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Program Features

Educational Opportunities

The Family Medicine Residency Program has educational opportunities available throughout the Family Medicine Center Clinic. Eligible candidates include, but are not limited to, residents, fellows, physicians and the following students: public health, medical (senior and junior), nursing, physician assistants, and those from a variety of health care programs within the Blinn College system.

The Family Medicine Residency provides:

  • A high-quality, friendly and supportive learning experience
  • Extensive interaction with clinic staff physicians and residents who are enthusiastic about teaching
  • A unique training environment that has access to a diverse patient population
  • Access to an integrated electronic medical records system
  • Numerous and diverse ongoing didactic sessions to choose from on a weekly basis, ranging from core curriculum to research

 

Residency Blocks

Family Medicine Orientation

During the four-week orientation block the new interns are taught the basics of what the intern year will consist of. Interns are oriented to one week of each - night float, inpatient family medicine, obstetrics and pediatrics, and continuity clinic. This is an invaluable opportunity to learn how things work and hit the ground running when first block starts.

Inpatient Family Medicine

The team consists of two interns, one second-year resident and a third-year resident. The intern carries the majority of the patient load with the second year caring for the rest and the third-year overseeing the service. We see a wide variety of disease processes on our hospital service and have a presence in every area of the hospital. We also have built-in daily teaching time after pre-rounds are completed. The family medicine attending physician or upper level resident will teach a topic and residents participate in discussion. As family medicine physicians, we perform numerous types of procedures while on the inpatient medicine service. This includes paracentesis, thoracentesis, central line placement, intubation, joint aspiration, and most other acute care procedures that a hospitalized patient may need.

Obstetrics and Pediatrics

The team at CHI St. Joseph consists of an intern and a third-year or one intern, one second-year, and one third-year, while the College Station Medical Center (CSMC) team contains of one second-year resident. The OB/Peds service delivers babies, and then cares for both new moms and newborns in the nursery. The service also sees pediatric patients who are hospitalized for general issues (pneumonia, dehydration, jaundice, RSV). This is another procedure-heavy service, with numerous vaginal deliveries, cesarean sections, and circumcisions performed in the hospital. We get a high volume of high-risk experience as we cover prenatal care and out of town patients at CSMC and patients from the Prenatal Clinic. During the OB/Peds rotation, you will also have clinic days where you perform OB ultrasound in our clinic. These include 20-week fetal anatomy ultrasounds, biophysical profiles and fetal non-stress tests. We also perform the Essure (tubal occlusion) procedure in our clinic, and at this time, we are the only residency in Texas trained to do so.

Night Float

The night float team consists of an intern and an upper level who cover anything that comes into the hospital - either our patients or "city call" patients who don't have a physician. Needless to say, this is where you will get significant procedural numbers and experience in basic management of both medicine, pediatric and obstetric patients. The ER physicians know we want to learn all things and frequently call us to come help with intubations, central lines, or any other emergent procedure. The nurses on every floor also know we have residents in house 24/7 so if there is something that needs to be done emergently - like a stat vaginal delivery - they call us. It is a fun and rewarding service where you will learn more than you thought possible, both medically and procedurally. This is truly where you learn to "do it all."

Trauma Surgery/Emergency Medicine

We rotate with a local trauma surgeon who loves to teach. Residents have the opportunity to do hospital rounds and scrub in and first assist on all cases. Once rounds are completed, interns work at CHI St. Joseph Emergency Room seeing patients and performing procedures

Ancillary Services

Spend time with physical therapy, occupational therapy, speech therapy, nutrition, and wound care teams and see the important role that ancillary services play in making the hospital run smoothly.

ER Night Float

Upper levels work at CHI St. Joseph during p.m. hours (7 p.m. to 7 a.m., Sunday through Thursday) seeing patients and checking them out to the ER attending physician. This resident is also responsible for calls and deliveries from OB/Peds patients at CSMC.

Gynecology

Longitudinal rotation in the Texas A&M Physicians clinic. We learn the basics of well-woman care, in addition to post-menopausal problems and treatment of infertility. With our Women's Health grant we are able to provide breast and pap exams, mammograms, breast biopsies, colposcopy and LEEP/CONE, to uninsured and underinsured patients in the Brazos Valley.

General Surgery (2nd year)

We rotate with general surgery at College Station Medical Center. Spend time in the OR and surgery clinic and further endoscopy education through hands-on experience.

Orthopedics/Sports Medicine

Dr. Gill is our primary sports medicine physician who is one of the Texas A&M team physicians, in addition to serving as the physician to numerous smaller teams in the Bryan-College Station area. During this rotation, you work with both athletes and non-athletes who have musculoskeletal complaints. The focus of this rotation is learning how to perform an excellent musculoskeletal exam. We have a specific joint injection clinic where you will become very competent in performing joint injections. We have two portable ultrasound machines and one stationary machine, and thus, perform most injections under ultrasound guidance. We also rotate with other community sports medicine physicians and orthopedic surgeons who excel at teaching.

Intensive Care/Medical ICU

This is a second-year rotation where we focus primarily on patients in the Intensive Care Unit (ICU). The primary goal of this rotation is to learn how to manage ICU patients and patients on a ventilator, and to coordinate care for difficult patients among many specialists. Our community specialists are second to none and love to teach.

ENT/Dermatology/Psychiatry/Ophthalmology

Residents receive concentrated exposure to these specialties. The purpose of these rotations is to teach the common conditions (including diagnosis and treatment) of each specialty and how they relate to family medicine.

Geriatrics

This is a third year rotation that teaches the principles of skilled nursing and end of life care. We have two attending physicians who are very involved with Hospice care and one who rounds at SNF three times per week. We learn how to appropriately treat both the aging population and patients who are at the end of their life and seek comfort care. We also see continuity nursing home patients once monthly, throughout second and third year of residency.

Cardiology

This rotation provides exposure to cardiology specialty. The purpose of the rotation is to expose residents to the basic problems which we will be able to diagnose and treat as family medicine physicians. Expect to be involved in hospital rounds, clinic, EKG reading, cath lab and ECHO suite during your rotation

Advanced Endoscopy Track

After your intern year, you have the opportunity to pursue our advanced endoscopy track. We have received a federal grant to perform screening colonoscopies on the underserved community in the Brazos Valley who normally would not be able to afford such a vital procedure. We perform three colonoscopies per half day, usually three days per week. We can also help you get the Fundamentals of Endoscopic Surgery (FES) certificate prior to graduation. If you want to integrate colonoscopies into your family medicine practice, this will definitely give you the experience you need to do so!

Advanced Obstetrics Track

After completion of the intern year, if interested in surgical and high risk obstetrics, then residents may pursue the advanced obstetrics track. Residents must complete ultrasound exam, written surgical instrumental test and oral exam. Once the resident is assigned to the track, they will take additional call for surgical procedures (c-sections, tubal ligations, dilation and curettage) with both Texas A&M Physicians and community OB-GYNS.

 

Clinical Facilities

Texas A&M Physicians Family Medicine

On June 30, 2011, the Texas A&M Health Science Center (TAMHSC) College of Medicine celebrated the Texas A&M Physicians Family Medicine division with a ribbon cutting at its new facility at 2900 East 29th Street in Bryan. The opening of this clinic is part of our important commitment in the College of Medicine to improving the health of people of the Brazos Valley

Of the building's approximately 32,000 square feet, the Texas A&M Physicians Family Medicine division occupies about 20,500 square feet. The space is used for a comprehensive family medicine clinic and for the education of Family Medicine residents and medical students. The clinic includes an in-house lab, radiology suite, endoscopy suite, classroom, administrative offices and a dedicated resident space.

CHI St. Joseph Health

St. Joseph Health System traces its origins to 1936 when St. Joseph Regional Health Center was founded by the Sisters of St. Francis, Sylvania, Ohio, in response to a call from a local physician. Starting in a small 35-bed hospital, the organization has grown to 611 licensed beds in seven locations.

As the major medical referral center for the 12-county Brazos Valley area, CHI St. Joseph Health has consistently responded to the community's medical needs by providing comprehensive, quality health care in a Christian atmosphere. CHI St. Joseph Health offers one of the largest telemetry units and is a certified stroke center. HealthGrades, an independent healthcare ratings organization, just named CHI St. Joseph Regional Health #1 in the state of Texas for overall orthopedic services, which includes joint replacement and spine surgery.

College Station Medical Center

The hospital and clinic were founded in 1931 in Bryan, Texas. In 1987, Humana relocated the hospital to its current location in 1997 and in 1998 the facility was renamed College Station Medical Center and referred to in the community as The Med. Through the years, The Med has established itself as a stable community hospital with an excellent reputation for quality care.

College Station Medical Center has continually worked to raise the level of healthcare in the Brazos Valley and introduced cardiology services in the late 1980s. A decade later, the hospital began to focus on new technologies and built primary and specialty care offices on its campus. The Med provides a full array of medical services that include cardiac, pediatrics, obstetrics, general and specialty surgery, cancer treatment, inpatient rehabilitation and outpatient physical therapy.

College Station Medical Center provides 150 licensed beds and provides several services and specialties to help serve Bryan-College Station and the surrounding area. The Med provides high-quality compassionate healthcare, exceptional service and advanced medicine to the communities it serves.

Clinical Offerings

Lab Services

Because the Texas A&M Physicians lab is located on-site, it offers faster, more convenient and comprehensive testing services. Your lab work stays right at the doctor's office, and depending on the type of lab work, results can be determined in a matter of hours rather than days.

  • Urine and drug screening
  • Blood
  • Cholesterol screening
  • Glucose testing

Ultrasound (3 Ultrasound machines available)

  • Vascular: Carotid, Aortic, DVT evaluation, Thyroid
  • Obstetrical: Used for routine obstetrical visits and any high risk obstetrical complications and diagnosis
  • Orthopedic: High Resolution Ultrasound used specifically to look at bones, ligaments, tendons

Women's Health including Obstetrical & Gynecological Care

Key to any woman's or expectant mother's health is adequate obstetrical and gynecological care. Regular gynecological exams, PAP smears, breast exams and prenatal care are all part of OB-GYN.

Physical Exams & Stress Tests

To make sure your body can adequately handle physical stress, employers, athletic teams and your physician may require a physical exam and/or a stress test. Employers want to make sure you can do a job safely. Athletic teams also require back-to-school physical exams before getting on the field. Physicians use physical exams and stress test to assess your body and detect underlying issues. Whether it's a pre-employment screening, a back-to-school physical exam or a diagnostic stress test, you can get it done here.

Additional Procedures (performed in clinic)

  • Colonoscopy
  • Dermatological Surgery
  • Endoscopy Suite
  • Esophagogastroduodenoscopy, or EGD
  • Pulmonary Function Test
  • Steroid Injections for Pain Relief
  • Vasectomy
  • X-rays (in clinic with full-time technician)

 

Resident Training

Resident Procedures

Learn skills beyond those of most family physicians. In addition to core procedures, we teach vasectomy, skin surgery, advanced ultrasound (vascular, thyroid, muskuloskeletal), central line, lumbar puncture, thoracentesis/paracentesis, IUD placement, cervical biopsy and excision, and more.

Individual Resident Numbers

*Numbers are based on 2016 and 2017 graduates.

C-Section Endoscopy Vaginal Delivery Twin Delivery
201 86 95 3
Central Lines Colposcopy/LEEP OB Ultrasound Tubal Ligation/Essure
37 21 115 45
Joint Injection D&C Intubation Circumcision
144 16 166 26

Unopposed Training

With no other residents or fellows in this community, we manage it all. An unopposed program is the only way to go for full-spectrum training.

Comprehensive Obstetrics

If you are interested in obstetrics, you can pursue our advanced OB track. Residents on this track benefit from higher volume of both low-risk and high-risk continuity patients. We have recently partnered with the local Prenatal Clinic to serve their indigent population as primary provider. Advanced OB residents also are the primary surgeon on C-sections, D&Cs, and tubal ligations for both our patients as well as community OBs. If you're not interested, you will have only the required OB rotations each year

Sports Medicine

Our fellowship-trained faculty are the team doctors for four local high schools and Texas A&M Athletics. You can be too. Learn basic and advanced sports medicine techniques to enhance your practice (including musculoskeletal ultrasound, athlete ekg interpretation, stress testing, fluoro-guided procedures, advanced fracture management and much more.)

Osteopathic

Texas A&M Family Medicine Residency encourages and is committed to ongoing training in osteopathic principles and practice of manipulative medicine. Our clinic has several manipulation tables (or "OMT" table) that allow the doctors to adjust a patient's body by manipulating the skeleton and muscles to alleviate pain and promote wellness. In this way, our doctors employ hands-on care in addition to prescribing medication for relief.

Endoscopy

Residents can take part in our Advanced Endoscopy Track, where they will participate in a longitudinal curriculum and perform colonoscopies and EGDs with our faculty physicians in our clinic's state of the art Procedure Suite. In 2011 we were awarded a $2.7million grant to update and expand our colonoscopy program. If you want endoscopy in your practice, we will get you the numbers you need for privileging.

International Rotations

Our residents can use elective time to pursue international rotations. Some have travelled to Africa, Asia, and Central/South America with our skilled faculty to serve remote communities. Whether you are interested in general surgery, OB, trauma, tropical medicine, or public health, you can learn beyond your expectations.

The Essure Procedure

To our knowledge, we are the only family medicine residency program in the nation performing the Essure procedure - a state-of-the-art female sterilization done in-office with a hysteroscope.