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 Womens' 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 experienc

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.