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Mercyhealth Family Medicine Residency Program–Janesville

Program Overview

Mercyhealth offers an ACGME-accredited, unopposed residency in family medicine. We accept seven new residents each year to begin training in our community-based academic teaching facility. We strive to prepare our residents for the full spectrum of family medicine including, but not limited to, outpatient medicine, inpatient hospital care, ICU, sports medicine, women’s health, pediatrics, and urgent care. We have a strong support system with the subspecialties.

Curriculum

The first year rotations focus on inpatient medicine, surgery, OB/GYN, emergency medicine, pediatrics, and the newborn nursery. The second and third year curricula expand the outpatient experience with further rotations and electives in specialty fields. We offer the opportunity for International Health Trips for those that are interested. During all three years of training, each resident also has their own longitudinal continuity clinic for their private patients.

The Family Medicine Clinic

Our clinic is located at Mercyhealth South in Janesville, WI. The facility is equipped to provide outpatient care needs, including physical, dermatologic procedures, and Woman’s health including colposcopy. The clinic also has its own social worker to provide further resources for patient education and assistance.

Our clinic is a model of service and education. Our nursing staff, residents and faculty serve more than 1,000 patients each month. Mercyhealth South provides care to a diverse patient population with a wide range of ethnic, cultural and socioeconomic backgrounds.

Inpatient medicine

The inpatient medicine experience is rich with learning cases and hospital procedures. Each medicine team consists of an intern, a second-year resident, and a third-year resident. On this busy service, residents admit and manage patients on the general medical floors, coronary care, neurologic, and medical intensive care units. They also serve in the Code Blue team for the entire hospital.

The patient population provides a plethora of interesting medical cases through which residents refine their clinical skills and critical thinking. Our outstanding teaching staff consists of our own family medicine faculty as well as community physicians trained in internal medicine, radiology, cardiology, critical care and pulmonology, nephrology and infectious disease.

During morning rounds, our faculty members emphasize the importance of evidence-based medicine while preserving the art of the patient history and physical exam. There is a pharmacist and social services team that is incorporated on the inpatient rounds.

Pediatrics

Pediatric rotations include both inpatient and outpatient experience with acute and chronic issues as well as normal growth and development. From newborns to the pre-college physical, our pediatric experience teaches age-appropriate management of pediatric medical, nutritional, behavioral and emotional issues. Furthermore, each resident also participates in a longitudinal pediatric experience in his or her own clinical practice. Residents can use elective time to further develop in more specialized areas of pediatrics, or to increase their exposure to general pediatrics.

Obstetrics and gynecology

Under the supervision of senior residents and faculty, our residents learn how to provide prenatal care during both normal and high-risk pregnancies. There is an OB track. During the gynecology rotation, residents gain experience in colposcopy, contraceptive guidance, and well-woman care. The skills learned on these rotations are honed over the course of the three years in each resident’s own longitudinal clinical practice.

Surgery and emergency medicine

Mercyhealth Hospital and Trauma Center is a busy Level 2 Trauma Center. In our bustling ER rotation, residents work one on one with our emergency medicine faculty to evaluate and manage minor emergencies and full trauma alerts. This hands-on experience continues in the surgery rotation as residents work directly with our surgical faculty.

Teaching conferences

Teaching conferences are held every Thursday afternoon. These conferences are the primary didactic portion of the program and are organized to cover all aspects of family medicine. SIMS labs have been a great addition to our Thursday afternoon lectures since 2016, and the residents really enjoy these hands-on lectures.

There are also morning reports and daily case presentations held during the inpatient medical service; similar education is held at the clinic Residents and attending staff participate in the bi-weekly grand rounds which often features guest speakers. These lectures are broadcast live to Mercyhealth South so everyone has an opportunity to attend these CME lectures.

Journal clubs are held monthly as part of noon conference. Journal club meetings emphasize evidence-based medicine and critical thinking skills.

Telemedicine

Our telemedicine curriculum was created in 2018 to offer our residents the clinical skills that are essential for virtual health.  During COVID-19 our program was already utilizing telemedicine and was prepared to maintain providing excellent health care needs to our patients.  The telemedicine curriculum is incorporated into the resident’s continuity clinic schedule.  As telemedicine continues to evolve, we will continue to ensure that our residents will have all of the available resources they need to provide the best care for our patients.

Procedure Clinic

During the dedicated procedure clinic time the resident will have the opportunity to see a patient and perform or assist with procedures, making for an outstanding training opportunity.

The procedure clinic is offered weekly and is run by a faculty member and a resident.  The faculty physician is present for all procedures.  The faculty and the resident will have a discussion with the patient about their condition, treatment plan, follow-up, and after care needs.

Procedures performed include:

  • Excision of skin mass/lesion
  • Incision and drainage of abscesses
  • Joint injections
  • Laceration repairs
  • Paracentesis
  • Skin biopsies
  • Toenail removal