STRETCH-OB CURRICULUM
The Rockford Family Medicine Residency Program was founded in 1972 by one of the early pioneers of our discipline, Dr. L.P. Johnson, and has continued to keep pace with the ever-changing field of family medicine. As the sole University of Illinois College of Medicine Rockford residency program, we offer an unparalleled experience with the patient care resources of one of the largest cities in Illinois.
FIRST-YEAR RESIDENCY (R1)
CARDIOLOGY: 1 block
- Inpatient consults for wide spectrum of cardiac cases
- Focus on cardiac history and physicals, presenting symptoms, risk factor assessment and acute cardiac emergencies
- Experience with stress testing and EKG interpretation
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
1 block
- Application of ATLS and ACLS principles
- Evaluate and treat emergency patients including trauma and severe illness
- Hands-on wound suturing experience
- Review daily hospital imaging studies with a radiologist
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
FAMILY MEDICINE INPATIENT SERVICE: 4 blocks
- Responsible for inpatient care of UI Health L.P. Johnson Family Health Center patients including pediatric, nursing home, county jail as well as community physician patients
- Gain experience caring for routine as well as critically ill patients in the hospital under supervision
- Attend newborn deliveries for the resident patients
- Daily teaching rounds with senior resident and attending physicians
- Multi-disciplinary rounds with staff nursing and discharge planners/case workers
- Opportunity to teach university medical students
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
GERIATRICS /PALLIATIVE CARE: 1 block
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Participation in a multi-disciplinary geriatric assessment team evaluating complex health problems in elderly patients
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Subacute hospital/short-stay unit for patients in transition from acute care hospital to home or nursing home care
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Participate in management of palliative care and hospice patients with Family Medicine trained palliative care specialist and UI residency fellow
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
INPATIENT PEDIATRICS ONE: 1 block
- Work with neonatologists in Level III nursery
- Experience in resuscitation of neonates with NRP certification in first year
- Opportunity to follow lactation consultants, and pediatric nutritionist
- Opportunity to gain pediatric experience in the ER
- Hospitalist pediatricians as attending physicians for the inpatient floor including admitting inpatient psychiatric pediatric patients
- Weekly multi-disciplinary inpatient rounds with pediatric dedicated pharmacologist, nursing and nutritionist
OBSTETRICS: 2 blocks
- Advanced Life Support in Obstetrics (Family Medicine course “ALSO”) certified in first year
- Interaction with very “FP- friendly” maternal-fetal medicine specialists on L&D
- Participation on very busy OB floor with C-sections, OB triage, postpartum care, and emergency OB mock multi-disciplinary drills
- Learn OB procedures including but not limited to: fetal heart tracing interpretation, labor management, placement of internal fetal monitors and cervical ripening balloon, triage in OB ED, option to assist on C-sections and circumcisions.
- Deliveries up to 25-35 obstetric patients over two months supervised by family physicians and obstetricians
- Opportunity to teach university medical students
ORTHOPEDICS: 1 block
- Opportunities to learn joint injections, splinting, as well as fracture management with largest orthopedic group in city
- Diverse spectrum of experience with hand surgeons, spine specialists, etc.
- Option for longitudinal experience as sports team physician with local Rockford sports teams, e.g., ice hockey, etc.
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
RENAL: 1 block
- Diverse exposure to the health problems of patients with acute and chronic kidney disease (including dialysis patients) admitted to the hospital
- Attendings were previously repeat winners in the resident’s annual community attending teaching award
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
SURGERY: 1 block
- One-on-one service with a teaching surgeon
- Emphasis on pre-op and post-op diagnosis and care in surgeon’s office
- Acquisition of technical skills—suturing, emergency surgical stabilization techniques and management of fluids, etc.
- Opportunity for intubation exposure as well as outpatient procedures in outpatient clinic
- Inpatient and outpatient wound care visits
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
UI HEALTH L.P. JOHNSON FAMILY HEALTH CENTER
- Two half-days per week in the office as R1 resident
- Supervised management of own panel of pediatric, OB, geriatric and medicine patients
- Continuity of care for own OB patients
- Outpatient procedure training including joint injections, gyn and skin procedures,
- High-risk obstetrics family practice clinic with OB attending complements routine OB visits as well as routine review of ultrasounds by OB
- Anticoagulation clinics for Family Health Center patients supervised and taught by expert pharmacologist
- PGY1 STRETCH-OB residents will start taking additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) in January for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation
SECOND-YEAR RESIDENCY (R2)
AMBULATORY PEDIATRICS: 1 block
- Valuable experience in the office management of pediatric problems
- Curricular focus on adolescent health and pediatric behavior disorders including eating, depression and ADHD
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
ELECTIVE: 2 block
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Opportunity to cater to special interests, e.g., clinics with anesthesiology, wound care, headache, neurology, pain management, pulmonary, urgent care, OMT (osteopathic manipulative therapy), woman’s health, integrative medicine or physical therapy
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
HEALTH SYSTEMS/POPULATION HEALTH: 1 block
- A variety of experiences are available, including rural practice opportunity, home health care, substance abuse clinic, paramedic professionals, and the local county health department
- Exposure to medical care in community homeless shelter and county jail setting
- Opportunity to give community education lectures
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
ICU: 1 block
- Management of a broad range of critical care problems for family medicine exposure
- Mechanical ventilator management
- Procedural skills potentially including intubation, thoracentesis and placement of central and arterial lines
- Option to follow in sleep disorders clinic
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
INFECTIOUS DISEASE: 1 block
- Full management of critically ill patients acting as consultant with specialist support
- Sharpen skills of diagnosis of infectious disease including use of microbiology laboratory
- Weekly ID resident/student presentations and one-on-one discussions with highly rated ID faculty (previous winner of multiple teaching awards from residents)
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
INPATIENT MEDICINE: 4 blocks
- End of year transition rotation for R1 and R2 to gain experience and skills in a teaching supervisory role
- More independent learning while managing Family Health Center inpatients in the hospital
OBSTETRICS: 2 blocks
- Interaction with very “FP- friendly” maternal-fetal medicine specialists on L&D
- Participation on very busy OB floor with C-sections, OB triage, postpartum care, and emergency OB mock multi disciplinary drills
- Learn OB procedures including but not limited to: fetal heart tracing interpretation, labor management, placement of internal fetal monitors and cervical ripening balloon, triage in OB ED, option to assist on C-sections and circumcisions.
- Deliveries up to 25-35 obstetric patients over two months supervised by family physicians and obstetricians
- Opportunity to teach university medical students
PEDIATRIC ER/NICU: 1 block
- NICU level III experience in tertiary care center
- Pediatric ER experience with academic ER pediatricians and neonatologists
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
UI HEALTH L.P. JOHNSON FAMILY HEALTH CENTER
- 3 half-days per week in the office as R2 resident
- Supervised management of own panel of pediatric, OB, geriatric and medicine patients
- Continuity of care for own OB patients
- Outpatient procedure training including joint injections, GYN and skin procedures,
- High-risk obstetrics family practice clinic with OB attending complements routine OB visits as well as in house review of ultrasounds by OB
- Anticoagulation clinics for Family Health Center patients supervised and taught by expert pharmacologist
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB or away rotation.
THIRD-YEAR RESIDENCY (R3)
AMBULATORY PEDIATRICS: 1 block
- Curricular focus on immunizations, well child care and acute care with community pediatricians
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
BEHAVIORAL MEDICINE: 2 weeks
- Inpatient substance abuse treatment
- Inpatient psychiatric services
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
DERMATOLOGY: 1 block
- Outpatient dermatology with experience with dermatological procedures including plastic surgery, biopsy procedures, etc.
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
ELECTIVES: 4 1/2 blocks
- Opportunity to cater to special interests, ie.; anesthesiology, radiology, wound care, headache, neurology, pain management, pulmonary, urgent care, osteopathic manipulative therapy (OMT), woman’s health, integrative medicine or physical therapy
- Global medicine electives available (certain limitations apply)
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
INPATIENT MEDICINE: 2 blocks
- Supervisory role for inpatient care of UI Health L.P. Johnson Family Health Center patients including pediatric, nursing home, county jail as well as community physician patients
- Attend newborn deliveries for the resident patients in supervisory role
- Daily teaching rounds with interns and attending physicians in supervisory role
- Multi-disciplinary rounds with staff nursing and discharge planners/case workers
- Opportunity to teach university medical students
- Supervisory role in didactics if done by residents
OBSTETRICS: 1 block
- Advanced Life Support in Obstetrics (Family Medicine course “ALSO”) certified in first year
- Interaction with very “FP- friendly” maternal-fetal medicine specialists on L&D
- Participation on very busy OB floor with C-sections, OB triage, postpartum care, and emergency OB mock multi-disciplinary drills
- Learn OB procedures including but not limited to: fetal heart tracing interpretation, labor management, placement of internal fetal monitors and cervical ripening balloon, triage in OB ED, option to assist on C-sections and circumcisions.
- Deliveries up to 25-35 obstetric patients over two months supervised by family physicians and obstetricians
- Opportunity to teach university medical students
AMBULATORY GYNECOLOGY: 1 block
- STRETCH-OB residents will complete a rural ambulatory gynecology rotation at the Freeport Health Network Memorial Hospital in Freeport, IL
- Opportunity to learn colposcopy and other gynecologic procedures
- Outpatient gynecology cases with community faculty physicians
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
SPORTS MEDICINE/ORTHOPEDICS: 1 block
- Outpatient and inpatient orthopedics
- Experience in management of acute musculoskeletal injuries and fractures via dedicated orthopedic urgent care clinic
- Review orthopedic imaging, injections, as well as other procedures
- Sports medicine trained family medicine attending: winner of 2019 community attending of the year award
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
STRETCH-OB Mandatory Elective Rural Rotation: 1 block
- Residents will choose a rural site for this rotation. Refer to STRETCH-OB rural clinic sites map.
- Residents will have real-world experience in full-scope family medicine, including advanced obstetrics care, under the guidance of rural preceptors who live and work in the community.
- Residents will actively participate in vaginal delivery, C-sections, primary care and prenatal care in the inpatient and outpatient setting.
- The goal of the STRETCH-OB rural rotation is for residents to gain a good understanding of practicing full-scope family medicine in a rural community.
- Residents will be scheduled for continuity clinic in Rockford during this rotation.
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
UI HEALTH L.P. JOHNSON FAMILY HEALTH CENTER
- 4 half-days per week in the office as R3 resident
- Supervised management of own panel of pediatric, OB, geriatric and medicine patients
- Continuity of care for own OB patients
- Outpatient procedure training including joint injections, gyn and skin procedures,
- High-risk obstetrics family practice clinic with OB attending complements routine OB visits as well as in house review of ultrasounds by OB
- Anticoagulation clinics for Family Health Center patients supervised and taught by expert pharmacologist
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.
WALK-IN: 1 block
- Check back for updates.
- STRETCH-OB residents will take an additional 1-2 5-hour STRETCH-OB shifts per week (7 a.m.-12 p.m. or 5 p.m.-10 p.m.) for longitudinal C-section and delivery training when residents are not on an inpatient medicine, OB, or away rotation.