our Grads Are What Our Grads Are DoingDoing

Sampling of where some of our grads Sampling of where some of our grads since 2004 have been assigned:since 2004 have been assigned:

Ramstein AB, Germany Ramstein AB, Germany Elmendorf AFB, Alaska Elmendorf AFB, Alaska

Osan AB, KoreaOsan AB, Korea Aviano AB, ItalyAviano AB, Italy

RAF Upwood, U.K.RAF Upwood, U.K. Eglin AFB, Florida (faculty)Eglin AFB, Florida (faculty)

Nellis AFB Nevada, (faculty)Nellis AFB Nevada, (faculty) Hickam AFB, HawaiiHickam AFB, Hawaii

Sampling of our grads’ deployments in Sampling of our grads’ deployments in past 4 yrs:past 4 yrs:

Ali Al-Salem AB, KuwaitAli Al-Salem AB, Kuwait Bagram Air Field, Bagram Air Field, AfghanistanAfghanistan

Kirkuk AB, IraqKirkuk AB, Iraq Balad AB, IraqBalad AB, Iraq

Camp Bucca, IraqCamp Bucca, Iraq Manas AB, KrygyzstanManas AB, Krygyzstan

Faculty ExperienceFaculty Experience 16 Full-Time Faculty16 Full-Time Faculty

11 Military, 5 Civilian11 Military, 5 Civilian 6 Military Faculty have 6 Military Faculty have

overseas experienceoverseas experience Iraq, Afghanistan, Iraq, Afghanistan,

Kuwait, Germany, Korea, Kuwait, Germany, Korea, U.K.U.K.

1 OB Fellow, 1 1 OB Fellow, 1 Geriatric Fellow, 1 DO, Geriatric Fellow, 1 DO, 1 Sports Med1 Sports Med

3 credentialed in 3 credentialed in C-sections, 3 in C-sections, 3 in endoscopyendoscopy

The Local AreaThe Local AreaBelleville, IllinoisBelleville, Illinois

Excellent cost of livingExcellent cost of living Average home price in Average home price in

Belleville in 2009 was Belleville in 2009 was $123,357$123,357

Top-notch public and Top-notch public and private schoolsprivate schools

20 minutes to St. 20 minutes to St. LouisLouis

4 hours to Chicago, 4 hours to Chicago, Indianapolis, Kansas Indianapolis, Kansas City, or MemphisCity, or Memphis

The Local AreaThe Local Area“Metro East”“Metro East”

Lakes, water Lakes, water parks, minor parks, minor league baseball, league baseball, and family fun and family fun within minutes!within minutes!

St. LouisSt. LouisSports and AttractionsSports and Attractions

St. LouisSt. LouisFamily ActivitiesFamily Activities

FREE Zoo, Science Center, FREE Zoo, Science Center, MuseumsMuseums

20-30 minute drive from Belleville!20-30 minute drive from Belleville!

Contact UsContact Us

Lt. Col. Tammy Lindsay, M.D., Lt. Col. Tammy Lindsay, M.D., Associate Program DirectorAssociate Program Director tammy.lindsay@us.af.miltammy.lindsay@us.af.mil

Ms. Theresa Moore, Residency Ms. Theresa Moore, Residency CoordinatorCoordinator mooret2@slu.edumooret2@slu.edu

Tina Kearney, M.D., Medical Student Tina Kearney, M.D., Medical Student CoordinatorCoordinator tkearney@sihf.orgtkearney@sihf.org