1. How many residents do you match and what do you look for in applicants?
We accept 12 residents per year. We are looking for applicants with a strong academic background and a demonstrated commitment to family practice. Good interpersonal skills and a strong work ethic are equally important.
- clinical skills and problem solving
- leadership potential
- patient-centered care
- team player/group mentality
2. Where do you do your rotations, and outpatient family medicine clinic?
Hospital rotations are primarily at Truman Medical Centers, rated by the University Healthcare Consortium in in 2005 as one of the top 5 academic medical centers in the U.S. for delivering the highest quality care . Primarily rotations are at TMC Lakewood where FM residents are unopposed. We do our inpatient and emergency pediatric rotation at nearby Children’s Mercy Hospital. We have some other community rotations in private clinics. Family Medicine residents receive training at the Bess Truman Family Medicine Clinic inside TMC-LW hospital where we have over 12,000 out patient visits annually. Residents are organized into three teams supported by attendings and nursing, funtioning as group practices, led by a faculty mentor. We completed our Patient Centered Medical Home certification in 2013.
3. How frequently are you on call?
As an PGY I resident, you are on call 7 rotations out of 13, throughout the year. For Inpatient Pediatrics, you go into the call schedule at Children’s Mercy. When you are at TMC-LW taking call from Mon-Thurs, there is an in-house faculty 24/7, ready to answer any questions. There is also a PGY II or III resident on backup who remains in house with you seven days a week to help and answer questions.
4. Do you work with residents from other specialties during residency?
We are primarily an unopposed residency program, which allows our residents to experience first-hand education and training in all relevant subspecialties. We work with Pediatric residents during our one-month inpatient pediatrics rotation at Children’s Mercy Hospital. Our Inpatient Medicine team also includes psychiatry interns and residents from our Podiatric Surgery program.
5. Why might this program not be a good fit for me?
This is a program designed for people who want to experience some independence in their care of patients. If you are looking for a program where someone is always double and triple checking you, then we probably are not right for you. While we always have faculty or a senior resident around to ask questions and help us manage patients, this is definitely a place where we take responsibility for patient care and have a lot of freedom in that process.
6. What procedures will I learn during residency?
You will be trained in outpatient procedures such as colposcopy, exercise stress tests, circumcisions/neonatal procedures, IUD insertion, skin biopsies, toenail removals, joint injections/aspirations, etc. Other opportunities are available to receive training in procedures such as central line placement, intubation, thoracentesis and C-Sections. Outpatient procedures are emphasized following the nature of a typical outpatient family practice. If you are interested in getting extra experience for inpatient procedures, there are plenty of opportunities for further training with an elective in procedure clinic or simply asking an attending if they would allow you to join in on procedures in their private clinics. We have four faculty and two residents that have received formal training on POCUS and are using their skills to assist with diagnosis and procedures. They are working to train everyone else in the department.
7. What is the inpatient medicine experience like?
Inpatient Medicine consists of a team that includes two residents in charge (RIC) who split coverage each day. There are two PGY II residents who function to help the team with admissions and help teach and guide four PGY I residents. One psychiatry intern from TMC Hospital Hill functions as a full member of the team. This structure is part of a continuous improvement process based directly on resident feedback and suggestions. There is one Family Medicine and one Internal Medicine attending. Each morning we pre-round, then do walk rounds starting in the ICU at 0830. We end rounding in Radiology to review any new films. At bedside, residents present their patient, the team sees the patient and we create our plan of care. Patient care & management is a collaborative effort that is headed by the resident. The afternoons are for following up on tests, radiology, consults, discharging patients or clinic. New admissions are accepted throughout the day.
The census is often in the mid 20s and occasionally increases into the mid 30s. Each member of the team has a completely different schedule based on PGY level. First year residents generally have one week of nights during each month of Inpatient Medicine. The daily schedule is generally from 6am to 4:30pm.