Curriculum and Call

Our program focuses on developing and preparing collaborative, rural-ready, full spectrum family medicine physicians.

The majority of our graduates practice in communities with populations less than 25,000. Most clinical rotations are hosted at three primary training sites: Duluth Family Medicine Clinic, St. Mary’s Hospital and St. Luke’s Hospital.

Rotations and electives
View rotations for each year of residency, longitudinal curriculum, and electives.

Procedures
Residents learn clinic office procedures and hospital procedures.

Moonlighting
Numerous moonlighting activities are available for second- and third-year residents.

Global Health
Opportunities include international and global-local electives, courses, seminars, conferences, and a fellowship supported by the U of M, a Top Best Global University rated by U.S. News and World Report and a Top World University in the United States rated by QS World University Rankings.

Programmatic courses
The department sponsors several required and optional one- to two-day programmatic courses. Topics include women's health, sports and musculoskeletal medicine, community health, and more.

Call
View information on shift call, in-hospital call, and family medicine service call.


Residents as teachers

Family medicine residents are directly responsible for a portion of medical student clinical education during clinical experiences and clerkships. More about residents as teachers

 

Rotations

First-year rotations

  • Orientation
  • Essential family medicine skills
  • Adult medicine
  • Community medicine
  • Emergency medicine
  • Family medicine service
  • Geriatrics
  • Obstetrics
  • Pediatrics
  • Radiology
  • Sports medicine
    • Includes rheumatology
  • Surgery (general)
    • Includes anesthesia, plastic surgery, and wound care
  • Sub-specialties
    • Includes ENT, ophthalmology, and urology

Second-year rotations

  • Acute/urgent care
  • Adult medicine
  • Ambulatory pediatrics
  • Community medicine
    • Includes experiences in scholarly activity, quality improvement, local community services/projects/resources
  • Critical care
  • Family medicine service
  • Gynecology
  • Interventional radiology
  • Obstetrics
  • Orthopedics
  • Pediatrics
  • Electives

Third-Year Rotations

  • Adult medicine
  • Ambulatory lead
  • Community medicine
    • Includes experiences in scholarly activity, quality improvement, local community services/projects/resources
  • Dermatology
  • Emergency medicine
  • Family medicine service
  • Obstetrics
  • Pediatrics
  • Electives

Longitudinal curriculum

  • Continuity clinic
  • Geriatrics
  • Integrated behavioral medicine
  • Professionalism
  • Practice management
  • Research
  • Residents as teachers
  • Systems-based practice management
  • Scholarly activity
  • Quality improvement
  • Wellness and support

Electives

  • Addiction medicine
  • Anesthesia/Tubes and lines
  • Cardiology
  • Continuity clinic
  • Critical care
  • Dermatology
  • Diabetes education
  • Emergency radiology
  • Endocrinology
  • Gastroenterology
  • Geriatrics care facility medicine
  • Gynecology
  • Hematology/oncology
  • Hospice 
  • Infectious disease
  • Integrated alternative medicine
  • Medical weight loss
  • Nephrology
  • Neurology
  • Non-surgical neurosurgery
  • NICU/advanced pediatrics
  • Parent/child leave
  • Physical medicine and rehabilitation
  • Physician as patient/caregiver
  • Plastic surgery/wound medicine
  • Podiatry
  • Pulmonary medicine
  • Rheumatology
  • Rural emergency medicine - Deer River/Virginia
  • Rural family medicine - Ashland/Deer River/Hayward/Two Harbors/Virginia

Procedures

Clinic office & Hospital procedures

Clinic office procedures

We perform an array of common office procedures including:

  • Lesion removal
  • Joint injections/aspiration
  • Excisional biopsies
  • IUD/Nexplanon insertion
  • Laceration repair
  • Splinting
  • Casting
  • Abscess drainage
  • Toenail avulsions
  • Foreign body removal

Our most complex office based procedure is vasectomy. Colposcopy is also an integral part of our training and we have an excellent teaching colposcope as well.

We also offer dedicated procedure days and further offer an outpatient procedure month so that residents can focus on desired skills.


Hospital procedures

Hospital-based procedural experience is garnered throughout the Duluth residency experience beginning with the Emergency Medicine and Adult Medicine rotations in the first year.

The second-year Critical Care rotation provides the backbone of our procedural training. During this rotation, residents can expect to place multiple chest tubes, central lines/arterial lines, perform numerous intubations with ventilator management, and perhaps, even be the primary during bronchoscopy. The procedural experience gained from the critical care rotation is valuable during the advanced rotations of the second and third years.

The opportunities for paracentesis, lumbar puncture, and thoracentesis are present throughout the three years of training. Circumcisions and neonatal resuscitations are performed routinely during the pediatrics rotation as well.

Whether on rotations or moonlighting in a rural emergency department, these procedural skills will be put to use. 

We also provide advanced trauma life support for all residents, and the Fundamentals of Critical Care Support (FCCS) course is offered in Duluth to all residents.

Moonlighting

Moonlighting activities

Numerous moonlighting activities are available in Duluth and the region.

Moonlighting is open to second- and third-year residents who desire the opportunity to supplement residency education in diverse settings.

Locations

Duluth

  • Essentia Health Duluth - Miller-Dwan Building

Regional

Minnesota

  • Aitkin
  • Aurora
  • Baudette
  • Cloquet
  • Cook
  • Crookston
  • Crosby
  • Deer River
  • Grand Marais
  • Hibbing
  • Moose Lake
  • Mora
  • Roseau
  • Sandstone
  • Two Harbors
  • Virginia

Wisconsin

Additional regional opportunities are available in Wisconsin with license.

Call

Shift/ In-hospital/ Family Medicine Service Call

Shift call

Provide coverage of obstetrics at either St. Mary’s Medical Center or St. Luke’s Hospital as assigned in-hospital call shifts. It's divided among second- and third-year residents.


In-hospital call

Residents on Obstetrics, Pediatrics, and Adult Medicine rotations will be assigned in-hospital call shifts. Shifts are divided between team members. Second- and third-year senior resident members serve in a supervisory role to junior residents and medical students.

  • Obstetrics: Call is a combination of 14-hour daytime, 10-hour nighttime shifts, and one 24-hour shift a week for second-year residents at St. Luke’s Hospital.  Third- and first-year residents cover a combination of 12-hour daytime and 12-hour nighttime shifts at St. Mary’s Medical Center. 
  • Pediatrics: Call is variable based on resident status with a four- or five-resident team and includes a combination of 12-hour daytime and 12-hour nighttime shifts.
  • Medicine: Call is divided throughout a 28-day block with a four-resident team and includes a combination of 12-hour daytime and 12-hour nighttime shifts.

Family medicine service call

Family Medicine Service call provides coverage for the program’s continuity patient population. A five-resident team admits all of our clinic patients. Twenty-four-hour call is divided among second- and third-year resident team members as 12-hour daytime shifts and 12-hour nighttime at home pager call. Second- and third-year senior resident members serve in a leadership and supervisory role to team members and medical students.

Inpatient admissions from Duluth Family Medicine Clinic, Essentia Health-Lakewalk and Proctor Clinics

The resident on call for the Family Medicine Service will admit all Duluth Family Medicine Clinic patients, as well as patients for Essentia Health-Lakewalk and Proctor clinics based on in-patient census at either hospital. The patient’s primary physician will be notified to facilitate a continuity patient social visit.