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:

  • Reviewing the family medicine milestones and expectations for the required rotations and your learning goals for electives, as described above
  • Assisting with and reviewing self-assessment of strengths and areas for improvement, guiding elective choices and career planning
  • Gathering, collating and analyzing data from the various parts of the evaluation system and provide meaningful feedback to you
  • Providing advice, support, collaborative problem solving when necessary and balanced feedback to you during regular meetings
  • Serving as your advocate within the department.

Didactics

Didactic lectures cover a variety of topics including sports medicine, obstetrics, gynecology, dermatology, pediatrics, behavioral science, patient-based clinical case review, practice improvement, chronic disease management and communication skills. In addition to the above lectures there is Journal Club as well as review for board exam preparation. Also part of the curriculum is a quarterly procedural workshop.  Balint Group meets quarterly for Family Medicine interns.  This group allows residents to discuss areas of mutual concern in a supportive atmosphere with the Faculty Psychologist. Second year residents lead one Case Review Conference each year.  Third year residents annually present the results of their longitudinal scholarly activity project. Journal Club helps residents learn EBM principles and discuss their validity, impact, and usefulness in the practice of Family Medicine. All residents present one Journal Club per year.  First year residents are assigned one conference presentation during the Behavioral Science/Psychiatry month to the behavioral science staff.  Osteopathic residents participate in quarterly osteopathic manipulation workshops.

Evaluations

Residents are asked to routinely complete evaluation forms for each rotation, commenting on the educational content of the month and on faculty supervision.  The program annually evaluates the aggregate resident feedback on the curriculum. 

Our mission regarding evaluation of residents is to foster continual improvement and life-long learning by helping our residents learn the skills needed for self-assessment of strengths and areas of improvement. Our evaluation system reflects this by allowing the resident to track his or her individual development as a family physician through a combination of self-assessment and faculty assessment of the resident's mastery of the family medicine competencies. This feedback is discussed with the resident's advisor during their meetings, along with evaluations of the resident's performance provided by supervising faculty for each rotation. Twice a year, residents are reviewed by the clinical competency committee.

Evidence-Based Medicine and Scholarly Activity

Our residency teaches medical practice that is firmly grounded in available evidence from the literature. All our didactics emphasize evidence-based practice and a series of didactic sessions teach residents the principles of EBM. Annually, each resident presents a journal article and participates in a quality improvement project.   Each resident completes a longitudinal scholarly project to be presented in the spring of third year.

Faculty Research and Projects

There are several faculty members involved in research and writing on various levels in the program. The Residency is a member of FPIN (Family Practice Inquiries Network), a collaborative national network dedicated to answering clinical questions using the best evidence. Multiple faculty members are involved at national meetings each year including AFMRD, STFM and RPS. Journal writing also is a regular accomplishment with recent articles by our faculty published in the American Family Physician, Journal of Family Practice, Journal of GME and Osteopathic Family Physician.  The department strives to include residents in research with a required scholarly activity project.

Moonlighting Policy

Second and third year residents in good standing with a permanent Missouri license are eligible to moonlight. All residents must notify the Program Director of where they are moonlighting. Malpractice coverage is provided by Mercy only for residents that are moonlighting at Mercy. If a resident desires to moonlight at another institution, a written letter confirming malpractice coverage (occurrence type) by that institution is required. This must be reviewed and approved by our legal counsel. Each resident applying for "moonlighting" privileges should have a letter of support from the residency director. Recognizing that out-of-hospital work can provide excellent educational experience, as well as ease the financial burdens of residents with large educational debts, residents may "moonlight" under the following circumstances:

The resident is not under academic probation.These activities do not interfere with regular duties of the resident, including call and continuity practice.The resident has completed the internship year in Family Medicine and has a permanent Missouri license & DEA.

The resident has occurrence-type malpractice coverage.

Moonlighting hours are counted towards a resident's limit of 80 hours per week per ACGME guidelines. The residency director has the authority to revoke "moonlighting" privileges if in his/her judgment the resident is allowing these activities to interfere with the goals of the residency program.

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. This method can provide useful information to physicians trying to help couples with reproductive and/or gynecological problems. 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 (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

See Procedures section.

Nursing Home

Dr. Campbell is the medical director of St. Agnes, a local residential facility.  Residents assist him with weekly rounds and learn cross-coverage for residential geriatric care during their Community Medicine and Geriatric rotations.

Resources