Inpatient Family Medicine (IPFM)

The IPFM service provides care for patients from Columbia practices and our satellite clinics who require hospitalization. Residents are exposed to a variety of medical conditions and work closely with inpatient family medicine attendings. This a three team service, with two of the teams focused on teaching and the other team made up of physician assistants (PA). Each teaching team is composed of two first-year residents, two senior residents and a Family Medicine attending. A night float system is used, made up of a first-year resident and a senior resident to care for patients overnight. While on IPFM, residents participate in morning report, interact with our multi-disciplinary team of care providers, and have the opportunity to teach medical students. Residents have designated teaching time from attendings, medical students and other hospital staff each day of the week.

Family Maternity Care (FMC)

The Family Maternity Care service provides a structured curriculum to introduce residents to the care of pregnant women, newborns, and children within our Family Medicine practice that require hospitalization. While on FMC, residents work one-on-one with Family Medicine obstetrical faculty at the Family Birth Center at Women’s Hospital. This rotation provides residents an opportunity to triage OB patients, manage labor, and perform deliveries while also providing care for newborns and postpartum mothers. In addition, residents on FMC provide care to children who require hospitalization at Children's Hospital. As a result, the entire spectrum of perinatal care, postpartum care and care of children is taught from a family-centered perspective.

Ambulatory Pediatrics

This rotation consists of a total of eight weeks of same-day ambulatory pediatric clinic. This clinic serves as an urgent care for patients under the care of the University of Missouri Pediatrics department. Our residents work one on one with pediatric attendings and care for this population of patients from birth to 18. Residents are exposed to and accustomed to treating a wide variety of urgent pediatric complaints. This rotation is often broken down into a variety of two-week segments throughout the duration of your training.

Behavioral and Community Health

Residents have an opportunity to work with numerous Family Medicine faculty who specialize in mental health and behavioral modifications. This rotation provides a unique perspective to health care needs in Columbia and resources available to those in our community. This includes understanding principles of public health and clinical epidemiology and working with medical and administrative staff members at the City Health Department.

Cardiology Intensive Care Unit (CICU)

During this month, our residents work with the Internal Medicine Department to manage patients in the CICU. Responsibilities include ventilator management, management of arrhythmias, acute myocardial infarction, pulmonary edema, code situations, hypotension, and complications of anticoagulation/thrombolytic therapy.

Dermatology

Residents work with a variety of dermatologists in their outpatient clinics, including pediatric specialists. After completion of this rotation, residents have gained confidence in diagnoses, skin biopsies, and other dermatologic procedures.

Emergency Medicine

This rotation is based in the University’s emergency center, which is the only Level 1 Trauma Center in mid-Missouri. The emergency room treats more than 37,000 patients per year. Residents also rotate at Women's Hospital emergency room and Children’s Hospital emergency room.

General Surgery

Residents on the general surgery rotations work at University Hospital clinics, to learn common surgical procedures, indications for referral, and perioperative management. Residents also spend some time in the operating room (OR) assisting with a variety of procedures during their second year of residency.

Geriatric and Palliative Care Medicine

During our geriatric and palliative care medicine rotation, residents have the opportunity to work with numerous Family Medicine faculty who specialize in the care of our geriatric patients. While on this rotation, residents work in the inpatient setting, providing consults for geriatric and palliative care patients. In addition, residents spend time in the outpatient setting, caring for patients in family medicine clinics, in local nursing homes, and in our unique SAGE (Senior Assessment Geriatric Evaluation) clinic.

Inpatient Pediatrics

Residents work with the Pediatrics Department to learn skills necessary for caring for acutely ill children in a hospital setting. Residents get exposure to pediatric procedures including incision & drainage, lumbar punctures, etc. During the rotation, students will work with multiple pediatric specialists and hospitalists who are eager to teach. In addition to teaching rounds, a morning multidisciplinary report occurs daily where cases are discussed in an informal setting.

Medical Intensive Care Unit (MICU)

Residents care for patients who are admitted to the University Hospital's ICU from hospital inpatient teams, outside transfers from other hospitals, and the emergency room. Residents learn ventilator management, ICU medications and have the opportunity for many procedures.

Neonatal Intensive Care Unit (NICU)

This rotation allows the resident to acquire competence in the evaluation, diagnosis, and management of sick newborn infants of all gestational ages in the intensive care setting.

Obstetrics

While working on this rotation, residents have the opportunity to work closely with the obstetrics service. During this experience, residents work with an OB senior resident and OB attending to learn the management of high-risk triage patients and laboring mothers while performing multiple deliveries.

Orthopaedics/Sports Medicine

Residents on these rotations are exposed to common problems seen in the outpatient orthopaedics and sports medicine clinics. A focus of this rotation is to help residents gain confidence in performing the musculoskeletal examination. In particular, residents work at the Columbia Orthopaedic Group (COG), Missouri Orthopaedic Institute (MOI), and the Family Medicine musculoskeletal clinic. These rotations are directed by four Family Medicine faculty members who are certified with added qualification (CAQ) in Sports Medicine. While on this rotation, residents are able to pursue coverage of sideline activities for several Mizzou athletic teams alongside their various team physicians, including the Primary Care Sports Medicine Fellow. Also available are morning conferences with the team physicians and trainers responsible for the care of Mizzou athletes.

Surgical Subspecialties

During this time, residents spend equal time in urology, ENT, and ophthalmology outpatient clinics.

Well Baby Nursery

During this rotation, residents work with the Pediatrics Department, acquiring the skills needed to diagnose and treat illness in the neonate and to learn newborn resuscitation and circumcisions. They also provide care for healthy newborn infants.

Women's Health

During this rotation, residents gain experience diagnosing and treating gynecologic, urodynamic, infertility, and breast problems. Residents work with both Family Medicine and OB/GYN faculty during this rotation in several clinical settings. Additionally, residents are able to gain experience in procedures such as intrauterine device and subcutaneous implant placement, colposcopy, and endometrial biopsy.

Electives

Our program is very flexible in allowing residents to pursue their own professional interests. Residents can choose from many established electives, or we are glad to discuss how they can create an elective in their own area of interest.