St. John's Curriculum and Call

The following is information about St. John's curriculum and call.

Longitudinal experience: family medicine center
The family medicine center is the cornerstone of the resident’s clinical education.

Rotations and electives
View rotations for each year of residency and elective options

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. 

Didactics
Information on the fundamental critical care support course, hospital didactics, and conferences.

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
St. John's handles call differently than most programs.


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

St. John's Longitudinal Experience: Family Medicine Center

St. John's Longitudinal Experience: Family Medicine Center

The family medicine center at Phalen Village Family Medicine Clinic is the cornerstone of the resident’s clinical education.

Through the provision of continuity care for patients in a model clinic, residents will learn a full spectrum of diseases and conditions that are present in general family medicine and understand essential practice management tools, which will enable them to be ready to practice as effective clinicians after residency.

Residents develop their own panels of patients in the busy outpatient clinic. The number of shifts per week will vary with the rotation and academic year of the resident, as shown in the following:

First-year residents

  • 1 to 2 shifts per week
  • 155 to 212 office visits per year
  • Patient panel size: 50-70

Second-year residents

  • 3 to 4 shifts per week
  • 614 to 862 office visits per year
  • Patient panel size: 270-590

Third-year residents

  • 4 to 5 shifts per week
  • 974 to 1,030 office visits per year
  • Patient panel size: 150 to 310

The clinic serves a patient population that includes first- and second-generation immigrants from Laos, Burma/Myanmar, and Mexico. Residents will see patients for preventive visits and a wide range of short-term and chronic conditions, exposing them to the full range of family medicine practice.

Residents will also have the opportunity to learn and perform a number of procedures on their own continuity patients and with faculty.

Rotations and Electives

St. John's Rotations and Electives

  • First-year rotations
    Residents spend one to two shifts per week in clinic where they work in teams, providing continuity of care. Preceptor to resident ratio in the clinic is 1:3.
  • Second-year rotations 
    Residents spend three to four shifts per week in clinic and learn how to manage a wide spectrum of medical problems.
  • Third-year rotations 
    Residents spend four to five shifts per week in clinic where they learn advanced technical and conceptual medical skills.

Electives

Electives provide an opportunity for residents to tailor their education according to their interests. Rotations are available at other University of Minnesota family medicine residencies.

Didactics

St. John's Didactics


Fundamental critical care support

First-year residents attend a two-day fundamental critical care support course to prepare for increased involvement in the ICU when on call.

Hospital didactics

Noon didactics are held every Wednesday and Thursday over lunch. We also have a three-hour didactic block on the second and fourth Tuesday of every month. This includes both in-depth look at topics of importance as well as hands-on skill workshops such as splinting.

Conferences

  • Medical conferences
    Residents are allowed up to three days to attend conferences that explore or further a medical interest, e.g., dermatology, international medicine, marathon medical management, orthopedics, and wilderness medicine. Conference attendance must be approved by the program director.

Call

St. John's Call

As an intern, you are never alone. There is always someone ready to help.
—Jeremy Peterson, MD, former resident

St. John's handles call differently than most programs.

  • Weekday house officer responsibilities are assigned to a second- or third-year resident on a core rotation.
  • Residents develop the call schedule.

Schedule

  • With few exceptions, rotations end at 5 pm and do not extend into the evening or weekend.
  • If not on call, residents generally have evenings and weekends free.
  • After-hours call is typically 1 in 5-6 nights for first-year residents, and 1 in 12 weekdays and 1 in 6 weekends for second- and third-year residents.
  • No night float.

Short/long call

We use a short/long call system for first-year residents, minimizing lost learning opportunities by keeping residents in the hospital when the most supervision and teaching capacity is in place. Overnight call experiences occur on weekends and holidays.

Short call: Monday-Thursday's call team consists of one first-year and one senior resident until 10 pm. At 10 pm, the first-year resident leaves the hospital and the senior resident assumes responsibility for admissions and patient care.

Long call: Friday-Sunday's call team consists of one first-year and one senior resident, both responsible for patient care responsibilities.

When on call, residents practice full spectrum family medicine, with appropriate backup, including deliveries, admissions, and hospital rounding.