The Saint Francis Healthcare Family Medicine Residency Program curriculum
prepares residents for the challenges of an active family practice. Although
opportunities for learning exist throughout your family medicine career,
it is the years during training that allow a continuous open flow of questions
and answers. At Saint Francis Healthcare, you will be exposed to a vast
array of patient care responsibilities and experiences, including education
in the traditional specialties and sub-specialties of medicine and surgery.
To further enhance your family medicine skills, you will also receive training
in the behavioral aspects of medicine and the management of the family
as a social unit. The program presents extensive learning opportunities
through a wide variety of inpatient and outpatient clinical exposures.
As a resident, you will manage your own patients for three years, providing
them with continuous care.
We offer multiple learning opportunities at Saint Francis. Every Monday
we have a rotating pediatric/obstetrics lecture at noon. Every Tuesday,
there is a case presentation at noon. Wednesday mornings are scheduled
for a one-hour innovative board review facilitated by the program director
and department chair. Each Thursday, we have a dedicated and reserved
three-hour block for lectures, conferences and other educational activities.
The residents each present at least one case report and one evidence-based
medicine review each year during the didactic sessions. Fridays at noon
are scheduled for business and committee meetings. Grand Rounds are held
at the hospital each month. Cancer Conference is also held monthly. Webinars
are regularly available with our outside affiliated hospitals. We have
program subscriptions to the Society of Teachers of Family Medicine Residency
Curriculum Resource, FP Essentials, Up to Date, and to an electronic medical library.
Your education can be easily adapted and cultivated to your desired scope
of practice. You can focus on outpatient procedures such as colposcopy,
cryosurgery, joint injections, skin biopsies. You can also focus on inpatient
procedures such as intubations, central lines, or obstetric procedures.
Scholarly activity is actively promoted, and residents regularly present
at local and regional meetings, and publications are encouraged and facilitated.
International Training Opportunities
Saint Francis Healthcare, a part of Trinity Health, participates in a global
health program. Medical missions are conducted by the organization’s
Global Health Volunteers five times each year. The missions provide patient
care in Haiti, Jamaica, Guatemala, and Peru. International health electives
through this program can be arranged and are encouraged for second or
third year residents. For more information, seewww.globalhealthvolunteers.net.
The residency operates on schedule of 13 block rotations per year. Your
first year contains rotations in medicine, surgery, obstetrics, pediatrics
and emergency medicine. Unique to our program is a newborn/obstetrics
rotation where residents follow, deliver and discharge both mothers and
newborns alike. This rotation includes a 1 to 1 resident to attending
ratio for education on both the obstetrics floor as well as in the neonatal
special care unit with the neonatologist from Nemours/Alfred I. duPont
Hospital for Children. It is truly a family medicine experience. In addition,
as a first-year resident, you will see patients in the office, at a minimum
of one half-day per week.
First Year Rotation Schedule
- Medicine at Saint Francis Hospital – 8 weeks
- Pediatrics ER at Nemours/Alfred I. duPont Hospital for Children – 4 weeks
- Surgery at Saint Francis Hospital – 4 weeks
- ENT/Ophthalmology (OFF SITE) – 4 weeks
- OB/Newborn at Saint Francis Hospital – 8 weeks
- Emergency Medicine at Saint Francis Hospital – 4 weeks
- Family Practice Center (Outpatient) – 4 weeks
- Night Float – 8 weeks
- Derm/GU (OFF SITE) – 4 weeks
- Radiology/Practice Management – 4 weeks
During the second year, your training consists of 12 weeks of inpatient
medicine with added responsibility in the ICU. The inpatient pediatrics
rotations are held at Nemours/Alfred I. duPont Hospital for Children and
at Christiana Care, both tertiary care hospitals. At this time, increasing
emphasis is placed on various sub-specialty experiences such as orthopedics
and psychiatry. At the start of your second year, Dr. Bonner and Dr. Min
will introduce you to geriatrics in the nursing home setting. Geriatrics
is a longitudinal rotation over the second and third year. Home visits
are typically supervised by Dr. Bonner.
Second Year Rotation Schedule
- Medicine at Saint Francis Healthcare – 12 weeks
- Pediatrics Inpatient (OFF SITE) – 8 weeks
- Orthopedics with Premier Orthopedics at Saint Francis Healthcare – 4 weeks
- Psychiatry (OFF SITE) – 4 weeks
- OB/GYN at Saint Francis Hospital – 8 weeks
- Night Float – 4 weeks
- Community Medicine/Occupational Health (OFF SITE) – 4 weeks
- Surgery – 4 weeks
- Cardiology/ICU – 4 weeks
Your third year provides elective time for individually-defined education.
An abundance of clinical opportunities are available for the four blocks
of electives, which could include time in global health, radiology, urgent
care, palliative care, and gastroenterology, among many other options.
Our program allows time for you to develop training in a major clinical
field of interest in family medicine, such as obstetrics, pediatrics,
psychiatry, sports medicine, outpatient surgery and/or internal medicine.
During the third year, you have the opportunity to test your medical knowledge
and administrative skills when you are the supervising resident on the
medicine team. The number of office hours increases to three half days
per week. Scholarship activity is required through development of a clinical
quality improvement project. Many residents also take advantage of the
opportunity to present at the Delaware Academy of Family Physicians Scientific
Assembly or at other regional or national conferences.
Third Year Rotation Schedule
- Sports Medicine – 4 weeks
- Night Float – 4 weeks
- Inpatient Medicine – 8 weeks (with the hospitalist group)
- Inpatient Family Medicine Service – 8 weeks (with our own faculty)
- Neurology – 4 weeks
- Pediatric Outpatient – 4 weeks (OFF SITE)
- Practice Management – 4 weeks
- Emphasis Track (electives focusing on the type of practice you will join:
outpatient, hospitalist, urgent care, etc.) – 8 weeks
- Electives – 8 weeks