The Idaho State University Family Medicine Residency: An Overview

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The Idaho State University Family Medicine
ResidencyAn Overview

• Or, answers to all those routine questions youre
  sick of asking over and over and over again...

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Background

• Idaho is a largely rural and frontier state
• Among the lowest physician / patient ratios in
  the country
• Idaho State University and its Kasiska College of
  Health Professions carries the mission of
  training health care professionals for the State
  of Idaho

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History of the Program

• Established in 1992
• There have been 53 graduates
• 27 are practicing in rural settings
• Community-based, university-affiliated residency.
  
• Affiliations with
• Idaho State University
• University of Washington FMR Network
• University of Utah FMR Network

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Mission

• The mission of the Idaho State University Family
  Medicine Residency Program is to provide a
  collegial learning environment in which residents
  become mature, competent and compassionate family
  physicians. The Department fosters front-edge
  innovative practices and welcomes those desiring
  a leadership role in the practice of family
  medicine. From policy advocacy to electronic
  medical records to community education, the DFM
  seeks and encourages the best in family medicine.
  
• The Residency will provide comprehensive training
  in a broad range of practice settings with an
  emphasis on the care of under-served populations
  in Idaho and the Intermountain West.
• The Residency is committed to clinical excellence
  through residency training, research, and patient
  services.

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Features

• Only residency program in Eastern Idaho
• Broad-based training is adaptable to a wide range
  of practice settings
• Emphasis on culturally appropriate care of
  under-served populations
• Extraordinarily supportive medical community

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Faculty Family Physicians

• Jonathan Cree, MD Residency Director Chair FM
  Department, CAQ geriatrics, OB active
• Bill Woodhouse, MD Associate Director, EBM,
  academics, rural wilderness medicine
• Ron Solbrig, MD Physician Advisor to the FM
  Clinical Research Ctr, rural medicine, procedures
• Jean Bokelmann, MD Director of Integrative
  Health Geriatric Coordinator, CAQ geriatrics,
  OB active
• Tony Joseph, MD Sports Medicine Director, CAQ
  sports medicine
• Dan Jones, MD Joint Outpatient Clinic Director

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Faculty Medical Specialties

• Sandra Hoffman, MD, IM Internal Medicine
  Director, sports medicine
• Jay Routson, MD, IM Inpatient Teaching Service
  Director
• Donald Dyer, MD, OB/GYN Obstetrics Gynecology
  Coordinator
• Robert Rush, MD, OB/GYN Clinical Instructor in
  Gynecology Colposcopy
• Derek Wright, MD Clinical Faculty
• Martha Buitrago, MD Infectious Disease
  Specialist

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Faculty (cont.)

• Pharmacy
• Professor Rex Force, PharmD Director of Research
  Pharmacotherapeutics, EBM
• Dave Hachey, PharmD Pharmacy Director, HIV
• Tracy Pettinger, PharmD Clinical Research
  Center Faculty
• Nicole Murdock, PharmD Clinical Research Center
  Faculty
• John Dickey, PhD Humanities Director,
  psychologist
• Adam Waldron Information Technologies Director

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Curriculum Emphasizes the basics

• Lots of procedures!
• Endoscopy flexible sigmoidoscopy, EGD,
  colonoscopy
• GYN colposcopy, LEEP, endometrial biopsy
• Office vasectomy, ID, suturing, skin lesions
• Inpatient central lines, thoracentesis,
  paracentesis, ventilator care
• Obstretrics high volume with cesarean sections

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Curriculum (cont.)

• Pediatrics
• Inpatient in Boise
• Pediatric ER in SLC
• Pediatric precepting in FPC
• Neonatal ICU / resuscitation
• Practice Management Family Practice Chief,
  didactics
• Didactics
• ACLS, ATLS, ALSO, NRP, STABLE, ETC
• Research and writing for publication

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Rural / under-served emphasis

• Rural rotations two one-month rotations
• 20 rural family practices throughout the state
• Care of the under-served
• Rural Perinatal Clinic
• HIV clinic
• Bannock Prenatal Clinic
• ISU GYN Clinic
• Pocatello Free Clinic
• Cross-cultural Medicine

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Learning Experience

• Residents are treated as adult learners
  self-directed motivated
• Residents are treated like colleagues by faculty
  and staff
• We are here to help you learn
• Responsible to your patients and your colleagues

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Learning Experience (cont.)

• On-call
• R1s Q4 nocs
• R2-3s Q5-6 nocs
• Outstanding residents who share in the growth,
  management and ownership of program

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Total Program (in-service composite scores since
inception)
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Total Performance (5 years averages, by category)
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Resources

• Portneuf Medical Center
• Southeast District Health Department
• Fort Hall Indian Reservation
• Health West
• Bannock County Juvenile Detention Center
• Pocatello Womens Correctional Center
• Family Medicine Clinical Research Center

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Pocatello Family Medicine

• 17 examination rooms
• Procedure room
• Academic offices
• Large electronic classroom conference space

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Pocatello Family Medicine

• Pharmacy services
• Psychological services
• Health education / nutrition counseling
• Clinical research coordinator
• Networked information systems / web access
• EMR implementation
• Specialty teaching clinics

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Benefits

• State benefits life, disability, health
• University benefits
• tuition waiver for spouses
• free movies
• free recreational facilities
• outdoor program
• college sports
• performing arts center
• You get to live in Idaho!

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Pocatello

• Safe, stable, family-oriented community
• Good schools public and parochial
• Affordable housing
• Faith wide range of denominations
• Sport team sports for all ages, parks, Portneuf
  Greenway, athletic environment, Pocatello Marathon

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Play Earth and Sky

• Hiking
• Camping
• Wildlife
• Sight-seeing
• Open spaces
• Sunny, dry, high desert climate

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Mountains

• Backpacking
• Rock-climbing
• Mountaineering
• Mountain-biking

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Water

• Fly-fishing
• White-water
• Hot springs
• Aquatic center

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Snow
Cross-country, downhill skiing, snow-shoeing,
snowmobiling
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What are you doing this weekend?

• Grand Teton National Park
• Yellowstone National Park
• City of Rocks
• Henrys Fork and South Fork of Snake
• Targhee, Pomerelle
• Sun Valley
• Jackson Hole
• Salt Lake City

All within 2 1/2 hours drive of Pocatello!!!
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How do you get picked?

• 1-200 applications, 50-80 interviews
• SIX POSITIONS
• Emphasis
• 1) Self-motivated, self-starter individuals
• 2) Effective, mature diplomats for the program
• 3) Fulfill mission of program

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Questions?

• (Hint Dont ask, What are the strengths and
  weaknesses of your program?)