Family Medicine Orientation

During the 4 week orientation block, the new interns are taught the basics of what the intern year will consist of.  Interns are oriented to 1 week of each:  night float, inpatient family medicine, obstetrics & 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 a two interns, one 2nd year resident and a 3rd year resident.  The intern carries the majority of the patient load with the 2nd year caring for the rest and the 3rd 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 3rd year or one intern, one 2nd year, and one 3rd year., while the College Station Medical Center team contains 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, etc).  This is another procedure-heavy service, with numerous vaginal deliveries, cesarean sections, and circumcisions performed in the hospital.   We get tons of high risk experience as we cover for no prenatal care and out of town patients at CSMC & 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, fetal non-stress tests.  We also perform the Essure (tubal occlusion) procedure in our clinic- and at this time are the only residency in Texas who are trained to do so.

Night Float

The night float team consists of an intern and an upper level that 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 tons of procedural experience and experience in basic management of both medicine, pediatric and obstetric patients.  The ER physicians know that 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 that 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”.

Emergency Medicine - PGY-1

Interns work at CHI St. Joseph during daytime hours.  Interns see patients and then check them out to the ER Attending Physician, who supervises all cases.

ER Night Float

Upper levels work at CHI St. Joseph during PM hours (7pm-7am Sunday-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 Womens' Health grant we are able to provide breast and pap exams, mammogram , breast biopsies, colposcopy, LEEP/CONE to uninsures & underinsured patients in the Brazos Valley.

Surgery

We rotate with a local trauma surgeon who loves to teach.  We scrub in on all cases and first assist him. We also have the opportunity to  do hospital rounds and clinic to get experience with surgical patients from a surgeons perspective. 

Orthopedics/Sports Medicine

Dr. Gill is our primary sports medicine physician who is one of the Texas A&M team physicians, in addition 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. The primary goal of this rotation is to learn how to manage ICU patients, 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/Ophthalmology

This rotation provides exposure to these specialties, with about two weeks spent doing each.  The purpose of the rotation is to teach residents to the basic problems of each specialty which we will be able to diagnose and treat as family medicine physicians. Also, residents are assigned to weekly procedure clinic in out office.

Dermatology/Psychiatry 

This rotation provides exposure to these two specialties.  The purpose of the rotation is to teach residents the basic problems of each specialty which we will be able to diagnose and treat as family medicine physicians.

Walk in Clinic

This rotation gives you the opportunity to hone your acute, walk-in-clinic diagnosis and treatment skill set. During this rotation, we also work at the free clinic in town- Health For All, where one of our family medicine attendings serves as the director. 

Hospice/Geriatrics/ Community Health

This is a third year rotation that teaches the principles of end of life care.  We have two attending physicians who are very involved with Hospice care.  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 nursing home patients once monthly, throughout all three years of residency.  We have assigned patients and nursing homes and these patients become very familiar to the residents who they see monthly over three years. Also, residents are assigned to various community agencies to experience resources available in B/CS.

Rural Surgery

This is a rotation in a rural community (Crockett, TX) where we work with a general surgeon who perform a high volume of colonoscopies.  Between your rural surgery rotation and our colonoscopy training in clinic, you will definitely have the opportunity to learn to excel at performing both EGD’s and colonoscopies.  We also scrub into surgical cases and round on and manage ICU patients in a rural setting.

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, cacth lab and ECHO suite during your rotation.

Advanced Endoscopy Track

After your intern year, you have the opportunity to volunteer to be on the advance endo 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 approximately four colonoscopies per morning, usually four days per week.  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 intern year, if interested in surgical and high risk obstetrics, then residents may pursue 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.