Rotations and Curriculum — Family and Community Medicine Residency at Anderson Hospital

Facilities

Mercy Health – Anderson Hospital

Anderson Hospital has 286 acute care beds, with 36 emergency department beds, 20 ICU beds, 30 obstetric beds and is classified as a Level 2 NICU. The hospital offers a broad range of inpatient and outpatient services. It was awarded as a Truven Top 100 Hospital on 12 occasions and has been recognized for its excellence in stroke treatment by the AHA/ASA.

Mercy Health – Family and Community Medicine Residency Practice  

The hallmark of our residency program, the Family Medicine practice (FMP) has up to 21 patient exam rooms with built-in computers to each exam room. Residents learn the essentials of family medicine and are able to see a wide variety of pathology in the clinic. There is a laboratory conveniently located across from the suite making it easily accessible to our patients. When residents are not on the FMP rotation, they still must complete at least one-half day or one full day per week in the clinic. PGY-1 residents do one half day per week, PGY-2 residents do two half days per week and PGY-3 residents do three half days per week of continuity clinic.

Eastgatespring of Cincinnati 

Located in the Cincinnati suburb of Eastgate, Eastgatespring of Cincinnati offers skilled nursing care, long-term nursing care, rehabilitation services and transitional care to patients. It is the site of residency’s longitudinal curriculum by providing residents the ability to gain valuable experience providing care to patients in a nursing home setting. 

Nationwide Children’s Hospital 

Located in Columbus, Ohio, Nationwide Children’s Hospital consistently ranks in the Top 10 Best Pediatric Hospitals in the nation according to U.S. News & World Report. It has an impressive 130-bed Level 4 NICU. Residents spend one month here, completing two weeks in the inpatient pediatric service and two weeks in the pediatric emergency department.

Dayton Children’s Hospital 

Spread over a variety of locations in southwest Ohio, Dayton Children’s Hospital offers multiple outpatient urgent care centers. Residents spend their time at an assigned urgent care center to provide acute outpatient pediatric services to children and adolescents.

Block Schedule

Our rotational experiences have been developed to maximize education opportunities while allowing our residents to thrive personally. Our residents will integrate into educational teams and will be scheduled to minimize in-house, overnight call allowing personal wellness and resilience while maximizing educational experiences. The academic schedule consists of 13 four-week blocks.

PGY-1

Duration

Alpha Orientation

1 block

Adult Inpatient

3 blocks

Adult Emergency Medicine 1 block
Elective
1 block
Family Medicine Practice 1 block

Newborn Nursery

1 block

Obstetrics

2 blocks

Behavioral Medicine 1 block

Sports Medicine

1 block

General Surgery/Otolaryngology

1 block

 

PGY-2

Duration

Adult Inpatient

2 blocks

Night Float 1 block
Adult Emergency Medicine 1 block
Elective 2 blocks
Family Medicine Practice
2 blocks
Medical Intensive Care Unit (MICU)
1 block

Orthopedics

1 block

Outpatient Pediatrics

1 block

Pediatric Inpatient/Emergency Medicine

1 block

Behavioral Medicine

1 block

Geriatrics/Nursing Home

Longitudinal

Community Medicine

Longitudinal

Obstetrics Continuity Clinic

Longitudinal

 

PGY-3

Duration

Adult Inpatient

2 blocks

Cardiology

1 block

Elective

3 blocks

Family Medicine Practice 3 blocks

Gynecology

1 block

Health Systems Management 1 block
Outpatient Pediatrics 1 block

Surgical Sub-specialty/Point of Care Ultrasound

1 block

Geriatrics/Nursing Home

Longitudinal

Community Medicine

Longitudinal

Obstetrics Continuity Clinic

Longitudinal

Electives

Allergy and Immunology

Radiology

Anesthesiology

Pain Management

Cardiology

Pathology and Laboratory

Dermatology

Physical Medicine & Rehabilitation

Endocrinology

Podiatry

Gastroenterology

Pulmonary/Critical Care

Hematology/Oncology

Rheumatology

Infectious Disease

Orthopedics/Sports Medicine

Neurology

Practice Management

Occupational Medicine

Research Methods

Didactic Curriculum

Resident conferences will be scheduled weekly on Wednesdays from 12:30 to 4:30 p.m. Topics will include a broad range of structured didactic activities and residents will have protected time to attend.  

  • Grand Rounds: Topics will include a broad range of family medicine topics that are important for evidence-based practice. These topics will be delivered by faculty members, including family medicine and specialists, to be the most current evidence available to advance the practice of medicine.
  • Core Content of Family Medicine: This series will include the reviews and workshops covering the core content topics in family medicine including, but not limited to: Professionalism, Problem-Based Learning Initiatives (PBLI) and Patient Safety, Behavioral Health, Maternity Care and Women’s Health, Sports Medicine, Geriatrics, Practice Management and Community Medicine.
  • Morbidity and Mortality: The PGY-3 serving as chief of the service will present Morbidity and Mortality (M&M) didactic session the first Wednesday after the completion of their inpatient service month. Number and diagnoses of admissions, mortalities, lessons learned during the month, policy changes and any morbidity will be reviewed. This is an opportunity for a critical appraisal of services offered, implementations that could improve quality of care provided and mitigation any patient safety concerns.
  • Journal Club: Journal Club will be held quarterly, separate from Wednesday Didactics. Articles will be pre-approved by the program director. Residents will gain knowledge at locating, appraising and assimilating evidence from scientific studies related to their patients’ health problems. Journal Club highlights opportunities for using information technology to optimize learning.
  • Board Review Series: The Board review series is an interactive, weekly session led by faculty members using recent ITE questions, updated guidelines and research to prepare for the ABFM Boards held in April. 
  • Conference Attendance: Residents will be expected to attend all Wednesday conferences/didactic sessions, other than pre-approved time off such as vacation and/or excused rotations.
  • Resident Tracks
    • Sports Medicine Track: Individuals interested in pursuing a career in sports medicine and/or a primary care sports medicine fellowship are encouraged to join this track. Residents have the ability to aid with sideline coverage of high school football games during the fall and are encouraged to present annually at a national sports medicine conference of their choosing. 
    • Residents as Teachers Track: This track is designed for individuals pursuing a career or future practice in academic medicine. Residents are encouraged to attend conferences focusing on academic medicine throughout the year. They work closely with medical students who rotate in our family medicine practice over the course of the year. 

Research and Scholarly Activity

Residents are expected to complete one research project and one quality improvement project before graduation. Residents will be offered opportunities to participate in scholarly activities and have opportunities to participate in quality improvement projects. Residents will be educated in research study design and basic statistics as part of our evidence-based medicine curriculum.

Publications and Presentations

Rouyanian A.; Rankin, W.; May M; and Bruce, T. “Store it Safe (SIS) Adolescent Suicide Prevention”. Mercy Anderson Hospital Family and Community Medicine Residency Program Quality Improvement, August 2022. (Collaboration with OAFP and AAFP)

Chen, T.; Atherton, J. “Efficacy of Cognitive Behavioral Therapy for Depression and Anxiety Treatment in a Family and Community Medicine Practice.” Mercy Anderson Hospital Family and Community Medicine Residency Program Quality Improvement. October 2022-Present

Evans-Rankin K, Jones R. (2023). Cold Air-Induced Nonallergic Vasomotor Rhinitis. In Domino FJ (Ed.), The 5-Minute Clinal consult 2023, Philadelphia: Wolters Kluwer. (Pending Publication)

Bruce T, Bun J DO, Clarke J BSN RN. "Immunization Quality Improvement for Providers, IQIP". Mercy Anderson Hospital Family and Community Medicine Residency Program Quality Improvement, (In Collaboration of Ohio Dept of Health). In Progress

Atherton, J.; Hammersmith, H. “Improving Resident Physician Mental and Physical Health by Implementing a Lifestyle Medicine Curriculum.” The Ohio Family Physician. Winter 2022; Volume 74; No. 4; 16. (Journal Article) ISSN 1536-0474

Tenkman A, Chen T. Thyroiditis. In Domino FJ (Ed.), The 5-Minute Clinical Consult 2023, Philadelphia: Wolters Kluwer.

Alford J, Peyton A.  Ovarian Cyst Rupture.  In Domino FJ (Ed.), The 5-Minute Clinical Consult 2023, Philadelphia: Wolters Kluwer.

Sean Healy DO, MS, Camille C. Graham MD, Kelly Evans-Rankin MD, CAQSM, Wade Rankin DO, CAQSM. “Abnormal Head and Extremity Movements - Football.” Podium Presentation at the 2023 Annual Meeting and World Congress, American College of Sports Medicine in Denver, CO. (June 1, 2023)

May, M.; Atherton, J. “Ketamine for treatment of acute pain in the ED and incidence of delirium complicating hospital stay in the elderly population.”  Mercy Anderson Hospital Family and Community Medicine Residency Quality Improvement, August 2022 (Poster)

Peyton, A.; Rankin, W.; Atherton, J. “Capturing Healthcare Decision Maker to initiate ACP Conversation in a Primary Care Practice”. Society of Teachers in Family Medicine Conference on Practice Improvement, Savannah, GA. September 2022. (Poster)

Evans-Rankin, K., Gebhardt, Susanna, Rankin, W.; “Case Report: Dextrocardia and PHACES Syndrome,” 2022 Cardiovascular Symposium, Lima, OH, November 2, 2022. (Poster Presentation)

Rouyanian, A., Evans-Rankin, K., Rankin, W.; “Case Report: Aortic Root Dilation Related to SMAD-4 HHT and Hypermobile Ehlers Danlos Syndrome,” 2022 Cardiovascular Symposium, Lima, OH, November 2, 2022. (Poster Presentation)

El Bach, F., Busam, M., Evans-Rankin, K., Rankin, W.; "Case Report: A Popping Purple Pectoralis," 2023 American Medical Society for Sports Medicine, Phoenix, Arizona, April 30, 2023. (Poster)

Matthews, M., Rankin, W., Evans-Rankin, K.; “Case Report: A Step in The Wrong Direction,” 2023 American Medical Society of Sports Medicine Annual Meeting, Phoenix, AZ, May 2, 2023. (Poster Presentation)

Sean Healy DO, MS, Kelly Evans-Rankin MD, CAQSM, Wade Rankin DO, CAQSM. “Pre-existing Heart Anomalies with Concurrent Elaborate Symptoms.” Presented at Annual Conference 2023, American Medical Society for Sports Medicine in Phoenix, AZ. (April 30, 2023) (Poster)

Atherton, J.; Chen, T. “Efficacy of Cognitive Behavior Therapy for Depression and Anxiety for Geriatric Patients in a Family Medicine Residency Practice”. Society of Teachers in Family Medicine Conference on Practice Improvement, St. Louis, MO. September 2023. (Poster)