Facilities

Mercy Health St. Rita Medical Center and the Lima community have invested in Graduate Medical Education by building a state-of-the-art education and simulation center. A full-time simulation center director, David Faulkner, ACSM, RCEP, provides an amazing resource for hands-on, procedure-based education

 

Mercy Health St. Rita's Medical Center

 

Graduate Medical Education Building 

 

 

 

Procedure simulation in the Simulation Center

Rotation Schedule

Our residency curriculum emphasizes outpatient care. Rotations and didactic materials are focused on clinic and clinical presentations in the clinic. We train residents to provide as much care as possible, minimizing patient cost and travel. Residents complete a one-month rotation in the resident clinic and with the rural community clinic in Bluffton, Ohio during the PGY-1 and PGY-2 years. This is in addition to weekly continuity clinic time. 

We are a group of supportive faculty with experience in academics and full-time clinical practice. We understand the rigors associated with graduate medical education. Our program curriculum incorporates physician wellness, leadership and evidence-based learning to help each learner to be successful in residency, personal life and future professional life. The curriculum emphasizes outpatient care with rotations and didactic materials. Family Medicine residents have the opportunity to participate with rural community clinics that provide an additional learning experience in outpatient care.

PGY 1 Rotation

Duration

Adult Inpatient

2 months

Inpatient Surgery

1 month

Inpatient Pediatrics

1 month

OB/Gynecology

1 month

ICU

1 month

Cardiology

1 month

Outpatient Family Medicine

2 months

Behavioral/Mental Health

1 month

Gastroenterology

1 month

Nephrology

1 month

Elective

1 month

 

PGY 2 Rotation

Duration

Adult Inpatient

2 months

Emergency

1 month

Radiology/Pathology

1 month (2 weeks each)

OB/Gynecology

1 month

Pulmonology

1 month

Orthopedics/Sports Medicine

1 month

ENT/Urology

1 month (2 weeks each)

Pediatrics

1 month

Outpatient Family Medicine

2 months

Elective

2 months

 

PGY 3 Rotation

Duration

Adult Inpatient

2 months

Neurology

1 month

Emergency Medicine

1 month

Outpatient Pediatrics

1 month

Health Management

1 month

Outpatient Family Medicine

1 month

OB/Gynecology

1 month

Hematology/Oncology

1 month

Ophthalmology/Occupational Medicine

1 month

Elective

2 months

Electives

  • Allergy and Immunology
  • Anesthesiology
  • Cardiology
  • Dermatology 
  • Endocrinology
  • Gastroenterology
  • Hematology/Oncology
  • Infectious Diseases
  • Integrative Medicine
  • Neurology
  • Occupational Medicine
  • Radiology
  • Pain Management
  • Pathology and Laboratory
  • Physical Medicine and Rehabilitation
  • Podiatry
  • Pulmonary Medicine
  • Rheumatology
  • Sports Medicine
  • Offsite Elective

Didactic Curriculum

Our formal didactic conferences are on Wednesday mornings. This is protected educational time for our residents, and all Family Medicine and off-service attending physicians realize that residents will be at these didactics each week. All available clinical faculty attend these conferences with our residents, including physicians and psychologists, to provide a truly multidisciplinary team learning concept.

Our didactic curriculum includes:

  • Didactics: Our didactic program is scheduled for every Wednesday morning with topics chosen from AAFP curriculum guidelines. It’s an informative, interactive, often fun way to learn medicine.
  • Journal Clubs: Family Medicine Journal Club is held monthly and are led by faculty and residents. Once a quarter, Journal Club is held in conjunction with the Internal Medicine, Emergency Medicine and Podiatry residency programs.
  • Grand Rounds, CPC and Mortality and Morbidity: Hospital-wide Grand Rounds, CPC, and M&M conferences are held monthly at noon conferences. 
  • Leadership in Residency
  • Hospital Committees, Residency Council and Wellness Advisory Council (WAG): Residents serve on resident council, the graduate medical education committee, resident wellness advisory group (WAG), our Family Medicine curriculum assessment team, the hospital diversity and inclusion committee and many others both in the residency and in the hospital.
  • GME Serving Up Knowledge: The GME team provides opportunities for professional growth.
  • GME-wide Journal Club
  • Medical Staff Meetings: Updates for Medical Staff and opportunities for networking occur quarterly
  • Medical Student Skills Lab: Provided every quarter, with hands on procedures including skin biopsies, joint injections and OB care in our SIM center.

Research and Scholarly Activity

The Family Medicine Residency Program is involved in the Lima and surrounding communities by supporting though service projects and education. Residents are expected to complete one scholarly activity/research project and one quality improvement project and successfully submit a presentation/poster before graduation. Residents will be offered opportunities to participate in scholarly activities and have ample opportunities to participate in quality improvement projects. Residents will interact with faculty and staff members doing research and be integral in designing and planning research questions and projects. They will learn about the process for conducting a research project. They will also obtain CITI certification and recognize how to obtain Institutional Review Board approval. Residents will have access to statisticians and faculty of local colleges if they choose to help in designing and carrying out their projects. 

  • Scholarly activity includes presentations, publications and research. It is an ACGME requirement and an integral part of residency training at Mercy Health St. Rita’s Medical Center Family Medicine Residency. 
  • Each PGY-2 and PGY-3 resident is required to present at least one lecture every two months to the other residents. This lecture will occur during the usual didactic sessions.  Topics are chosen on the didactic schedule found on the GME FM Teams a first come, first serve basis. Appropriate goals and objectives must be stated and achieved as a result of the presentation. 
  • Each resident will participate in Journal Club. On an assigned schedule, residents will be each asked to present a peer-reviewed article from a respected medical journal. The other residents are expected to meaningfully contribute to the discussion relating to the article. 
  • Each resident is required to prepare a scholarly activity project for presentation during their residency. Topics are to be selected prior to the PGY-2 year. Scholarly activity comes in many forms including original research, data analysis from chart audits, authoring review articles, case presentations, local media contributions, curriculum development, etc. Any research involving human subjects requires IRB approval.
  • Residents are encouraged to submit their projects to regional, state or national conferences that allow original family medicine resident research.  
  • Residents are encouraged to submit applicable projects for publication in a peer-reviewed journal.
  • The resident’s advisor and other faculty will assist in selecting and preparing projects. 
  • Residents are in no way limited to a single project and may be involved in multiple projects and presentations. All questions relating to the requirement should be addressed to the program director.
  • Advisors and/or faculty members will follow the progress of the project.
  • Residents who choose to do original research or projects that require a significant amount of extracurricular work may choose to do a research elective. During this elective, residents will have protected time to perform their research. Such an elective must be approved by the program director and requires strict accounting of the resident’s time during the month.
  • While these are minimum requirements, residents are encouraged to become involved in more scholarly activity.  Faculty are willing to assist residents in any activity that would benefit the residency and/or the individual resident’s education.  Residents should discuss their ideas with their advisor and the program director.  

Publications and Presentations

Zukas R. Dementia and End of Life Care. Presented at the: January 2021; FMIG Neomed.

Zukas R. OPIOID Use Disorder. Presented at the: January 2021; FMIG Neomed.

Casey L. Emergency Department QI Project. Published February 1, 2020.

Casey L. Leadership in Medicine. Presented at the: Family Medicine Education Consortium; October 1, 2020.

Kauffman J. Making COVID Personal for our Community. Presented at the: Annual Rural Health Scholars Retreat; October 2020.

Kauffman J. Supporting Residents and Faculty During and Upon Return from Parental leave. Presented at Family Medicine Education Consortium: October 1, 2020.

Casey L. Implementing community health screenings. Presented at the: December 20, 2020.

Casey L. Change Medical Education. Presented at the: September 1, 2019.

Casey L. Medical Education: Solution to Workforce Challenges. Presented at the: September 20, 2019; AMA Change Medical Education.

Kauffman J. The Ohio Family Physician: Benefits of Federally Qualified Health Centers. Published August 1, 2019.

Kauffman J. Human Development and Controlled Substance Prescribing in Ohio Counties. Published online December 31, 2019.

Zukas R. Fatigue Mitigation.