Mercy Graduate Medical Education - Family Medicine Program Specifics

Advising System

Each resident is assigned a family physician faculty member as a professional advisor, with whom they meet quarterly. The advisor’s role is multifaceted and includes developing an individualized learning plan based on clinical interests and evaluations.

Certifications and Licenses

PGY1 resident must be ACLS and BLS certified by the American Heart Association before beginning their residency. The program does not pay for the initial certification. When the certifications expire the program will pay for the renewals.

During the first month of PGY1, residents will earn certification in Advanced Life Support in Obstetrics, Neonatal Resuscitation, and Pediatric Advanced Life Support all paid for by the program.

Residents must complete their step 3 licensing exam during their first or second year. A successful passing of the exam is required to advance to PGY3. Residents will be excused from all clinical duties, regardless of the rotation, in order to take the exam and will not have to use vacation time. The program does not pay for the exam.

Residents that have successfully passed all of the licensing exams and completed PGY1 are able to apply for a permanent Missouri license. The program does not pay for permanent licenses.

Didactics

Our residency teaches medical practice that is firmly grounded in available evidence from the literature. All didactics emphasize evidence-based practice and a series of didactic sessions teach residents the principles of EBM. Didactic lectures cover a variety of topics including sports medicine, maternity care, gynecology, dermatology, pediatrics, behavioral science, patient-based clinical case review, practice improvement, chronic disease management, osteopathic principles & practice and communication skills.

In addition to the above lectures there is Journal Club, where each resident presents an article annually. The residents also participate in a quarterly procedure workshop. Also quarterly is a Balint group led by the faculty psychologist offering a supportive atmosphere to discuss areas of mutual concern among residents.

Evaluations

Our philosophy is to foster continual improvement and life-long learning by helping residents learn the skills needed for self-assessment of strengths and areas of improvement. Our evaluation system is a 360 degree perspective, collecting feedback from rotation supervisors, patients, clinical staff and self-assessments.  Twice a year each resident’s progress is reviewed by the program’s Clinical Competency Committee.

Faculty Research and Projects

The residency is a member of Family Practice Inquiries Network, a collaborative national network dedicated to answering clinical questions using the best evidence. Faculty members are involved at national meetings each year including AAFP, ACGME, AFMRD, STFM and RPS. Journal writing is also a regular accomplishment with recent articles by our faculty published in American Family Physician, Journal of Family Practice, Journal of GME and Osteopathic Family Physician.

Moonlighting

Second and third year residents in good standing with a permanent Missouri license are eligible to moonlight. 

Natural Family Planning

Residents and faculty of Mercy Family Medicine have the advantage of working with teachers of the Creighton Model of Natural Family Planning. The science of NaProTechnology (Natural Procreative Technology) allows a physician to treat patients with these problems while maintaining the normal physiologic and reproductive potential that may still be present. Residents interested in learning more about the medical science of NaProTechnology can work with a certified Medical Consultant in Natural Family Planning (Sarah Cole, DO, Peter Danis, MD or Stefanie White, MD). In the second or third year, residents can pursue an elective leading to certification as a medical consultant in natural family planning.

Osteopathic Recognition

As an ACGME program with Osteopathic Recognition, all Mercy Family Medicine residents have the opportunity to further their competency in manual medicine.  The longitudinal Osteopathic Track curriculum includes regular osteopathic didactics, workshops, journal clubs and continuity clinic.  Elective time may be scheduled in Osteopathic Manipulative Therapy.  DO residents are automatically enrolled in the Osteopathic Track unless they specifically opt out.  MD residents are eligible to enroll in the Osteopathic Track upon successful completion of a one-month elective in introductory Osteopathic Principles & Practice.

Procedures

The department offers training in special procedures that residents may pursue in their own practices. These include colposcopy, endometrial biopsy, splinting and musculoskeletal & obstetrical ultrasound; in addition to training in common office procedures such as minor surgery (toenail removal, skin biopsies, incision & drainage), cryotherapy, and training in inpatient procedures learned on the medical wards, such as central lines, lumbar puncture, thoracentesis, etc. Special techniques in obstetrical care are learned by residents pursuing the OB track. Online documentation and tracking of procedures is required.

Resources