About the Residency

Curriculum

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.

Didactics

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.

Specialized Training/Learning

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.

Curriculum

First Year

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

Second Year

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

Third Year

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