We have designed our program to be procedurally intense, in our effort to train physicians to work in resource poor environments.
We have 6 family medicine faculty members who are OB fellowship-trained and perform C-Sections. For the rural track, our clinic is the only prenatal provider in the county, and our L&D is the only L&D to reopen in Alabama in the past 3 decades. In the urban track, our FM-OB faculty staff two different L&Ds in Birmingham and Bessemer. In the clinic, each resident will be intimately involved in prenatal care from the outset, develop a shared continuity OB panel, and be trained in performing colposcopy, endometrial biopsy, and Nexplanon and IUD insertions. Training in LEEP is available on an advanced track.
Our residents are trained to perform and interpret plain films in the office and ED, emergency CT scans, and point-of-care ultrasounds and echocardiograms. This is embedded into the schedule for all residents for the duration of the program.
Our family medicine faculty are trained and credentialed to perform EGD and colonoscopy. Additionally, our residents spend time training with a gastroenterologist and colorectal surgeon. Our state-of- the-art endoscopy simulator allows each intern to gain experience working through cases before having the opportunity to perform primary cases as an upper level resident, should they choose to have an endoscopy focus. We perform endoscopy in the office, in an ambulatory surgical center, and in the hospital.
Casting & Splinting
Residents get significant exposure to fracture management in our ED and family medicine clinic. At least 2 workshops per year are centered around casting and splinting. We have an all digital x-ray system setup in the clinic, with an accompanying PACS system. We manage appropriate fractures start to finish in our clinics.
Exercise Stress Testing / Prolonged ECG Monitoring
All residents receive workshop-based training in exercise ECG stress testing and prolonged ECG monitoring and schedule and perform exercise ECG stress tests and prolonged ECG monitoring as part of their own continuity clinic.
Our residents rotate with a general surgeon in a rural private clinic context twice a week, covering pre-op and post-op issues, endoscopy, and ambulatory surgical procedures like hemorrhoidal banding and wound care with debridement in the outpatient, inpatient, and nursing home settings. Also, time is spent in the surgeon’s procedurally heavy private clinic performing additional wound care, anoscopy, hemorrhoidal banding, and other outpatient surgical procedures.
In addition to scheduling and performing their own lesion removals, shave, punch, and excisional biopsies and cryotherapy throughout the three years of their continuity clinic, residents spend time monthly with a dermatologist in our clinic to gain experience with more advanced procedures and diagnosis.
Residents are able to schedule their own joint injections in their continuity clinic throughout the three years of residency giving much hands-on experience performing knee and shoulder joint injections both with and without ultrasound guidance.