Site Selection Guide 2015

Transcription

Site
Selection
Guide
2015
A KCOM Student’s Guide to Selecting a Core Regional Site
Preface
This book is designed to be an informational tool in your region selection process. Each regional site was researched
regarding basic areas of interest, and we have attempted to provide the most accurate and up to date information possible.
However, we cannot guarantee that the following information will be applicable when you arrive at the site, and it is
possible that changes will be made without prior notification. This book has been compiled and prepared by the Academic
& Clinical Educational Affairs Department, in conjunction with regional site administration.
All students will complete core, required and elective rotations during the third and fourth clinical years. Core rotations are
to be completed at the base assigned regional site.
Although required rotations will typically be completed at the base assigned site, students may complete required rotations
at facilities other than those listed in this guide at the discretion of the Regional Assistant Dean (RAD)/Director of Student
Medical Education (DSME). Students frequently ask if core rotations should be completed in the same region as
postgraduate programs. This may be helpful in very hard to find programs, however this is not always the case. Students
will have time to complete multiple electives prior to the residency selection process. Clinical schedules enable all students
to explore areas of medicine to which they have not been exposed and to visit postgraduate sites prior to making an
internship or residency selection.
Fourth year required rotations will begin in July and run through graduation.
Contents
A KCOM Student’s Guide to Selecting a Core Regional Site .................................................................................. 1
Letter from the Associate Dean, Academic & Clinical Educational Affairs .......................................................... 3
Academic & Clinical Educational Affairs Department ............................................................................................. 4
Community/Area Information Resources .................................................................................................................. 5
The Regional Selection Process .................................................................................................................................... 6
Choosing a Region .......................................................................................................................................................... 7
Site Selection Table ......................................................................................................................................................... 8
KCOM Student Dress Code Expectations ................................................................................................................. 9
Required Immunizations & Screening during Clinical Training Years ................................................................... 10
CORE Regional Site Map - KCOM 3rd and 4th year ............................................................................................... 11
Arizona Region ................................................................................................................................................................ 13
Arizona ........................................................................................................................................................................ 14
Illinois Region .................................................................................................................................................................. 19
Advocate BroMenn Medical Center and Advocate Eureka Hospital ............................................................... 20
SIU Carbondale - Family Medicine Residency Program ..................................................................................... 24
SIU Quincy - Family Medicine Residency Program ............................................................................................. 27
UnityPoint Health - Methodist ................................................................................................................................ 30
Michigan Region.............................................................................................................................................................. 33
DMC Huron Valley-Sinai Hospital ......................................................................................................................... 34
DMC Sinai-Grace Hospital ...................................................................................................................................... 36
Genesys Regional Medical Center ........................................................................................................................... 40
Metro Health Hospital .............................................................................................................................................. 45
Oakwood Southshore Medical Center ................................................................................................................... 48
St. John Macomb-Oakland Hospital, Macomb Center ........................................................................................ 53
St. John Macomb-Oakland Hospital, Oakland Center ........................................................................................ 57
Missouri Region............................................................................................................................................................... 61
Missouri AHEC Overview ....................................................................................................................................... 62
Cape Girardeau - Saint Francis Medical Center and SoutheastHEALTH ........................................................ 63
Farmington - Mineral Area Regional Medical Center and Parkland Health Center ........................................ 67
Jefferson City - Capital Region Medical Center .................................................................................................... 70
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Joplin - Freeman Health System.............................................................................................................................. 73
Joplin - Mercy Health System .................................................................................................................................. 76
Kennett - Twin Rivers Regional Medical Center .................................................................................................. 79
Kirksville - Northeast Regional Medical Center ................................................................................................... 82
Rolla - Phelps County Regional Medical Center ................................................................................................... 85
Springfield - CoxHealth and St. John’s Health System ........................................................................................ 88
St. Joseph - Mosaic Life Care ................................................................................................................................... 92
St. Louis - Christian Hospital Northeast ................................................................................................................ 95
St. Louis - Des Peres Hospital ................................................................................................................................. 98
West Plains - Ozarks Medical Center ..................................................................................................................... 101
New Jersey ....................................................................................................................................................................... 105
Bayonne Medical Center ........................................................................................................................................... 106
Ohio Region..................................................................................................................................................................... 109
Ohio Region Overview ............................................................................................................................................. 110
Affinity Medical Center ............................................................................................................................................ 111
Central CORE (Doctors Hospital) ........................................................................................................................ 115
Southeast CORE (O'Bleness Hospital) .................................................................................................................. 120
St. Joseph Warren Hospital ...................................................................................................................................... 124
Western Reserve Hospital ........................................................................................................................................ 128
Pennsylvania..................................................................................................................................................................... 133
Heart of Lancaster Regional Medical Center......................................................................................................... 134
Utah Region ..................................................................................................................................................................... 137
Provo Area .................................................................................................................................................................. 138
Salt Lake Area............................................................................................................................................................. 138
Logan Area ................................................................................................................................................................. 139
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Letter from the Associate Dean
Spring 2015
Class of 2018
Each year, students gather the needed information to make an informed decision related to the “Match” and third and
fourth year clinical rotations. It is our hope that the following pages will provide you with valuable information as you
begin the selection process for regional site assignment.
Although we have made every effort to collect current and appropriate data to facilitate this decision process, please keep
in mind that changes may occur based on site-specific circumstances and rotation availability. I will make every effort to
inform the class of alterations or changes to site locations as soon as that information becomes available.
In addition to this booklet, I encourage each of you to consider an on-site hospital tour, explore the various hospital web
pages, visit the KCOM forums to communicate with students, and make every effort to talk with region site student
liaisons. Each opportunity to collect information will facilitate your decision making process, leaving little question related
to the educational opportunities you might encounter.
Finally, as you evaluate and compare sites in your quest to identify the most appropriate location for your personal learning
style, educational goals, and future aspirations, I would strongly recommend that you look at all aspects of the site in order
to make a final choice. Although educational opportunities and personal goals related to postgraduate programs will play a
major role in this process, the reality and logistics of geographic location, cost of living, and family circumstances is equally
important. Carefully consider all aspects of a regional site prior to making your “Match” choice.
Best wishes as you experience the “Match” process during the next several months. If at any time I, or my staff, can
provide you with additional information, please do not hesitate to contact us.
Sincerely,
Kent A. Campbell, DO
Associate Dean, Academic & Clinical Educational Affairs
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Academic & Clinical Educational Affairs Department
Kent A. Campbell, DO
Shelley Reed
Associate Dean,
Academic & Clinical Educational Affairs
660.626.2701
kacampbell@atsu.edu
Project Coordinator
660.626.2046
sreed@atsu.edu
Tammy Kriegshauser, MBA
Project Coordinator
660.626.2513
jmagruder@atsu.edu
Assistant Dean,
Academic & Clinical Educational Affairs
660.626.2268
tkriegshauser@atsu.edu
Donna Hettinger
Administrative Assistant
660.626.2701
dhettinger@atsu.edu
Tabitha Sawyer
Clinical Technology Coordinator
660.626.2008
tsawyer@atsu.edu
Jennifer Magruder
Amy Schiff
Rotation Site Coordinator (Off-Site)
660.626.2568
aschiff@atsu.edu
Janet Reed
Clerical Support
660.626.2187
jlreed@atsu.edu
Department Fax
660.626.2661 or 660.626.2662
Immunization Fax/Email
660.626.2059
kcomimmunizations@atsu.edu
4
Community/Area Information Resources
SAA Resources
The Student Auxiliary Association has compiled resources that may assist you in gathering community or area
information related to third and fourth year Core sites. A Guide of Input and Opinions by KCOM Students and Significant
Others is the result of questions such as:

What do you love about your rotation site?

What do you love about where you live?

Information about support groups for spouses/families.

Physician, resident & student interaction.

Hands-on learning experiences.

Regional Representatives/Rotation Site Coordinator interactions.
Please feel free to contact the SAA president at atsusaapresident@gmail.com if you have any additional questions.
Website Resources
The websites below have information that includes community information, cost of living, crime reports, school report
card, and salary analyzer; explore neighborhoods, moving tips, packing tips, week by week move planning guide.
The Chamber of Commerce links to all local chambers and may include information on utilities such as electricity,
housing rental, internet access, license bureau, gas/propane, telephone, television, trash, post office, water, county & city
offices, schools, etc. They also list a new resident information section that includes area attractions, education,
employment, healthcare, quality of life, recreation and shopping.
Community Information
www.relocationessentials.com
Moving Guide & Tips
www.mymovingneeds.com
Move Planning Guide
www.moversdirectory.com/moving_guide.html
Real Estate Guide
www.realtor.com
Chamber of Commerce links
http://www.chamberofcommerce.com/chambers
5
The Regional Selection Process
Phase 1: The Personal Statement Process
Preparing and submitting a written personal statement allows interested students an opportunity to request region
assignment/placement prior to the Match Phase.
Phase 2: The Match Phase
During this phase, all students will be required to submit your top six regional choices listed in order of preference with
your most preferred site first.
Phase 3: The Trade Season & Appeals
The Academic & Clinical Educational Affairs office will determine a given period of time to be allotted for trading rotation sites
and appeals
See 2015 Student Guide to Match Selection for details.
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Choosing a Region
There are many reasons to choose a region, ranging from professional concerns to family issues. The region and hospital
descriptions on the following pages will explain the differences in each site. All regions will provide the same core rotations. The
academic requirements and faculty support will be present in EACH region. Students will receive KCOM didactics, journal clubs,
and be required to meet for oral case presentations in each region. Through this structure, we plan to make all regions desirable.
At most sites, students are encouraged to utilize Smart Devices (laptops, electronic notebooks, PDAs, iPads, cell phones, etc.) in
addition to having access to the facility wireless network (intended for business purposes only) which will enable ready access to
medical information. Smart Devices are not to be used by students to carry patient information, rather as a learning tool to enhance the
educational experience. Students must follow the policies of the host institution and be ever mindful of HIPAA requirements,
electromagnet interference, confidentiality, noise control and overall courtesy when utilizing any type of Smart Device. Please consult
with the host institution or your region site representatives for specific policies at each facility.
If additional fees are required for elective rotations (completed “out-of-region” during third year and all
elective/selective rotations during fourth year) the expense will be the responsibility of the student. However, there are
many opportunities and locations to complete these third and fourth year elective/selective rotations without
additional cost to the student.
Meetings will be arranged between the Academic & Clinical Educational Affairs Associate Dean and students to discuss the
different regions. Teleconferences will also be scheduled with students currently in regional sites. Once you have decided upon a
site, it is highly recommended that you visit the site during scheduled site tours if you have any specific questions. Selecting your
regional site is a big decision requiring lots of thought and a bit of “match process luck.”
Once regional sites have been assigned, the regional staff will begin setting up your rotation schedule for the following year. All
core rotations will be scheduled before May of your second year, leaving nothing to chance upon arrival. Please note: students
may not schedule their own core rotations. Core rotations are scheduled by the Academic & Clinical Educational Affairs
Department, Regional Assistant Dean and Rotation Site Coordinator. This manual should not be considered a curriculum
manual, but rather a guide to help you make your choice for the match. As you tour the sites and talk with regional
representatives, you may wish to consider the following questions.
Clinical Experience
How much hands-on experience will I have in patient management?
Will I work mostly with house staff, attending, or both?
What is the patient volume?
Will I have time to read?
What elective opportunities are available on-site?
What opportunities will I have on-call?
Faculty
Will I work with the preceptor on in-patient rotations or will I mostly report to house staff?
How enthusiastic are the physicians about directing student training?
Can I expect lots of pimping?
Have the preceptors remained stable over the course of the last few years?
Are there sufficient osteopathic trainers on site?
Didactics
What does the regular didactic schedule look like?
Will I need to travel off-site to attend lectures and other required conferences?
Facilities
What library support and computer equipment is available to students?
What kinds of meals are offered?
Is student housing available to rent?
Additional elective/selective fees required?
Geographic Location
Patient population classified as urban, suburban, or rural?
What is the proximity to school systems?
Are there adequate spouse employment options?
What types of recreation are available?
Reputation
Is the hospital especially strong or well known in any particular areas?
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Site Selection Table
Prior to touring the regional sites, you may wish to use this table as you consider the importance of each
category. This information may be helpful in your decision-making process.
Category
Clinical experience
Patient management experience
Supervision
Patient volume
Reading time
Elective options on-site
On-call opportunities
Faculty
Chain of command/reporting
Physician enthusiasm
Pimping
Preceptor stability
Osteopathic trainers
Didactics
Regular didactic schedule
Travel to didactics
Facilities
Library/computer availability
Meals
Housing
Additional elective/selective fees required
Geographic Location
Type of patient population
Proximity to school
Spouse employment options
Recreation
Reputation
Strengths of hospital
8
Very
Important
Moderately Not
Important Important
Unsure
KCOM Student Dress Code Expectations
Unless specifically stated otherwise, students should assume the following dress code expectations are required
in the clinical rotation environment. Individual sites may have additional requirements.
Acceptable
Shirts
 Dress shirts, sweaters, or blouses, neatly pressed
 Shirts with collars or dress shirts without collars,
tucked in neatly, if applicable, and neatly pressed
Pants
 Dress pants that fully cover the leg, neatly pressed
(e.g. Dockers, dress slacks, jeans other than the
color blue)
Skirts &
Dresses
 Professional length with socks or hose, neatly
pressed
 No more than 4″ above the knee
 Must be in good repair, clean, and, if applicable,
polished
 Close toed shoes
 Socks that cover exposed skin when seated
 Dress sandals permitted
 Minimal jewelry may be worn and should not
interfere with clinical activities. Earrings should be
no longer or wider than one inch (must present a
professional image)
Footwear
Jewelry
Hair
Nails
ID Badge
In General
Scrubs
Unacceptable
(examples of unprofessional/inappropriate dress)
 Halter tops
 Spaghetti straps
 Tube tops
 Revealing or binding tops
 Undergarments worn as visible part of dress
 Sweatshirts
 T-shirts with logos
 Tattered, torn, or un-repaired clothing
 Bare midriff
 Undergarments worn as visible parts of dress
 Blue colored denim jeans
 Shorts, leggings or stirrup pants
 Tattered or torn clothing
 Bare midriff
 Mini skirts
 Skorts




Flip flops
Ratty looking or dirty shoes and shoe laces
No socks
Half socks or anklets




 Excessive jewelry that present a safety or health
hazard
 Visible body, facial, or oral piercing (example:
tongue, nose, lips, brows etc.). Earrings exempt(must present a professional image)
 Hats or headwear of any kind, unless it serves a
religious purpose
 Excessively long
 No ID
 Neatly pressed scrub top and bottom in
approved colors
 Matching top and bottom







Neat and clean
Facial hair must be neatly trimmed
Neat and clean
ATSU student identification badge must be worn
and visible while on clinical rotation
 Socially acceptable personal hygiene
 Make-up acceptable but tasteful and modest
Heavy perfume, aftershave, or cologne
Offensive body odor
Exposed tattoos (must be covered)
Exposed skin (inappropriately)
Unapproved scrub colors
Mismatched top and bottoms
Scrubs with logos other than KCOM
9
Required Immunizations & Screenings during Clinical
Training Years
The immunization and screening status of contagious diseases of KCOM medical students, and likewise for other medical
students, has been gaining importance in recent years. Most notably, many areas of the country are requiring proof of
varicella and Hepatitis B immunization prior to allowing students to complete clinical training rotations in the hospital.
Some hospitals within all the regions are requiring additional immunization status records. These requirements can vary,
from vaccinations for diseases not currently required under KCOM’s immunization policy, to obtaining laboratory proof of
immunity, i.e. a titer, for specific immunizations. Please read the following information carefully.
All immunization and screening information, including updates, should be forwarded, by the student, to the KCOM
Immunization Coordinator, phone 660.626.2513, fax 660.626.2059 or via email at kcomimmunizations@atsu.edu.
Non-compliant students will not be allowed to begin the clinical experience or participate in direct patient care until
compliance has been achieved.
Policy statement
KCOM requires students to have documentation of (1) completion of the following required health care worker
immunizations or on file State of Missouri allowable immunization exemption certificates, and (2) tuberculosis annual
screening, prior to KCOM clinical training rotations.
Required
Diphtheria, Tetanus, Pertussis (DTP) series
Documentation must be produced or Tdap is required
Hepatitis B series
Documentation must be produced or titer is required
Influenza
Documentation must be produced annually
Measles, Mumps, Rubella (MMR) series
Meningococcal
Documentation must be produced
Polio series
Tdap
Documentation must be produced
Varicella series
TB Screening
Annual Tuberculosis Skin Test (TST); if positive, further evaluation is required via physical examination, chest x-ray, or
culture. TB status must be updated annually. For more information on the KCOM tuberculosis screening policy, see policy
50-06 in the Academic & Clinical Educational Affairs Procedure Manual.
Recommended
Hepatitis A series
Pneumococcal
10
11
Notes
12
Arizona Region
Regional Map
About Arizona
Capital
Phoenix
Est. population
6,626,624 – ranked the 15th largest state in the country in 2013
Land area
113,642 mi2
Largest cities
Phoenix, Tucson, Mesa, and Chandler
Surrounding states
California, Colorado, Nevada, New Mexico, and Utah
13
Arizona Region
Arizona
5850 East Still Circle  Mesa, AZ 85206  480.219.6050 or fax 480.219.6150
Regional Associate Dean
Robert Ligorsky, DO, MACOI, FACP, FAHA
Director of Student Medical Education
Bruce Badaglialacqua, DO
Grace Stewart, MD
Jill Kerr, DO
Pediatric Curriculum Consultant
Christopher Spiekerman, DO
Rotation Site Coordinators
Patty Hester Gibson
480.219.6050
pgibson@atsu.edu
Marianne McGeady
480.219.6152
mmcgeady@atsu.edu
Administrative Support
Nichole Dunn
480.248.8176
ndunn@atsu.edu
The Site
The Arizona Region offers a uniquely designed program with the aim of providing a well-rounded approach to the practice of
medicine that consists of diverse rotational sites, active mentorship, and continuous didactic exposure. The Arizona program
prides itself on community partnerships dedicated to KCOM students in the absence of a base hospital. These partnerships
allow students to experience the clinical practice of medicine in a variety of environments that include hospitals, clinics, and
private practice. Students in the Arizona Region learn both the importance of variable approaches and styles of treatment as well
as the flexibility required for patient management. Arizona students work closely with either a teaching service in a hospital or
clinic that is comprised of a preceptor, resident, and intern, or one-on-one with a preceptor in an office, clinic, or hospital.
These various collaborations provide a dynamic learning environment. The range of learning opportunities in the Arizona
Region is virtually limitless. Primary care rotations include Internal Medicine, General Surgery, Family Medicine, and Pediatrics.
We offer subspecialty rotations such as Cardiology, Nephrology, and Vascular Surgery. We maintain an excellent relationship
with Phoenix Children’s Hospital so that students interested in Pediatric subspecialties can pursue areas like Hematology and
Oncology, Endocrinology, and Cardiology. Arizona students find an incomparable variety of sites that not only provide practical
experience, but enable students to build a professional network across the medical community in the Arizona Region and
beyond. We offer a rigorous, but manageable educational structure designed to ensure that students learn how to practice
excellent medicine.
Site Statistics
Approximate number of preceptors
Over 70 preceptors for third year students and over 200 preceptors for fourth
year students. There are 2700 licensed DO’s statewide and 1175 practicing in
the Phoenix metropolitan area.
Approximate number of hospitals
Over 25 hospitals; over 10 teaching hospitals are in the area. These hospitals
support 3 osteopathic schools and 3 allopathic schools.
Average distances for rotations
There are many rotation sites throughout the Valley of the Sun, and students
should anticipate the need for a reliable car. It is important to understand that
the majority of your time will be spent at one location for each rotation. The
average commute time is approximately 30-40 minutes.
Residency Programs
Currently, there are over 150 DO residents in the greater Phoenix area.
Residents can be found in almost every subspecialty area throughout the
community. Local participating programs include: Banner Good Samaritan
Medical Center, Kingman Regional Medical Center, Maricopa Medical Center,
14
Phoenix Baptist Hospital, Phoenix Children’s Hospital, Scottsdale Healthcare
System, St. Joseph’s Hospital and Medical Center and University of Arizona.
We also have students who have matched and accepted residencies at
Georgetown University Hospital, UCLA, Henry Ford, UCSF, University of
Indiana, University of Alabama, Bowman Gray, and many others.
Fellowship Programs
Teaching hospitals offer fellowship programs in a variety of areas, some of
which include Cardiology, Gynecology, Neurology, and Pediatrics.
Possible Facilities
Banner Good Samaritan Medical Center
Phoenix Children’s Hospital
1111 E. McDowell Road
Phoenix, AZ 85006
www.bannerhealth.com
(Nationally ranked 5 Pediatric Specialties)
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
OP Visits
4200
733 beds
37,012
10,813
5,845
61,759
209,381
1919 E. Thomas Road
Phoenix, AZ 85016
www.phoenixchildrens.com
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
3422
363 beds
13,834
15,424
N/A
76,006
Phoenix VA Healthcare System
Scottsdale Healthcare - Osborn
650 East Indian School Rd
Phoenix, AZ 85012-1894
www.phoenix.va.gov
7400 East Osborn Road
Scottsdale, AZ 85251-5672
www.shc.org
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
155
299 beds
7,861
4,092
N/A
23,500
Maricopa Medical Center
515 beds
21,754
6,422
2,522
67,154
Phoenix Baptist Hospital
Scottsdale Healthcare - Shea
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
433 beds
24,183
25,072
4,375
51,627
St. Joseph’s Hospital and Medical Center
(Nationally ranked in Neurology and Neurosurgery)
2000 West Bethany Home Road
Phoenix, AZ 85015
www.baptisthealth.com
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
337 beds
16,482
6,946
1,738
48,799
9003 East Shea Boulevard
Scottsdale, AZ 85260-6771
www.shc.org
2601 E. Roosevelt
Phoenix, AZ 85008
www.mihs.org/index.html
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
350 W. Thomas Road
Phoenix, AZ 85013
www.stjosephs-phx.org/index.htm
725
262 beds
9,526
4,829
1,867
38,051
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
OP Visits
1478
586 beds
30,222
10,340
4,708
81,272
397,193
15
Frequently Asked Questions
Describe didactics at your facility.
The Regional Dean, Dr. Robert Ligorsky, runs the didactic
program, which he designed premised on the importance
that students learn how to integrate book learning with
practical and applied knowledge and experience. In other
words, monthly Education Days and other lessons
endeavor to bridge the gap between clinical experience and
book learning. With that in mind, Case Challenges are
designed to teach students how to derive pathophysiologic
mechanisms in the patient in order to arrive at the final
diagnosis and treatment. Components of these lessons
include discussions of physical diagnosis skills, how to
formulate a differential diagnosis, and, based on such
findings, what the appropriate laboratory tests are and how
to interpret the results. Dr. Ligorsky reviews the cases to
ensure that each student feels comfortable with this
process. During their third year, students give three
presentations, including either a discussion of a journal
article, a case review, a tumor case or a lesson in physical
diagnosis using Osler’s compass points. Fourth year
students may choose to make a clinical presentation on
Education Day.
On Education Day, local specialists lecture and also offer
guest seminars on topics in pediatrics, OMM, surgery, and
train students to use and read an EKG. A statistician
provides a special seminar on medical statistics; in addition,
the statistician reviews Journal Club presentations and hosts
tutorials to facilitate students’ discussion of data analysis.
There is always the opportunity to attend a lecture or
discover additional supplementary resources. For example,
students may elect to attend lectures in hematologic
morphology. The American College of Physicians (ACP)
actively hosts events to allow students to build a network in
the medical community. The ACP regularly sponsors
dinners with student lectures for all medical students in the
area. Students are also invited to ACP-sponsored dinners
with the medical residents. Some KCOM students decide
to attend and participate in the ACP fall meeting where they
make poster presentations as part of a larger poster contest
and compete in the Doctors’ Dilemma. Our students also
participate in AOMA sponsored student writing & poster
competitions.
How many students, interns, and residents are on a
rotation?
Teaching services at most hospitals and some clinics usually
consist of a staff physician, a resident, an intern, and 1-2
students. Non-teaching services consist of a preceptor and
a student.
How often are students one-on-one with an
attending or resident?
In the hospital, students usually work with a team; however,
there are many opportunities in the hospital to work oneon-one with an attending or resident. In an office rotation,
it is usually a one-on-one experience.
16
Are students offered/encouraged
participate in procedures?
to
actively
Students are actively encouraged to fully participate in
procedures at all rotation sites. For example, students at
hospital sites often participate in surgical site closures,
routine deliveries, as well as Internal Medicine procedures
such as paracentesis and spinal tap. Office procedures
include, but are not limited to, the excision of skin lesions
and cerumen removal.
Will students have an opportunity to rotate at a
Level I trauma center?
Emergency Medicine rotations (Level I trauma) are
available throughout Arizona to fourth year students.
What is the on-call policy for medical students?
Students are required to follow the requirements of each
clinical rotation site (on-call, availability, patient care, etc.).
Is there 24-hour access to the library and Internet
resources?
The online library is available with 24-hour access. The
campus library is open from 6 a.m.-10 p.m. Most facilities
also have libraries that can be accessed.
Is charting done electronically?
This depends largely on the site.
Is there a food allowance and how much?
Some hospitals will offer some type of food allowance, but
every site varies.
Are pagers provided to students?
This depends largely on the site.
Are lockers available for students to use?
This depends on the site.
What unique qualities/opportunities does your
facility have to offer?
The strength of the Arizona Region lies in both the rotation
network as well as the support from KCOM mentors and
the medical community at large. The Arizona mentorship
program consists of three core components designed to
enhance students’ education. The Regional Dean meets
with each student and reviews all schedules. In addition,
students are matched with one of our DSMEs who provide
guidance and support throughout the program. To help
students adapt and encourage connections between
students, we organize a Student Ambassador Program in
which a fourth-year student-mentor is matched with an
incoming third-year student. Our students find that their
peer mentors are invaluable resources, especially as they
prepare to apply for fourth-year rotations. The success of
the mentorship program is evidenced by the confidence and
excellence of our students, who are encouraged to apply for
rotations at tertiary care centers, sub-I rotations, audition
rotations, as well as internationally. Students have had
fourth-year rotations at such notable institutions like
Harvard, Johns Hopkins, the Mayo Clinic, Stanford, the
University of Washington and Yale.
There is a special student orientation when students arrive
in Arizona designed to familiarize them with the program.
Each student will have on-line access to our Arizona
Student Manual with all of the important lectures and
supplemental information for the year. Among the other
workshops, lectures, and activities, our statistician conducts
an introductory seminar in basic medical statistics.
Our Pediatric experience, which is distinct from Family
Medicine, is unique because students can have both inpatient and out-patient rotations during their third year. In
addition, students can pursue any Pediatric sub-specialty of
their choice.
Moreover, our Pediatric Curriculum
Consultant conducts life-style interviews and actively
participates in our Education Day program to help students
develop their skills in Pediatric Medicine.
Does your region have any Research Opportunities
to offer? If so please describe.
Students in the Arizona Region will discover a variety of
research opportunities that include; collaboration with
physicians in private practice who participate in clinical
trials, Maricopa Medical Center’s innovative approaches to
Emergency Medicine, cancer studies at TGen, as well as
other laboratory research at ASU. We encourage interested
students to explore the outstanding opportunities available
to them.
Site Visits
Hospitals do not conduct scheduled tours of their facilities for students. However, students who are interested in scheduling a
campus visit may do so by contacting the Rotation Site Coordinator.
Area Information
Located in the Valley of the Sun, our campus is minutes from Phoenix and Scottsdale. The diverse community is made up of a
population of approximately 4 million. The winters are mild while summers tend to be hot and dry. There is an average of 334
days of sunshine per year! The Valley of the Sun offers many forms of entertainment and activities for both families and for
those who are single. Outdoor enthusiasts will discover countless walking trails, bike paths, and local mountain hikes. The area
boasts numerous world-class golf courses, swimming pools, and tennis facilities in addition to its numerous shopping malls,
restaurants, and movie theaters. Sports fans can take in baseball spring training or attend any of the games played by major
professional teams that include: the Arizona Diamondbacks, the Phoenix Suns, the Arizona Cardinals, the Phoenix Mercury and
the Phoenix Coyotes. People interested in the fine arts enjoy our museums, the Phoenix Symphony Orchestra, and the Arizona
Opera. Those students who are unfamiliar with Arizona are surprised by the state’s geographical diversity. Easy weekend
getaways to Flagstaff (2 1/2 hrs.) and the Grand Canyon (4 1/2 hrs.) provide opportunities to ski and hike among the Ponderosa
Pine Forests. Those interested in exploring the red rock of Sedona find it an easy 2 hour drive.
Average cost of housing
Starts at $725/month for 1 bedroom. $850/month for 2 bedrooms
Nearest major airport
Phoenix Sky Harbor International Airport (PHX) is 20 miles from the ATSU
campus
Nearest expressway
I-60 is approximately 1.5 miles from the ATSU campus
Informational websites
www.atsu.edu
http://www.visitphoenix.com/index.aspx
http://www.visitarizona.com
www.phoenix.gov/visitors/index.html
Student Typical Day
Although each Arizona student has a schedule tailored to his or her interests, every student will have hands-on-experience
working in a hospital, a clinic, and a private practice. Students will spend four weeks at a single rotation site. Weekend rounds
and on-call schedules vary with rotation sites. Fourth year schedules vary based on the student’s goals and individual rotationsite selection.
The third-year student rotation experience and preparation required varies based on the specialty and site. For example, a
student on the Internal Medicine teaching service at Maricopa Medical Center will see assigned patients and report to the resident
prior to meeting with the staff physician. After the completion of rounds, patient care will encompass the remainder of the day.
Students will review charts, lab, x-rays and actively participate in procedures on their patients. At times, students will attend noon
lectures and prepare required presentations. Toward the end of the day, each student will admit those patients assigned to them.
17
Students on Surgery rotations report to their surgical preceptor and participate in the operating room as well as in the surgical
care of patients. Those students assigned to OB-GYN should report to their preceptors and be ready to participate in deliveries
and obstetrical care. Students on Anesthesia rotations will participate in patient care, including intubation, central line placement
and monitoring during anesthesia. Outpatient rotation assignments, including Pediatrics, Family Medicine, and Psychiatry begin
when clinics and offices open. Students should be prepared to evaluate patients and report findings to preceptors. Regular
discussions with preceptors will enable students to understand evaluation and treatment of those patients. The in-patient
Pediatric service follows a schedule similar to that described for Internal Medicine. The Radiology rotation will vary and involves
participation in interventional studies as well as x-ray interpretation.
While every rotation site schedule varies, there is always time to study and decompress. While we encourage students to
maximize their educational experience, we also want our students to learn the importance of healthy living. Students are
encouraged to learn how to balance their work, studies, with relaxation by taking advantage of the beauty of Arizona. Students
can join the YMCA that is conveniently located on-campus at no cost. There are also Intramural Team Sports sponsored by the
SGA (Student Government Association).
Notes
18
Illinois Region
Illinois Sites
Advocate BroMenn Medical Center
Bloomington/Normal
SIU Carbondale
Carbondale
SIU Quincy
Quincy
UnityPoint Health
Peoria
Regional Map
About Illinois
Capital
Springfield
Est. population
Land area
55,593 mi2
Largest cities
Chicago, Aurora, Rockford, Joliet, Naperville, Springfield and Peoria
Surrounding states
Indiana, Iowa, Kentucky, Missouri, and Wisconsin
19
Illinois Region
Advocate BroMenn Medical Center
Advocate Eureka Hospital
1300 Franklin Avenue, Suite 110  Normal, IL 61761  309.268.3502 or fax 309.268.3713
www.advocatehealth.com/bromenn
Timothy Buffey, DO
timothy.buffey@advocatehealth.com
Rotation Site Coordinator (On-Site)
Alicia Brandon
309.268.3502
alicia.brandon@advocatehealth.com
Amy Schiff
660.626.2568
660.626.2662 (fax)
aschiff@atsu.edu
The Site
Advocate BroMenn Medical Center (ABMC) is a regional referral hospital serving Bloomington/Normal, IL with advanced
Cardiac and Neurological Surgery departments. Thirty miles west of Bloomington/Normal is Advocate Eureka Hospital located
in Eureka, Illinois. It serves the rural area located between Bloomington/Normal and Peoria, IL. (Rural experiences are possible
in Eureka via a direct Interstate commute of 30 minutes. The commute involves good roads with light traffic). In addition to
these two hospitals, Advocate Medical Group ((http://www.advocatehealth.com/bromenn/body_noFAD.cfm?id=124) has 20+
practice locations and numerous joint ventures in Bloomington/Normal and the surrounding communities.
The combination of a rural hospital and regional medical center in one location allows the unique experience of multiple
rotations in both environments without the need to relocate. Advocate BroMenn Medical Center lies between the campuses of
Illinois State University and Illinois Wesleyan University. Multiple clinics are involved in the training program but travel within
Bloomington/Normal is easy; with 15 minutes or less commute time.
Electives are available in Peoria and Springfield but are true electives and would be at the student’s request. These rotations
would include Trauma Surgery, Level I Emergency Room experience, and Neonatal Intensive Care. While a commute to either is
about one hour, many students and residents have made the commute daily without difficulty.
Site Statistics
Admits
In-patient Surgeries
Out-patient Surgeries
Deliveries
ER Visits
10,910
3,352
206,378
1,565
43,235
City Population – Normal
City Population – Bloomington
Medical Staff
Size of Hospital – BroMenn
Size of Hospital – Eureka
50,519
74,975
365
224 beds
25 beds
Student Rotations
Most Core rotations will occur at Advocate BroMenn Medical Center or
outpatient clinics in the Bloomington/Normal area. In rare instances, rotations
may be scheduled out of town, but within driving distance. One to two rotations
could occur at Advocate Eureka Hospital if the student desires a rural
hospital/clinic experience.
Residency Programs
Family Medicine and Neurological Surgery, and Neurology (AOA accredited)
20
Students attend didactic sessions along with the interns and
residents. Didactics occur daily over lunch. They consist of
faculty physician lectures, journal club discussions, and
Osteopathic Medicine and Medical Procedure labs.
which is a one hour commute that is drivable without
relocation.
There are no formal call requirements for students.
rotation?
resources?
Occasionally, a student will be paired with a resident on
such rotations as Internal Medicine (Inpatient) or General
Surgery.
During the student’s Family Medicine
(Rural/Underserved) rotation one to two students and two
or three interns/residents may be assigned to the same
continuity of care clinic. Patient volume is sufficient to
provide adequate training for all.
24-hour access is available to the hospital’s library
resources, as well as to computers and internet.
Charting in many outpatient clinics is completely electronic.
Transition to an electronic chart is currently in progress in
the hospital. All labs, x-rays, and chart documentation can
be obtained electronically.
The majority of rotations will consist of one student with a
faculty physician.
No food allowance is provided for students.
Pagers are provided to students.
to
actively
Students are encouraged to participate in procedures. With
Family Medicine and Neurological Surgery, and Neurology
as the three residency programs, there are ample
opportunities for procedural experiences.
Is the hospital affiliated with other hospitals? What
other medical school affiliations does your facility
have?
ABMC is part of the Advocate Health Care system, which is
based in Downers Grove, IL. The system has over 200
sites primarily in the Chicagoland area, with 11 hospitals, 2
children’s hospitals, and 80 medical group locations.
ABMC is affiliated with Still OPTI/KCOM, but primarily
for elective Neurological Surgery rotations. We have no
other Core site affiliations at this time.
What is the trauma level of your emergency
department? If your emergency department is not a
Level I trauma center, will students have an
opportunity to rotate at a Level I trauma center?
Our Emergency Department is a Level II trauma center;
there is no Level I trauma center in Bloomington/Normal
so the acuity of patients is significant. Level I rotations can
be arranged as electives in either Springfield or Peoria,
Lockers are only available in the surgeon’s locker room
during surgical rotations. However, alternative safe storage
of belongings is available.
The community is large enough to provide a wide range of
living arrangements, educational and employment
opportunities, but still small enough to have distinct
communities feel.
The medical learning opportunities are also unique in that
the Family Medicine and Neurological Surgery, and
Neurology residency programs compliment, rather than
compete, with each other. The addition of the rural hospital
in Eureka also allows training in a rural environment as well
as experiencing medicine in the context of a Regional
Medical Center at Advocate BroMenn Medical Center.
Yes? We have had fourth year students do research for
Neurological Surgery rotations.
Site Visits
When are site visits scheduled?
Site visits are available upon request, Monday through Friday. Please schedule your visit at least two weeks in advance.
Who should students contact to set up a site visit?
Graduate Medical Education office at 309.268.3502
What is the site visit protocol at your site?
Bring white coat and school ID.
21
Area Information
Located in north Central Illinois, Bloomington/Normal is at the intersection of Interstate routes, 39, 55 and 74. The city is home
to the corporate headquarters of State Farm Insurance and Country Financial; as well as AFNI Inc., Electrolux North America,
and Mitsubishi Motors North American manufacturing facility, which helps support a regional airport with direct flight
connections to several large airports throughout the United States. An Amtrak station makes the city accessible by rail as well.
The hospital campus is bordered on the north by Illinois State University and on the south by Illinois Wesleyan University which
makes student housing reasonable.
The twin cities of Bloomington/Normal, IL are one contiguous metropolitan area with a combined population of over 125,000.
The two communities’ share many resources but they do function as separate governmental entities. The economic base is strong
due to the presence of State Farm Insurance as the major employer (www.statefarm.com) in the area and by being home to two
major universities. Information describing the two communities can be found at www.normal.org and
www.cityhall.ci.bloomington.il.us. Excellent schools, cultural events, and a wide range of employment options in an excellent
economic climate make the area an excellent choice for medical students with young families or spouses seeking employment or
advanced educational opportunities. Two public school districts serve the area including www.unit5.org and www.district87.org.
Excellent private schools are also available. Employment opportunities exist in medical fields, the insurance industry, light
manufacturing, agriculture, and education. The economy has remained strong for many years due to the mix of business,
commerce, and education.
Eureka, IL is a small rural community 30 miles northwest of Bloomington/Normal and information is available at
www.eurekaillinois.net.
Cost ranges from $500-1000/mo. with the opportunity to lower costs by sharing
with another student if desired.
Bloomington Airport (BMI) offers direct flights to several major US cities.
Amtrak connections to Chicago and St. Louis offer viable rail travel options.
Nearest expressway
Three major US interstates, I-39, I-55, and I-74, intersect here.
www.advocatehealth.com/bromenn
http://en.wikipedia.org/wiki/Normal,_Illinois
http://en.wikipedia.org/wiki/Bloomington,_Illinois
Student Typical Day
Rotation days begin at 5-6 a.m., when you wake up and finish any reading for the current rotation. You will arrive at the rotation
site by 7 a.m. to meet with your attending or do pre-rounds depending upon the rotation and attending. The commute is very
short no matter what side of town you live on.
From 7 a.m.-noon you will do rotations. There are lunch/noon conferences at least two times in a month, in addition to the
didactic schedule. Lunch is usually provided on those days. From 1-5 p.m. it is back to rotations. The time period depends upon
the rotation. On a General Surgery rotation, you are not likely to get away from the hospital until 8 or 9 p.m. Most other
rotations, you are done by 5 p.m.
Education sessions (didactics) are held daily. Attendance is required. Neurosurgery Case Review/Presentation begins at 7 a.m.,
followed by rotations until noon. Over the lunch hour there is a guest lecture, and the afternoon is concluded with an attending
lecture, resident’s lectures and case presentations, student lectures and case presentations, and journal club. These will usually last
until 5 p.m.
Although Advocate BroMenn has both Family Medicine and Neurological Surgery, and Neurology AOA-approved Residency
programs, there remains an intimate teaching environment which will provide many unique opportunities for the assertive
medical student. “During my Internal Medicine hospitalist rotation, I was the only medical student on service and was afforded
ample one-on-one time with residents and attendings”.
“During OB-GYN, I was able to first assist on several C-sections, laparoscopic procedures, and vaginal deliveries. On General
Surgery rotation, I had numerous opportunities to first assist on cholecystectomies, appendectomies, bowel resections, etc. – this
is very rare for a medical student. On my Psychology rotation I was again the only student on service and was able to spend
ample time interviewing patients both in the clinic and alone in the locked mental health unit. Rotating at the Advocate BroMenn
Family Health Clinic will allow you the occasions you need to perfect your examination and OMM skills. At Advocate BroMenn
I have opportunities given to me that are usually reserved for first year residents. Just remember your education is, indeed, what
you make of it. Don’t expect anyone to care about your education more than you. Seek to clarify expectations that physicians
have of you, read more than you think you should, and be a “go getter!”
22
Notes
23
Illinois Region
SIU Carbondale – Family Medicine Residency Program
Southern Illinois University School of Medicine
305 West Jackson Street, Suite 200  Carbondale, IL 62901  618.536.6621 or fax 618.453.1102  www.siumed.edu/cfpc
Andrew Yochum, DO
ayochum@siumed.edu
Amy Schiff
Trinka Pape
618.536.0226
618.453.1102 (fax)
tpape@siumed.edu
660.626.2568
660.626.2662 (fax)
aschiff@atsu.edu
The Site
The site can be described as an unopposed hospital-based preceptorship (no other residency program associated with the
hospital). The students benefit from being in an in-patient hospital program participating with residents in Obstetrics and
Internal Medicine rotations. The residents are active in the teaching and will let the student participate in procedures as desired.
Being unopposed greatly reduces the “procedure competition” among students and residents. The hospital-based aspect also
affords excellent didactics with a personal touch. On the flip side, the students benefit from a preceptor-based program in Family
Medicine, Pediatrics, Psychiatry, and Surgery rotations, which allows the student to be one-on-one with physicians. This affords
excellent learning from faculty. Because of this, students are generally first assist on the Surgery rotation, which allows
phenomenal hands-on learning. The Surgery rotation here is second to none in terms of allowing students to participate in the
procedures. The sky truly is the limit if the student so desires.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
47,000
387
146 beds
11,969
Surgeries
Deliveries
ER Visits
Outpatient Visits
6,636
2,007
33,356
120,920
Student Rotations
A majority of rotations are in Memorial Hospital of Carbondale or physician’s
offices within a 20 mile radius. The rest are completed at St. Joseph or Herrin
Hospitals. The Psychiatry rotation includes Harrisburg Medical Center.
Residency Programs
Family Medicine (AOA & ACGME dually accredited)
Possible Facilities
SIU Family Medicine
305 West Jackson Street
Carbondale, IL 62901
West Frankfort Family Medicine
2553 Ken Gray Blvd.
West Frankfort, IL 62896
Distance: 30 min
St. Joseph Hospital
2 South Hospital Drive
Murphysboro, IL 62966
Distance: 10 min
24
Herrin Hospital
201 South 14th Street
Herrin, IL 62948
Distance: 20 min
Memorial Hospital of Carbondale
405 West Jackson
Carbondale, IL 62901
VA Medical Center
2401 West Main
Marion, IL
Distance: 20 min
Core curriculum lectures and journal club are held
Wednesday afternoon in the Family Medicine Center.
Typically there will be four to five lectures by faculty,
outside physicians, and residents.
Students are also
included by having them presenting one of their required
oral case presentations during this time.
This depends on the rotation. Most rotations do not have
night call, except night float system during inpatient service.
rotation?
Inpatient medicine may involve the student working with
three residents and various attendings.
Most rotations are done on a one-to-one basis between
student and attending. There are opportunities where
students work with the resident team during Family
Medicine and Obstetrics.
to
actively
resources?
There is 24-hour access to the small libraries in the hospital
and the Family Medicine clinic, and there is 24-hour
internet access in hospital and clinic. There is wireless
internet available at Memorial Hospital of Carbondale.
Yes, SIU Family Medicine uses Practice Partner and SIH
uses Next Gen.
No
Pagers are provided for the students.
Yes, faculty often asks the students to perform procedures.
Students will be first assist on most surgeries.
Storage of personal equipment is in the student area of the
student/resident offices.
have?
Memorial Hospital of Carbondale is part of SIH (Southern
Illinois Health Care) which also runs Herrin Hospital and
St. Joseph Hospital in Murphysboro. The hospital is
associated with SIU School of Medicine.
department? If your Emergency department is not a
Memorial Hospital is not officially a Level I trauma center,
but the acuity approximates that of smaller Level I trauma
centers.
The hospital has been a teaching facility for 30 years. Both
medical school faculty and community physicians are happy
to teach the students. Although the hospital is not large, it is
the referral center for a wide area. The large international
community at SIU brings in medical challenges which
would not otherwise be seen in Southern Illinois.
No information provided.
Site Visits
This can be arranged individually with the students.
Leigh Ann Keyser, Rotation Site Coordinator.
Students will meet with the coordinator, Leigh Ann Keyser; Dr. Sara Malone, DSME; and one KCOM student/or an alumni
KCOM resident for a tour of the site and area.
Notes
25
Area Information
Carbondale is the home of Southern Illinois University. The population of Carbondale is 27,000 with an additional student
population of 20,000. Carbondale is a university town located in the heart of rural southern Illinois. SIU is the largest employer in
Carbondale, followed by the hospital.
Just south of Carbondale is the Shawnee National Forest and Giant City State Park. Five lakes are nearby. An abundance of
hiking, boating, hunting, and fishing opportunities exist in the area. Regularly scheduled concerts, art exhibits, and other cultural
events are sponsored by the city and the university.
The residents of Carbondale find it no surprise to have their city named the Best Small City in Illinois according to “Life in
America’s Small Cities,” by G. Scott Thomas. With its wealth of quality, affordable housing choices, residents can discover the
home of their dreams without the skyrocketing prices that plague residents of urban areas. Healthcare is perhaps the biggest
feather in Carbondale’s cap - with comprehensive healthcare facilities such as SIU Family Medicine Residency Program, Southern
Illinois Healthcare (SIH), and the Center for Medical Arts, Abundant Health Resource Center (AHRC), and a number of private
Osteopathic, Medical, Podiatric, and Dental practitioners.
For many people, education is a critical aspect of life, and Carbondale is proud of its schools and higher education resources.
Carbondale’s high school holds the distinction of being included in the top 100 high schools in the country. Southern Illinois
University at Carbondale, with its student population of over 20,000, is ranked number one in the automobile/technical field and
is also one of the few universities to offer a joint MD/JD degree program. In the neighboring city of Carterville, John A. Logan
College, a two-year junior college, has achieved the ranking as one of the top five junior colleges in the United States. Such
success is a direct result of the dedication and innovation exhibited by Carbondale’s school officials and teachers.
In addition to the affordable housing, technologically advanced healthcare systems, and stellar school systems, Carbondale
residents also enjoy many fine restaurants and abundant shopping opportunities. There are restaurants to suit everyone—fine
dining, ethnic dining, family dining, and fast food. Carbondale has become the center of retail activity in southern Illinois with a
thriving array of stores—both local and national retailers. Shoppers can find everything they need right here in Carbondale.
Approximately $500/month for a 1-bedroom
Williamson County Regional Airport (MWA) is 12 miles; Lambert-St. Louis
International Airport (STL) is 2 ½ hours
Nearest expressway
I-57 is 18 miles away
Student Typical Day
Inpatient rotations usually start by 6:30 a.m. The student is assigned patients on the inpatient medical service, and sees the
patients with the preceptor on other rotations. Outpatient rotations start between 8-9 a.m. The student is expected to attend
Monday chart rounds, depending on the location of their rotation, and all Wednesday afternoon lectures/conferences at the
Carbondale Family Medicine Center no matter what rotation they are on.
Notes
26
Illinois Region
SIU Quincy - Family Medicine Residency Program
Southern Illinois University School of Medicine
612 N. 11th Street  Quincy, IL 62301  217.224.8957 or fax 217.224.7950  www.quincyfp.org
Timothy Ott, DO
tott@siumed.edu
Amy Schiff
Mary Ann Epley
217.224.8957
mepley@siumed.edu
660.626.2568
660.626.2662 (fax)
aschiff@atsu.edu
The Site
The SIU Quincy Family Practice Center is located on the Blessing Hospital campus and is within walking distance of the
hospital. The Family Practice Center has 30,000 visits per year and a patient base of 11,000. We work closely with the Quincy
community physicians.
SIU is affiliated with Blessing Hospital. Blessing Hospital and its corporate services provide full medical, social and educational
programs for a service area of more than 150,000 people within a 50 mile radius and 275,000 people within a 100 mile radius. It
is a not-for-profit institution serving a rural, 23 county markets in the Tri-State area. Blessing has a medical staff of more than
240 physicians and employs greater than 2,000. They place strong emphasis on community wellness and comprehensive care.
Blessing is a 435 licensed bed health care facility in which acute medical services are concentrated including medical, pediatric,
surgical and obstetric services as well as the intensive care unit and Level II trauma center. Also at this facility are the skilled
nursing and rehabilitation units. Blessing has a state of the art cancer treatment center, a comprehensive cardiovascular center,
and a recently remodeled emergency medicine center with a heliport complex. Blessing is dedicated to medical education. In
addition to the Quincy Family Medicine Residency program it sponsors the Blessing-Rieman College of Nursing as well as
training for laboratory, radiology technology, surgical technology, respiratory therapy, phlebotomy, paramedic and EMT
programs. Blessing Hospital blends the best of the care and compassion of community hospitals with the latest technology and is
the area leader in the development and implementation of innovative hospital and home health services. The new in-patient
psychiatric unit will be opening in 2015.
Site Statistics
Blessing Hospital
City population
Medical staff
Size of hospital
Admits
In-Patient Surgeries
Out-Patient Surgeries
Deliveries
ER visits
Residency Programs
44,000
240
435
14,955
2,917
2,067
1,157
51,425
Family Medicine (Dually accredited)
27
Possible Facilities
East Adams Clinic
East Adams Clinic located in rural Golden, Illinois is a joint
venture between SIU School of Medicine and Blessing
Hospital and provides comprehensive medical care to rural
under and uninsured patients. Medical students will gain
experience in all aspects of patient care and will be exposed
to out-patient procedures.
Are students offered/encouraged to actively
resources?
Yes, guidance is provided by attending physicians.
Yes, The Blessing-Rieman College of Nursing Library has
24 hour access. Wireless internet is available at Blessing
Hospital and Quincy Family Practice Center.
have?
SIU Quincy Family Practice Center is affiliated with
Blessing Hospital and SIU-SOM.
Yes, Blessing Hospital, SIU QFM Clinic and East Adams
Clinic all use Allscripts EHR products.
Our emergency care department is a Level II Trauma
Center. If students seek experience at a Level I Trauma
Center, this would have to be done as an elective.
Yes
Call policy is rotation dependent. No hospital based call is
required.
No
Yes
None
Site Visits
Please contact the On-Site Rotation Site Coordinator to arrange site visits.
Area Information
Quincy is located along the bluffs of the beautiful Mississippi River. Quincy is noted for its natural and architectural beauty.
Quincy is ranked by Forbes Magazine as the 8th best small city to raise a family, and 4th in lowest cost of living and 7th in shortest
commute time.
Quincy offers a wide variety of cultural and recreational opportunities including staged works at the Oakley Lindsey Center,
Quincy Symphony Orchestra and Chorus, and exhibits at the Quincy Art Center, and Civic Music Association. Quincy’s 27 parks
provide homes for frequent concerts, parades and annual regional events such as the Dogwood Festival.
The community provides opportunities for higher education with Quincy University – a four year liberal arts college that awards
undergraduate and graduate degrees. Other educational opportunities include John Wood Community College, Blessing-Rieman
College of Nursing and Vatterot College. Quincy’s excellent primary and secondary schools have a national reputation for
innovative curricula and achievement. In addition to the public schools, an outstanding network of parochial and Christian schools
provides quality education.
Ray & Joan Kroc Corps Community Center – A $24.5 million dollar 96,000 square foot facility opened September 2011, with
programs to promote community wellness. It will be available for all income levels and will include centers for teen activities,
fitness and aquatics, worship and community programs.
28
Housing costs varies depending on the size, number of bedrooms, and location.
However, the average cost of housing for an existing family home is $74,000.
Quincy provides a very affordable housing market.
Quincy Regional Airport is located in Quincy, Illinois and is owned by the City of
Quincy
Nearest expressway
I-172 and I-110(Chicago-Kansas City)/336
Other modes of transportation
Amtrak’s roundtrip to and from Chicago, Trailways Bus System
Informational websites:
www.quincyfp.org
www.seequincy.com
Student Typical Day
Daily schedules will vary depending on the site where student is doing rotation.
Inpatient rotations usually start at 8 a.m. The student is assigned patients on the inpatient medical service, and sees the patients
with the preceptor on other rotations.
Outpatient rotations start between 8-9 a.m. The student is expected to attend daily noon conference/lectures when on site.
Notes
29
Illinois Region
UnityPoint Health—Methodist
221 NE Glen Oak Avenue  Peoria, IL 61636  309.672.5522  www.mymethodist.net
Amanda Wright, DO
815 Main Street, Suite B
Peoria, IL 61602
Phone 309.672.4593
amanda.wright@unitypoint.org
Mary Durdel
815 Main Street, Suite B
Peoria, IL 61602
Phone 309.672.4598
Fax 309.672.4592
mdurdel@uic.edu
Amy Schiff
660.626.2568
660.626.2662 (fax)
aschiff@atsu.edu
The Site
“The Point of Unity is you.”
With almost 600 board-certified physicians backed by a dedicated team of healthcare professionals who combine high-tech
medicine with genuine warmth and caring, UnityPoint Health—Methodist provides coordinated clinic, hospital and homebased care for patients in Central Illinois.
UnityPoint Clinic offers comprehensive services in: Family Medicine, Internal Medicine, Pediatrics and a wide variety of
specialty services in more than 30 convenient clinic locations throughout the Region to meet all the health care needs of the
Community. UnityPoint Clinic puts the patient at the center of care, assisting in every way possible to provide the best level of
health and well-being.
UnityPoint Health—Methodist is also home to Methodist College of Nursing, dedicated to providing the best nursing
education, and the Family Medicine Residency Program of the University Of Illinois College Of Medicine, where we train
tomorrow’s family physicians, today.
Site Statistics
City Population
Service Area Population
Medical Staff
Size of Hospital (beds)
Admissions
Out-patient Procedures
115,000
375,000
594
329
16,682
3,107
36,684
Student Rotations
Deliveries
ER Visits
Out-patient Visits
1,779
78,031
121,651
**Above information is based on 2010 fiscal year.
Volume has been increasing each year.
The majority of rotations will take place at UnityPoint Health - Methodist and
UnityPoint Clinics with additional opportunities available in the surrounding
Central Illinois community.
Daily noon conference lectures are presented by faculty,
community physicians, and guest speakers. We have
recently expanded our OMT offerings to include OMT
didactics and OMT clinic up to 5 times a month.
30
rotation?
It varies with each individual rotation.
Due to the small class size, we do our best to keep all
clinical interactions one-on-one with the attending or
specialist. There will also be significant exposure to Family
Medicine residents, especially on Medicine and Obstetrics.
Yes, with guidance from an attending physician.
have?
UnityPoint Health - Methodist is part of the UnityPoint
Health System. We are affiliated with the University Of
Illinois College Of Medicine at Peoria. Students also have
the option to do elective rotation as OSF Saint Francis
Medical Center.
The Emergency Department is a Level II Trauma Center
with physicians, operating room staff and laboratory
services available 24 hours a day, 7 days a week, 365 days a
year. There are over 78,000 ER visits per year.
The on-call policy will coincide with the attending
physicians. It varies with each rotation.
resources?
Yes, students will have access to Up-To-Date and the
University of Illinois College of Medicine’s library.
Yes, EPIC is being used for both inpatient and outpatient
records.
Food will be provided to the student at various on-site
noon conference lectures and grand rounds events and at
the hospital.
Is there a housing allowance and how much?
Not at this time.
Not at this time.
Yes, students will have a common, secure home base area in
the Methodist Family Medicine Residency.
The University Of Illinois College Of Medicine at Peoria
encourages medical students to participate in their lectures.
This is especially true for the Methodist Family Medicine
Residency with Noon Conferences, monthly 3-hour
Conferences and Grand Rounds as well as Methodist
Psychiatry Residency’s Grand Rounds lectures.
Yes, with guidance from a faculty member involved in
research.
Site Visits
As mutually agreed upon by the program coordinator and the student.
Mary Durdel (see contact information at the start of this section)
Area Information
Welcome to the Peoria Area where an easily accessible, metropolitan lifestyle meets stunning natural beauty! Prominently located
at a crossroads between Chicago, St. Louis, Indianapolis and Des Moines, the greater Peoria metropolitan area has a population
of over 375,000 with 1 million people living within a 60-mile radius. Discover for yourself the heart of the city and its endless
stretches of wooded riverbanks and hiking trails, while exploring the region’s unique options for shopping, dining and adventure.
With hot summers and crisp winters, dazzling fall foliage and brilliant spring blooms, Peoria combines the amenities of the city
with the beauty and serenity of the Illinois countryside. Thousands of acres of parks feature attractions such as Glen Oak Zoo,
Wildlife Prairie Park, bicycle, golf courses, tennis courts, indoor skating, concerts and a riverfront area complete with steamboat
and maritime museum. The Peoria Civic Center hosts live Broadway shows, concerts by well-known entertainers, a civic ballet,
an opera company, symphony, Rivermen hockey and Bradley University basketball. Join us and be a part of a vibrant
community that enjoys numerous festivals, national and international sporting events, exceptional golf courses and world-class
art and culture. Students are attracted by the welcoming atmosphere and reasonable cost of living in this inviting community.
Please visit the following websites for more information about the community, schools, and religious organizations.
http://www.ci.peoria.il.us
http://www.localschooldirectory.com/city-schools/Peoria/IL
http://www.usachurch.com/illinois/peoria/churches.htm
31
Student Typical Day
Inpatient rotations at UnityPoint Health—Methodist typically begins at 6:30 a.m. where the student would be assigned to their
patients to follow under resident/attending supervision. Outpatient rotations typically begin at 8 or 9 a.m. and conclude by
approximately 5 p.m. daily. Students are expected to attend daily noon conference lectures in the Department of Family Medicine
and attend at least one OMT Clinic per month. Students are also responsible for presenting oral cases, written cases, journal club
cases and assisting with at least one OMT lecture.
Notes
32
Michigan Region
Michigan Sites
DMC Huron Valley-Sinai Hospital
Commerce
DMC Sinai-Grace Hospital
Detroit
Genesys Regional Medical Center
Grand Blanc
Metro Health Hospital
Grand Rapids
Oakwood Southshore Medical Center
Trenton
St. John Macomb-Oakland Hospital–Macomb Center
Warren
St. John Macomb-Oakland Hospital–Oakland Center
Madison Heights
Regional Map
About Michigan
Capital
Lansing
Est. population
Land area
56,809 mi2
Largest cities
Detroit, Grand Rapids, Warren, Sterling Heights, and Lansing
Surrounding states
Indiana, Ohio, and Wisconsin
33
Michigan Region
1 William Carls Drive  Commerce, MI 48382  248.937.5085  www.hvsh.org
Director Student Medical Education
John Sealey, DO
313.871.3751
driverjws@aol.com
Rotation Site Coordinator
Sonya L. Williams
313.745.1480
313.966.0880 (fax)
slwilliams@dmc.org
slwilliams@atsu.edu
The Site
Huron Valley-Sinai Hospital, located in Commerce Township, Huron Valley-Sinai Hospital is among the area’s top healthcare
providers. With the start of its AOA accredited programs in 2004, Huron Valley-Sinai was the first institution in the Detroit
Medical Center (DMC) to offer osteopathic graduate and undergraduate training. As the top provider of medical care within its
market, Huron Valley-Sinai provides residents and students an excellent opportunity to gain exposure to a wide range of
pathology and diagnoses in specialties such as cardiology, pulmonary and critical care medicine, gastroenterology, geriatric,
neurology, nephrology, infectious disease as well as the surgical specialties.
Huron Valley-Sinai Hospital gives patients access to unparalleled technology, internationally known physicians, and innovative
treatments. This hospital features the Harris Birthing Center with all private birthing suites, The Charach Cancer Treatment
Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient
diagnostic care. For emergency, obstetrics and ambulatory surgery; Huron Valley-Sinai consistently ranks among the top
hospitals in the nation.
Huron Valley-Sinai Hospital has earned the distinction of being among the top hospitals in the area and nation in patient
satisfaction. Its staff continues to provide the warm, personalized care for which it is known. The hospital’s affiliation with the
DMC, one of the nation’s leading academic medical systems, provides a depth of resources and expertise available at few
community hospitals. Patients benefit from advanced medical technology, new treatments, and expert physicians and nurses – all
close to home. The hospital’s spacious campus, adjacent to an orchard in Commerce, provides an unusually pleasant and
tranquil environment. The hospital facilities are specially designed to be accessible and comfortable with warm and appealing
décor, gardens, and works of art.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
Outpatient Visits
40,186
643
198
9,328
7,310
1,287
36,184
87,828
Student Rotations
Family Medicine, Pediatrics, and Psychiatry may be completed at nearby
facilities.
Internships
Traditional
Residency Programs
Radiology, Otolaryngology-Facial Plastic Surgery, ENT, Urological Surgery,
Internal Medicine and Family Medicine.
Site Visits
Please be aware that the sites in the Michigan region have worked together to set up a tour schedule that will enable you to visit
all sites in a two-day period. In the event you wish to skip a site on the tour, you must contact Kathy Hall. We realize that all
students may not wish to visit all sites, but this schedule is arranged and provided to be fair to all sites and to discourage random
visits. Safety and security are important issues at all sites and being organized is the key to a successful tour. If you desire a tour at
a time not listed on the schedule below, you must contact the individual site coordinator. On all tours, please dress appropriately
and professionally, (no jeans, sandals, etc.).
34
The following schedule for the Michigan Site Tours is organized both to allow a sufficient amount of driving time for students to
safely reach each site, and to ensure the tour arrangements will be an enjoyable as well as an informative experience. Please allow
at least 2½ hours driving time from Metro Health to Genesys; 90 minutes to Henry Ford Wyandotte; and 45 minutes to DMC.
The dates for the Michigan region tours are: June 1-2, June 29-30, and September 21-22, 2015. No tours will be
conducted during orientation week for each site. No tours will be conducted on weekends or holidays. Dates are
subject to change.
The tours will take place as follows:
Metro Health Hospital - Grand Rapids: Monday, 8-10 a.m.
Genesys Regional Medical Center - Grand Blanc: Monday, 1-3 p.m.
Oakwood Southshore Medical Center - Trenton: Tuesday, 8-9:30 a.m.
St. John Macomb-Oakland Hospital, Macomb Center - Warren: Tuesday, 10-11 a.m.
St. John Macomb-Oakland Hospital, Oakland Center - Madison Heights: Tuesday, 11:30 a.m.-12:30 p.m.
DMC Huron Valley-Sinai Hospital - Commerce: Tuesdays 1-3 p.m. (June 2 & September 22 only)
DMC Sinai-Grace Hospital - Detroit: Tuesday, 1-3 p.m. (June 2 & September 22 only)
Who should students contact to set up site visits?
Contact Kathy Hall, Rotation Site Coordinator at Genesys Regional Medical Center, at 810.762.4145, khall@genesys.org, or
khall@atsu.edu for all Michigan tours. If you are running late for a tour, please contact the coordinator at the site you are
traveling to. A complete packet including agenda, contact number, directions to each site, and other pertinent information will be
sent to each student who signs up for a tour.
Notes
35
Michigan Region
DMC Sinai-Grace Hospital
6071 West Outer Drive  Detroit, MI 48235  313.745.1480 or fax 313.966.0240  www.sinaigrace.org
John Sealey, DO
313.871.3751
driverjws@aol.com
Sonya L. Williams
313.745.1480
313.966.0880 (fax)
slwilliams@dmc.org
slwilliams@atsu.edu
The Site
The US News and World Report ranked DMC Sinai-Grace Hospital as the 9th best hospital in metro Detroit and the 11th best in
the state and one of 10 hospitals in the nation to be awarded a Robert Wood Johnson Foundation grant to set the standards of
cardiac care for hospitals and physicians throughout the nation. Sinai-Grace Hospital is the largest healthcare facility of the nine
operating within Detroit Medical Center (DMC). Dedicated to providing the ultimate patient experience, Sinai-Grace Hospital is
a full-service hospital with over 800 physicians, 700 nurses, and more than 1,800 additional health care professionals. As a
demonstration of Sinai-Grace’s commitment to osteopathic medical education, the hospital administrators and staff physicians
have enthusiastically embraced this objective and have devoted themselves completely to the training of these future physicians.
With more than 214,000 patients annually, Sinai-Grace Hospital offers care for individuals of all ages and stages of life, from a
well-regarded Obstetrics Unit for new mothers and their babies, to comprehensive medical and surgical specialties for routine
and complex conditions. The hospital is committed to serving the needs of the community through high quality inpatient and
outpatient diagnosis and treatment as well as community education to promote good health. Our full spectrum of services
encompasses 40 specialties including top rated Cardiology, Emergency Medicine, Oncology, and Orthopaedic Surgery programs.
Sinai-Grace operates more than 25 ambulatory sites and surgery centers, including the Lasher Ambulatory and Berry Surgery
Centers.
Sinai-Grace is completing construction on the new Emergency Department, Intensive Care Units, Radiology Department and
lobby that will dramatically upgrade care and comfort for DMC Sinai-Grace patients – while also bringing an economic boost to
northwest Detroit. The Emergency Medicine Department currently treats over 84,000 patients each year. The commitment to
outstanding customer service is reflected in the 29 minute guarantee in which the hospital promises that you will see a physician
within 29 minutes of registering in the Emergency Department.
Sinai-Grace Hospital’s kitchen can provide ethnic, kosher or special meals upon request. The hospital provides on-site pastoral
care and rabbinical services. The chapel, Hebrew prayer room and Muslim prayer room offer patients and their families a quiet,
intimate place to pray and seek peace.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
713,777
897
382 beds
18,775
415,689
1,512
ER Visits
Outpatient Visits
134,755
93,988
Internships
Traditional
Residency Programs
Anesthesiology, Diagnostic Radiology, General Surgery, General Vascular
Surgery, Otolaryngology & Facial Plastic Surgery, Orthopaedics, Internal
Medicine, and Urological Surgery
36
Possible Facilities
DMC Hutzel Hospital
1 William Carls Drive
Commerce, MI 48382
248.937.3000
www.hvsh.org/hvsh
Distance: 35 minutes
4727 St. Antoine
Detroit, MI 48201
Rotations: OB/GYN
Detroit Central City Community Mental Health
3990 John R
Detroit, MI 48201
Rotations: Urology
10 Peterboro
Detroit, MI 48201
Rotations: Psychiatry Primary Care Center
6001 West Outer Drive
Detroit, MI 48235
313.966.9444
Distance: Next Door/Sinai-Grace Campus.
Rotations: Internal Medicine and Surgery Clinics
DMC Harper Hospital
DMC Children’s Hospital of Michigan
3901 Beaubien
Detroit, MI 48201
Rotations: Pediatrics, ENT
Sinai-Grace Hospital
Medicine: Daily at 9 a.m. on Monday-Friday and noon
conferences three times a week.
Obstetrics/Gynecology: Monday at 8 a.m., Wednesday at
noon, Thursday at 8 a.m., and Friday at 8 a.m.
Emergency Medicine grand rounds: Thursday at noon.
Surgery grand rounds: Friday at noon.
Academic Day: KCOM Students ONLY: Every other
Wednesdays from 2-5 p.m.
Academic Day/OMM Lecture: Every Wednesday at noon
(ALL DMC Medical Students).
rotation?
The number of students on rotation at one time varies
depending on the rotation; however, it is kept to a
minimum to ensure a good experience.
Students are one-on-one with an attending and/or resident
throughout the rotation.
Yes, students are encouraged to participate in a wide variety
of procedures.
have?
The other hospital affiliates of the Detroit Medical Center
are Harper Hospital, Children’s Hospital of Michigan,
Hutzel Women Hospital, Detroit Receiving Hospital,
Rehabilitation Institution of Michigan, Huron Valley-Sinai,
and Michigan Orthopedics Specialty Hospital and Pontiac
Osteopathic Hospital. The other medical school affiliations
are Michigan State University and Wayne State University.
Sinai-Grace is a Level II trauma center. Although this is a
Level II trauma center, Level I cases are treated in the
department.
Huron Valley-Sinai Hospital is a Level II trauma center.
Students take call on Obstetrics/Gynecology, Internal
Medicine, and Surgery. Call is assigned by the department.
resources?
Yes, students have 24-hour access to the library and internet
resources by way of ID badge. The library has a wide range
of medical resources, computers, and helpful and
knowledgeable staff.
Yes
Students receive a meal stipend during core and required
rotation months.
All students are provided with text pagers.
All students are provided a locker.
37
The DMC hospital system offers complete medical
education and outstanding learning opportunities in an
environment with a wide variety of Pathology. Students are
able to get more hands on teaching opportunities. We have
a large patient population that gives students the
opportunity to get exposure level of training that they may
never experience anywhere else.
Research opportunities are available to students throughout
the Detroit Medical Center on an individual bases. Students
must meet with the DSME for approval to participate prior
to making a commitment.
Site Visits
subject to change.
Area Information
The DMC downtown campuses are not far from many of the Detroit attractions such as the Detroit Renaissance Center, Detroit
Historical Museum, the newly redesigned Detroit Institute of Art, Detroit Science Center with IMAX® Dome Theater, the
largest African American Historical Museum in the world, Orchestra Place, Detroit Opera House, Fox Theater, Hockey Town,
Hard Rock Café, Mexican Village, Greektown, Greektown Casino and Hotel, the new MGM Casino and Hotel, the Motorcity
Casino and Hotel, Cobo Arena place for the North American Auto Show, Joe Louis Arena—home to the Detroit Red Wings,
Comerica Park—home to the Detroit Tigers, Ford Field—home to the Detroit Lions, the Fisher Theatre, Belle Isle Park, Hart
Plaza (summer world festivals and concerts), symphony, ballet, (all within a five mile radius), and an international airport.
Cost varies depending on location. Based on the surrounding suburban area
approximately five to seven miles from the hospital: $650 a month for 1-2
bedrooms; $900 a month for 2-3 bedrooms.
Detroit Metropolitan Airport (DTW) is approximately 20 minutes from the
hospital.
Nearest expressway
Hwy. 10 is less than a mile and Hwy. 39 is less than five miles.
38
www.detroitchamber.com
www.visitdetroit.com
www.michigan.gov
Student Typical Day
There really isn’t a typical day given the fact that each rotation marches to a different beat depending on the preceptor, student
expectations, and even teammates. Internal Medicine is a two month rotation and one of the more consistent ones, so here is an
idea of a typical day on an IM rotation at DMC.
Each student is assigned to a team consisting of an attending, a resident, two interns and another student (PA or Podiatry). The
resident is really the one who is in charge of the running the team’s daily responsibilities. While on Internal Medicine, the medical
student is assigned about 2-3 patients for whom he/she is responsible for knowing everything. This means that from admission
to discharge you should know what is going on with this patient starting from the admission H & P to the discharge status of the
patient. This includes daily SOAP notes regarding the patient’s progress, any changes in meds or medical status,
recommendations by various consulting physicians, etc. Ask your interns to show you where things are the first time.
A typical day in Internal Medicine for the medical student starts between 6:30-7 a.m., (depending on how many patients you are
assigned and how long it will take you to write a SOAP note), so that you have seen your patients and are ready to present during
team rounds at 7 a.m. Team rounds (and this may change slightly with each team) are between 7-9 a.m. with variation based on
attending’s and/or resident’s preference. Each team also has an hour-long Cardiology lecture/discussion once a week based on a
current patient. At 9 a.m., there are morning didactics—case-based discussion led by chief medical residents (CMRs)—which
everyone is expected to attend. From 10 a.m. - noon, the team goes back to doing whatever floor responsibilities they have.
As a medical student, if you are done with your patients, offer to help with any procedure, getting imaging results read in the
various departments, calling up, helping out with discharge forms, etc. All this depends on how proactive you are and what your
resident and interns feel comfortable assigning to you. At noon, there is another didactic lecture with mandatory attendance.
After this, each team goes back to finish loose ends and can leave for the day whenever done. There is no time limit on this, but
residents are responsible for making sure that they don’t exceed the 80-hour limit. The medical student may go home as early as
2 p.m. or much later if something complex comes up with the patient he/she is in charge of.
Every week, each team has a short-call day, when they admit 5 patients; the medical student may be assigned 1-2 patients on this
day. There is also a long call day, during which the team admits 10 patients and does overnight call (7 a.m.-1-2 p.m. the next day).
This also includes being the team who responds to all codes. The medical student in this case is expected to assist with CPR and
perhaps other procedures as deemed appropriate by the resident who runs the code. The team is also in charge of cross-coverage
of taking emergencies/critical values for other teams once they sign off during the long-call day.
Having said all of the above, it is worth noting that this may vary from day to day and also depends on the individual team and
the way the resident chooses to run things.
Notes
39
Michigan Region
One Genesys Parkway  Grand Blanc, MI 48439  810.606.5000  www.genesys.org
Regional Assistant Dean
Richard J. LaBaere II, DO, MPH, FAODME
Still OPTI Academic Officer
248.840.4503
rlabaere@atsu.edu
Kathy Hall
One Genesys Parkway
Room 2610
Grand Blanc, MI 48439
810.606.5620
810.606.5625 (fax)
khall@genesys.org
khall@atsu.edu
The Site
Genesys Regional Medical Center is located on 478 acres in Grand Blanc, Michigan. Surrounded by nature, this 410 bed state-ofthe-art learning institution provides a healing environment with an emphasis on disease prevention and quality care. Genesys is a
teaching organization with over 700 DO’s and MD’s working together to provide quality education and excellence in patient
care. Genesys is part of the value-based organization, Ascension Health System, where we are called to: Service of the Poor,
Reverence, Integrity, Wisdom, Creativity, and Dedication.
Genesys Health System is a group of affiliated medical campuses, outpatient centers, primary care locations, and ancillary health
care organizations with a mission and history of improving our community’s health for nearly 80 years. As the leading health care
provider in mid-Michigan, Genesys is anchored by a 21st century inpatient facility – Genesys Regional Medical Center at Health
Park – one of the first medical centers of its kind, built both clinically and architecturally around a patient-focused care
philosophy. With annual revenues of over 320 million, Genesys is a regionally integrated health care delivery system comprised
of a complete continuum of care, primarily servicing Genesee, Shiawassee, Lapeer, Oakland, Livingston, and Tuscola counties
with an additional four counties in the secondary market. Over 130 family physicians in the Genesys network act as health
advocates, offering ready resource to outpatient ambulatory care, physical medicine treatment, substance abuse/addiction
treatment, and mental health services. Recuperative or extended care is available at Genesys Convalescent Center, and Genesys
Hospice provides a much-needed care base for those with a life-limiting diagnosis. In addition, Genesys offers numerous inhome services including home health care, pharmaceutical/medical supplies and equipment, respite care, and other related home
care personnel and services. For those immediate urgent or emergent needs, Genesys provides after hours clinics and a state-ofthe-art emergency room ready to handle any major illness or injury.
Site Statistics
OP Surgeries
Ambulatory Surgeries
Deliveries
ER Visits
10,177
6,468
2,189
64,873
Grand Blanc Area Population
Medical Staff
Size of Hospital
Admits
IP Surgeries
350,000+
675
410 beds
21,199
5,410
Student Rotations
Most of the rotations are completed at Genesys Regional Medical Center.
Internships
Traditional Rotating
Residency Programs
Emergency Medicine (AOA & ACGME accredited), Family Medicine (AOA &
ACGME accredited), General Surgery, Internal Medicine, Obstetrics and
Gynecology, Orthopedic Surgery, Podiatry, and Radiology (Diagnostic)
Fellowship Programs
Pulmonary Medicine/ Critical Care, Gastroenterology, and
Hematology/Oncology
40
Possible Facilities
Genesys Health Park
One Genesys Parkway
Grand Blanc, Michigan 48439
810.606.5000
Base Hospital/Most Rotations here
Genesys East Flint Campus Family Health
Clinic
1460 Center Road
Burton, Michigan 48509
810.606.5000
Distance: 10 minutes. Rotations: Underserved
McLaren Regional Medical Center
Beecher and Ballenger Road
Flint, Michigan 48532
Distance: 10 minutes.
Rotations: Some Radiology, Internal Medicine
Family Medicine rotations are anywhere from less than
five minutes away to 30 minutes for some rural rotation
sites.
Pediatric rotations are 10-20 minutes away from GRMC.
The Psychiatry rotation is with a private physician about
an hour south of Genesys in Sterling Heights.
Morning Report - Daily
Noon Lecture - Monday & Wednesday
Tumor Board - Tuesday
Congdon Lecture Series - 2nd Wednesday of the month
Tuesday Academic Day 1-5 p.m. All third year students’
present cases and journal reviews using PowerPoint format,
physical exam teaching on most specialties, casting and
suture clinics, OMT, EKG and chest x-ray review.
Rotation – specific lectures on service.
Career Planning – personality profiling, residency
application and interview training.
rotation?
It just depends on the rotation. Some rotations just have an
intern/resident and student.
There are usually many opportunities for a student to be
one-on-one with an attending or a resident.
Absolutely, with the guidance of the attending or his
residents, participation is greatly encouraged. In addition, it
is the student’s responsibility to be proactive and show
interest in the rotation. There are many opportunities for
students to perform procedures or assist residents and
attending.
have?
MSU (Base max 20 students). Visiting students are allowed
only 2 rotations. 200+ students visit yearly.
Level II. The only reason we are not a Level I is the absence
of a neurosurgeon on duty 24-7. We have neurosurgeons
with offices in the hospital.
Obstetrics, Surgery, and some Internal Medicine calls.
Students have requested more on-call time to prepare them
for their internships.
resources?
Yes, plenty of computers and the most helpful library staff
and computer techs around. The library is open around the
clock and you enter with your ID badge.
Electronic charting has successfully been up and running
since April of 2005 and only used by nurses and some
residents at this time.
The students receive $200 a rotation. Plenty of food and
meals are available in the physician’s dining room and
various journal clubs and lectures also provide meals.
Yes, text pagers are provided to the medical students.
Yes, there are designated areas for medical student lockers.
Genesys Regional Medical Center is totally committed to
education.
41
On site KCOM Coordinator involved with every aspect of
the students’ education and supported by the Genesys
Medical Education Staff.
Competitive intern/resident salary, benefit package with
professional development educational allowance and paid
time off.
23 surgery suites, 3 cardiac cath labs, 24 OB/LDRP suites.
One of the most technologically advanced hospitals in
Michigan.
DO’s and MD’s are excellent preceptors enhancing the
educational advancement of the students.
Electronic Charting.
Kodak, AGFA are digital x-ray systems.
Genesys has an online “Redbook” for students to schedule
and track available rotations.
Genesys Medical Education financially supports a
membership to our state of the art, on-site athletic center.
Everyone takes pride in their role at Genesys Regional
Medical Center.
Full-time Research Department available to students.
Comfortable student, intern, and resident on-call rooms are
available.
Site Visits
subject to change.
Area Information
The city of Grand Blanc is located in southeast Genesee County, 10 miles south of Flint and 60 miles north of Detroit. The city
itself occupies an area of approximately four square miles. The population in the city of Grand Blanc is 8,242. The downtown
area includes several unique restaurants, shopping malls, and boutiques. Quaint streetlights and brick pathways make it a pleasant
place to stroll or browse. In the township of Grand Blanc the population is 32,150. The city and township are much sought-after
communities dotted with golf courses, sprawling mature subdivisions, and farmland with over 25 new planned communities
under development. Genesys Health Park occupies over 400 acres in the Grand Blanc Township.
42
Employment opportunities are widespread in and around this area. Many businesses offer on the job training to potential
employees. General Motors still employs a vast percentage of area people in their plants. Professional health care workers have
career opportunities at the three major area hospitals. This area employs many teachers and instructors of schools and colleges.
Churches and places of worship are abundant in the area. There is something for everyone. Diversity is demonstrated by the
many cultures that offer a place to carry on tradition and spiritual growth. Many provide their own schools as well. Educational
opportunities in the Grand Blanc area are top of the line. The elementary, middle, and high schools are always rated in the top
three in the state, if not number one. The residents of Grand Blanc have many options when choosing schools for their children.
Both public and private institutions are located within and around the city. Charter school options are available nearby. Several
major colleges and universities offer off-site campuses in the area for educational advancement.
Entertainment in the surrounding area is abundant. The Grand Blanc area alone offers concerts, movie theatres, plays, art fairs,
races, and festivals for all ages. There are many wonderful eateries in the area. In just ten minutes you can find the Cultural
Center of Flint and enjoy Whiting Auditorium, the Planetarium, and the Flint Art Institute at the University of Michigan (Flint
Campus), the Children’s Museum, Flint Public Library, and much more. Twenty minutes south offers mega shopping malls,
restaurants, concert venues, museums, libraries, and a very upscale nightlife.
Sports in the Grand Blanc area are very competitive for all ages. The high school athletic achievements are outstanding. The area
offers many cultural and sport organizations for children and adults outside of school as well. Downtown offers a newly
constructed skate park for skateboarding and rollerblading enthusiasts. There is an abundance of parks, ball fields, and basketball
courts and soccer fields (indoors and out) available for everyone to enjoy the beautiful outdoors. Hop on I-75 and you can get to
a professional basketball game in 20 minutes and a professional baseball, football, or hockey game within 60 minutes. In
addition, Grand Blanc offers all of the winter and summer sports activities that keep Michigan known as a “winter and summer
wonderland.”
Depends on size, number of bedrooms, location, etc. Most students stay in
apartments closest to the hospital. The average apartment may start around
$600/month and up. The cost of purchasing a home is wide open depending on
the size and location. The Michigan Live website can give you an all-around price
range and virtual tours of the sites.
Bishop International Airport (FNT) is 10 minutes away from Genesys Regional
Medical Center; Detroit Metropolitan International Airport (DTW) is about 1½
hours.
Nearest expressway
Genesys Regional Medical Center is located right off I-75, US 23, I-69 and I-475
www.mlive.com
Student Typical Day
The moment you walk into the Genesys Regional Medical Center you will be amazed by both the superficial aesthetics and the
underlying medical structure. The atrium is set out much like your standard Ritz-Carlton, with high back chairs in which to rest,
waterfalls to calm, and piano twinkling in the background to complete the experience. But beyond the atrium, the cutting-edge
technology is abundant. However, the student experience is not lost in what may seem like an overwhelming medical structure.
One will find that not only are there didactics and educational opportunities arranged specifically for all third year medical
students, but most rotations offer their own complement of “talks” and learning specifically geared toward students. Your
schedule will vary greatly from month to month, but laid out below is a typical schedule on an internal medicine rotation. In
addition, all students have the support and guidance of their own KCOM Coordinator and Dean, as well as, an outstanding
medical education department staff.
7-8 a.m. – morning didactic; 8-9 a.m. – pre-round on your patients; 9 a.m.-noon – round with the “team” (attending, residents,
and students); Noon-1 p.m. – noon didactic on Mondays and Wednesdays; 1-5 p.m. – check labs, write orders, read up on your
patients’ pathology, and hopefully, discharge patients; 5-6 p.m. – go work out at the massive gym and run into everyone from the
hospital!
The Surgical rotations tend to require the greatest time commitment, but are also very rewarding. For Surgery, you will arrive at
the hospital before dawn (5-5:30 a.m. to be exact), round on your patients, meet for sign-out, and hustle off to the OR. Then,
you are assigned to work with a surgeon and his designated resident, and will scrub in on all of their surgeries (incredibly variable;
from two to five). If your interest lies in the area, you can always hunt down more surgeries in the afternoon with another
attending. Thankfully, there is plenty of time between surgeries to read or better yet, round with the attending and residents and
learn about the medical management of surgical patients.
You also find yourself contributing a lot to the care of your Obstetrics/Gynecology patients, and the schedule is fairly similar to
that of Surgery. Arrival is 6 a.m. (6:30 if on GYN) to round on the Obstetrics patients, and sign-out at 7 a.m. Then get ready to
43
start delivering babies! It is amazing how much they will let you do on this service, as you will be able to catch a baby or two just
about every day. Also, there are daily didactics with the attending, and weekly conferences with the residents. Gynecology is very
similar to Surgery in that you will typically be second assist (so you can actually see and do quite a lot!) on 3-5 surgeries daily.
Finally, Anesthesia starts early at 7 a.m., where you will work mainly with the nurse anesthetists, and will actually get to intubate
patients as well as learn about the pharmacology and multiple other procedures of the science. Thankfully, you have a bit of a
reprieve with Anesthesia, finishing up by 3 p.m., whereas most days on Surgery or Obstetrics/Gynecology will end at 4:30-5 p.m.
All of your out-patient rotations have a much kinder schedule. Family Medicine allows you to attend morning didactics at the
hospital and then work in the clinic until 4:30-5 p.m. You will be able to both work with an attending or resident, visiting their
patients first, and then presenting them to your preceptor before seeing the patient together. There is normally plenty of time
between patients to discuss interesting cases. Pediatrics offers an incredible amount of variety in activities. Mornings will consist
of rounding on the pediatric patients, and perhaps attending a C-section or assisting with a circumcision. The pediatricians are
great teachers, both with the patients and families, and during the daily talks about various topics. Afternoons will be spent at the
pediatrics clinic, where, like Family Medicine, you will be able to see patients independently and then have a doctor follow you to
see how you did. Psychiatry offers a taste of out-rotation life that will become routine by fourth year. You will work at a private
psychiatric office and several days a month in a hospital setting. This rotation is among the most interesting, as your patients will
have varying disorders including schizophrenia, bipolar disorder, and substance abuse. Much like Pediatrics, this is roughly some
hospital and more office rotation, with your role being more observatories due to the complex nature of the patients. Students
without a doubt love their Radiology rotation as they spend the entire morning working with a resident reading films, and then
have their afternoon free to work on presentations, study for exams/boards, and read up on their patients.
Overlying the entire architecture of the rotation structure are your third-year presentations which are one afternoon a week.
These offer a multitude of topics, the bulk of which will be student presentations, but also OMM once a month, chest X-ray
reviews, EKG interpretation, interview strategies, match strategy sessions, and run-down of seemingly the entire human body by
the various attendings. You will be required to give a total of four presentations throughout the year, which truly prepares one
for speaking in a non-threatening scholarly environment. Also, once a month there will be a day-long conference on-site about
various topics – you will be excused from your rotation for that day so you may attend and fill up on the scrumptious buffet.
Genesys offers a multitude of experiences, allowing students to be very involved in patient care and their own education. Your
third year will race by, and looking back you will appreciate how well Genesys prepared you for your fourth year and its potential
out-rotations, and how confident you will be to face residency and the challenges ahead.
Notes
44
Michigan Region
Metro Health Hospital
5900 Byron Center, S.W.  Wyoming, MI 49519  616.252.7200 or 800.968.0051  www.metrohealth.net
Susan C. Sevensma, DO, FAODME
Kathy Hall
susan.sevensma@metrogr.org
Julie Didion
5900 Byron Center, SW
Wyoming, MI 49519
616.252.7419
616.252.0751 (fax)
julie.didion@metrogr.org
One Genesys Parkway
Room 2610
Grand Blanc, MI 48439
810.606.5620
khall@atsu.edu
The Site
The story of Metro Health Hospital dates back to 1942 when a group of West Michigan physicians pooled their resources to
form the area’s first Osteopathic-teaching hospital. Osteopathic philosophy is the foundation upon which Metro Health Hospital
was built. Over the years, Metro Health Hospital has expanded to a full-service health system serving the greater West Michigan
area. Established in 1985, our 43-bed Assisted Breathing Center (ABC) was the state’s first acute care, hospital-based center for
individuals who cannot breathe without the assistance of a ventilator. Metro Health Hospital moved to a brand new, state-of-theart facility in October 2007. The facility is the center of the 150-acre Metro Health Care Village. The facility is LEED (Leads in
Energy Efficient Design). Metro Health Hospital has 13 Metro Health neighborhood out-patient centers. Together, 2,372 Metro
Health Hospital employees, including neighborhood outpatient center employees, 506 DO’s and MD’s, and 350 volunteers,
make up what we call the Metro Family.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
266,394
580
208 beds
9,346
Deliveries
ER Visits
2,996
8,067
1,929
64,280
Student Rotations
Third and fourth year student rotations are scheduled through Metro Health
Hospital.
Internships
None
Residency Programs
Emergency Medicine, Family Medicine, General Surgery, Integrated Family
Medicine/NMM, Internal Medicine, Obstetrics & Gynecology, Otolaryngology
& Facial Plastic Surgery, Orthopedic Surgery, and Urological Surgery, (all AOA
accredited)
Fellowship Programs
Cardiology and Sports Medicine
There are daily didactics at 7 a.m. and noon. Other
opportunities include journal club, research opportunities,
and residency-specific education days including Statewide
Campus System (SCS) programs, and workshops for
students.
rotation?
The number of students on a rotation varies.
A student may be one-on-one or may be assigned to a team.
45
Students are encouraged to participate to the level of their
comfort and competence.
have?
Metro is affiliated with Grand Rapids Medical Education
Partners (GRMEP), which includes the other teaching
hospitals in Grand Rapids (Spectrum Blodgett, Spectrum
Butterworth, and St. Mary’s). We are also affiliated with
MSU-COM and the hospitals that are part of the Statewide
Campus System.
There is a Level I trauma center in the city and available
through our affiliation with Grand Rapids Medical
Education Partners (GRMEP).
Students are on-call and are scheduled Monday through
Thursday, two nights per month.
resources?
Metro has implemented EPIC electronic medical record
and it is fully integrated in the inpatient as well as outpatient
settings that are part of Metro Health.
Yes, base students receive a food allowance.
Yes, all base students receive a pager for the duration of
their time.
Lockers are assigned to base students.
Metro Health Hospital is known for its family friendly
working environment, highest standards in patient care, and
cutting edge technology. Metro Health moved to a new
hospital in the fall of 2007 on the campus of the Metro
Health Care Village. The full integration of an electronic
medical record for inpatient and outpatient care provides
high quality patient care.
Yes, the library has Metro ID badge card access 24/7 and
computers are available. Computers are also available in the
resident on-call lounges.
Site Visits
and professionally, (no jeans, sandals, etc.). It is also recommended you wear your white coat, as you will be touring in patient
areas.
subject to change.
46
Area Information
Grand Rapids combines the characteristics of a big city with the charm of a small town. The West Michigan area offers a
growing, diversified economic base, four beautiful seasons, award-winning public and private schools and colleges. It also offers
country, lakeside, urban, suburban, and historical housing. For entertainment, the area offers museums, opera, symphony, and
ballet performances. The West Michigan area also offers professional baseball, basketball, hockey, and more. The Grand Rapids
area offers wonderful shopping at its many indoor and outdoor malls.
Gerald R. Ford International Airport (GRR) is located approximately 10-12
miles from Metro Health Hospital
Nearest expressway
Metro Health Hospital is located off M-6 and may be easily accessed from US131, I-96, and I-196
www.metrohealth.net
www.visitgrandrapids.org
www.grandrapids.org
Student Typical Day
6 a.m.: For the General Surgery, Obstetrics/Gynecology and Pediatrics rotations, this will be the required starting time. Students
will round on all service-specific patients assigned to them by the corresponding resident(s).
7 a.m.: This is the start time for the hour-long morning lecture. Lectures are given by attending or resident physicians from any
medical specialty. Selected lectures may include topics pertaining to OMM, Family Medicine, Internal Medicine,
Obstetrics/Gynecology, Pediatrics, Emergency Medicine, and General Surgery.
8 a.m.: Rotations, whether hospital-based or ambulatory, will generally begin at this time. Internal Medicine will begin to round
on assigned patients. Students will be expected to write SOAP note after seeing/examining each patient, complete with
formulating a proposed assessment and plan for the patient’s condition(s). After all of your assigned patients have been seen, you
will round as a team (attending physician, resident, intern, student) on all patients under the care of your attending physician.
Noon: Students will be required to attend the daily Noon lecture. In addition to the topics listed for the morning lecture, weekly
topics from Cardiology and ICU will be presented from residents and attending physicians.
1 p.m.: Following Noon lecture, students will rejoin their team and return to rounding with the attending physician. Upon
completion of rounding, responsibilities include checking on lab results, viewing results of imaging studies, assisting with
procedures, and assisting with new hospital admissions. You may also wish to reassess your patient later in the afternoon, if
necessary. Students are asked to stay and assist with “team” related issues until 5 p.m., after which time students are generally
dismissed by the attending physician for the day.
In addition to the typical day as described, students may be expected to attend activities outside of the typical workday.
Specifically, students are often asked to attend journal club. Each service has its own unique journal club for the month. While
students are not typically asked to present an article, students should review the article(s) and be familiar with the important
concepts presented in it prior to arriving at the Journal Club.
At Metro Health, students are required to take call twice monthly. When on-call, the student will work with the intern who is on
for the night. The student should be available to assist with admissions and floor calls (or the assessment of females in labor, or
help with the delivery and relevant paperwork, if on OB call) as assigned by your particular intern and/or the resident physician
on-call for the evening. After being on-call, you will be asked to attend all morning activities relevant to your rotation and to
attend Noon lecture. You are then free to leave for the day.
Notes
47
Michigan Region
5450 Fort Street  Trenton, MI 48183  734.671.3297  www.oakwood.org
John E. Bodell, DO, FACOS
Rosalind Gerich
Professor of Surgery
734.676.3575
jebkcommi@aol.com
Medical Education Department
734.246.8789
734.246.8795 (fax)
rgerich@atsu.edu
The Site
Oakwood Hospital – Southshore is located in southeast Michigan, a state where osteopathic medicine has been embraced for
decades. Michigan boats nearly 4,000 osteopathic practitioners in 33 American Osteopathic Association (AOA) – accredited
healthcare facilities. Oakwood Hospital – Southshore has more than 400 physicians, including more than 130 osteopathic
physicians, as part of the experienced teaching faculty who welcomes the next generation of osteopathic practitioners.
Oakwood Shoreshore Medical Center, a 193-bed community hospital, opened its doors to Trenton and surrounding
communities over 40 years ago. A recipient of the Governor’s Award of Excellence for Improving Care in Hospital surgical and
Emergency Department settings, OSMC provides comprehensive health care with a personal touch. Oakwood Southshore is
part of the Oakwood Healthcare System that includes four hospitals and 44 outpatient facilities throughout southeast Michigan.
The flagship hospital, Oakwood Hospital & Medical Center in Dearborn, has a long history of medical education providing a
solid base of resources and experiences for Oakwood Southshore’s educational programs. The Oakwood system provides
primary and tertiary care for a diverse population of more than 1.2 million people. We are committed to primary care and
supporting wellness, education and enhancement of community health.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
418,562
418
193 beds
8,660
Deliveries
ER Visits
2,093
11,199
657
30,058
Student Rotations
Rotations include a comprehensive range of clinical opportunities onsite and at
select private practices.
Internships
Residency Programs
Dermatology, Emergency Medicine, Family Medicine (AOA & ACGME
accredited), General Surgery, Internal Medicine, Obstetrics, Gynecology,
Ophthalmology & Diagnostic Radiology
Possible Facilities
5450 Fort Street
Trenton, MI 48183
734.671.3297
Base Hospital/Most rotations completed here.
Advantage Family Health Center
4669 East Eight Mile Road
Warren, MI 48091
Rotation: Rural/Underserved Family Medicine
48
Preceptor Based Rotations
Private practice preceptors are located within the
surrounding communities.
Third Year pediatric rotation may be completed outside
of base site with travel time approximately one hour.
Third Year psychiatry rotation is completed with a
private physician approximately one hour north of
Southshore in Sterling Heights.
Elective Opportunities
OMM Clinic
Oakwood Southshore Medical Center is geographically
located in southeastern Michigan. Our location enables
students to pursue elective rotations throughout
Michigan and Toledo, Ohio within an hour’s drive.
John Bodell, DO., KCOM Regional Assistant Dean
2871 West Road
Trenton, MI 48183
Monday-Friday
7:30 a.m. - 8:30 a.m.
Tuesdays
Noon -1 p.m.
Level II Trauma Center
Academic Education Days/Lecture includes:
1st & 3rd Monday of the month: Dermatology; Tuesdays of
each month: Internal Medicine topics; Tuesdays noon:
Grand Rounds; 1st Wednesday: OMM; 2nd Wednesday:
Trauma; 3rd Wednesday: Emergency Medicine; 4th
Wednesday: Radiology; 1st Thursday: Surgery; 2nd Thursday:
OB/GYN; 3rd Thursday: Tumor Board; 4th Thursday:
Radiology; Fridays: Cardiology
Suture Clinic-held monthly
Rotation – specific lectures, journal clubs held on service
KCOM journal club, oral case presentations and OMM
sessions held monthly
rotation?
The number of students placed on a rotation will vary
according to the preceptor preference and the volume of
the service. Depending on the service, there are usually
one-two students and one intern or resident.
Individual preceptors and departments dictate on-call
schedules.
resources?
Students have 24-hour access to the library and Internet
resources. The institution’s medical library houses a
complete collection of references and electronic media,
including online library catalog, databases, PubMed,
MDConsult and many other continuing education
resources.
Yes
Yes, medical students are given a food allowance of $60 per
month to be used in the hospital’s cafeteria.
Yes
The student may have the opportunity to be one-on-one
with an attending throughout the rotation. Each service
will vary.
Dedicated KCOM Regional Coordinator and Assistant
Dean are available to guide students through every aspect of
their medical education along with the support of the
Oakwood Southshore Medical Education Staff.
Definitely, students are strongly encouraged to be involved
in each of their rotations and are able to participate in
procedures. It is the student’s responsibility to be proactive
and show interest.
have?
Yes, the hospital is part of the Oakwood Healthcare System
that includes four hospitals and 44 outpatient facilities
throughout southeast Michigan.
Other medical school affiliations are MSU, LECOM,
Kansas City and visiting students from a diverse range of
national programs.
Yes
Located in Southeast Michigan, a state where osteopathic
medicine has been embraced for decades. Many training
sites are within an hour’s drive.
A 26,000 – square foot, $5 million project relocated 38 beds
from elsewhere in the hospital, providing 14 surgical
intensive care unit beds. 15 orthopaedic unit beds and 9
surgical unit beds- all private and complete with the latest
technology and personal amenities.
The campus recently completed a $64 million renovation
and upgrade of the facility which includes technological
upgrades together with five fully integrated surgical suites,
private rooms, a new Emergency Department and a new
auditorium for OSMC’s medical education program.
49
Fully digital mammography, PET/CT imaging services
Advanced heart catheterization lab
Oakwood Southshore continues to bring forth the latest in
health services including emergency angioplasty procedures,
PET/CT imaging, Picture Archiving and Communication
System (PACS) – a computer based system that digitally
processes and displays images, as well as state-of-the art 64
slice CT scanner.
Students participate in monthly OMM Clinic allowing
students to practice & enhance their OMM skills.
May be available on a limited basis.
Site Visits
subject to change.
Area Information
The Downriver community of Trenton was founded in 1834. Trenton's frontage on the Detroit River is an invaluable asset, and
provides plenty of room for water recreation and for future industrial and commercial expansion. The large and prosperous city
of Trenton is served by railroads, interstates, and a nearby major airport. Elizabeth Park, the oldest of the Wayne County parks,
is located in the heart of Trenton.
Boat, fish, or just enjoy the view of the region’s many rivers, channels, and lakes. Take time to visit the many museums or
sporting events in the Detroit area. Sources for family fun include bicycling, boating, arts, museums, music, camping, cider mills,
festivals and events, snowmobiling, cross-country skiing, golf, fishing or many of the other cultural sites to see in Michigan.
Churches and places of worship are abundant in the area. There is a place of worship for everyone.
From crayons to careers, the education system in SE Michigan offers a wide range of charter, public, private and parochial
schools. Most school systems offer school-of-choice. Visit www.collegesearch24.com/mi/colleges to learn about colleges and
universities in the area.
50
A variety of housing options are readily available within close proximity to the
hospital. The average apartment is available for lease in the range of $550/month
and homes are available for rent in the $1,000 to $1,200/month range. The cost of
purchasing a home is wide open depending on the size and location. An average
home for sale is priced in the range of $130,000 to $200,000 and up. Most medical
students, interns, residents and their families live in Trenton and the surrounding
Downriver Communities. Please visit www.livingdownriver.com
Detroit Metropolitan International Airport (DTW) is approximately 30 minutes
from the hospital.
Nearest expressway
The hospital is located near I-75, I-94, I-96, and I-275
www.mlive.com (Everything Michigan)
www.michigan.gov
Student Typical Day
Oakwood Southshore Medical Center offers students a wealth of educational opportunities. A caring and friendly atmosphere
permeates the hospital. From the moment you enter the front door, you can sense the extreme dedication and commitment to
the well-being of the patients. The teaching faculty is dedicated to providing quality clinical and didactic education to medical
students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach. A recipient
of the Governor’s Award of Excellence for Improving Care in Hospital Surgical and Emergency Department settings, OSMC
provides comprehensive health care with a personal touch. The preceptors, residents, interns, KCOM Coordinator and Dean, as
well as the Oakwood medical education staff are readily available to assist you throughout your clerkship every step of the way.
Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 a.m. didactic
lectures are held in the expansive and comfortable lecture hall. All students and residents are expected to attend while on service
in the hospital. Grand Rounds are once a week lectures that are held over the lunch hour on a variety of topics and lunch is
catered.
The hospital is currently using an electronic medical records system that contains lab results, radiological images, and
transcriptions of exams. Daily progress notes are completed in paper charts but will be fully electronic in the future.
The Internal Medicine program provides excellent community based General Internal Medicine training. Students will gain an
enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The program’s
philosophy and approach to its students is the same – to teach in a humane, encouraging and friendly environment.
Obstetrics & Gynecology: Students will be exposed to the different aspects of OB/GYN, including pre-, peri-, and post-
partum care, gynecological surgery, and occasional office setting experiences. Students will attend OB/GYN daily didactics/signoff in addition to the scheduled morning lectures. The rotation also includes a week of night call and the student is often first or
second assist on all procedures at this time.
General Surgery rotation is geared to a hands-on approach with teaching in the operating suite and at the bedside. Students
work closely with a core group of surgeons and have progressive responsibility as they gain knowledge and skill. This rotation
requires more time, usually beginning with patient rounds before the morning lecture. Additionally students are asked to do some
weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing techniques, trauma cases, intraoperative procedures, and Pre and Post-Op care.
Family Medicine: Students will work in office settings to develop skills necessary for diagnosis and management of a vast array
of pathologies. Rural/Underserved Family Medicine rotation is completed at a community health center serving the indigent
population of Detroit. The pathologies and presentation of patients will be a strong contrast to those encountered in the base
hospital and clinics.
While on Pediatrics rotation, you will work in an office setting and be exposed to patients from newborn to young adult.
Students will develop the skills required to perform an exam on a pediatric patient and gain knowledge on the care and
management of common illness and disease.
The Psychiatry clerkship consists of primary inpatient experience. The student will complete an in-patient psychiatry rotation that
provides opportunities to sit in on group therapy, one-on-one sessions, as well as allowing the student to interview patients on
their own to develop rapport. This rotation will be completed at Henry Ford Wyandotte.
The student will work closely with residents during Diagnostic Radiology, reading a variety of radiological images. The student
will also be able to participate in some interventional radiology procedures. Students are expected to attend the department’s inservice didactic sessions.
51
Anesthesia: Students will observe and participate in the pre-op evaluation of a patient, insertion of artificial airways, intraoperative management of anesthetic, post-operative care, and regional anesthetic techniques.
Osteopathic Manipulative Medicine includes monthly OMM lectures and workshops. Opportunities are available daily in the
hospital and clinic to provide OMM care for patients at the student and faculty’s discretion. Students also participate in a monthly
outpatient OMM Clinic serving the downriver population.
While this is just a brief description of some of the rotations, each rotation offers the opportunity for a student to gain knowledge and experience in each
field. At Oakwood Southshore Medical Center medical students are welcomed with opened arms and will feel like a part of the health care team the
moment they step into the hospital. Third Year & Fourth Year rotations are hospital based or preceptor based with travel time
five to twenty minutes.
Student feedback regarding site:

“This is a great location that is close to Ann Arbor, Cleveland, Detroit and Toledo. There are also a lot of AOA residency sites near this
area.”

“The attendings are generally really nice and interested in teaching students. The interns are all very helpful and approachable.”

“In my opinion the hospital is not too big and not too small.”

“Osteopathy is well represented at Southshore. This is a nice thing to encounter everyday as a DO student.”

“Southshore’s daily a.m. didactics are a great way to keep up on topics and stay connected with other students.”

“Southshore has an outstanding reputation in the community, the doctors are great educators, and the didactics are unmatched.”

“I chose it because it was a smaller hospital with an ER residency program and plenty of Family Medicine opportunities in the area.”
Notes
52
Michigan Region
St. John Macomb-Oakland Hospital-Macomb Center
11800 E. 12 Mile Road  Warren, MI 48093  248.967.7795 Opt. 1  www.stjohnprovidence.org/Macomb-Oakland
Rafael Barretto, DO
Rosalind Gerich
734.246.8789
734.246.8795 (fax)
rgerich@atsu.edu
Melissa Rassey
248-967-7795 Option 1
248-967-7794 (fax)
melissa.rassey@stjohn.org
The Site
St. John Macomb-Oakland Hospital, Macomb Center, is a 376-bed facility offering a full array of medical and surgical specialties,
including Centers of Excellence in cardiovascular services, including open heart surgery, cancer care, and neurosciences. We offer
a wide range of inpatient and outpatient services, including Physical Medicine and Rehabilitation, Women’s Health and cancer
treatment through our Webber Cancer Center. St. John Macomb-Oakland Hospital, Macomb Center has earned the prestigious
three-star rating from the Society of Thoracic Surgeons and is an Accredited Chest Pain Center with Percutaneous Coronary
Intervention. The hospital is an Advanced Primary Stroke Center, and has been recognized as a Blue Cross Blue Shield Blue
Distinction Center for joint replacement, spine, and cardiovascular services.
St. John Macomb Hospital and St. John Oakland Hospital merged in 2007, and is now known as St. John Macomb-Oakland
Hospital – one hospital, two campuses, 535 beds, 3,436 nurses and associates, 600 volunteers, 195 residents and more than 1,200
physicians in over 45 specialties; and a sister site to St. John Health's Riverview Center and Conner Creek Campus.
St. John Macomb-Oakland Hospital features two campuses to conveniently serve patients: Whether at the Macomb Center or
the Oakland Center, St. John Macomb-Oakland Hospital will continue to deliver state-of-the art health care in an environment of
respect and compassion.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
134, 873
combined staff of
1200
376 beds
20,460
Deliveries
ER Visits
3848
5960
1354
50,599
Student Rotations
Internships
Residency Programs
Emergency Medicine*, General Surgery*, Internal Medicine, Ob/Gyn, Podiatry,
Interventional Cardiology Fellowship, Cardiology Fellowship, Gastroenterology
Fellowship*, Hematology/Oncology Fellowship, Nephrology Fellowship
*Also available at the Oakland Campus
53
Possible Facilities
Hospitals
St. John Macomb-Oakland Hospital, Oakland Campus
surrounding communities within 40 minutes from the
hospital.
St. John Macomb-Oakland Hospital is geographically
students to pursue elective rotations throughout
Michigan and Toledo, Ohio within an hour’s drive.
Students are required to attend daily morning and afternoon
lectures. Students will also be required to participate in a
day-long didactics on a monthly basis and the didactics of
the service they are rotating on.
rotation?
resources?
resources. Collection includes approximately 2,000 book
titles and 100 journal print titles. Electronic resources
include library catalog, Medline, MD Consult, First Consult,
UpToDate, Health Business Elite, New England Journal of
Medicine, Access Medicine, Access Surgery, Internet access,
Micromedix, Cinahl, JAMA & the archives and several
hundred full text journals and books.
Yes
will vary.
Yes, $200/month
procedures. It is the student’s responsibility to pursue and
show interest.
have?
St. John Macomb-Oakland Hospital, Oakland Campus, St.
John Providence Hospital and St. John Hospital and
Medical Center.
Michigan State University, Kansas City University and Des
Moines University.
Trauma level 3. No opportunity to rotate at a Level 1.
schedules.
54
Yes
No
An Advanced Primary Stroke Center certified nationally by the
Joint Commission.













Audiology
Cardiac Care
Childbirth Services
da Vinci Robotic Surgical System
Emergency Care
Eye Surgery Center of Michigan
Interventional Radiology
Joint Replacement
Neurological Recovery Systems
Physical Medicine and Rehabilitation
Podiatry and Podiatric Surgery
Webber Cancer Center
Webber Healing Arts Center
Yes, students have the opportunity to participate in ongoing and new research. The Head of Research will
facilitate the opportunities.
Site Visits
subject to change.
Area Information
Nearby Attractions include: Chene Park, an outdoor site featuring a seawall, walkways and a riverside amphitheater, Greektown,
Detroit’s liveliest entertainment district, Detroit-Windsor Tunnel, one of two vehicular international sub-aqueous border
crossings in the world, Ford Field, Home of the Detroit Lions, Palace of Auburn Hills, home of the Detroit Pistons, Joe Louis
Arena, home of the Detroit Red Wings, Comerica Park, home of the Detroit Tigers,Cobo Hall Conference/Exhibition Center,
General Motors World Headquarters, Detroit Institute of Art, Belle Isle Park, one of the most unique urban parks with the only
public beach in Detroit along the Detroit River, Theatre District and the magnificently restored Fox and Gem Theaters, Henry
Ford Museum and Greenfield Village and Detroit Metro Airport.
students, interns, residents and their families live in Royal Oak, Ferndale, Madison
Heights, Warren and the surrounding communities.
from the hospital.
Nearest expressway
The hospital is located near I-696, I-75 and I-94.
www.michigan.gov
55
Student Typical Day
St. John Macomb-Oakland Hospital offers students a wealth of educational opportunities. A caring and friendly atmosphere
students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach.
Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 and at 12 noon,
didactic lectures are held in the Macomb Medical Education Building Classroom. All students and residents are required to attend
while on service in the hospital. In addition to the daily didactics requirements, students are also required to attend a day-long
didactics session on a monthly basis and attend the didactics of the service they are rotating on.
transcriptions of exams.
enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The site has 2 inpatient Internal Medicine services available for the students to rotate on. Students will work closely with attending physicians and
residents while rotating on Internal Medicine. The program’s philosophy and approach to its students is the same – to teach in a
humane, encouraging and friendly environment.
Obstetrics & Gynecology: All students will complete their OB/GYN rotations at the Macomb Campus. Students will be
exposed to the different aspects of OB/GYN, including pre-, peri-, and post-partum care, gynecological surgery and office setting
experiences. Students will attend OB/GYN daily morning didactics. The rotation also includes a week of night call and the
student is often first or second assist on all procedures at this time. Students are expected to give presentations while on this
service. Students will work closely with attending physicians and residents while rotating on OB/GYN.
work closely with a core group of surgeons and the residency program, and have progressive responsibility as they gain knowledge
and skill. This rotation requires more time, usually beginning with patient rounds before the morning lecture. Additionally
students are asked to do some weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing
techniques, trauma cases, intra-operative procedures, and Pre- and Post-Op care.
provides opportunities to sit in on group therapy, one-on-one sessions, ECT, as well as allowing the student to interview patients
on their own to develop rapport.
The student will work closely with attending physicians during Diagnostic Radiology, reading a variety of radiological images.
Students are expected to give presentations while on this service.
Osteopathic Manipulative Medicine includes monthly OMM lectures. Opportunities are available daily in the hospital and
clinic to provide OMM care for patients at the student and faculty’s discretion.
Notes
56
Michigan Region
St. John Macomb-Oakland Hospital-Oakland Center
27351 Dequindre  Madison Heights, MI 48071  248.967.7795 Opt. 1  www.stjohnprovidence.org/Oakland
Rafael Barretto, DO
Rosalind Gerich
734.246.8789
734.246.8795 (fax)
rgerich@atsu.edu
Melissa Rassey
248-967-7795 Option 1
248-967-7794 (fax)
melissa.rassey@stjohn.org
The Site
St. John Macomb-Oakland Hospital, Oakland Center, is a 261-bed acute care, osteopathic teaching hospital. With a 400member medical staff, St. John Macomb-Oakland Hospital, Oakland Center, offers more than 35 medical and surgical specialties,
with a focus on advanced diagnostics and treatment for cancer, cardiac, psychiatric and aging patients. The hospital also features
a Sleep Disorders Clinic that diagnoses and treats people with sleeping problems and related illnesses such as sleep apnea.
The Oakland Center offers a full range of adult medical and surgical services provided by board-certified physicians with a
majority having university appointments. They conduct medical research as part of university-directed programs in family
practice, emergency medicine, otolaryngology, gastroenterology, orthopedics, urology, ophthalmology, and cardiovascular care.
St. John Macomb Hospital and St. John Oakland Hospital merged in 2007, and is now known as St. John Macomb-Oakland
Hospital – one hospital, two campuses, 535 beds, 3,436 nurses and associates, 600 volunteers, 195 residents and more than 1,200
physicians in over 45 specialties; and a sister site to St. John Health's Riverview Center and Conner Creek Campus.
Whether at the Macomb Center or the Oakland Center, St. John Macomb-Oakland Hospital will continue to deliver state-of-the
art health care in an environment of respect and compassion.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
29,694
combined staff of
1200
261 beds
7604
Deliveries
ER Visits
1426
3424
no birthing center
31,214
Student Rotations
Internships
Traditional Internship
Residency Programs
Emergency Medicine*, Family Medicine, General Surgery*, Internal Medicine*,
Neurology, Ophthalmology, Orthopedic Surgery, Otolaryngology/Facial Plastic
Surgery, Urologic Surgery, Gastroenterology Fellowship, Otolaryngic Allergy
Fellowship
*Also available at the Macomb Campus
57
Possible Facilities
Hospitals
St. John Macomb-Oakland Hospital, Macomb Campus
St. John Macomb-Oakland Hospital is geographically
students to pursue elective rotations throughout Michigan
and Toledo, Ohio within an hour’s drive.
surrounding communities within 40 minutes from
Students are required to attend daily morning and afternoon
lectures. Students will also be required to participate in a
day-long didactics on a monthly basis and the didactics of
the service they are rotating on.
rotation?
will vary.
procedures. It is the student’s responsibility to pursue and
show interest.
have?
St. John Macomb-Oakland Hospital, Oakland Campus, St.
John Providence Hospital and St. John Hospital and
Medical Center.
Michigan State University, Kansas City University and Des
Moines University.
Trauma level 3. No opportunity to rotate at a Level 1.
schedules.
resources?
58
resources. Collection includes approximately 4,500 book
titles and 200 journal print titles. Electronic resources
include 5,00 full-text books, 4,600 full-text journals, Access
Emergency Medicine, Access Medicine, Access Surgery,
Allied & Complementary Medicine, CINHAL, CynaMED,
Health Business Elite, OVID MEDLINE with LWW FullText Journals, MD Consult, ProceduresConsult
(Anesthesia, Emergency medicine, Family Medicine,
Internal Medicine, Surgery), PUBMED with EBSCO Fulltext journal, Thieme E-book Library, Springer E-book,
UpToDate.
Yes
Yes, $200 per month.
Yes
No
An Advanced Primary Stroke Center certified nationally by the
Joint Commission.













Audiology
Cardiac Care
Childbirth Services
da Vinci Robotic Surgical System
Emergency Care
Eye Surgery Center of Michigan
Interventional Radiology
Joint Replacement
Neurological Recovery Systems
Physical Medicine and Rehabilitation
Podiatry and Podiatric Surgery
Webber Cancer Center
Webber Healing Arts Center
Dedicated Off-Site KCOM Regional Coordinator is
available to guide students through every aspect of their
medical education along with the support of the St. John
Macomb-Oakland Hospital Medical Education Staff.
Yes, students have the opportunity to participate in on-
going and new research. The Head of Research will
facilitate the opportunities.
Site Visits
subject to change.
Area Information
Nearby Attractions include: Chene Park, an outdoor site featuring a seawall, walkways and a riverside amphitheater, Greektown,
Detroit’s liveliest entertainment district, Detroit-Windsor Tunnel, one of two vehicular international sub-aqueous border crossings in
the world, Ford Field, Home of the Detroit Lions, Palace of Auburn Hills, home of the Detroit Pistons, Joe Louis Arena, home of the
Detroit Red Wings, Comerica Park, home of the Detroit Tigers,Cobo Hall Conference/Exhibition Center, General Motors World
Headquarters, Detroit Institute of Art, Belle Isle Park, one of the most unique urban parks with the only public beach in Detroit along
the Detroit River, Theatre District and the magnificently restored Fox and Gem Theaters, Henry Ford Museum and Greenfield Village
and Detroit Metro Airport.
students, interns, residents and their families live in Royal Oak, Ferndale, Madison
Heights, Warren and the surrounding communities.
Nearest major airport.
from the hospital.
Nearest expressway
The hospital is located near I-696, I-75 and I-94
59
www.michigan.gov
Student Typical Day
St. John Macomb-Oakland Hospital offers students a wealth of educational opportunities. A caring and friendly atmosphere
students and residents. The faculty is a very energetic and enthusiastic group and demonstrates a willingness to teach.
Daily reading and study is strongly encouraged for the clerkship as well as the shelf exam. Every morning at 7:30 and at noon,
didactic lectures are held in Classroom #2. All students and residents are required to attend while on service in the hospital. In
addition to the daily didactics requirements, students are also required to attend a day-long didactics session on a monthly basis
and attend the didactics of the service they are rotating on.
transcriptions of exams.
enthusiasm for medicine, confidence in their clinical skills and a solid understanding of inpatient medical care. The site has 2 inpatient Internal Medicine services available for the students to rotate on. Students will work closely with attending physicians and
residents while rotating on Internal Medicine. The program’s philosophy and approach to its students is the same – to teach in a
humane, encouraging and friendly environment.
Obstetrics & Gynecology: All students will complete their OB/GYN rotations at the Macomb Campus. Students will be
exposed to the different aspects of OB/GYN, including pre-, peri-, and post-partum care, gynecological surgery and office setting
experiences. Students will attend OB/GYN daily morning didactics. The rotation also includes a week of night call and the
student is often first or second assist on all procedures at this time. Students are expected to give presentations while on this
service. Students will work closely with attending physicians and residents while rotating on OB/GYN.
work closely with a core group of surgeons and the residency program, and have progressive responsibility as they gain knowledge
and skill. This rotation requires more time, usually beginning with patient rounds before the morning lecture. Additionally
students are asked to do some weekend and 24 hour shifts. Efforts are made to help the student gain exposure to suturing
techniques, trauma cases, intra-operative procedures, and Pre- and Post-Op care.
provides opportunities to sit in on group therapy, one-on-one sessions, ECT, as well as allowing the student to interview patients
on their own to develop rapport.
The student will work closely with attending physicians during Diagnostic Radiology, reading a variety of radiological images.
Students are expected to give presentations while on this service.
Osteopathic Manipulative Medicine includes monthly OMM lectures. Opportunities are available daily in the hospital and
clinic to provide OMM care for patients at the student and faculty’s discretion.
Notes
60
Missouri Region
Missouri Sites
SoutheastHEALTH
Cape Girardeau
Northeast Regional Medical Center
Kirksville
Saint Francis Hospital
Cape Girardeau
Phelps County Medical Center
Rolla
Mineral Area Regional Medical Center
Farmington
CoxHealth
Springfield
Parkland Health Center
Farmington
Mercy Health System
Springfield
Capital Region Medical Center
Jefferson City
Mosaic Life Care
St. Joseph
Freeman Health System
Joplin
Christian Hospital Northeast
St. Louis
Mercy Health Systems
Joplin
Des Peres Hospital
St. Louis
Twin Rivers Regional Medical Center
Kennett
Ozarks Medical Center
West Plains
Regional Map
About Missouri
Capital
Jefferson City
Est. population
Land area
68,898 mi2
Largest cities
Kansas City, St. Louis, Springfield, Independence, and Columbia
Surrounding states
Arkansas, Illinois, Iowa, Kansas, Kentucky, Tennessee, Nebraska, and
Oklahoma
61
Missouri AHEC Overview
The Missouri AHEC system is part of the national AHEC network. The Area Health Education Centers (AHEC) program
was developed by Congress in 1971 to recruit, train and retain a health professions workforce committed to underserved
populations. The AHEC program helps bring the resources of academic medicine to address local community health
needs. The strength of the AHEC Network is its ability to creatively adapt national initiatives to help address local and
regional healthcare issues.
AHECs provide community placements, service learning opportunities and clinical experiences for medical, dental,
physician assistant, nursing, pharmacy and allied health students in rural and urban underserved communities. AHEC
placements give students the opportunity to experience health care in a real world setting far removed from their health
science centers. Students interact one-on-one with a rich variety of patients including those in rural settings, community
health centers, county health departments, homeless clinics, local practitioner’s offices and other community primary care
sites. Students learn firsthand about economic and cultural barriers to healthcare and the specific needs of socially,
culturally, ethnically diverse and underserved populations. AHECs, with their linkages to local community resources and
organizations, are uniquely qualified to facilitate these placements. Current research has shown that health care professions
students who have participated in these experiences have a better understanding of the complex needs of underserved
communities. They are also motivated to provide additional community services and set up practices in underserved areas
after graduation.
The Missouri AHEC System is a health care workforce development initiative which: 1) provides health careers
exploration programs for youth, 2) works with communities to improve the practice environments and, most important in
this context, 3) supports clinical training for health professions students. The Missouri AHEC System includes three
medical schools: ATSU-KCOM, The University of Missouri at Columbia and Saint Louis University and seven
community-based offices (centers) serving specific geographic regions of the state. Resources from the three sponsoring
medical schools and local educational institutions/programs are shared at regional clinical training sites to provide excellent
training opportunities for students. Students in Missouri sites have opportunities to request rotations in a variety of
AHEC-affiliated sites around the state.
Sites currently coordinated by AHEC staff include:
NORTHEAST MISSOURI (NEMO) AHEC
KCOM Program Office - Northeast Regional Medical Center – Kirksville
MID-MISSOURI (MID-MO) AHEC
Capital Region Medical Center – Jefferson City
Phelps County Medical Center – Rolla
NORTHWEST MISSOURI (NWMO) AHEC
Mosaic Life Care – St. Joseph
SOUTHEASTERN MISSOURI (SEMO) AHEC
SoutheastHEALTH/Saint Francis Hospital – Cape Girardeau
Mineral Area Regional Medical Center/Parkland Health Center – Farmington
Twin Rivers Regional Medical Center – Kennett
Ozarks Medical Center – West Plains
SOUTHWEST MISSOURI (SWMO) AHEC
Mercy Health System – Joplin
CoxHealth/Mercy Health System – Springfield
The KCOM sites at Christian Hospital Northeast and Des Peres Hospital in St. Louis; and Freeman Health System in
Joplin are coordinated through the hospital’s Medical Education office and function more like independent sites in other
regions.
62
Missouri Region
Cape Girardeau -
SoutheastHEALTH
Saint Francis Medical Center
SEMO AHEC
1701 Lacey Street  Cape Girardeau, MO 63701  573.334.4822 or fax 573.651.5832  www.sehealth.org
211 Saint Francis Drive  Cape Girardeau, MO 63701  573.331.3000 or fax 573.651.5832  www.sfmc.net
Matt Shoemaker, DO
Marcy Brockett
319.750.2497
660.626.2928
mbrockett@atsu.edu
Cindy Robinett
SEMO AHEC
506D Hazel Street
Poplar Bluff, MO 63901
573.785.2444 ext. 3
573.785.5568 (fax)
crobinett@atsu.edu
Sandra Ortiz, Executive Director
SEMO AHEC
sandy@semoahec.org
The Site
Students training at the Cape Girardeau site will work mainly with two local hospitals: SoutheastHEALTH and Saint Francis
Medical Center. Rotations may also be done at Missouri Delta Medical Center in Sikeston, MO.
SoutheastHEALTH is a far-reaching network of providers and facilities including Southeast Hospital in Cape Girardeau, Mo.,
which provides a regional system of healthcare services throughout a multi-state area. SoutheastHEALTH serves patients in
southeast Missouri, as well as residents in parts of southern Illinois, western Kentucky and northern Arkansas.
SoutheastHEALTH has multiple campuses and facilities, such as HealthPoint Fitness in Cape Girardeau and Jackson, Southeast
Home Health, Southeast Hospice and Southeast Endocrinology at Doctors’ Park, and Southeast Medical Plaza with locations on
Broadway and Mount Auburn Road. In February 2011, the new Southeast Cancer Center, the largest construction project in the
health system’s history, opened on SoutheastHEALTH’s West Campus. In addition, SoutheastHEALTH operates satellite
outpatient Cardiac Rehab services in Sikeston and Dexter, Mo., and the SoutheastHEALTH Center of Ripley County in
Doniphan, Mo., and its associated family clinic. Southeast's specialized centers of care include: Southeast Heart Center, Southeast
Cancer Center, Southeast Brain and Spine Center, Center for Women and Children’s Services, Emergency Services, Orthopedics
and Joint Replacement Center. Each year, tens of thousands of patients see the difference at SoutheastHEALTH in technology,
services and care.
Saint Francis Medical Center is a 280-bed facility serving more than 650,000 people throughout Missouri, Illinois, Kentucky,
Tennessee and Arkansas. Their major service lines, which have received national recognition, include the Neurosciences
Institute; Orthopedic Institute; Family BirthPlace, featuring the region’s first Level III Neonatal Intensive Care Unit; Heart
Hospital; Level III Emergency and Trauma Center with Convenient Care; Cancer Institute; and Fitness Plus. They recently
completed the construction of a 208,000-square-foot combined Heart Hospital and Cancer Institute, where patients have access
to advanced treatments and technology – under one convenient roof. Saint Francis Medical Center has been named one of the
top 100 “Best Places to Work in Healthcare” by Modern Healthcare magazine for the fifth consecutive year – an honor no other
employer/hospital in Missouri has achieved. The prestigious program is open to companies across the healthcare industry –
hospitals, service companies, suppliers, payers and others – with at least 25 employees.
Missouri Delta Medical Center is a popular site for surgery rotations. While general surgery rotations in Cape Girardeau are
great general surgery rotations, they are just that…general surgery. Mostly gall bladder, appendectomies and other general
surgeries. Students who complete their general surgery rotations at Missouri Delta participate in a variety of surgeries including
but not limited to ENT, Cardio, and Ortho. Missouri Delta Medical Center also offers the latest in spine surgery with the
addition of the PARE Minimally Invasive Neurospine Institute, led by Joel W. Ray, MD, FACS, a neurosurgeon with Cape
Neurosurgical Associates, PC, in Cape Girardeau, MO. Providing the latest in surgical innovations, Dr. Ray and the medical
63
center’s team of qualified healthcare professionals can help reduce pain associated with back and spinal conditions through
minimally invasive techniques. Rotations with Dr. Ray/Neurosurgery are only available as 4th year electives.
Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to the student. Students with a
strong interest in Poplar Bluff Regional Medical Center may have the opportunity to complete multiple rotations at this site with
the appropriate approval of the regional staff by contacting the Rotation Site Coordinator, Cindy Robinett.
Possible Facilities
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
SoutheastHEALTH
1701 Lacey Street
Cape Girardeau, MO 63701
573.334.4822
www.sehealth.org
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
212
266 beds
11,487
8,002
1,273
37,690
211 St. Francis Drive
Cape Girardeau, MO 63701
573.331.3000
www.sfmc.net
City Population
Medical Staff
38,544
204
Student Rotations
Missouri Delta Medical Center
1008 North Main Street
Sikeston, MO 63801
573.471.1600
www.missouridelta.com
City Population
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER Visits
Local DME
Saint Francis Medical Center
258 beds
10,364
8,462
681
35,125
16,330
53
186 beds
5,375
4,856
524
17,241
Jennifer Waller, MD
All rotations are completed one-on-one with preceptors. Students get a variety of
both inpatient and outpatient rotations. At this site all preceptors work with
students on a volunteer basis and do so because they enjoy working with
students. Physicians are never “required” to take students. They do so because
they want to give back to their profession and a community in which they have
chosen to live and raise their family.
Preceptor lectures, CMEs, journal club, and student case
conferences are provided. Student case conferences are
monthly (except in summer months), and a schedule of
lectures and CMEs is provided annually. Students do
morning rounds with attendings and are often given reading
assignments. Overnight ER experiences are also provided as
part of the Cape didactic schedule.
rotation?
Cape Girardeau only hosts medical students.
Students are always one-on-one with an attending physician.
Medical students do not have to compete with interns and
residents for procedures and assisting in surgeries and
obstetrics.
64
This is one of the best parts of completing your clinical
training in a smaller community. Students are allowed to
participate in many procedures. When students complete
their Obstetrics/Gynecology rotations, they are allowed to
deliver babies. Students can serve as first assist in surgeries
as there are no interns/residents at this site.
have?
There are two independent private hospital facilities in this
training site, SoutheastHEALTH and Saint Francis Medical
Center. They are linked by the Cape Girardeau Area
Medical Society whose member physicians serve as
preceptors for student training.
Medical schools that send students to this site include:
KCOM in Kirksville, KCUMB in Kansas City, University of
Missouri-Columbia, and UMKC in Kansas City.
Saint Francis has a Level III trauma center. There are no
Level I trauma centers in this region. Students who would
like to rotate at a Level I trauma center may complete an
ER rotation at one of the many hospitals with which ATSU
has affiliation agreements.
The on-call policy varies by rotation. Most rotations do not
have night call. Students with strong interests in surgery,
OB/GYN and other specialties which have a lot of call may
talk with individual physicians and be put on the call lists to
be called in for “interesting cases”.
resources?
Yes. Students are given their own usernames and passwords
to access resources at any time of the day or night.
Yes
Courtesy meals are provided in the doctors’ lounges at both
hospitals.
No. Most preceptors use cell phones and take student cell
phone numbers as well as give students their cell phone
numbers.
Students are given access to the doctor’s lounge which is a
locked, secure area, but lockers are not provided.
The Cape Girardeau County Area Medical Society sponsors
the students to attend all Symposiums sponsored by the
medical society. The medical society also sponsors the
student’s attendance at the monthly meetings which are
held at one of the finer restaurants in town. Additionally
the medical society publishes a monthly newsletter and
includes all medical students written case studies.
Both hospitals are expanding at an astonishing rate. Cape
Girardeau is the ‘medical hub’ for southeast Missouri with a
wide range of sub-specialties. Both hospitals are very
competitive which makes for better medical care for
patients and outstanding training for medical students. The
Cape Girardeau sites give students the hands on and oneon-one training as well as an excellent preceptor base of
primary care and specialty rotations.
Cape Girardeau is not a major research site. However,
physicians will occasionally involve students in research
projects.
Site Visits
Site visits can be scheduled at almost any time except for holidays.
Please contact the Rotation Site Coordinator, Cindy Robinett, at 573.785.2444 Ext 3.
Students must contact the Rotation Site Coordinator at least two weeks before the planned visit. The coordinator will make
arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will be
considered, but may not be able to be arranged due to time constraints.
Area Information
Offering many modern amenities including retail shops, malls, over 100 restaurants, cinemas, water slides, go-cart tracks, and
much more, visitors to this community never lack for things to do. Home to Southeast Missouri State University, the Cape
Girardeau community enjoys many musical, theatrical, and visual art exhibitions at the “Show Me Center” as well as at the “River
Campus Performing Arts Center” on the college campus which brings in major comedy acts, bands, along with Division 1AA
athletics. Also known for its wealth of fishing, parks, and other types of recreational areas, it is an area of impressive natural
history and beauty and the National Trail of Tears State Park is nearby. Additionally, his river community is often frequented by
visits from the Delta Queen Steamboat Company. Visit www.capechamber.com for more community information.
Via I-55, Cape Girardeau is less than two hours south of St. Louis, a major metropolitan area with a wealth of activities, sports
events, shopping, and restaurants.
The Missouri Delta Medical Center is located in Sikeston, a rural farming community with over 17,000 people. Sikeston offers
the Annual Jaycee Bootheel Rodeo along with the Redneck Barbecue in August and the Cotton Carnival in September. The
65
community has also long been known as the “Home of the Throwed Rolls” because of the famous Lambert’s Café. There are
many more community events that take place throughout the year. To learn more about Sikeston, please look on the web at
www.sikeston.net.
Rental units range from $400-$650 per month; houses range from $100,000 to
$150,000, although nice smaller homes can be found for under $90,000. This is
a major benefit to training in southeast Missouri.
Cape Girardeau Regional Airport (CGI). Memphis International Airport (MEM)
and Lambert-St. Louis International Airport (STL) are each approximately a two
to three hour drive time.
Nearest expressway
Cape Girardeau is located directly on I-55
www.capechamber.com
http://www.showmecenter.biz/Default.aspx
Student Typical Day
An average day in Cape Girardeau starts between 7-8 a.m., depending on whether there are morning didactics that day. Coming
in early to pre-round before your preceptor arrives is always a good idea, however many of the preceptors will actually have you
pre-round on your patients while they see other patients. Depending on the rotation and the volume of patients that you see with
your individual preceptor, you will usually be done and free to go home anywhere from 5-6 p.m.
Every rotation is with an individual attending physician, so your exposure to each patient is definitely increased. Because of this,
when the attending is comfortable with your abilities, you will find yourself becoming more responsible for individual patients
that are assigned to you.

“Being from this area it was nice to work one-on-one with the attendings who someday may be those I work hand-in-hand with for my patients.
The close contact with the attendings is priceless – there’s no standing in line behind residents to suture, cut, interact with patients… People in the
area, as a whole, have been very supportive and encouraging towards me as a medical student.”

“Cape is a great rotation site for several reasons. First are one-on-one interactions with physicians who are excited to teach and mentor. The
physicians here teach by making you an active participant in patient care. Second, are hands-on opportunities. Physicians and staff at both
hospitals allow you to participate in procedures and surgeries. Lastly, Cape is a great family town with excellent schools, plenty to do, great
restaurants, decent nightlife, and is only 1.5 hours from St. Louis.”
Notes
66
Missouri Region
Farmington – Mineral Area Regional Medical Center
SEMO AHEC
1101 W. Liberty Street  Farmington, MO 63640  573.756.6451 or fax 573.756.1408  www.parklandhealthcenter.org
1212 Weber Road
 Farmington, MO 63640  573.454-2401 or fax 573.756.5834  www.mineralarearegional.com
Scott Kirkley, MD
573.756.6751
Marcy Brockett
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Cindy Robinett
SEMO AHEC
506D Hazel Street
573.785.2444 ext. 3
crobinett@atsu.edu
SEMO AHEC
sandy@semoahec.org
The Sites
Students training at the Farmington, MO site will work with two local hospitals: Mineral Area Regional Medical Center and
Parkland Health Center. Students will work in physician private practice clinics and follow attendings at both hospital facilities.
Each health care facility also has hospitalists who often host clinical rotations for students.
Parkland Health Care is part of the BJC HealthCare System which is one of the largest nonprofit health care organizations in the
United States, and is focused on delivering services to residents primarily in the greater St. Louis, southern Illinois and midMissouri regions. With 2010 net revenues of $3.6 billion, BJC serves the health care needs of urban, suburban and rural
communities and includes 13 hospitals and multiple community health locations. Services include inpatient and outpatient care,
primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term
care and hospice.
Mineral Area Regional Medical Center is an affiliate of Cappella Healthcare which has 13 hospital affiliations. With nationally
recognized leaders and proven track records in operating highly successful hospitals of all sizes and market types – from large
tertiary teaching hospitals in metropolitan markets to small community hospitals in rural markets.
Both facilities offer a full range of core and specialty rotations and work together to provide the clinical requirements for third
and fourth year students training in the Farmington area.
Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to the student. Students with a
the appropriate approval of the regional staff by contacting the regional site coordinator, Cindy Robinett.
Possible Facilities
Mineral Area Regional Medical Center
ER Visits
1212 Weber Road
Farmington, MO 63640
573.454.2401
www.mineralarearegional.com
City Population
Medical Staff
Size of Hospital
Admits
Deliveries
Surgeries
17,796
93
135 beds
3,260
321
3,718
17,253
101 W. Liberty
Farmington, MO 63640
573.756.6451
www.parklandhealthcenter.org
Medical Staff
Size of Hospital
Admits
Deliveries
48
98 beds
6,200
653
67
Surgeries
3,000
ER Visits
36,000
CMEs, Student Case Conferences, Journal Club and other
occasional didactic activities are included in the learning
experiences at this site. Student case conferences and
journal club meetings are monthly (except during summer
months). Local CMEs sponsored by each hospital are also
offered monthly on a variety of learning topics. Student’s
complete morning (and sometimes evening) rounds with
attendings and are often given reading assignments by
preceptors.
rotation?
Farmington only hosts medical students.
obstetrics.
This is one of the best parts of completing your clinical
training in a smaller community. Students are allowed to
have?
Mineral Area Regional Medical Center is an affiliate of
Cappella Healthcare which has 13 hospitals affiliations.
Parkland Health Center is part of the BJC network which is
one of the largest nonprofit health care organizations in the
United States.
KCOM in Kirksville, KCUMB in Kansas City, and
University of Missouri SOM-Columbia, Washington
University-SOM in St. Louis
There are no Level I trauma centers in this region. Students
who would like to rotate at a Level I trauma center may
complete an ER rotation at one of the many hospitals with
which ATSU has an affiliation agreement.
The on-call policy varies by rotation. Students with strong
interests in surgery, OB/GYN and other specialties which
have a lot of call may talk with individual physicians and be
put on the call lists to be called in for “interesting cases”.
resources?
Electronic charting is done in some areas of the hospital.
EMR is rapidly being added to all departments of the
Courtesy meals are provided in the cafeterias at both
hospitals.
numbers.
Students are given access to the medical lounge which is a
This training site is a collaborative initiative of Parkland
Health Center and Mineral Area Regional Medical Center.
Parkland Health Center is part of the BJC Healthcare
Systems (Barnes Hospital in St. Louis) one of the largest
healthcare systems in the United States. At this site you get
the one on one training with your preceptors as well as
access to some of top physicians in the United States.
Farmington is not a major research site. However,
physicians will occasionally involve students in research
projects.
Site Visits
Site visits can be scheduled at almost any time except during holidays.
68
Please contact the Rotation Site Coordinator, Cindy Robinett, at 573.785.2444 Ext 3.
Students must contact the site coordinator at least two weeks before the planned visit. The site coordinator will make
arrangements and let students know who/when/where to meet. Any requests made less than two weeks in advance will be
Area Information
The population of Farmington is 17,796 and the four county service area populations are 113,000. Known for its wealth of
fishing, parks, and other types of nearby recreational areas, it is an area of impressive natural history and beauty. Taum Sauk
Mountain, Elephant Rocks, Washington, Sam A. Baker and Johnson Shut-Ins State Parks are some of the outdoor areas located
within short driving distances. In addition, many local rivers and streams offer excellent fishing, boating, and floating
opportunities in the great outdoors. The region is also home to historic early settlements and wineries. Located within an hour
drive of urban St. Louis, MO, this rural community provides many modern amenities including retail shops, malls, excellent
restaurants, cinemas, water slides, off-road vehicle tracks, stock car racing, and much more! Visitors to this southeastern Missouri
community never lack for things to do. Visit http://growingfarmington.com/ for more community information.
Due to its close proximity to St. Louis, students training in Farmington enjoy easy access to many additional museums, theatrical
or sporting events. For all the Cardinal fans out there, you are a mere 90 minutes away from a Cardinals game or any other
sporting event in the St. Louis area.
During your off time, Farmington has plenty of things of interest to see and do. There are some beautiful golf courses around
town, movie theaters, recreational events, and local shopping opportunities. With the low cost of living in Farmington you can
certainly afford to take part in these activities. Farmington is a great place to live and work, and the lack of traffic jams make
personal and family time easy to enjoy.
Rental units range from $500-750 per month; Houses range from $100,000 to
$150,000, although nice smaller homes can be found for under $90,000. This is a
major benefit to training in southeast Missouri.
The Farmington community has a small local airport and Lambert-St. Louis
International Airport (STL) is a short 90 minute drive north
Nearest expressway
Farmington is located directly on Hwy 67 about 30 minutes south of Interstate 55 at
Crystal City
Visit http://growingfarmington.com
Student Typical Day
Students will pre-round with patients in the mornings and follow typical 9-5 office hours to see patients in preceptor clinics.
Evening or weekend call is at the discretion of each individual preceptor. Didactic opportunities are provided at each hospital.
Depending on the rotation and the volume of patients that you see with your individual preceptor, you will sometimes have late
afternoons for reading and study time.
Every rotation is with an individual attending physician, so exposure to patients is definitely increased. When the attending is
comfortable with your abilities, you will generally find yourself becoming more responsible for individual patients that are
assigned to you, however all care is monitored and supervised by your preceptor.

“Rotations in Farmington are very hands-on. I have delivered babies, sutured, was first assist on C-sections and other operations, inserted a chest
tube, and have done a lumbar puncture… all in my first four rotations. I really enjoy the one-on-one focus with the attendings.”

“The one-on-one training I received from my preceptors taught me more than any prepared lecture could. I know my board scores definitely reflected
this training. They brought medicine out of the text book and into real life.”
Notes
69
Missouri Region
Jefferson City - Capital Region Medical Center
MID-MO AHEC
1125 South Madison Street  Jefferson City, MO 65102  573.632.5013 or fax 573.632.5904  www.crmc.org
Nancy A. Howe, DO
573.632.2777
drhowe@nancymed.com
Marcy Brockett
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Debbie Rehagen
573.632.5013
drehagen@crmc.org
Jan Shipley, Executive Director
MID-MO AHEC
1110 West 11th Street
Rolla, MO 65401
573.458.7576
573.364.8972 (fax)
jshipley@rollanet.org
The Site
Capital Region Medical Center offers a great variety of rotations and has excellent physicians, which enables students to learn and
have fun all at the same time.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
43,079
250
114 beds
5,440
Surgeries
Deliveries
ER Visits
4,614
907
32,035
Student Rotations
Obstetrics/Gynecology rotations for male students are set up in Ft. Leonard
Wood, Missouri, or Carbondale, or Quincy, Illinois. Female students can do
Obstetrics/Gynecology at Capital Region.
Internships
Residency Programs
Family Medicine (AOA accredited)
Possible Facilities
SIU Medical Center
SIU
Carbondale, IL
Distance: approximately 3½ hours.
Rotations: Obstetrics
Quincy, IL
Distance: approximately 3 hours.
Rotations: Obstetrics
We have a lecture/interactive meeting every morning at 7-8
a.m. Sometimes there is lecture over the noon hour.
rotation?
Generally, on a Medicine rotation there is a student and a
resident or intern. Each person is assigned patients that they
review with the attending. On other rotations there is
routinely only one trainee.
70
On the majority of the rotations, one-on-one is routine.
When the attending feels the students are capable of
participating in the procedures, he/she will allow them to
assist with supervision. Majority of the attendings are
“hands-on.”
have?
We have an affiliation with the University Of Missouri
Hospital. We also have an affiliation with KCUMB and take
some of their students.
Students get pagers while they are on certain rotations –
Medicine, Surgery, Cardiology, etc.
Not a designated trauma center. Students can rotate at the
University of Missouri a Level I trauma center (30 minutes
away). Students are expected to contact MU to set this
rotation up.
Yes, there are lockers available.
Generally, there is one night of call per month during the
third year and two nights per month during the fourth year.
resources?
Yes, in the hospital.
Hospital is transitioning to all electronic medical records.
Generally, the students eat for free while they are on duty.
There are many hands-on learning opportunities. This is a
busy hospital with 90%-plus occupancy. The physicians and
staff enjoy having the students and see them as an asset.
Site Visits
Visits will be scheduled at the convenience of the student and the medical education office.
Debbie Rehagen, Capital Region Medical Center at 573.632.5013.
Casual dress – slacks, dress, shirt without tie, but no blue jeans.
Area Information
Jefferson City is conveniently located near Columbia (30 min), Lake of the Ozarks (45 min), Rolla (hr.) and Sedalia (1 hr.). The
city is easy to get around in, considering you can get anywhere within 15 minutes. The State Capitol, Governor’s Mansion,
Runge Conservation Nature Center, Memorial Park, and Capital Mall are just a few things to enjoy while in Jefferson City.
For many around Mid-Missouri, Jefferson City has become a favorite for shopping. Jefferson City offers many chain stores as
well as “mom and pop” specialty stores that offer almost everything you’re looking for. If you can’t find it here, Columbia is
close enough to be a convenient shopping alternative. New restaurants are opening in Jefferson City all the time. If you like
outside dining, try the downtown area or one of our wineries. Central Dairy and Arris Pizza are two popular stops for visitors.
Jefferson City offers many opportunities. There is always something to do, yet there is a friendly atmosphere, unlike some big
cities. Jefferson City is a growing and vital city in the heart of Missouri and the Midwest with an ever-expanding economy. The
major economic sectors are government, trade, and services. A beautiful and industrious city, Jefferson City offers much to its
citizens and businesses. Some job options include state jobs, teaching, nursing, and many more. There are several colleges in
Jefferson City, including Lincoln University and Columbia College – Jefferson City. The Jefferson City public school district
includes eleven elementary schools, two middle schools, the Simonsen 9th Grade Center, one high school, as well as two career
centers. There are also 10 private schools.
2-bedrooms between $450-$600/month
Lambert-St. Louis International Airport (STL) – 2½ hours
Kansas City International Airport (MCI) – 3 hours
Nearest expressway
30 minutes to I-70
www.newstribune.com
71
Student Typical Day
Prior to 7 a.m. (depending on the service you are on): pre-round and progress notes are completed in preparation for presenting
your patients to your attending during rounds. On some services you will not do the pre-rounds or write notes (but that is only
very few).
7 a.m.: Morning report with third and fourth year med students, interns, and residents. We get breakfast and bring it to the
education room where we eat during the lecture. We generally have two days of interactive case presentations per week. Lectures
provided by attendings, Medical Knowledge Self-Assessment Program (KXSAP), tumor boards, resident issues, etc., are
provided on other mornings.
After morning report, which usually concludes by 8 a.m., you meet up with your attending and complete the morning rounds, go
to surgery or to the office, etc. depending on the rotation. Most attendings allow you to go to lunch at noon, but later in the third
year and especially in the fourth year; the rotations you choose will dictate your lunch schedule. As for the afternoon schedule,
again it is driven by the rotation. If you have an office based rotation you will obviously be seeing patients in the afternoon.
Students meet weekly with the DSME for case presentations or journal club. Assignments are generally given the week prior to
allow ample preparation time. You can expect to lead one journal club and two case presentations during your third year. Fourth
year students will often demonstrate proper case presentation and journal club format in the beginning of the year so that third
year students have a template on which to base their own presentations.
Capital Region Medical Center offers a Traditional Rotating Internship and a Family Medicine Residency. This means that
students are often one-on-one with their attending. This translates into lots of hands on experience. Often your Internal
Medicine rotation will include a maximum of two students and one intern/resident. This allows the workload to be split up
reasonably without overwhelming green third year students. As your speed and skill levels improve you will be challenged with
additional responsibilities. For people who are eager to do extra for the experience, this site provides opportunities to get extra
OR time, etc. Just find an attending in the specialty of your choice, ask them to call you if they get called in, leave your name and
phone number with the switchboard and presto—you will get all the extra time you desire. FUN!!!

“I have really enjoyed having rotations in Jefferson City. For the majority of rotations you get to be one-on-one with the physician and I have yet to
find a physician that does not enjoy their job and teaching students. They are all highly trained and a large number are also osteopathic physicians.
As a student you are able to be directly involved in patient care, whether that is in the operating room, hospital, or clinic setting. You also have the
unique experience to be involved with the residency/intern program which includes daily morning report from residents and physicians. This is a
great smaller town site and I have gotten a lot out of each rotation here.”

“During some of my hospital-based rotations, I had the afternoon to read and/or follow up on the patients while my attending was in his/her
office. After office, they would return to the hospital for evening rounds or just to follow-up. Most rotations allow you to leave by 5 p.m. As
expected though, some kept us later and some allowed us to leave earlier depending on the patient load. Some evening and weekend work is
required. You are required to take one overnight call per month. On Medicine, we are required to come in on one weekend as well.”
Notes
72
Missouri Region
Joplin - Freeman Health System
1102 West 32nd Street  Joplin, MO 64804  417.347.1111  www.freemanhealth.com
William Hughes, DO
702 East 34th, Suite 202
Joplin, MO 64804
417.347.2526
Marcy Brockett
Stephanie Lea
Freeman Health System
1031 McIntosh Circle
Joplin, MO 64804
417.347.5665
srlea@freemanhealth.com
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
The Site
Freeman Health System is a not for profit, locally owned hospital system located in southwest Missouri. Inpatient facilities are
located on three campuses: Freeman East and Freeman West both located in Joplin, and Freeman Neosho in Neosho, Missouri.
The system service area serves a population of 450,000 lives. The medical staff is comprised of over 300 staff physicians, over
150 of whom are employed in the Freeman physician group. Freeman Health System has been recognized by Solucient® as a
“100 Top Hospital” in the teaching category.
U.S. News & World Report recently ranked Freeman as the #1 hospital in Southwest Missouri and #4 hospitals in the State of
Missouri. In addition, Freeman was recognized and received special designation in 5 high-performing specialties, including
Gastroenterology, Nephrology, Neurology/Neurosurgery, Orthopaedics, and Pulmonology.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
50,150
311
517 beds
21,717
Surgeries
Deliveries
ER Visits
Outpatient Visits
14,570
2,625
110,298
398,219
Student Rotations
The majority of rotations are clinic based with rounds and procedures done at
Freeman Health System West Campus and East Campus.
Residency Programs
Emergency Medicine, Internal Medicine, and Otolaryngology & Facial Plastic
Surgery
Didactics of some type are scheduled every day. These
include: Internal Medicine Didactic Lectures; Morning
Report; Journal Club; Oncology Network; H & P
Workshop; Coding Club; OMM series presentation; EKG
conference; Cardiology review.
The students are one-on-one with an attending or resident
the majority of the time on the rotation.
rotation?
Yes, but that also depends on what attending you have.
There could be anywhere from one to three people on a
service at a time, depending on what rotation you are on.
We try to keep a minimal number of house staff on one
service; it is a better teaching environment.
have?
Freeman Health System is not affiliated with any other
hospital. Our school affiliates for Core students are
73
Kirksville (KCOM) and Kansas City (KCUMB) and our
OPTI is OMECO (Osteopathic Medical Education
Consortium of Oklahoma).
Meals are provided from the cafeteria as long as you have
your Freeman Health System name badge on.
Level II, students who would like to rotate at a Level I
trauma center may do an ER rotation at one of the many
hospitals with which ATSU has an affiliation agreement.
No
Medical students are required to be on-call two times per
month with a resident. The other call nights will depend on
the attending of the rotation you are on.
resources?
Internet access is provided with institution login; you can
login to any computer and have access within the hospital.
Wireless internet is available throughout the hospital and
library.
Yes
Lockers are available.
We have teaching physicians who truly care about teaching
the next generation of doctors. We have outstanding
doctors practicing medicine within Freeman Health System.
We completed our Tower expansion of the hospital, which
includes a 42 bed Emergency Room Department, a new
Helipad, patient rooms, and admissions.
Site Visits
No specific time.
Stephanie Lea, GME Medical Student Coordinator at 417.347.5665 or srlea@freemanhealth.com
Call to make arrangements, preferably in small groups instead of individuals.
Area Information
Located in the Southwest corner of Missouri, Joplin boasts a small town community within a rural setting. The city is home of
Missouri Southern State University. Many outdoor recreational activities are available. Life is good in Joplin! With a population
of more than 50,000, Joplin still has a “hometown” feel of safe, pleasant, residential areas, friendly people, and neighborhood
schools. Thanks to a market area of nearly 500,000 people, Joplin offers a wide variety of shopping, medical care, services, and
job opportunities typically found in much larger cities. Yes, the secret’s out: the Joplin area is a wonderful place to work and live!
The cost of living in Joplin is highly competitive. In fact, the American Chamber of Commerce Research Association Cost of
Living Index repeatedly places Joplin’s cost of living at nearly twelve percent below the national average, assuring Joplin’s role as
a community with the lowest cost of living metropolitan area in Missouri and one of the lowest cost metro areas in the country.
$500-$800/month
Springfield-Branson National Airport (SGF) is the closest airport, which is about
60 miles away. There are two larger airports that are within a 90 mile radius Tulsa
International Airport (TUL) and Northwest Arkansas Regional Airport (XNA)
Nearest expressway
I-44 runs just south of town
www.joplincc.com
www.joplinmo.org
74
www.visitjoplinmo.com
www.joplin.com
Student Typical Day
During your third and fourth year rotations at Freeman Hospital, your schedule will vary depending on the specialty in which you
are rotating that month. The didactic schedule, however, is very consistent. If you rotate in Joplin, you will attend Oncology
Conference every Thursday morning 7-8 a.m. Morning report is scheduled every Monday at 7 a.m. There are required lectures
presented by various specialists on Mondays noon-1 p.m., Tuesdays noon-1 p.m. and on Fridays noon-1 p.m. On the second
Thursday of the month you will attend EKG conference from 7-8 a.m. Then on the third and fourth Thursday of the month,
there are scheduled Cardiology reviews from 8-9 a.m.
If you decide to rotate and/or move to Joplin, your morning commute may take anywhere from 5 to 25 minutes depending
where you live. Most of the rotations in your third year in Joplin are clinically based with hospital experience, except Internal
Medicine which is completely hospital based. Freeman East is another hospital located in Joplin where you will spend some of
your time, including your four week Psychiatry rotation.
Notes
75
Missouri Region
Joplin–Mercy Health System
SWMO AHEC
William Hughes, DO
Katie Harden
Program Coordinator
Mercy Hospital Joplin
417.659.6939
Katie.harden@mercy.net
Marcy Brockett
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Kami Gollhofer
SWMO AHEC
417.836.3284
kamigollhofer@missouristate.edu
The Sites
Mercy Joplin and Carthage
Mercy Hospital is a non-profit hospital located in southwest Missouri. Inpatient facilities are located on two campuses: Mercy
Hospital Joplin in Joplin Missouri and Mercy Hospital Carthage in Carthage, Missouri. The system service area serves a
population of 500,000 lives. The medical staff is comprised of over 350 physicians.
Mercy is the fifth largest Catholic health care system in the U.S. and serves millions annually. Mercy includes 33 acute care
hospitals, four heart hospitals, two children’s hospitals, three rehab hospitals and one orthopedic hospital, nearly 700 clinic and
outpatient facilities, 40,000 co-workers and more than 2,000 Mercy Clinic physicians in Arkansas, Kansas, Missouri and
Oklahoma. Mercy also has outreach ministries in Louisiana, Mississippi and Texas.
Site Statistics
City Population
50,000
Medical Staff
Size of Hospital
Student Rotations
360
207
Admits
Surgeries
Deliveries
ER Visits
Outpatient Visits
Rotations available in most specialties including Anesthesia, Cardiology, Cardiovascular
Surgery, Critical Care, Dermatology, Emergency Medicine, Endocrinology, Family
Medicine, Gastroenterology, General Surgery, Infectious Disease, Internal Medicine,
OB/GYN, Ophthalmology, Orthopedic Surgery, Pathology, Pediatrics, Podiatry,
Psychiatry, Pulmonology and Radiology. Some are completed at one of our local
hospitals, while others are completed at clinics. Most clinics are in Joplin and Carthage.
However, AHEC does cover 21 counties and opportunities exist for rotations at many
different types of sites.
Possible Facilities
2817 St. John’s Blvd.
Joplin, MO 64804
417.781.2727
76
8,016
3,509
503
30,263
88,904
Mercy Hospital Carthage
3125 Dr Russell Smith Way
Carthage, MO 64836
417.358.8121
Didactics are not currently offered at Mercy Joplin,
however there are opportunities for monthly recordings
that are KCOM Sponsored.
rotation?
Each rotation is a one-on-one experience with the
precepting physician. In a typical month, there are 8-12
medical students completing rotations with various
providers.
The students are one-on-one with an attending during all
rotations at Mercy.
to
actively
Yes, the degree varies by site.
have?
Mercy Hospital Joplin is a part of the Mercy Health System
located throughout Missouri, Kansas, Oklahoma, and
Arkansas. Medical school affiliates include Des Moines
University, Kansas City University of Medicines and
Biosciences, Kirksville College of Osteopathic Medicine,
University of Missouri – Kansas City School of Medicine,
University of Missouri – Columbia School of Medicine
Mercy Hospital Joplin has applied for Level II trauma
designation. We are scheduled for a survey in our new
hospital April 2015. Students who would like to rotation
at a Level I trauma center may do an ER rotation at one
of the many hospitals with which ATSU has an affiliation
agreement.
Medical students are required to be on-call with their
attending. The amount of call depends upon the rotation.
resources?
Internet access is provided with institution login; you can
login to any computer and have access within the hospital.
Additionally, UpToDate is accessible through Epic.
Wireless internet is available throughout the hospital.
Yes, Mercy uses Epic.
Medical Students are provided a $6 per meal allowance.
No.
Varies by site.
What unique qualities/opportunities does your site
have to offer?
The ability to rotate one-on-one with the preceptor, be first
assist and experience hands-on opportunities not afforded
to those rotating with other medical students and residents.
Additionally, Mercy Hospital Joplin opens doors to a brand
new state-of-the-art hospital in March 2015. Students will
have the opportunity to utilize the latest technologies.
No information given.
Site Visits
Site visits will be scheduled as requested.
Please contact the Rotation Site Coordinator.
Site visits will be scheduled; information will be given to the requesting student. Whenever possible, rotation site coordinator will
meet with student as well.
Area Information
Joplin is located in southwest Missouri, 158 miles south of Kansas City and 284 miles southwest of St. Louis. The Southwest
Missouri Area Health Education Center (SWMO AHEC) is hosted by Missouri State University located in Springfield and Joplin
and includes service to 21 counties in southwest Missouri.
77
Located in the Southwest corner of Missouri, Joplin boasts a small town community within a rural setting. The city is home of
Missouri Southern State University. Many outdoor recreational activities are available. Life is good in Joplin! With a population of
more than 50,000, Joplin still has a “hometown” feel of safe, pleasant, residential areas, friendly people, and neighborhood
schools. Thanks to a market area of nearly 500,000 people, Joplin offers a wide variety of shopping, medical care, services, and
job opportunities typically found in much larger cities. Yes, the secret’s out: the Joplin area is a wonderful place to work and live!
The cost of living in Joplin is highly competitive. In fact, the American Chamber of Commerce Research Association Cost of
Living Index repeatedly places Joplin’s cost of living at nearly twelve percent below the national average, assuring Joplin’s role as
a community with the lowest cost of living metropolitan area in Missouri and one of the lowest cost metro areas in the country.
Approximately $500-$900/month for a rental apartment
Springfield Regional Airport (SGF) is located in Springfield, about 60 miles away.
Kansas City International Airport (MCI), Tulsa International Airport (TUL) and
Northwest Arkansas Regional Airport (XNA) are the closest major airports.
Nearest expressway
Mercy Hospital Joplin is located on I-44.
www.mercy.net
www.joplincc.com
www.joplinmo.org
www.visitjoplinmo.com
www.joplin.com
Student Typical Day
The Joplin site is preceptor based, so students are one-on-one with a preceptor. This means that students get a lot of hands-on
learning without having to compete with residents or other students.
While on a rotation, students take the schedule that their preceptor has. Therefore, there is no set schedule from month to
month. Because Joplin is not hospital-based, the responsibilities and expectations are not standardized and can be different,
depending on the preceptor.
Notes
78
Missouri Region
Kennett - Twin Rivers Regional Medical Center
SEMO AHEC
1301 First Street  Kennett, MO 63857  573.888.4522 or fax 573.888.8447  www.twinriversregional.com
Karl Shanstrom, DO
Cindy Robinett
Marcy Brockett
SEMO AHEC
506D Hazel Street
573.785.2444 ext. 3
crobinett@atsu.edu
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
SEMO AHEC
sandy@semoahec.org
The Site
Twin Rivers Medical Center offers excellent learning experiences for medical students in the areas of Surgery,
Obstetrics/Gynecology, Internal Medicine, Pediatrics, Family Medicine, Cardiology, and Emergency Medicine. Fifty percent of
hospital physicians serve as community preceptors hosting student clinical rotations. Because Twin Rivers is one of our smaller
hospitals, students get to know their preceptors on a personal level as well as professional. Preceptors work to make sure
students get some of the best training in Missouri. It is a very hands-on site and students deliver babies, first assist in surgeries
and work directly with interventional radiologists as well as participate in many procedures.
Students training at this site work with private practice physicians affiliated with the local community hospital system. Local
medical faculty members operate private practice clinics that are located in medical buildings very close to the hospital facility.
The hospital does have a few hospitalists with offices directly on site. This site also provides primary care clinical training
experiences at the local Federally Qualified Health Center (FQHC) and Migrant Health Center, which serves a significant migrant
Hispanic population. Complimentary AHEC student housing is provided for students completing short term rotations and is
located a short 5-10 minute drive from the hospital.
Karl Shanstrom, DO a family medicine physician and 2008 graduate of KCOM is an extremely popular preceptor (and now
DSME) in Kennett. He completed his 3rd and 4th year rotations in nearby Cape Girardeau and was very happy with his site until
he came to Kennett to complete his psychiatry rotation. He was so impressed by the training and staff in Kennett he asked to
complete more of his rotations in Kennett. He was made to feel so at home he decided to practice in Kennett instead of going
back home to Colorado.
Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to student. Students with a
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
Student Rotations
10,932
85
116 beds
4,932
Surgeries
Deliveries
ER Visits
Medical Coordinator
2,756
469
22,027
Rhonda Hamlett
All rotations are completed one-on-one with preceptors. Students get a variety of
both inpatient and outpatient rotations. At this site all preceptors work with
students on a volunteer basis and do so because they enjoy working with
79
Preceptor lectures, CMEs, journal club, and student case
conferences are provided. Student case conferences are
monthly (except in summer months), and a schedule of
lectures and CMEs is provided annually. Students do
morning rounds with attendings and are often given reading
assignments.
talk with individual physicians and be put on the call lists to
be called in for “interesting cases”.
rotation?
Kennett only hosts medical students.
obstetrics.
One of the best parts of completing your clinical in a
smaller community is that students are allowed to
have?
Twin Rivers Medical Center is part of Health Management
Associates and is affiliated with Poplar Bluff Regional
Medical Center.
KCOM in Kirksville, KCUMB in Kansas City, University of
Missouri-Columbia, and UMKC in Kansas City
which ATSU has an affiliation agreement.
resources?
Student meals are provided free of charge in the hospital
cafeteria. Students can utilize their school issued name
badges to receive meals.
numbers.
Students are given access to the medical lounge which is a
Twin Rivers Regional Medical Center is a smaller hospital
which serves a large area with a variety of pathology that
surprises many students as well as new physicians joining
the medical community. Students are treated more like
physicians than students and are made to feel at home from
the first day of their rotations.
Ozarks Medical Center is not a major research site.
However, physicians will occasionally involve students in
research projects.
Site Visits
Please contact the Rotation Site Coordinator, Cindy Robinett at 573.785.2444 Ext 3.
80
Students must contact the site coordinator at least two weeks before the planned visit. The site coordinator will make
arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will be
Area Information
Located less than 100 miles north of Memphis, Tennessee, Kennett is the hometown of nine-time Grammy Award winner Sheryl
Crow, who sometimes provides concerts for the local community. Kennett boasts many recreational activities, such as golfing,
tennis, swimming, boating, fishing, water-skiing, and also has many public park facilities. Local sporting events are also very
popular in the community. Kennett is home to several local shops and specialty stores, and major shopping venues in Paragould,
Arkansas are about 30 minutes away, Memphis, Tennessee is about an hour and a half away http://www.memphistn.gov/
Rental units range from $450-650/month
Average housing costs range from $100,000-150,000, although smaller nice
homes can be found for under $90,000. This is a major benefit to training in
southeast Missouri.
Kennett Memorial Airport (TKX); Memphis International Airport (MEM) is
about a 2 hour drive away
Nearest expressway
The hospital is located on Hwy 412, about 20 minutes west of I-55
www.kennettmo.com
Student Typical Day
Upon arriving at this small community hospital, one is met with the most friendly, accommodating medical staff. They are very
excited to have medical students and often provide parties and student social activities. On your first day you will report to
Rhonda Hamlett in the Medical Coordinator’s office on your way to the patient care area, Rhonda provides a student orientation
to training protocols and welcomes you to the hospital.
Most rotations are preceptor-based, so the schedule will vary somewhat for every rotation; however, most rotation days begin at
8 a.m.
If you are on a surgical rotation or an Obstetrics/Gynecology rotation you may get called back into the hospital during off hours.
Call depends on your preceptor’s schedule but you will still have plenty of study time. Students at this site may get permission to
have more exposure in the emergency room, surgery department and/or labor and delivery if you would like to catch interesting
cases. Twin Rivers is home to Dr. Edmund Landry, an outstanding orthopedic surgeon who spent several years at the Honolulu
Unit of the Shriner's Crippled Children's Hospital and at the Walter Reed Army Institute. Another Kennett preceptor, Dr.
Nelson Dr. Perez was recently awarded rural track preceptor of the year by the University of Missouri-Columbia School of
Medicine. When asked, how did a small town like Kennett get such extraordinary physicians? The answer is simple. The people
in Kennett are so friendly you feel like you have known them forever and feel right at home. Kennett is our southernmost
training site and is definitely the epitome of southern hospitality.

“Kennett is the hidden jewel of southeast Missouri! I came to Kennett for a single rotation because I heard there was a great OB/GYN
preceptor that would allow me lots of hands on exposure. I had such a great experience there I did a total of six rotations at Twin Rivers
Regional Medical Center. If I had known what a great site Kennett was, it would have definitely been my first choice in the match. I would
have never guessed I would have learned so much at this small but very well staffed hospital.”

“My husband and I both completed our third and fourth year rotations in Kennett. We picked Kennett because it was closest to home. We
had no idea at the time what a great choice we had made. We received great training and were able to perform as well any intern and most
residents while on our audition rotations.”
Notes
81
Missouri Region
Kirksville - Northeast Regional Medical Center
NEMO AHEC -KCOM Program Office
315 South Osteopathy Street  Kirksville, MO 63501  660.785.1000  660.785.1713 (fax)  www.nermc.com
Gemma Ciesemier, DO
Amanda Mills
Co-Director, KCOM AHEC
Janet Head, RN, MS, EdD
660.626.2887
660.626.2928 (fax)
ajmills@atsu.edu
660.626.2887
jhead@atsu.edu
The Site
Northeast Regional Medical Center is a 115-bed hospital offering a full-range of healthcare services including a 24/7 Emergency
Department, Level III Trauma Center, Heart Center, Orthopedics/Sports Medicine, General and Vascular Surgery, Obstetrics,
and is accredited by the American Osteopathic Association Society of Chest Pain Centers. Northeast is home to ten Osteopathic
residency programs. In addition, Northeast Regional has been named America’s 50 Best Hospitals by Becker’s Hospital Review
and is a two year winner of the Thomson-Reuters Top Hospital Award. For more information, visit www.nermc.com
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
17,505
160
115 beds
2,925
Deliveries
ER Visits
1,138
4,933
504
11,439
Student Rotations
Most Core rotations are available at the hospital or at clinics in town. Some
Psychiatry rotations are completed in Hannibal, Joplin, Springfield and Quincy,
IL. Required Rural Family Medicine rotations are completed in Bloomfield, IA
(1 hour), Memphis (45 minutes) and other AHEC supported sites in Missouri.
Internships
Residency Programs
Anesthesiology, Dermatology, Family Medicine, General Surgery, Integrated
Family Medicine/Neuromusculoskeletal Medicine, Internal Medicine, Integrated
Internal Medicine/Neuromusculoskeletal Medicine, Neuromusculoskeletal
Medicine “Plus One”, Otolaryngology & Facial Plastic Surgery
Fellowship Programs
MOHS Fellowship (Post-Dermatology training) Program in Tulsa, Oklahoma is
affiliated with NRMC
Organized within a systems approach, 7 a.m. and noon
lectures are presented by attendings, residents, and guest
speakers. At monthly sessions, students present oral case
reviews and reviews of important research reports from
professional literature (journal club).
rotation?
The number of students on each rotation varies according
to the preceptor’s request.
82
A majority of the time it is one-on-one.
This is preceptor dependent.
have?
No
Level III. Students can, if they choose to, rotate out.
One or two nights a month.
resources?
Students may access the A. T. Still Memorial Library on the
KCOM campus during their open hours and students has
electronic access to the ATSU library 24 hours a day.
Internet access is available throughout the hospital and
includes references such as Up-To-Date.
Yes, charting is done electronically via HMS Clinvu.
Yes - $200/month while on rotation at NRMC – or
prorated if only on rotation at NRMC for partial month.
Yes, these are picked up at the beginning of the third year
rotations, during orientation.
Yes
Northeast Regional shares a campus with A. T. Still
University-Kirksville College of Osteopathic Medicine, the
founding osteopathic medical school which offers resources
for research and the basic sciences. A new dental school
was added to the ATSU campus fall of 2013. Northeast
Regional and its attending physicians actively participate in
the students’ teaching experience. The medical center
completed
a
$3.9-million
renovation
of
the
obstetrics/nursery unit in 2010 and a $2.7-million dollar
expansion in the Critical Care Unit. A new cardiac cath lab
and 64-slice CT scanner was added in 2011, along with
opening the Northeast Regional Heart Center. The Heart
Center offers two full time cardiologists and a robust
cardiac service line. The Northeast Regional Vein Center
opened in 2013 and surgery renovations will begin on site in
2015. NRMC has embraced the Studer Group’s Nine
Principles as a part of its commitment to excellence in not
only patient care, but a facility where employees want to
work and physicians want to practice.
Due to the small town rural location, housing can be found
close to the campus.
Students in the Kirksville region have the opportunity to
participate in a weekly simulation lab held in the Human
Patient Simulation Center on the ATSU-KCOM campus.
Students will take part in simulation scenarios involving
BLS, ACLS, airway interventions and central lines with the
hospital interns and residents.
They will have the
opportunity to work with the endoscopy simulator,
TraumaMan, and the OB simulator.
Yes, we offer a Research Rotation that students may
complete as a general elective.
Site Visits
Planned for August, September and October.
Debbie Darr, Administrative DME, at 660.785.1400 or the Rotation Site Coordinator, Amanda Mills at 660.626.2887.
Students should contact hospital or site coordinator to schedule a visit. Visits include presentation by current
students/interns/residents, the education coordinator, and site coordinators. A tour and question and answer session is also
included.
Area Information
Kirksville, Missouri is a thriving community that offers the best of both worlds – small town values with city amenities. Located
in the northeast corner of Missouri, Kirksville is home to both Truman State University and ATSU. Many outdoor recreational
activities are available at Thousand Hills State Park and Forest Lake. You can reach the Chamber of Commerce at 660.665.3766,
or visit their website, www.kirksvillechamber.com.
Outdoor enthusiasts, sporting enthusiasts, artist, or craftsperson—whatever your interests, Kirksville is for you. Kirksville boasts
seven public parks, a 30-acre six field baseball/softball complex, and an Aquatic Center. Thousand Hills State Park and the 573acre Forest Park Lake offer fishing, boating, swimming, water skiing, sailing, hiking and biking trails, camping, cabin rentals,
picnic areas, marina and rentals, playground facilities, and a great restaurant. Area lakes, rivers, and forests such as Hazel Creek
Lake and Big Creek State Forest house some of the nation’s best public hunting and fishing opportunities. Hunters from all over
83
the nation use northeast Missouri for hunting wild turkey and deer, as the area is home to thousands of acres of public and
private hunting grounds.
Cultural events such as Truman State University’s Kohlenberg Lyceum Series bring world-renowned performances to Kirksville.
In addition, the university offers plays, concerts, recitals, and debates which are all open to the public. The Red Barn Arts and
Crafts Festival in the fall draw national artisans and include entertainment, children’s activities, and dance revues. The Northeast
Missouri Fair is a week-long event held in July. It features 4-H and FFA exhibits, commercial exhibits, a wide variety of food
vendors, a carnival, and nationally known country music acts. Camping facilities are also available. An assortment of local
festivals and activities are also held throughout the year such as; Red, White & Blue 4th of July Festival, Round Barn Blues
Festival, Heyday Fall Festival, St. Patrick’s Day Festival, Air Festival, Red Barn Art Festival, Daddy Daughter Dance, Mother and
Son Stampede, Breakfast with Santa, NEMO Triathlon and other fun runs, art exhibits, Easter Egg hunts, numerous parades,
Scottish Highland Games and summer on the square concerts to name a few.
Average cost of housing:
$500/month (Depending on specific requirements, prices will vary)
Nearest major airports:
Kirksville Regional Airport (IRK) - 6 miles south of Kirksville offers daily flights
to St. Louis
Columbia Regional Airport (COU) - 100 miles south of Kirksville
Quincy Regional Airport (UIN) - 90 miles east of Kirksville
Des Moines International Airport (DSM) - 130 miles northwest of Kirksville
Kansas City International Airport (MCI) - 170 miles southwest of Kirksville
Lambert-St. Louis International Airport (STL) - 200 miles southeast of Kirksville
Nearest expressway:
Kirksville can be accessed via a four-lane divided highway from I-70 at
Columbia, Missouri
Nearest railway:
LaPlata Amtrak Station (LaPlata, MO) – 15 miles south of Kirksville
www.kirksvillechamber.com
www.visitkirksville.com
www.kirksvillecity.com
Student Typical Day
If the student is on an inpatient hospital rotation, the day begins around 6 a.m. with pre-rounds. For Internal Medicine services,
this involves checking in on assigned patients and writing notes in their charts. For Surgery and Anesthesia services, this includes
performing outpatient H & Ps and starting IVs. Then, mandatory morning didactic lectures are at 7 a.m.; afterwards, the student
meets with the attendings and residents for rounds. Surgery services may have cases scheduled to begin at 8 a.m., so rounds may
not occur until later in the day. Lunch lecture (also mandatory) is at noon. Afternoons may be spent finishing rounds, in the OR,
in the Wound Clinic, or reading, depending on the service and how busy things get. For both Internal Medicine and Surgery,
procedures and admits may happen at any time and are worked into the schedule. These days can be long, depending on the
attending; Internal Medicine tends to go until 6-7 p.m. and Surgery can go even later.
For outpatient rotations, the student is generally able to attend morning and lunch lectures. Most offices see patients from
(8 a.m.-5 p.m.). Many Family Medicine and specialty physicians have hospital practices and students may be required to follow
inpatients, doing rounds or procedures, or helping to deliver babies. Some doctors have surrounding area clinics and the student
may have the opportunity to accompany them.
The student will take call about once per month. This involves serving a 6 p.m.-7 a.m. shift, helping the intern-on-call with
admission H & P’s and calls from the floors. During call, food and drinks are provided in the 6th floor student lounge. There is a
secure sleeping room available, should the opportunity present itself.
The hospital provides a cafeteria account for each student for breakfast and lunch during the week. Pagers are also provided, and
computers with internet access and Up-To-Date are available throughout the facility. Journal Clubs in Family Medicine, Internal
Medicine, Surgery, and Anesthesia are typically held throughout the week at varying times/days. On Wednesday morning
students, interns and residents work with the Human Patient Simulations reviewing ACLS and procedures. Occasionally, Grand
Rounds are scheduled; and a visiting physician gives a presentation. Tumor Board and Morbidity and Mortality conferences are
held once a month.
Notes
84
Missouri Region
Rolla - Phelps County Regional Medical Center
MID-MO AHEC
1000 West Tenth Street  Rolla, MO 65401  573.458.8889 or fax 573.364.8972  www.pcrmc.com
Hugh Schuetz, DO
Mary Beth Cook, Clinical Education Coordinator
Marcy Brockett
573.458.7578
573.364.8972 (fax)
marybeth@maheclibrary.org
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Jan Shipley, Executive Director
MID-MO AHEC
1110 West 11th Street
Rolla, MO 65401
573.458.7576 Main#
573.364.8972 (fax)
jshipley@rollanet.org
The Site
Phelps County Regional Medical Center (PCRMC) in Rolla is the host hospital. Students complete their required, specialty, and
rural rotations with clinicians in the Rolla area. Phelps County Regional Medical Center has recently undergone a 72,000 sq. ft.,
$12 million expansion. There is also a brand new Medical Office Building, housing several private practices, as well as a state of
the art Ambulatory Surgery Center. Services provided by PCRMC include Cardiac Catheterization, Cardiac Rehabilitation,
Cardiopulmonary, comprehensive breast cancer care, Emergency Department, Endoscopy, Home Health, Hospice, Inpatient
nursing, Maternity services, Medical Imaging, outreach laboratory, Pediatric care, Psychiatric services, Radiation Oncology,
Rehab and Inpatient services, and Outpatient Rehabilitation services.
Students from University of Missouri-Columbia and University of Health Science-Kansas City also do core rotations at PCRMC.
Mid-Missouri AHEC facilitates student rotations at PCRMC, as well as the neighboring Mercy hospital here in Rolla. Mid-MO
AHEC can also facilitate rotations at Lake Regional Hospital at Osage Beach and Fitzgibbon Hospital in Marshall.
The Mid Missouri Region offers one of the strongest primary care clinical training sites for students. Sites vary from primarily
city to almost totally rural in their location. This geographic diversity allows students the opportunity to experience rural
medicine at its very best. Each student has a one-on-one learning experience with each of their preceptors.
Rural Family Medicine rotations might require travel to St. James (15 min), or Salem (30 min).
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
19,559
90
242 beds
9,224
Student Rotations
Surgeries
Deliveries
ER Visits
6,503
904
30,259
Almost all student rotations are completed at the hospital. Most Family Medicine
rotations are scheduled in St. James, eight miles from Rolla, Some Psychiatric
and Obstetric rotations are scheduled at Ft. Leonard Wood which is also within
30 minutes of Rolla.
Student didactics are held each Wednesday morning with
physicians, allied health personnel, and others presenting
85
programs pertinent to student clinical rotations, Board
Review, Case Presentations.
rotation?
resources?
Yes, we have a complete student library with 24-hour access
to Internet and resources and the MAHEC digital library.
Only one student is scheduled with each preceptor at a
time.
Students always have a one-on-one relationship with their
preceptor.
Students are encouraged to actively participate in
procedures, i.e. suturing, acting as first assistant in Surgery,
and delivering babies in Obstetrics.
have?
Phelps County Regional Medical Center (PCRMC) is not
affiliated with other hospitals; however, PCRMC is affiliated
with MU School of Medicine.
Level III trauma center with 30,000 visits annually. None of
our rotation sites are Level I trauma centers.
Yes
At PCRMC, students are given a badge to receive the
employee discount on meals. Some meals are furnished at
affiliated sites in Fitzgibbon Hospital (Marshall, MO) and
Lake Regional Hospital (Osage Beach).
We don’t have pagers.
Our students usually leave their belongings in the student
library, which is inside the physician lounge, and has
restricted access.
Our facility offers a team spirit between physicians, nursing,
allied health services and administrative staff, unique rural
medicine experiences, a one-on-one student/preceptor
ratio, and a commitment to excellence in patient treatment
and care.
On-call depends upon each individual preceptor.
Site Visits
Site visits must be scheduled in advance, but can be scheduled for anytime during the week.
Please contact Mary Beth Cook at 573.458.7578 or marybeth@maheclibrary.org
Business casual dress, no blue jeans.
Area Information
Rolla recently received the designation of one of the 100 Best Small Cities in the U.S. and boasts a population of 17,000. It is the
home of the Missouri University of Science & Technology, formerly known as the University of Missouri-Rolla. While Missouri
Science & Technology is known primarily as an engineering school, it has a strong pre-medical program and is building in
technology and business programs.
The Rolla community offers affordable housing. Rolla has a strong school system and is committed to providing a safe and
protected environment. The Rolla public school system includes three elementary schools, a middle school, junior high, and high
school. There are a couple of private school options, as well as several technical schools/colleges. Job opportunities for spouses
are varied, but the majority of openings in the area are medical, educational, or service based. Rolla is situated within 100 miles of
86
Springfield, St. Louis, and Columbia if one wants more shopping and entertainment facilities; however, the university has many
cultural opportunities at reduced rates for medical students and their families.
Meramec Springs, other state parks, and the Mark Twain National Forest offer a variety of recreational options including hiking,
camping, and canoeing.
1 or 2 bedroom apartment with appliances for $450+ some include dishwasher,
disposals, water and trash pickup and washer/dryer hookups in the rent. They
usually require a deposit which may include the first and last month’s rent. Most
do not allow pets.
Lambert-St. Louis International Airport (STL) is about 90 miles from Rolla.
Springfield Regional Airport (SGF) is about 110 miles from Rolla
Nearest expressway
Rolla is located directly off of I-44, halfway between St. Louis and Springfield
www.rollacity.org
Student Typical Day
The student’s typical day begins with rounds at 7 a.m. with the preceptor. After rounds, student and preceptor usually return to
the office and see patients until noon. They may see a patient at the hospital during this time and office hours begin again around
1 p.m. and run until 5 p.m. or whenever the last patient is finished. Students always have the opportunity to be on-call with the
preceptor, but it is seldom required.
Students typically do one or more H & Ps each day, examine patients, and consult with the doctor. Medical students are afforded
an increasing level of autonomy and involvement in patient care, which has proven to prepare them very well for internship. To
round out the medical education, preceptors will often assign reading on topics encountered for discussion the next day.
Students have access to internet and medical library resources including Up-To-Date.
Wednesday mornings are devoted to didactics from 7 a.m.-1 p.m. Students are required to do either a Journal Club Presentation,
Case Presentation, or board review questions following the first hour of lecture from a local or visiting physician. Previous fourth
year students have developed a curriculum designed to best prepare third year students for post rotation exams and the
COMLEX Level 2 exam. Students have the opportunity to attend the Tumor Board meetings every Thursday morning at 7 a.m.
Students have many opportunities to get involved with the community. Last year students volunteered to do OMM at a bike race
to benefit diabetes research; they had the opportunity to work at a free clinic on Tuesday evenings; and they were event leaders at
the Science Olympiad for middle school students. There is time to study. Some preceptors may invite students to their homes for
dinners and holiday parties. MID-MO AHEC hosts at least two holiday events for students and their families.

“I did out-rotations at sites with residency programs that I wanted to match to, but I was able to do much more in Rolla than I did at these sites.
I received excellent one-on-one training at my core hospital and I was always treated exceptionally well. Plus you will have more ‘free time’ here
which allows you to tailor your education according to your own needs.”

“You can get any residency program you want even if you do not choose that site as your core site. It is better to get your medical education at a
smaller site with more hands-on training and then wow programs when you do out-rotations.”
Notes
87
Missouri Region
Springfield – CoxHealth
Mercy Health System
SWMO AHEC
Logan Banks, DO
Cassandra Henne
Faculty Physician-Cox Family Medicine Residency
417.269.8787
SWMO AHEC – Missouri State University
Missouri State University
901 South National
Springfield, MO 65897
417.836.3229
Marcy Brockett
319.750.2497
660.626.2928 (fax)
chenne@missouristate.edu
Kami Gollhofer
mbrockett@atsu.edu
SWMO AHEC
417.836.3284
kamigollhofer@missouristate.edu
The Sites
CoxHealth provides care to a 24 county primary service area in southwest Missouri and Northern Arkansas, and employs over
10,000 people. CoxHealth includes a network of regional clinics Oxford Health Care, a home health agency; Burrell Behavioral
Health; Meyer Orthopedic and Rehabilitation Hospital; Ferrell Duncan Clinic; Cox HPS of the Ozarks, a home parenteral
infusion agency; Home Support Services, providing home care equipment; ambulance stations in seven counties; and various
other physician office buildings and facilities. Cox North is a community hospital in north Springfield and offers a full spectrum
of services including urgent care and emergency services. Cox South is a full-service facility located on the southern edge of
Springfield. The growing campus of Cox South includes many physician offices, a Level I Trauma Center and numerous other
special services. An extension of the Cox South campus, Cox Walnut Lawn, offers urgent care, skilled nursing, and rehabilitation
services such as the Comprehensive Wound Healing Center. Cox Monett is a 46-bed community hospital in Monett, Missouri.
Mercy Hospital in Springfield is a not-for-profit tertiary hospital. Mercy Springfield and its sister hospitals in Lebanon, Aurora,
Cassville, and Mountain View, MO and Berryville, AR are part of the much larger Mercy Health System. In addition to Mercy
Springfield, the system includes 33 Acute Care hospitals, 700 clinics and outpatient facilities, 40,000 co-workers, and 2,100
integrated physicians in Arkansas, Kansas, Missouri and Oklahoma. Mercy is the only state-designated Level I trauma center for
adult and pediatric patients in the region, and is host to the region’s only accredited Burn Center. Mercy has received several
recognitions and awards: recognized by “U.S. News & World Report” as a top urology center in the United States; recognized
twice as a quality respiratory care provider by the American Association of Respiratory Care; received a Certificate of Distinction
for Primary Stroke Centers by the Joint Commission on accreditation of Healthcare Organizations, one of only three stroke
centers in Missouri to have received this certificate. Mercy has been named multiple times to Solucient® “Top 100 Hospitals,”
including a rare back-to-back repeat ranking in 1994-95.
Most clinical training sites are located in the city of Springfield. The majority of the rotations are clinic based and many of the
Springfield physician clinics are located near the hospitals. However, the second Internal Medicine rotation is usually completed
in one of our two major hospitals. Typically, one of the Family Medicine rotations is completed with the residency program
located within a clinic at Cox North hospital. Rotations may also be completed in surrounding communities across the 21-county
SWMO AHEC region such as Bolivar, Branson, Joplin, Cassville, Aurora, and Mt. Vernon. All rotations are completed one-onone with the preceptor and offer excellent hands on opportunities not available at other sites.
Site Statistics
CoxHealth System
Medical Staff
Size of Hospital
Admits
Surgeries
Deliveries
ER, Urgent, Trauma Visits
88
City Population 331,000
677
954 beds
187,104
30,842
3,970
204,775
Outpatient Clinic Visits
858,183
Mercy Health System
Mercy Clinic Physicians
Size of Hospital
Admits
Surgeries
Deliveries
523
758 beds
33,475
32,703
3,118
ER Visits
95,352
Outpatient Visits
1,960,000
Student Rotations
Some are completed at one of our local hospitals, while others are completed at
clinics. Most clinics are in Springfield. However, AHEC does cover 21 counties
and opportunities exist for rotations at many different types of sites. Students
may be placed in any of the 21 county region based on preceptor availability.
Residency Programs
Cox Family Practice Residency (ACGME accredited)
Possible Facilities
Cox South
Cox Walnut Lawn
3801 South National Avenue
417.269.6000
www.coxhealth.com
1000 East Walnut Lawn
417.269.9800
www.coxhealth.com
Cox North
Cox Medical Center Branson
1423 North Jefferson Avenue
417.269.3000
www.coxhealth.com
525 Branson Landing Blvd.
Branson, MO 65616
417.335.7000
www.coxbranson.com
Mercy Health System
Ozark Community Hospital
1235 East Cherokee
417.820.2000
http://www.mercy.net/springfieldmo
2828 N. National Ave.
417.837.4000
www.ochonline.com
Students attend weekly didactic sessions with the Cox
Family Medicine program on Wednesdays.
rotation?
All students are one-on-one with preceptors. There may be
occasions, where medical students also learn with PA’s and
NP’s within an interdisciplinary setting.
Cox – Level I. Third or fourth year students may rotate at
this site. Mercy – Level I. Fourth year students may rotate at
this site.
Varies by site.
All students are one-on-one with preceptors.
resources?
Varies by site.
Yes, the degree varies by site.
Varies by site.
have?
Cox has no affiliations with other hospitals; Mercy Hospital
is part of a large multi-state system. Medical students from
KCUMB are also at the Core site.
Varies by site. Cox provides 30% discount and some meals
are provided when rotating with the residency program.
Varies by site.
Varies by site.
89
What unique qualities/opportunities does your site
have to offer?
Didactic teaching opportunities through the Residency
program; experienced Family Medicine Residency faculty.
The ability to rotate one-on-one with the preceptor, be first
assist and experience hands-on opportunities not afforded
to those rotating with other medical students and residents.
Research opportunities may be available at this site in the
future.
Site Visits
Site visits will be scheduled as requested.
Please contact the Rotation Site Coordinator, Cassandra Henne at 417.836.3229
Site visits will be scheduled; information will be given to the requesting student. Whenever possible, rotation site coordinator will
meet with student as well.
Area Information
Springfield is located in southwest Missouri, 167 miles south of Kansas City and 215 miles southwest of St. Louis. The
Southwest Missouri Area Health Education Center (SWMO AHEC) is hosted by Missouri State University located in Springfield
and includes 21 counties in southwest Missouri.
The Springfield Metropolitan Statistical Area (MSA) is comprised of Greene, Christian, Webster, Polk, and Dallas counties and
has a population of over 436,712 people based on the 2010 census bureau demographic profile data. The health care industry
employs 25,000 people (15% of the total workforce) with an economic impact of over $3 billion. The cost of living in Springfield
stays consistently 10% below the national average.
The Springfield metropolitan area offers a variety of educational, cultural, and recreational opportunities. Several area lakes,
nearby Branson, Bass Pro Shops headquarters, Wilson’s Creek National Battlefield, and the Wonders of Wildlife American Fish
and Wildlife Museum are among many attractions. Springfield is a great place to live and raise a family.
A great source of Springfield information can be found by visiting www.springfieldchamber.com; public school information is
available at http://springfieldpublicschoolsmo.org/; and entertainment information can be found at www.itsalldowntown.com,
along with community calendars on the city website. There are also several links on the MSU AHEC website at
www.ahec.missouristate.edu in the “About Us” page.
Approximately $400-$600/month for a rental apartment
Springfield Regional Airport (SGF) is located in Springfield. Kansas City
International Airport (MCI), Lambert-St. Louis International Airport (STL), and
Tulsa International Airport (TUL) are the closest major airports.
Nearest expressway
Cox South is located off James River Expressway. The other two hospitals, Cox
North and Mercy are located within the city of Springfield, not near an
expressway.
www.springfieldchamber.com
www.coxhealth.com
www.mercy.net
Student Typical Day
The Springfield site is preceptor based, so students are one-on-one with a preceptor. This means that students get a lot of handson learning without having to compete with residents or other students. The only residency program in Springfield is a Family
Medicine program, and students generally spend one month on service with them. There are some students from the
Osteopathic school in Kansas City, but students are rarely on the same rotation together. Medical students attend didactics with
the Family Medicine Residency program. There are also some physician assistant students, nurse practitioner students, and
nursing students that rotate in the hospitals, but again, you generally would not rotate with them.
While on a rotation, students take the schedule that their preceptor has. Therefore, there is no set schedule from month to
month. Because Springfield is not hospital-based, the responsibilities and expectations are not standardized and can be different,
90
depending on the preceptor. This is still a relatively new rotation site and the hospitals and preceptors are still getting used to
having medical students. Self-motivation is definitely a feature to have at all times.
 “This is by far the most hands-on clinical rotation I have had so far. The physician and the office staff were excellent in helping me sharpen my
physical exam skills, injection technique, blood draws etc. I was allowed to take increased responsibility in patient management and I walked out
of this rotation more confident than I was going in.”
Notes
91
Missouri Region
St. Joseph – Mosaic Life Care
NWMO AHEC
5325 Faraon  St. Joseph, MO 64506  816-271-7950 or fax 816-271-6786  www.mymosaiclifecare.org
Alan W. Brewer, DO
Janice Neumann, Clinical Training Coordinator
Marcy Brockett
816.271.7950 phone
815.271.6786 fax
janice.neumann@mymlc.com
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Paula Overfelt, Executive Director
Northwest Missouri AHEC
paula.overfelt@mymlc.com
The Site
Mosaic Life Care (formerly Heartland Health) is an integrated health delivery system, which includes a medical center; and
physician practices. Mosaic Life Care’s vision for the 21st century includes a patient-centered, fully integrated regional health
delivery system inclusive of all payers and providers and is on course to become a benchmark as one of the best health
organizations in the nation. Mosaic Life Care is a member of the Mayo Clinic Care Network.
Mosaic Life Care is a physician-led life care company that is introducing a new kind of health care. With a focus on preventive
care and overall wellness, Mosaic Life Care is traditional health care plus life care, which looks at the person as a whole instead of
just focusing on illnesses and conditions. Mosaic offers a reinvented, reimagined experience for consumers. With a goal of
helping individuals achieve their best health, Mosaic provides a comfortable, innovative approach to health and life
improvement.
Mosaic Life Care includes a physician-led, multi-specialty medical group practice, whose calling is to provide excellent service and
quality outcomes for our community. Mosaic Life Care includes more than 100 primary care and specialty physicians with clinics
in the northwest Missouri and northeast Kansas area and in Clay and Platte counties.
As an organization made up of people dedicated to continuous improvement, Mosaic Life Care constantly measures its
performance against other regional and national hospitals, to ensure that it provides the best possible care to its patients and
demonstrates quality in all that it does. The health care consumer today expects and deserves ever–higher levels of quality and
safety in health organizations. Mosaic Life Care is committed to constant evaluation and improvement to best serve the
community and the region. A few designations and awards are listed below:
92

2014 – Ingram’s magazine one of the Top 100 Privately Held Companies

2014 - Heartland Health/Mosaic Life Care was given an “A” rating by The Leapfrog Group. The Leapfrog Hospital
Survey is the Gold standard for comparing hospitals’ performance on the national standards of safety, quality and
efficiency that are most relevant to consumers and purchasers of care.

2013 - Heartland Health/Mosaic Life Care was named Top Performer on Key Quality Measures® by The Joint Commission,
the leading accreditor of health–care organizations in America.

2013 - Recognized as one of Becker's Hospital Review's "100 Accountable Care Organizations to Know."

2013 - “Most Wired” hospitals list by Hospitals & Health Networks Magazine

2013 – Healthgrades Excellence Awards

2012 – Ingram’s magazine Best Places to work in Healthcare list

2012 - Becker’s Hospital Review 100 Great Community Hospitals list

2009 - Malcolm Baldrige National Quality Award - Named after Malcolm Baldrige, the 26th Secretary of Commerce, the
Baldrige Award was established by Congress in 1987 to enhance the competitiveness and performance of United States
businesses. The award promotes excellence in organizational performance, recognizes the achievements and results of
U.S. organizations, and publicizes successful performance strategies. The President of the United States presents the
winner with this prestigious award.

2009 - Foster G. McGaw Prize - one of the most respected community service honors in healthcare
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
Surgeries
77,147
285
352 beds
17,884
11,179
Student Rotations
Deliveries
ER Visits
Outpatient Visits
4,219
6,969
1,637
55,229
887,011
Most Core rotations are available at the hospital or at clinics in town. Some
physicians may have outpatient clinics in other communities. Rural Family
Medicine rotations may be completed in Gower (20 minutes),
Maysville/Stewartsville/Cameron (approximately 30 minutes), Platte City (30
minutes), Maryville (45 minutes), Hamilton (50 minutes) or Chillicothe (1 hour).
It is a systems approach with 7 a.m. lectures presented by
members of the medical staff or guest speakers. Students
present reviews of important research reports from the
professional literature at monthly Journal Club sessions and
give case review presentations at monthly Education Days.
How many students are on a rotation?
Each year, two students are accepted from KCOM for third
year rotations with six or seven students from other medical
schools. The number of fourth year students generally varies.
How often are students one-on-one with an attending?
A majority of the time it is one-on-one; there are two students
on Neurology and Psychiatry rotations.
This is preceptor and student dependent.
have?
Mosaic Life Care works collaboratively with all regional
hospitals and is the largest hospital in the region. Medical
students from the University of Missouri-Columbia School of
Medicine, Kansas City University of Medicine and
Biosciences, and the University of Missouri-Kansas City
School of Medicine are routinely on site for rotations. Length
of time students are in our region varies.
Level II trauma center. There are three Level I trauma
centers in Kansas City just 40 minutes away.
The on-call policy is dependent on the preceptor.
resources?
Students have 24-hour access to the medical library at Mosaic
Life Care and to the MAHEC Digital Library. The Mosaic
Life Care librarian will assist students with searches or
acquiring resources.
Yes, in most hospitals and clinics. Training on an electronic
medical record is a mandatory part of medical student
orientation.
Students are given a meal card to use while on site. The card
is to be used only while “on-duty” for rotations. Other
participating hospitals vary in their approach to meal costs.
Yes, they are used on a limited number of rotations only.
No
Does your region have any Research Opportunities to
offer?
Based on an individual interest or situation.
Site Visits
For a site visit, contact Janice Neumann, Clinical Training Coordinator at 816.271.7950 or Marcy Brockett, KCOM Campus
Small Site Coordinator at 319.750.2497.
93
Area Information
St. Joseph, Missouri is famous for being the place where the Pony Express began in 1860 and where the life of Jesse James ended
in 1882. St. Joseph combines its rich history with many diverse museums and life today with shopping, dining, and a variety of
activities. Besides visiting our 15 museums and experiencing the history of St. Joseph, cultural activities include events through
the St. Joseph Symphony, the Historic Missouri Theater, and the Allied Arts Association. Other events in St. Joseph include the
Apple Blossom Festival with a large colorful parade, concerts, dances, and a local 10K run. In the summer, concerts are held
downtown and in August, Trails West includes 3 days of art, stage productions, reenactments, and a variety of musical
entertainment events for the whole family including nationally known country music performances. Sporting venues include Phil
Welch Baseball Stadium, Heritage Park Softball Complex, Bode Sports Complex for basketball and ice skating, Fairview Golf
course, St. Joseph Soccer Association, Missouri Western State University, St. Joseph Water Park and more. Visitors and
residents can truly see why St. Joseph was recently voted one of the top 10 communities in Missouri to raise a family.
St. Joseph is located in northwest Missouri with the Missouri River serving as the western boundary of town. St. Joseph is known
for its beautiful parkway system with 26 miles of running and biking paths throughout the city.
Average cost of housing:
$500/month (Depending on specific requirements, prices will vary)
Nearest major airports:
Kansas City International Airport (35 miles south of St. Joseph)
Nearest expressway:
St. Joseph can be accessed from Kirksville via 63 Hwy south for 32 miles and
36 Highway West for 130 miles
www.stjomo.com
Student Typical Day
When a student is scheduled for a rotation such as Family Medicine, Internal Medicine, Pediatrics, and Neurology, the student
may do rounds (depending on the preceptor) before the clinic opens. The students then spend the day, normally
(8 a.m.-5:30 p.m.), in the clinic. The hours may vary depending on the rotation and the preceptor. During an
Obstetrics/Gynecology rotation, time is split between the clinic and the Maternity Unit. This rotation includes taking call. The
Psychiatry rotation is an inpatient and outpatient experience.
We ask medical students to help with workshops for students interested in health careers. This involvement provides an
opportunity to become acquainted with the community.

“I came to St. Joe because I wanted a site that was preceptor based. I was also very impressed by the hospital and the staff during my site visit. So
far, my experience has been great, and I feel lucky to be rotating here. Mosaic Life Care (formerly Heartland) is a great hospital that takes good
care of its employees and provides exceptional care to its patients.”

“I appreciate how skillful the doctors I have rotated with are and their interest and commitment in taking on students.”
Notes
94
Missouri Region
St. Louis – Christian Hospital Northeast
11133 Dunn Road  St. Louis, MO 63136  314.653.5000  www.christianhospital.org
Kimberly Perry, DO, MBA, MHCM, FACOEP, FACEP
314.653.5685 (office)
314.402.4379 (cell)
kgp1241@bjc.org
Katherine Foglesong
314.653.5195
314.953.8074 (fax)
kfoglesong@atsu.edu
The Site
Christian Hospital Northeast is part of a two-division facility in north St. Louis County and a founding member of BJC
HealthCare. The original hospital was founded in 1903 and today offers a full range of health-care services.
Christian Hospital Northeast Division is part of a 265-bed, two-division facility in north St. Louis County, Missouri. The nonprofit hospital offers a full range of health care services and an array of medical and surgical specialties. Christian Hospital’s
medical staff both MD and DO educational backgrounds comprises more than 600 area physicians. Additionally, the hospital
employs a diverse workforce of more than 3,000 health care professionals – people committed to the BJC mission of improving
the health of the people and communities it serves.
Well known for its cardiology department and services, Christian Hospital boasts more than 25 cardiologists and a team of
specially trained health care professionals with a long tradition in high-quality heart care services. In 1981, Christian Hospital
performed the first open heart surgery in a community hospital in the St. Louis area. During the year, physicians at Christian
performed more than 5,000 heart procedures – from angioplasty to open-heart surgery. Christian Hospital is a certified stroke
and STEMI Center, with comprehensive team care.
Christian Hospital is also known for outstanding cancer care and diabetic services, as well as psychiatric and substance abuse
programs through Center for Mental Health.
The Hospital’s Cancer Care Program received a three-year accreditation from the American College of Surgeons, recognizing
Christian Hospital’s commitment to the best cancer care available. Only 23% of hospital cancer programs in the United States
have approved programs.
Christian Hospital also plays a vital role in providing emergency care. As part of renovation efforts, the Christian Hospital
Northeast Emergency Department now includes expanded and updated treatment areas that have doubled the previous capacity
to provide quality patient care. Christian’s Emergency Department serves over 112,000 patients per year.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
2,504,400
625
485 beds
18,000
ER Visits
Outpatient Visits
6,000
3,015
112,000
95,600
Student Rotations
Core rotations are available in General Surgery, Internal Medicine, Emergency
Medicine, Anesthesia, Radiology, Psychiatry and Family Medicine. General
Medicine subspecialties include Critical Care, Nephrology, Neurology,
Cardiology, Gastroenterology, Pulmonary and Hospitalists Medicine. Our
Federally Qualified Health Center (FQHC) is Myrtle Hillard Davis
Comprehensive Health Center, with three sites nearby. We also offer rotation
experiences at SSM Health Care, Mercy Health, St. Louis University Hospital
and Barnes Jewish Hospital & St. Louis Children’s Hospital.
Internship Programs
None
Residency Programs
This site does not currently have an active residency program in place, although
plans are being explored for development. However, The St. Louis Graduate
95
Medical Education Consortium (affiliated with Christian Hospital) offers; Family
Medicine, Internal Medicine and Psychiatry Programs.
Christian Hospital provides its students with many
opportunities to expand their medical knowledge. Students
attend weekly Tumor Board, Grand Rounds and Thursday
Didactic Sessions.
Students may be required to do overnight, in-house call.
Shifts are from 7 p.m.-7 a.m., and occur one to three times
a month or as a month rotation.
rotation?
There are generally one or two students on a rotation.
One-on-one time may vary.
resources?
Yes, the e-library is always available for student use. A full
time Medical Librarian supports the medical education
program. There are several computers with internet access
in the library.
Yes
of procedures when the situation permits.
Students are provided with all meals while on service.
have?
We do use student’s personal cell phone numbers for
texting and immediate/urgent communication.
Christian Hospital is part of the BJC community hospitals
and we have affiliations with many of those hospitals for
electives and core rotations (pediatrics, obstetrics &
psychiatry). Christian has a wonderful partnership with
CenterPointe psychiatric services, offering students
exposure to inpatient, outpatient, geropsychiatry, child and
adolescent psychiatry as well as chemical dependency
programs.
Christian Hospital’s Emergency Department is not a
certified trauma center, however, is one of the busiest in the
Metropolitan St. Louis Area. With its high acuity and
various medical cases, the Emergency Medicine program is
an excellent educational experience.
The students have an office with space to store valuables.
Christian is a large community hospital with big perks.
Students enjoy the experience of having an on-site DSME
and Rotation Site Coordinator. The hospital employs strong
osteopathic and allopathic teaching staff, who does their
best to provide ample learning experiences for each student.
Orthopedic research is available off-site and cardiology
research is available on-site.
Site Visits
Students may visit Christian Hospital at any time. We ask for at least a week’s notice so we can coordinate time to show you
around the hospital. These site visits should be set up through the 3rd year student liaisons with an email to the Rotation Site
Coordinator with the date and time you are visiting so that we can get you a guest badge (you will be visiting clinical areas where
a badge is required). Students may arrive at the preset time, in Room 2241 at Christian Hospital NE. Katherine Foglesong and
student liaisons will meet with you and show you around. If the DSME is available, she will meet with you also. Guest
accommodations are provided at no cost at Village North.
Those interested should pre-register the week before to schedule a visit by contacting Katherine Foglesong at 314.653.5195 or
kfoglesong@atsu.edu
96
Area Information
With the great city of St. Louis at their doorway, North County residents enjoy a rolling landscape with a picturesque variety of
neighborhoods. From large and small single-family homes, condominiums, town houses, and modern apartment complexes with
recreational amenities to magnificent mansions with spectacular views of the Missouri River, together with well-kept homes
dating back to the 1800’s, plus bungalows and American Foursquare gaining popularity in the early decades of the twentiethcentury, North County’s wide selection of housing has a home for any budget and desire.
North County communities have within their boundaries many private schools in addition to the public schools; moreover, high
school graduates have easy access to several excellent colleges, universities and technical schools enabling them to continue their
education without having to leave the region.
For recreation, North County offers its people several extraordinary facilities. The YMCA, the Florissant Parks and Recreation
Department with pool and workout facilities, an outdoor ice rink for the winter months, and a variety of fantastic golf courses,
such as Norwood Hills, Glen Echo, and the Old Florissant Golf Course just to name a few. Jointly with the excellent local and
county parks located throughout the area, residents of North County will always be able to pursue their passion of leisure and
past time.
Areas closer to the hospital often prove to be more expensive than those located
farther away. Rent for houses or apartments can usually be found in the $600 to
$1000 range. Christian Hospital has on campus housing for a month to month
rental program for $500/month for a one or two bedroom, no children or pets.
Lambert-St. Louis International Airport (STL) is located approximately 15
minutes away
Nearest expressway
Interstate 270/Highway 367 north and immediately exits at Dunn Road
www.explorestlouis.com
www.christianhospital.org
,
Student Typical Day
Each medical student is expected to report to their rotation at the time designated by their preceptor. Tumor board meetings are
required and are held at Christian Hospital NE at 7:30 a.m. on Wednesday. Scheduled didactic sessions are held on Thursdays
from 2-4 p.m. and Grand Rounds on Fridays at 11:30 a.m. with the entire house staff.
Students are encouraged to attend reading clubs and the department meetings of their current rotation or individual interests.
Grand Rounds are offered and mandatory for all students on campus.
Education Days are held every last Thursday of the month from 1-3 p.m., starting in August and lasting through May. Clinical
case presentation will be presented by the students and journal articles will be reviewed. These Education Days are an open
exchange of information between the students and the DSME. During Educations Days, preparation is made for the COMLEX
CE and PE.
Notes
97
Missouri Region
St. Louis – Des Peres Hospital
2345 Dougherty Ferry Road  St. Louis, MO 63122  314.966.9100  www.despereshospital.com
Kenneth Ross, DO
314.966.9511
Philip Grunder
314.966.9510
pgrunder@atsu.edu
ken.ross@tenethealth.com
The Site
Des Peres Hospital, in the suburbs of St. Louis, is a 167 bed acute care mixed DO and MD staff facility. This hospital provides
the core rotations in General Surgery, Internal Medicine, Emergency Medicine, Anesthesia, Radiology and Family Medicine.
General Surgery services include the subspecialties of Urology, Cardiovascular Surgery and Robotic Surgery. The Internal
Medicine service includes the subspecialties of Gastroenterology, Nephrology, Neurology, Pulmonology, Geriatric Medicine, and
the Intensive Care Unit. Emergency Medicine service is not trauma designated but includes a wide range of emergency services
seen at any major metropolitan hospital. Anesthesia service offers an opportunity to develop the skills of intubation and
intravenous access. Family Medicine is both an in-patient service as well as a rural health initiative of five out-patient clinics.
The Core rotations in Obstetrics and Gynecology are provided at Mercy Medical Center, which is the largest provider of
Obstetrical services in the metropolitan St. Louis area. It is located within a 15 minute drive of Des Peres Hospital. Core
Pediatric services are provided at several private office based ambulatory sites. Psychiatric service rotations are either with a
private medical staff psychiatrist or at CenterPointe Hospital. In-patient Psychiatric services are provided at CenterPointe
Hospital and DePaul Medical Center.
Third year medical students are exposed to a wide range of medical services that help them prepare for residency. Des Peres
Hospital provides ample opportunity to experience the different practice patterns of both osteopathic and allopathic physicians.
Students are encouraged to utilize the Regional Assistant Dean’s “open door policy.” There are numerous support services
available to help students successfully complete their clinical rotations while at Des Peres in St. Louis.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
2,812,896
477
167 beds
5,502
ER Visits
2,888
4,146
9,060
Student Rotations
Although many Core and Required rotations are available at Des Peres Hospital,
it is necessary to travel out for certain rotations. Most facilities are within 15
minutes from the base hospital, and all are easily accessible.
Internships
Traditional Rotating (if available)
Residency Programs
Anesthesiology, Family Medicine, Internal Medicine, General Surgery,
Orthopedic Surgery, Otolaryngology & Facial Plastic Surgery, all are AOA
accredited
Des Peres Hospital provides its students with many
opportunities to expand their medical knowledge. Morning
didactics are held each Monday through Friday morning
starting at 7 a.m. There is also Tumor Board, as well as
monthly osteopathic manipulative medicine (OMM)
practice sessions. Each of the six residency programs has
formal didactic programs and students are encouraged to
attend.
98
rotation?
There are generally one to three students on rotation at a
given time. Depending on the specialty, the ratio tends to
be one resident, and perhaps one intern, per student.
Community preceptor rotations are frequently one-on-one.
One-on-one time may vary.
of procedures when the situation permits.
have?
Yes, Des Moines University College of Medicine (DMU),
Kansas City University of Medicine and Biosciences
(KCUMB), and Saint Louis University (SLU).
Des Peres Hospital’s Emergency Department is not a
certified trauma center, but students will have the
opportunity to choose from several hospitals in the St.
Louis area for a trauma experience.
Students are required to do overnight, in-house call with the
in-house intern. Shifts are from 7 p.m.-7 a.m., and occur
one to three times a month.
resources?
Yes, the library is always available for student use. A full
time Medical Librarian supports the medical education
program. There are several computers with internet access
in the library. Des Peres also has a computer lab, which can
be accessed by the students.
Des Peres Hospital currently uses Progress Notes.
Students have access to Cerner and document
electronically. All notes are reviewed and approved by their
preceptor, or a resident.
Students are provided free meals while on service.
Yes, all core students receive pagers at orientation.
Yes
Des Peres is a small community hospital with big perks.
Students enjoy the experience of having an on-site Regional
Assistant Dean and Site Coordinator. The hospital employs
strong osteopathic and allopathic teaching staffs, whom do
their best to provide ample learning experiences for each
student. Des Peres Hospital provides quality medical and
surgical services, including geriatrics, cardiology, bariatric
(surgical weight loss management), orthopedics, wound care
and emergency care. We offer patients less invasive surgical
options by performing DaVinci robotic state of the art
surgery.
 Fully-accredited Chest Pain Center, as recognized
by the Society of Chest Pain Centers
 Bariatric Surgery Center of Excellence as
recognized by the American Society for Metabolic
Surgery.
 The Joint Commission’s Gold Seal of Approval
and is accredited by the AOA.
Limited research opportunities are available; please contact
the Rotation Site Coordinator for possible preceptor and
specialty options.
Site Visits
Students may visit Des Peres Hospital at any time. We ask for at least a week’s notice so we can coordinate time for a student,
intern or resident to show you around. Students may arrive at 7 a.m. for morning report. Usually all tours begin at 8 a.m. in the
Medical Education Office.
Those interested in attending should pre-register by contacting Philip Grunder, Rotation Site Coordinator at 314.966.9510 or
emailing pgrunder@atsu.edu by the Monday before the tour.
Area Information
Des Peres Hospital is located in the suburbs of St. Louis known as West County, which is about 20 minutes from the city of St.
Louis. There is a wide variety of entertainment for every age, including the St. Louis Zoo, Science Center, St. Louis Art Museum,
History Museum, Gateway Arch, City Museum, Laclede’s Landing, and Grant’s Farm to name just a few. St. Louis is recognized
as one of the most active sports centers in the country and local fans are noted for their enthusiastic support of their teams.
Professional teams include the Cardinals, Rams, and the St. Louis Blues. Music, dance, and theatre thrive at venues such the
Powell Symphony Hall, The Muny Opera, Fox Theater, Opera Theatre of St. Louis, Blanche M. Touhill Performing Arts Center,
and Repertory Theatre of St. Louis. St. Louis is famous for its thousand one-of-a-kind restaurants. There is always something
good to eat in St. Louis’ neighborhoods. “Bon Appetite” magazine praised St. Louis as a “two-fisted eater” that offers a
“smorgasbord of globe-trotting specialties.”
99
Areas closer to the hospital often prove to be more expensive than those located
further away. Rent for houses or apartments can usually be found in the $600 to
$1000 range.
Lambert-St. Louis International Airport (STL) is located approximately 20
minutes north of Des Peres Hospital.
Nearest expressway
The hospital sits right next to I-270, between I-44 and I-64, off the Dougherty
Ferry exit.
www.explorestlouis.com
www.despereshospital.com
Student Typical Day
Students arrive on Surgery and Internal Medicine rotations at the hospital at approximately 6 a.m., and round on a couple of their
patients prior to morning report. Morning report starts at 7 a.m. and is usually a brief 30 minute lecture given by an upper level
resident from one of the various residency programs at Des Peres (Ortho/ENT/Surgery/Internal Medicine/Family Medicine).
After this, the intern on night float usually gives a 5-10 minute handoff (ISBAR) on any interesting events that occurred
overnight. Some rotations will have a lecture once a week after a morning report session. Otherwise, teams break up and finish
seeing their patients, report to their resident/preceptor about anything that needs attention, and then either go to the OR, wait
for admissions to come through the Emergency Department, or direct admissions. Noon lectures are provided three to four
times per month and a noon OMT lecture once a month.
The Surgery day ends (depending on the number of cases) anywhere from 4-6 p.m. Internal Medicine day ends (depending on
how busy the service, the number of students on rotation and admissions that need attention) anywhere from 3-6 p.m.
Each medical student is expected to attend morning report that begins at 7 a.m. Morning report is a resident driven didactic
program where medical topics or patient case reviews are analyzed. Noon didactics are provided three to four times per month.
Catered lunch is occasionally provided at these meetings. Students are also encouraged to attend the individual residency reading
clubs in Anesthesia, Family Medicine, General Surgery, Internal Medicine, ENT, and Orthopedic Surgery. Tumor board and
monthly OMT committees meet and student participation is required.
Education Days are held weekly or every other week, Wednesday afternoon from 1-5 p.m. starting in August and lasting through
April. Journal articles and patient case reviews are presented by the medical students during education days. The journal articles
and case presentations are an open exchange of information between other medical students and the Regional Assistant Dean.
During Education Days, preparation is made for COMLEX CE and PE. The DME will examine a simulated patient and medical
students will write SOAP notes. Other issues of clinical, technical, and medical policy are presented.
Notes
100
Missouri Region
West Plains - Ozarks Medical Center
SEMO AHEC
1100 North Kentucky St.  West Plains, MO 65775  417.257.6714  417.527.5998 (fax)  www.ozarksmedicalcenter.com
Scott Roush, DO
417.255.8645
sroush@ozarksfc.com
Marcy Brockett
319.750.2497
660.626.2928 (fax)
mbrockett@atsu.edu
Cindy Robinett
SEMO AHEC
506D Hazel Street
573.785.2444 ext. 3
crobinett@atsu.edu
SEMO AHEC
sandy@semoahec.org
The Site
This is a wonderful teaching environment for medical students. Students are provided a thorough orientation to Ozarks Medical
Center, security access codes, free meals at the Medical Center, and access to all library services. Students are given access to the
doctor’s lounge and given the little “perks” normally only given to physicians. The physicians and staff at Ozarks Medical Center
are very student friendly and do their best to make students feel at home. Students feel more like physicians than students when
training at OMC. Dr. Scott Roush the DSME in West Plains and both partners in his medical practice completed their rotations
through AHEC rural rotations. Ozarks Medical Center covers an eleven county area with a population base of over 150,000,
which makes for a variety of pathology that can compete with any major training facility.
Ozarks Medical Center has a large education department which provides numerous CME programs for physicians and staff.
Students are always invited to attend all CME programs free of charge. Medical education is very important to the staff and
physicians of OMC. Every year OMC hosts a “MASH Camp” for local high school students interested in healthcare. Several
physicians and staff members give their time to help with this hands-on experiential activity. The education department also asks
medical students to help facilitate dissection labs, suturing workshops, and Q&A sessions about medical school.
Rotations are available at Poplar Bluff Regional Medical Center and housing is available at no cost to student. Students with a
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
Student Rotations
11,986
106
114
7,126
Surgeries
Deliveries
ER Visits
Medical Coordinator
4,196
792
19,542
Colleen Schmidt
All rotations are completed one-on-one with preceptors. Students complete a
variety of both inpatient and outpatient rotations. At this site all preceptors work
with students on a volunteer basis and do so because they enjoy working with
101
Preceptor lectures, CMEs, Journal Clubs, and Student Case
Conferences are provided. Students do morning rounds
with attendings and are often given reading assignments by
their preceptors.
talk with individual physicians and be put on the list to be
called in for “interesting cases”.
rotation?
West Plains only hosts medical students. Students are
always trained by physicians and never by interns or
residents. This makes for an optimal training site for
medical students.
Residents do not train in West Plains. Medical students do
not have to compete with interns and residents for
procedures and assisting in surgeries and obstetrics.
One of the best parts of completing your clinical training in
a smaller community is that students are allowed to
their Obstetrics/Gynecology rotations, they are actually
allowed to deliver babies. Students can serve as first assist
in surgeries as there are no interns/residents at this site.
have?
This is a single site hospital.
KCOM in Kirksville, KCUMB in Kansas City, and
University of Missouri – Columbia.
which ATSU has an affiliation agreements with.
resources?
Electronic charting is done in some areas of the hospital.
EMR is rapidly being added to all departments of the
Student meals are provided in the hospital cafeteria.
Students can utilize their school issued name badges to
receive meals.
numbers.
No. Students are given access codes to the doctor’s lounge
which is locked and only students and physicians have
access.
facility offer?
Ozarks Medical Center is a smaller hospital which serves a
large area with a variety of pathology that surprises many
students as well as new physicians joining the medical
community. Students are treated more like physicians than
students and are made to feel at home from the first of their
rotations.
Ozarks Medical Center is not a major research site.
However, physicians will occasionally involve students in
research projects.
Site Visits
Please contact the Rotation Site Coordinator, Cindy Robinett at 573.785.2444 Ext 3.
Students must contact the Rotation Site Coordinator at least two weeks before the planned visit. The Rotation Site Coordinator
will make arrangements and let students know who/when/where to meet. Any request made less than two weeks in advance will
be considered, but may not be able to be arranged due to time constraints.
102
Area Information
West Plains is nestled in the “Heart of the Ozarks” and offers breathtaking scenery and a wealth of recreational activities. If you
are interested in outdoor activities this area has some of the best fishing in the state. If you enjoy hunting then West Plains is
definitely for you. You can also pick up the pace at one of the finest dirt track facilities in the nation. The West Plains Motor
Speedway’s premier event is the “Show Me 100,” where late model drivers from across the country compete to start the
Memorial Day weekend race. The season begins mid-March and runs through August with events for crowds as large as 17,000.
People also come from miles away to attend concerts and family activities at the West Plains Civic Center. With 30,000 square
feet of exhibit space, 7,400 square feet of meeting rooms, a 2,900-seat arena and a 450-seat theater, there’s certainly room for
everybody. The center boasts a collegiate-sized swimming pool, hot tub, sauna, and a professionally designed fitness room. The
state-of-the art Civic Center hosts expos and conventions, athletic events, stage shows, and performing arts theatre. It has
developed a solid reputation for staging quality family entertainment and cultural events. For more information about West
Plains, visit their website at http://wpchamber.org/
Rental units range from $450-650/month
Average housing costs range from $100,000-150,000, although smaller nice homes
can be found for under $90,000. This is a major benefit to training in southeast
Missouri.
Springfield Regional Airport (SGF) is approximately 100 miles from West Plains
Nearest expressway
I-44 is approximately 100 miles from West Plains
www.westplains.net
Student Typical Day
Most rotations are preceptor-based, so the schedule will vary somewhat for every rotation.
Medical students may be expected to pre-round before the attending gets to the hospital. Students will report to attendings once
they arrive and continue rounding with their attending. Depending on the rotation, once rounds are completed the student will
join their preceptor in the OR, clinic, labor and delivery or where ever the rotation requires. Students actively participate in
scopes, surgeries, deliveries and other procedures. There are no residents or interns at Ozarks Medical Center, so the student will
be allowed to do many of the H & Ps as well as progress notes to report to the attending just as the intern or resident would do
at a large training site. The preceptors enjoy teaching and work hard to train and prepare students for their audition rotations
during their fourth year.
Preceptors in West Plains take special interest in students and act as mentors to the students. Students who have interests in
specialties which require technical and procedural skills will benefit greatly in West Plains. Students are allowed to work side by
side with the preceptor and gain these skills. The DSME in West Plains, Scott Roush, DO, trained in West Plains while in
medical school. When Dr. Roush entered residency, he had already delivered more babies than the chief OB resident had at that
time.

“The clinical rotations at West Plains are top notch. The physicians at the hospital and surrounding clinics are fantastic teachers. All rotations
are one-on-one with the physician, so the clinical experience is excellent. I was able to perform all procedures with the physician looking over my
shoulder, patiently instructing. The hands-on experience you will receive is invaluable and for those reasons, I highly recommend West Plains.”

It's hard to explain the amazing opportunities afforded to medical students that train at an AHEC community site. You can get didactics
anywhere, but you can only get this much hands on training in rural communities. There is no doubt in my mind that I will be more prepared for
the rigors of residency because of the autonomy I received while training in West Plains with SEMO AHEC."
Notes
103
Notes
104
New Jersey Region
New Jersey Sites
Bayonne Medical Center
Bayonne
Regional Map
About New Jersey
Capital
Trenton
Est. population
Land area
7,419 mi2
Largest cities
Newark, Jersey City, Paterson, and Elizabeth
Surrounding states
Delaware, New York State, and Pennsylvania
105
New Jersey Region
Bayonne Medical Center
29th Street & Avenue E  Bayonne, NJ 07102  201.858.7342  www.bayonnemedicalcenter.org
Howard S. Levine, DO
201.978.1348
Martha Truglio
201.424.9258
mtruglio@atsu.edu
luvtotri@aol.com
The Site
Established in 1888, Bayonne Medical Center is a 278-bed, fully accredited, acute-care hospital located in Hudson County.
Since opening its doors more than a century ago, it has been committed to providing quality, comprehensive, communitybased healthcare services to more than 70,000 people annually. With its finger on the pulse of the community, Bayonne
Medical Center continually develops new and expanded services to meet the changing needs of the people it serves. Placing
great value on the lives and wellness of every segment of the community, Bayonne Medical Center offers a complete
spectrum of healthcare specialties. Among the services offered are behavioral health, cardiac care, cardiovascular services,
diabetes education and support groups, dialysis, radiology and the Center for Wound Care and Hyperbaric Therapy.
Additionally, the medical center offers comprehensive inpatient and same day surgical services and a family health center
that is operated by the Horizon Health Centers, a federally qualified healthcare provider. CarePoint Health brings together
three Hudson County hospitals: Bayonne Medical Center, Christ Hospital in Jersey City; and Hoboken University Medical
Center.
Site Statistics
City Population
Medical Staff
Size of Hospital
Admits
63,024
275
278 beds
6,496
Surgeries
Deliveries
ER Visits
1,312
N/A
28,244
Student Rotations
Core rotations are completed at Bayonne Medical Center, Hoboken University
Medical Center for OB and private practices for Family Medicine, Rural Family
Medicine and Pediatrics.
Residency
Hoboken University Medical Center and Christ Hospital offer Family Medicine
Residencies.
Possible Facilities
Christ Hospital
Hoboken University Medical Center
176 Palisade Avenue
Jersey City, NJ 07306
201.795.8200
www.carepointhealth.org
308 Willow Avenue
Hoboken, NJ 07030
201.418.1000
www.carepointhealth.org
Medical Staff
Size of Hospital
500+
376 beds
Medical Staff
Size of Hospital
284
204 beds
Didactics vary by department to department. There are
both weekly and monthly lectures and Education Day
activities monthly with the Regional Dean.
rotation?
In most cases there will be one student per rotation.
It varies with different attending physicians.
106
Each rotation varies.
have?
Christ Hospital and Hoboken University Medical Center.
Bayonne is not a trauma center. The nearest trauma center
is Jersey City Medical Center.
Options are available on selected rotations.
resources?
Yes
Yes
There is a physician’s lounge where food is available.
No
No
Students benefit from experiences with a diverse patient
population on rotations in both rural and urban
environments. On some private practice rotations, students
will also make nursing home visits and house calls with the
preceptor.
Monthly Education Day activities are held at the home of
the Regional Assistant Dean, Dr. Howard Levine. During
Education Day students present Oral Case, Journal Club,
and interact with Dr. Levine. Students also receive in depth
OMM training provided by Dr. Levine at these meetings.
Students should feel free to contact the Regional Assistant
Dean or Regional Coordinator for additional information
about the region.
Site Visits
Visits can occur at any time throughout the year, please avoid holidays. You must call and make an appointment.
Students should contact Dr. Howard Levine at 201.978.1348 or luvtotri@aol.com
Area Information
$1000-$1200; price depends on size and community
Newark Liberty International Airport (EWR/KEWR) and is 12 miles from the
center of Hoboken. LaGuardia Airport (LGA/KLGA) is 13 miles from
Hoboken.
Nearest expressway
The 14th Street Viaduct connects Hoboken to Paterson Plank Road in Jersey City
Heights. Two highway tunnels that connect New Jersey to New York are
located close to Hoboken. The Lincoln Tunnel is north of the city in
Weehawken. The Holland Tunnel is south of the city in downtown Jersey City.
www.CarePointHealth.org
Student Typical Day
A typical day in the New Jersey region varies widely from one rotation to another. A student on the Internal Medicine rotation
will pre-round on all patients. Formal rounds with the attending begin at 7 a.m. and the student is given an opportunity to
practice writing history and physicals as well as practice writing progress notes. Other in-patient rotations usually begin the day
at 8 a.m. Most preceptors assign students reading materials which they are urged to read during down time.
Obstetrics and Gynecology takes place at Hoboken University Medical Center. The students spend the day in the Pre-Natal
Clinic as well as in Labor and Delivery. They often observe deliveries and spend time in the procedure clinic with gynecological
cases. They can also do call with the Family Medicine OB Night Float resident.
107
Out-patient rotation schedules vary but most take place between 8 a.m.-5:30 p.m. All rotations are directly supervised by
attending physicians.
Notes
108
Ohio Region
Ohio Sites
Affinity Medical Center
Massillon
Central CORE (Doctors Hospital)
Columbus
St. Joseph Warren Hospital
Warren
Southeast CORE (O’Bleness Hospital)
Athens
Western Reserve Hospital
Cuyahoga Falls
Regional Map
About Ohio
Capital
Columbus
Est. population
Land area
40,953 mi2
Largest cities
Columbus, Cleveland, Cincinnati, Toledo, Akron, and Dayton
Surrounding states
Indiana, Kentucky, Michigan, Pennsylvania, and West Virginia
109
Ohio Region Overview
In choosing one of the hospital-based sites in the Ohio Region, you will have the unique opportunity to participate in an
integrated statewide medical education consortium formed by affiliations between the Ohio University Heritage College of
Medicine (OU-HCOM), 20+ Ohio teaching hospitals, and six colleges of osteopathic medicine, one of which is Kirksville
College of Osteopathic Medicine (KCOM). The CORE (Centers for Osteopathic Research and Education) will be the
foundation of your educational source creating one united group of medical students focused on clinical rotations and
osteopathic teaching principles.
In addition to training third and fourth year medical students, the CORE internship and residency programs provide over
454 postdoctoral training opportunities. Within this infrastructure you will experience an exceptional osteopathic medical
education that extends through residency training and beyond into continuing medical education. Weekly didactic
programs are an essential component of clinical training at each site, with instructional programs in medical school required
activities, OMM, combined medical education lectures, as well as distant learning opportunities.
Kirksville College of Osteopathic Medicine (KCOM) is an integral part of the CORE system and has representation on the
CORE board. Our KCOM campus and regional staff work closely with the CORE staff located at the OU-HCOM main
campus in Athens, OH as well as CORE staff located at each of the five base hospital sites where we host students. We
share Assistant Dean support with the CORE Assistant Dean serving as the KCOM Regional Assistant Dean. Our collegial
relationship is focused on providing all CORE students an exceptional clinical experience in the Ohio Region.
KCOM students may choose to be assigned to one of the five participating KCOM-CORE base hospital sites. The number
of spots and location of Ohio Region hospitals where KCOM students are assigned are given to us by the OU-HCOM
CORE. All assigned hospitals offer a range of training experiences, each within diverse hospital and socioeconomic
settings. Currently, three of the assigned hospitals are located in northeast Ohio areas of Akron, Canton, and Warren. The
remaining hospital sites are located in Columbus (Central Ohio) and Athens (Southeast Ohio). The five base sites of
choice are: Affinity Medical Center in Massillon; Western Reserve Hospital in Cuyahoga Falls; Central CORE (Doctors
Hospital) in Columbus; Southeast CORE (O’Bleness Hospital) in Athens and St. Joseph Warren Hospital in Warren.
Additionally, each of their affiliate partner hospitals will play a role in your clinical education. In the fourth year, all COM
students have the opportunity to complete rotations at all CORE hospitals or their affiliates.
Students interested in the Ohio Region are asked to contact the KCOM Ohio Rotation Site Coordinator noted below for
more specific information and site tours. We ask that you not call the hospital or CORE staff directly.
Juliann Riley
1967 East Maple Street #312
North Canton, OH 44720
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
110
Ohio Region
Affinity Medical Center
875 Eighth Street, NE  Massillon, OH 44646  330.834.4783  330.832.0675 (fax)  www.affinitymedicalcenter.com
Andrew Culver, DO
Juliann Riley
OU-HCOM CORE Office
330.834.4783
330.832.0675 (fax)
Kerrie David, DO
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
The Site
Affinity Medical Center is a full service, acute care, unique community hospital with many features normally found in more
tertiary-type facilities. For over 146 years, the hospital has built a tradition of medical excellence in the local community. From
the comprehensive inpatient programs, and trauma-certified emergency department, to the compassionate ambulatory care clinic,
pain management and wound care services, inpatient rehabilitation unit and more; the caring staff at Affinity Medical Center are
dedicated to providing the highest quality care to meet the needs of their patients and their loved ones. As we have grown to
meet the increasing needs of the community, a state-of-the-art, 22,000 square foot ER opened in July 2014. Additional advances
at the hospital will be particularly important for patients needing specialized cardiac and orthopedic care. Lastly, the hospital
proudly continues to function as a teaching facility in collaboration with the Ohio University Heritage College of Osteopathic
Medicine training medical students and residents.
Each year, approximately 10-15 third and fourth year medical students from Ohio University Heritage College of Osteopathic
Medicine, associated affiliate COM’s, and A.T. Still University-KCOM, are based here for clinical rotations Affinity Medical
Center and OU-HCOM co-sponsor approximately 38 postgraduate positions sanctioned by the American Osteopathic
Association for interns and residents in Family Medicine, Emergency Medicine, General Surgery and Orthopedic Surgery.
Site Statistics
City Population
Medical Staff
DOs
MDs
Size of Hospital
Admits
32,315
168
75
93
183 active bed
5,266
Deliveries
ER Visits
Outpatient Visits
1,582
5,506
N/A
25,649
117,044
Student Rotations
Third year required rotations are primarily at the hospital or a local office. Rural
Family Medicine may require a drive of up to 55 minutes and Pediatrics, Internal
Medicine subspecialties and Psychiatry may have a 20-30 minute drive.
Internships
Residency Programs
Family Medicine, Emergency Medicine, General Surgery, Orthopedic Surgery
(AOA accredited)
Possible Facilities
Third Year
Aultman Hospital
Most of your clinical rotations are conducted within the
Affinity Medical Center network of facilities. Some
preceptor based rotations will also be assigned in the
Massillon/Canton area and Psychiatry possibly in the
Akron area (30 minutes away). Rural Family Medicine
may be assigned in the Orville area (45 minutes away)
and Uniontown (35 minutes away).
2600 Sixth Street, SW
Canton, OH 44710
330.452.9911
Distance: 17 minutes (6.54 miles)
www.aultman.com
111
Mercy Medical Center
1320 Mercy Drive, NW
Canton, OH 44708
www.cantonmercy.com
330.498.1000
Distance: 15 minutes (6.92 miles)
Rotations: Fourth year elective rotations
Fourth Year:
Rotations depend on your personal rotation selection
with many local options in the Canton, Akron, and
Cleveland areas, such as Aultman Hospital, Mercy
Medical Center, Summa Health Systems in Akron, Akron
General Hospital, Akron Children’s Hospital, Cleveland
Clinic, University Hospital Systems, MetroHealth, and
Rainbow Babies and Children’s.
Didactics are held on Monday and Tuesday from 7-8 a.m.,
Wednesday from Noon to 4 p.m. and Tumor Board is the
first Thursday of the month at noon. Lectures include
hands-on OMM and discussion; Internal Medicine, Surgery,
Orthopedics topics; Medical Ethics and Medical
Jurisprudence, as well as oral case conferences and guest
lecturers. Skills lab are bi-monthly.
Yes
Bi-annual meetings with the Regional Assistant Dean occur
during years 3 and 4.
Yes
KCOM requires presentations of Oral Cases and Journal
Club articles, students meet in a small group setting with the
KCOM DSME (Dr. Kerrie David). The small group
meetings generally begin in October through January and
occur once a month on Wednesday evening from 6-8 p.m.
rotation?
Per attending there is usually one resident, one intern, and
one student. This differs by rotation and number of
residents in house.
Depends on rotation; typically no more than two students
assigned to a service.
Yes
have?
No additional hospital affiliations. Our facility is also
affiliated with OU-HCOM and KCOM at the present time.
Level-I trauma center, will students have an
opportunity to rotate at a Level-I trauma center?
Level III. With a sub-acute Fast Track section. Level I is
available in Akron or Cleveland if preferred.
Two weekends a month.
resources?
Yes
112
Food is free at this time.
Yes, as needed
Students receive one-on-one training with the attending
about 80 percent of the time. We offer a very friendly
environment; strong didactics and are near metropolitan
areas with a sense of community.
Affinity Medical Center hosts an Orthopedic and Spine
Center which provides innovative treatment, state of the art
surgical procedures and a dedicated team of board certified
orthopedic surgeons, experienced nurses, physical therapists
and occupational therapists who work closely with patients
and their families to restore mobility, encourage
independence and promote healing.
This 10 room
specialized unit is a unique addition for our orthopedic
residents and student trainees. Also unique to AMC
includes their percutaneous interventional cardiology and
heart center. In July 2014, Affinity Medical Center to open
their new, state of the art, $9 million expanded trauma level
III emergency room.
Research is available through the Ohio CORE (site host
school). Research projects may include, but are not limited
to ongoing research done by the current residents and
CORE staff. Please contact Dr. Grace Brannan, CORE
Research Executive Director, for more details.
brannang@ohio.edu or 740.593.2325.
Site Visits
Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall break).
Specific dates, times and locations will be sent to your class in February 2015.
KCOM Ohio Rotation Site Coordinator – Juliann Riley at jriley@atsu.edu or 330.608.1296. Please do not contact the hospital,
CORE or any fellow students to arrange site visits.
All Ohio Region visits should be requested through the KCOM Regional Office. Both the Regional Representative and a KCOM
student host will provide the Ohio overview and hospital tour. Out of respect for the students currently studying at these sites
and the hospital staff plus their patients, we ask that you do not schedule an unannounced tour and adhere to the following
requests:
NO Friday, weekend or holiday tours will be available due to limited access at the hospital and student tour guide availability.
NO site visits will be available the last week in June or the first week in July due to intern and third year medical student
orientation week.
Area Information
The adjacent cities of Massillon and Canton, within a one-hour drive of Cleveland, offer the convenience of big city living
without losing the charm of small town life. Recreational, cultural, and educational opportunities are plentiful, as are comfortable
neighborhoods with affordable housing.
Local university opportunities include Kent State University-Stark Campus; Stark State College of Technology, Walsh University
and Malone College, all are within a 30 minute drive from the hospital.
Area schools are highly regarded. The people of Massillon are enthusiastic supporters of their community – big football town.
Massillon and the surrounding communities provide many activities: Shopping, dining, music, art shows, Yankee Peddler Craft
Show, theater, shows, bike trails. There are numerous community parks available to residents which include walking tracks and a
park for dogs. A short drive to Cleveland will provide professional sports including MLB, NFL, and the NBA
Apartments typically run about $500/month., depending on where you live. The
real estate market is very conducive to home purchases at the current time.
Akron-Canton Regional Airport (CAK) is 15-20 minutes from AMC. ClevelandHopkins International (CLE) is about 1¼ hour from Massillon.
Nearest expressway
I-77 is about 15-20 minutes
http://www.affinitymedicalcenter.com/affinity-medicalcenter/graduateresidencyprogram.aspx
www.massillonohchamber.com
www.cantonrep.com (Local Paper)
www.indeonline.com (Local Paper)
www.ohio.gov
Student Typical Day
Your typical day depends heavily on what your rotation is but there are a few constants. Didactics are on Monday and Tuesday
mornings from 7-8 a.m. or 8:30 a.m. and Wednesday 12-4 p.m. All your preceptors are familiar with this schedule so it will be
understood if you “come late or leave early” on those days. Wednesday afternoons usually include some form of lab, such as
intubation, physical restraints, or laparoscopic surgery. There is tumor board on the first Tuesday of every month. Attendance is
required for all didactics unless there is a rare procedure that you may miss (surgery, baby birth); just let the CORE coordinator
know. Meals are provided for free at the cafeteria for any of these.
Internal medicine begins after didactics of 8 a.m. afterwards; you will see patients with the hospitalist’s physicians. This will
include rounding on patients and doing H&P’s. The day ends when you are excused by the doctor (usually midafternoon/early
evening). You can always ask to stay later to learn more. All the hospitalists are wonderful teachers and allow a lot of autonomy.
113
Surgery starts at 7:30 a.m. or 8 a.m. on days you are in OR. See patients before you go to the OR. This may mean you have to get
to the hospital by 6:30 a.m. or so. Generally, do not wake up patients at an insane hour in order to ask them how they are doing.
Round with attending when there is time during the day. If you are in office, round on patients at 7 a.m. (this means that your
notes are completed by this time) and go to office around 8:30 a.m. You will go to noon lecture if in office, but usually not if in
the OR. Days in office end earlier than if in OR. Call is split between students on the service, and you will be called only if there
will be surgery after hours. You are required to stay until at least 5 p.m., but it may be later if you are in the OR.
For Anesthesia, you will review the surgery schedule in advance. Generally you do not attend morning lecture and are actively
performing intubations, etc. If you are not doing much, ATTEND LECTURE! The general feeling in Anesthesia is to go to
where the action is! Days usually start at 6:30 a.m. and end around 4-5 p.m. You can come in between 6-6:30 a.m. to start IVs on
patients in pre-op.
Most Radiology procedures are in the morning. You can expect to review films with an in-house radiologist all morning long.
Afternoons are generally yours. You can spend time with the ultrasound techs, assist with autopsies, observe echoes, go home,
read in library, etc.
Pediatrics and Family Medicine are out of hospital rotations and vary with each preceptor. These may be up to an hour drive
away. However, these rotations usually offer the most liberty to work with patients and are very well worth the time.
Obstetrics/Gynecology at Affinity Medical Center is an interesting month. You will be placed with a doctor associated with
Mercy/Aultman hospital instead of based in Affinity (no maternity floor). This is a hands on and procedure friendly rotation.
Time at the office is spent seeing multiple patients. It is expected that the student be able to take pertinent
Obstetrics/Gynecology history, understand the Obstetrics/Gynecology physical exam, and know how to perform certain tests
such as PAP smears and Fetal Heart Tone measurements. Labor and Delivery time is exactly what it sounds like. You can
spend time up on the floor delivering with different doctors, participating in C-sections, and if desired can go to the pediatric
side and participate in circumcisions. Overall this is a demanding rotation, requiring call at least two weekends during your four
week rotation and usually about half of the other days will be on call. You will be expected to come in and assist with deliveries
and C-sections whenever called in.
Remember – your rotations are what you make of them; staying late isn’t always mandatory or even expected, but you may learn
a lot. Generally staying at the office/hospital/library until 5-5:30 p.m. will make a full day of learning! It is suggested you read at
least an hour every night, resources can be found in KCOM library in the CORE coordinator’s office. Remember that you will
only see a certain population of your specific specialty so what you see in clinic will not completely encompass what will be on
your COMAT test at the end of the month.
Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with students on a Thursday after rotations –
typically around 4-4:30 p.m. All KCOM students based at Affinity Medical Center meet in the Library area for group discussion
of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time
to talk to about planning for Year 4, challenges with rotations, ideas for other opportunities, etc.
Notes
114
Ohio Region
Central CORE (Doctors Hospital)
Hospital - 5100 West Broad Street  Columbus, OH 43228  614.544.1790  614.544.1799 (fax)  www.ohiohealth.com
Dublin OU-HCOM Campus  6775 Bobcat Way  Dublin, OH 43016  614.793.5600  614.793.5613 (fax)
Peter Bell, DO
Columbus CORE/Ohio Health
614.544.1795
614.544.1799 (fax)
Regional Site Coordinator
Juliann Riley
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
The Site
OhioHealth owned Doctors Hospital (DH), as well as Grant Medical Center (GMC), Dublin Methodist (DM), Riverside Methodist
(RM) and Grady Memorial Hospital (GMH) are part of the Central Ohio CORE (Centers for Osteopathic Research and Education)
clinical offerings from the Ohio University Heritage College of Osteopathic Medicine (OU-HCOM). Additionally the Central
CORE uses clinical resources from the Mt. Carmel Health System and Veteran’s Affairs System, as well as numerous private
practices and clinics. The Columbus Central CORE site currently hosts approximately 30-35 OU-HCOM students in each class
year 3 and 4 in addition to 8-10 affiliated college of medicine trainees.
In addition to KCOM, this CORE site is host to Des Moines University College of Osteopathic Medicine and Surgery and
Kansas City University of Medicine & Biosciences.
Unique to Central CORE (Doctors Hospital) is the Heritage Center for Osteopathic Medical Education, and its Simulation
Center, we are taking osteopathic medical education to a new level. The Heritage Center addition consolidated all post-graduate
medical education and research programs into a training facility that features human patient simulators, an anatomical laboratory,
medical library, wireless internet access, a 300-seat auditorium and administrative offices for the Department of Graduate
Medical Education.
In addition to the Doctors Hospital main base hospital site, students in the Central CORE will get to experience the new OUHCOM Dublin campus resources and staff. Currently hosting their first class of 50 OMSI OU-HCOM students, the Central
CORE also integrates the OMSIII/OMSIV students rotating in the area for monthly “Fabulous Friday” didactic sessions.
Our medical education facility upgrade, the new OU-HCOM Dublin Campus, coupled with our award winning staff and
educational faculty, will help establish Doctors Hospital/Central CORE as one of the nation’s premiere osteopathic teaching
sites enabling central Ohio to meet the increasing demand from patients and their professional staff to deliver the highest quality
of care and the best available training. We invite you to become a part of our Ohio Health/Central CORE family!
Site Statistics
City Population
Medical Staff
DOs
MDs
Size of Hospital
769,332
427
291
99
256 active beds
Admits
Deliveries
ER visits
9,338
1,895
3,897
960
78,013
Student Rotations
Central CORE (Doctors Hospital) has an extensive network of hospitals and
offices. We arrange rotations within Columbus, the surrounding metropolitan
area: Central Ohio and SE Ohio in the rural communities. There may be travel
of over an hour for some rotations with possible housing options for out of area
and rural rotations.
Internships
Traditional Rotating, as available
115
Residency Programs
Anesthesiology, Emergency Medicine, Family Medicine, General Surgery,
Internal Medicine-Emergency Medicine, Neurological Surgery, Obstetrics &
Gynecology, Ophthalmology, Orthopedic Surgery, Otolaryngology & Facial
Plastic Surgery, Pediatrics, Radiology-Diagnostic
Fellowship Programs
Cardiology, Pediatric Radiology, Pulmonary/Critical Care, Surgical Critical Care,
Vascular Surgery
Residency Programs (Grant)
Family Medicine, Podiatry
Fellowship Programs (Grant)
Breast Surgery, Colon & Rectal Surgery, Hospital Medicine, Orthopedic Trauma,
SICU, Sports Medicine, Trauma Emergency Surgery
Possible Facilities
Riverside Methodist Hospital
Numerous private practices
Distance: Columbus metropolitan area
Distance: within 70 miles
Grant Medical Center
VA Facilities in Columbus and Chillicothe
Dublin Methodist
Grady Memorial Hospital
Mt. Carmel West
Mt. Carmel St. Ann’s
Distance: 10-50 mile radius
Rural Family Medicine
Distance: 90 mile radius with possible housing
Fourth Year
with many local options in the Columbus, Dayton, and
Cincinnati areas, such as Grant Medical Center, Riverside
Methodist Hospital, The Ohio State University, Mount
Carmel Health System, Wright-Patterson Air Force
Medical Center, Kettering Hospitals in Dayton, and
Cincinnati Children’s Hospital Medical Center.
Third and fourth year didactics are scheduled every
Wednesday afternoon from September through May, from
1-5 p.m. Didactics consist of lectures, oral case and journal
club presentations (including the KCOM required oral case
and journal presentations) and various ITV educational
seminars. At the end of each monthly rotation, the CORE
hosts “Fabulous Fridays”; at the Dublin OU-HCOM
campus where you will complete your post rotation exam,
attend OMM didactic sessions, participate in lunch/learn
discussions, meet with the Regional Assistant Dean and
staff to review your most recent rotation, confirm
completion of all associated assignments (i.e. logs, oral
cases, etc.) and follow up with a review of your clinical
performance evaluation. Additionally, Bi-annual Regional
Assistant Dean meetings are scheduled through the CORE
office. Students meet with the CORE Assistant Dean oneon-one for a review of student progress and discussion of
student self-evaluation.
116
How many students, interns and residents are on a
rotation?
Some rotations will have residents and/or interns assigned.
The house staff also teaches in addition to the attendings.
Each service has a different number of residents based on
the size of the residency program.
Approximately 50% of rotations include one student per
preceptor, so that the student does have the opportunity to
have one-on-one time with the attending or resident.
Students are given the opportunity to participate in
procedures. Protocol is observed because of the large
number of house staff. Simulation labs are scheduled
regularly.
have?
Doctors Hospital is affiliated with the Ohio Health system
which also includes Grant Medical Center Riverside
Methodist Hospital, as well as the new Dublin Methodist
Hospital. Additionally, the Central CORE region has
affiliation with the Mt. Carmel Health System. Both
network systems and the Veteran’s Affairs System as well as
Nationwide Children’s Hospital are DO friendly.
Our affiliations include the following schools: Ohio
University Heritage College of Medicine in Athens, Ohio,
A.T. Still University – Kirksville College of Osteopathic
Medicine, Des Moines College of Osteopathic Medicine
and University of Health Sciences College of Osteopathic
Medicine in Kansas City.
level-one trauma center, will students have an
opportunity to rotate at a level-one trauma center?
Doctors Hospital is a Level III trauma center.
Grant Medical Center is a Level I trauma center.
Student call requirements vary by rotation.
Is there 24-hour access to the library and internet
resources?
There is a staff librarian who is available from 9 a.m.-5 p.m.
All students have 24 hour access to the library, computers
and Internet resources. There are student computers in the
library and an adjacent computer/study room that students
can utilize. In addition, the CORE office houses two
student computers.
Yes, the Veterans Affairs facilities and many preceptors’
offices also have electronic charting.
Students currently receive a monthly food allowance of
$100 to be used in Doctors Hospital cafeteria.
All students are given pagers.
Yes, these are located in the Heritage Center house staff
lounge complete with computers, sleep rooms,
shower/bathroom facilities, and exercise room.
Doctors Hospital is a moderate size hospital with small
hospital feel, and big hospital teaching programs.
We have active OMM sessions offered monthly at our
Fabulous Friday didactic session.
Most residency programs have their own academic
programs for students as well.
Outstanding programs of note include: Emergency
Medicine, Orthopedics, Radiology (1 of only 2 DO
programs in Ohio), Internal Medicine, and ENT
Osteopathic Heritage Foundation: $18M grant was given to
Medical Education to support paid faculty and to enhance
education.
Ohio Health was recognized as one of Fortune’s Top 100
Companies to Work.
Doctors Hospital was named #15 on Thomson Reuters
List of Top 100 US Hospitals in 2010 (determined by
Medicare data with emphasis on Quality, Customer Service,
and Cost Effectiveness).
Full-time Research Office is part of Medical Education at
Doctors Hospital.
The newest education facility of the CORE with state-ofthe- art simulation lab, anatomy lab, micro lab, and
resident/student suite with sleep rooms, showers, work-out
facility, lounge and lockers.
Year 4 sub-internship rotations available at Riverside
Methodist Hospital and Nationwide Children’s Hospital
(must request thru Ohio State).
Access is available to Riverside Methodist Hospital’s Center
for Medical Education and Innovation (CME&I)
Simulation Lab in addition to the Simulation Lab at the
Heritage Center at Doctors Hospital.
Site Visits
117
KCOM Ohio Rotation Site Coordinator – Juliann Riley at jriley@atsu.edu or 330.608.1296.
hospital, CORE or any fellow students to arrange site visits.
Please do not contact the
requests:
orientation week.
Area Information
Columbus is the 16th largest city in country. It is a large but primarily suburban city (sprawling development). Traffic has its rush
hour surges but is very manageable. Public transportation is available. There are many colleges and universities in the area such as
the Ohio State University, Otterbein, Capital and Columbus State. Columbus also has NHL hockey, minor league baseball, arena
football, Ohio State University sports and other local college sports.
Cincinnati and Cleveland are within a two hour drive and there are numerous museums, cultural events, and other amenities
offered by large cities.
2 bedroom apartments averages $500-$700/month with large variety
Port Columbus International Airport (CMH) is 10 minutes from the hospital
area
Nearest expressway
I-70 (east/west), I-71 (north/south), I-270 (belt around Columbus)
https://www.ohiohealth.com/medicaleducationdoctors
www.cityofcolumbus.org
www.experiencecolumbus.com
www.dispatch.com (Local Paper)
www.ohio.gov
Student Typical Day
Your day starts anywhere from 5:30-8 a.m. and the end of your day can vary considerably depending on which rotation you are
doing. Hospital rotations are done at any of the area hospitals such as Doctors Hospital, Grant Medical Center, of the Mount
Carmel Health System. Family/Rural Family Medicine, Psychiatry and Pediatrics being preceptor based. Night and weekend call
also varies depending on specialty with Internal Medicine, General Surgery and Obstetrics/Gynecology requiring call. When
assigned to hospital rotations you will be working with residents, attendings and sometimes other medical students.
Internal Medicine - Most days will start with attending in-house lecture/didactics at 7:30 a.m. At 8:30 a.m., you will begin seeing
patients rounding with an attending and one or more interns. A resident may also be on service along with one or more medical
students. After rounds, you assist in typing up progress notes and wait for consults. Morning and noon lectures are held daily
for the interns, residents and all medical students.
Surgery - Days usually start around 5:30 a.m. with pre-rounds. Then, you will round with the residents at 6 a.m. Cases start
around 7:30 a.m. and you can split the cases of the day up amongst you and the other medical students that are on the same
service. You will also have time to follow an attending in the office setting. 24-hour call is required on some of the Surgery
rotations. Some Surgery rotations also have required didactics.
Preceptor based rotations usually involve seeing patients in the office all day often with drug rep lunches and quick “lectures”.
Rotations may also involve “mobile medicine” making nursing home rounds or urgent care assignments depending on who you
are working with.
Ob/Gyn - Days usually start at 6 a.m. Your duties may include writing notes, attend morning report and noon lectures, scrub in
on all surgeries, observe labor & delivery, or go to the clinic.
118
Radiology - Days usually start around 7 a.m. where you will sit with an attending and listen and learn as they read radiographs.
Some days you may be able to follow an IR and see procedures.
Anesthesiology- Days usually start around 6:45 a.m. You will assist in patient pre-op. The amount of involvement in each case
will vary.
Preceptor based rotations usually involve seeing patients in the office all day often with drug rep lunches and quick “lectures”.
Rotations may also involve “mobile medicine” making nursing home rounds or urgent care assignments depending on who you
are working with.
Every Wednesday the students have didactics from noon to 5 p.m. These didactics will include oral case conferences, lectures
from interns, residents and attending, hospital staff lectures on ethics and medical law, as well as various other topics designed
for students both professionally and personally.
The last Friday of every rotation, “Fabulous Fridays”, is when you will not report to service and instead will have a day filled with
testing, OMT, ethics lunch discussion, and checking out with the CORE. The day starts at 7 a.m. at the new Dublin campus and
usually ends around 3 p.m., but can be as late as 5 p.m. Fabulous Fridays are designed to follow up on all rotation paperwork,
exams, evaluations, etc., so that once your rotation and paperwork is done, you can be assured of a free weekend prior to starting
the next rotation.
Keep in mind, if you match at Doctors Hospital, you will probably be in house on rotation at Doctors for only two-three
months. Your other rotations may be based at an affiliate hospital site (i.e. Grant Hospital – Level I trauma center for Central
Ohio) or various physician offices who are affiliated with the Central CORE.
Bi-Annual meetings with Dr. Bell (Regional Assistant Dean) are scheduled to discuss overall performance, concerns, questions
and general well-being.
Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Wednesday after didactics. All KCOM
students based at Doctors Hospital/Central CORE meet for group discussion of rotations, KCOM activities, clinical curriculum,
general Q & A, and any other special concerns or needs. This is a great time to talk to about planning for Year 4, challenges with
rotations, ideas for other opportunities, etc.
Remember these rotations are what you make of them; staying late is not always mandatory or even expected, but you may learn
a lot. Should you have down time during the day, be prepared with supplemental reading material. The new education center
hosts a great library with on-site librarian and expanded resources, conference rooms, auditoriums, and break-out rooms, in
addition to new simulator labs.
Doctors Hospital is a fantastic site that offers endless possibility for experience and residencies. Columbus is a great town with
great food, festivals, sports and lots more. Contact Juliann Riley if you have any questions!
Notes
119
Ohio Region
Southeast CORE – (O’Bleness Hospital)
55 Hospital Drive  Athens, OH 45701  740.566.4865  330.592.9286 (fax)  www.ohiohealth.com/obleness
Jody Gerome Zuchowski, DO
OU-HCOM CORE Office
740.566.4865
740.592.9286 (fax)
Juliann Riley
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
The Site
OhioHealth O’Bleness Hospital in Athens, base site of the Southeast CORE, is committed to providing care to a vibrant,
growing community and everybody in it, but we’re also an exceptional place to grow in the medical field. We are an academic
environment with a strong resource base providing ample support for the continued quest for knowledge. The rural setting of
southeastern Ohio fosters a broad range of inpatient and outpatient clinical experiences in managing patients with a wide
spectrum of health problems. Didactic seminars are incorporated into the structure, which complements the clinical experience,
enhancing the academic flavor.
Extended training sites for allow for student rotations at Adena Health System and Chillicothe VA in Chillicothe, OH; Fairfield
Medical Center in Lancaster, OH; and Marietta Memorial in Marietta, OH.
As a member of the Ohio University-Heritage College of Osteopathic Medicine CORE system, O’Bleness Hospital is an acutecare hospital fully accredited by the Joint Commission, and teaching site for new physicians. Each year, about 15-20 third and
fourth year medical students from OH-HCOM and, A.T. Still University-KCOM, are based here for clinical rotations.
OhioHealth O’Bleness and OU-HCOM co-sponsor approximately 18 postgraduate positions sanctioned by the American
Osteopathic Association for interns and residents in Family Medicine, Obstetrics & Gynecology, Dermatology and "Plus One"
residency training in Neuromusculoskeletal Medicine (NMM) and Osteopathic Manipulative Medicine (OMM).
Site Statistics
City Population
Medical Staff
DOs
MDs
Size of Hospital
Admits
32,149
230
72
158
132 licensed beds
2,914
Deliveries
ER Visits
Outpatient Visits
3427
4576
687
25,838
49,102
Student Rotations
Third year required rotations are primarily at the hospital or a local office. Some
Emergency Medicine, Geriatrics, Internal Medicine and subspecialty rotations
may have a 30-60 minute drive.
Internships
Residency Programs
Family Medicine, Dermatology, Obstetrics & Gynecology, Orthopedic Surgery
and "Plus One" residency training in Neuromusculoskeletal Medicine (NMM)
and Osteopathic Manipulative Medicine (OMM) (AOA accredited)
Possible Facilities
Third Year
Adena Health System
Southeast CORE network of facilities. Some preceptor
based rotations will also be assigned in the Athens,
Marietta and Lancaster area with elective possibilities in
the Chillicothe area (71 minutes away). Rural Family
Medicine may be assigned in the Athens area (upwards of
45-60 minutes away).
727 Hospital Road
Chillicothe, OH 45601
740.779.7500
Distance: 71 minutes (61 miles).
www.adena.org
120
Rotations: Third/Fourth year rotations elective.
Chillicothe VA
17237 State Route 104
Chillicothe, OH 45601
www.chillicothe.va.gov
740.773.1141
Rotations: Third year elective rotations.
Fairfield Medical Center
401 North Ewing Street
Lancaster, OH 43103
www.fmchealth.org
740.687.8000
Marietta Memorial /Memorial Health System
401 Matthew Street
Marietta, OH 45750
www.mhsystem.org
740.374.1400
Fourth Year:
with many local options in the southeastern Ohio area, as
well as Columbus. Columbus sites would include
Nationwide Children’s the OhioHealth family of
hospitals, OSU teaching facilities, as well as the Mount
Carmel Health system.
Didactics are held weekly on Friday afternoon at
OhioHealth O’Bleness Hospital, Medical Education
Classroom 014. Lectures include topics from the following
disciplines: Pulmonology, Cardiovascular, OB/GYN/GU,
Pediatrics, ENT/Allergy, Endocrine/DM, GI, Sports
Medicine, Orthopedics, Rheumatology, Dermatology,
Hematology, Neurology, Ophthalmology, and Psychiatry.
Hands-on OMM and discussion are also provided monthly;
Medical Ethics and Medical Jurisprudence are specialty
lectures.
Bi-annual meetings with the Director of Student Medical
Education (DSME) occur during years 3 and 4.
KCOM year 3 clinical experience requires presentation of
two Oral Cases and one Journal Club article with students
presenting as part of monthly didactics beginning
September through May.
Level-I trauma center, will students have an
opportunity to rotate at a Level-I trauma center?
We are a 75-bed, 24 hour emergency department. Level-I
trauma emergency department training is available in
Columbus.
Call is expected on general surgery and Ob/Gyn. Other
services are dependent on the physician.
resources?
Yes
Yes
rotation?
One meal/rotation/day - $5
This varies from service to service, but it is common to
have only one learner working with an attending physician.
Only on Ob/Gyn. Ob physician will provide as needed.
90% of the time the students are one-on-one with an
attending or resident. The other 10% is time spent with the
entire team.
Yes
have?
The hospital is affiliated with the OhioHealth System. Our
facility is also affiliated with OU-HCOM and KCOM at the
present time.
Yes. Upon request.
We have a diverse population with a variety of hospitals to
rotate in and access to unique rural opportunities. A great
variety with one-on-one access to preceptors in a
university/medical research based community.
121
Site Visits
KCOM Ohio Rotation Site Coordinator – Juliann Riley at jriley@atsu.edu or 330.608.1296.
Please do not contact the
requests:
orientation week.
Area Information
Home to Ohio University and the primary campus for the Ohio University Heritage College of Osteopathic Medicine, this site
offers unique opportunities to have first class research opportunities, rural medicine exposure, and a variety of great medical
facilities in the 60 mile radius while surrounded by the beauty of the Appalachian foothills in Southeast Ohio.
With exposure to the university, you will have exciting access to Division I sports from the Mid-America Conference; great
music, theater, and art; and renowned academic exposure. Local shopping and dining bring in native works and culinary fair;
recreation includes wonderful bike trails, hiking and river/lake activities.. There are numerous community parks available to
residents which include walking tracks and a park for dogs, and Athens is certainly not lacking in seasonal festivals and
entertainment.
A scenic 70 minute drive to Columbus will provide a larger venue of fun including professional hockey and soccer, the world
renowned Ohio State Buckeye sports and education, major shopping and concert venues and the state fair grounds.
Apartments typically run about $500/month, depending on where you live. The
real estate market is very conducive to home purchases at the current time.
Mid-Ohio Valley Regional Airport (52 miles) is 58 minutes from Athens, OH.
Columbus International Airport (78 miles) is about 1¼ hour from Athens, OH.
Cleveland
Nearest expressway
US-33 and US-50 run through Athens, OH.
www.ohiohealth.com/oblenessmeded/
www.athenschamber.com
www.athensohio.com
www.ci.athens.oh.us/
www.athensohiotoday.com (Local Paper)
www.ohio.gov
Student Typical Day
Your day starts anywhere from 5:30-8 a.m. and the end of your day can vary considerably depending on which rotation you are
doing. Night and weekend calls also vary depending on specialty with Internal Medicine, Pediatrics, General Surgery and
Obstetrics/Gynecology requiring call. When assigned to hospital rotations you will be working with residents, attendings and
sometimes other medical students.
Internal Medicine- Most days will start with attending in-house lecture/didactics at 7:30 a.m. At 8:30 a.m., you will begin seeing
patients rounding with an attending and one or more interns. A resident may also be on service along with one or more medical
students. After rounds, you assist in typing up progress notes and wait for consults.
122
Surgery- Days usually start around 6:30 a.m. with pre-rounds. Cases start around 7:30 a.m. and you can split the cases of the day
up amongst you and the other medical students that are on the same service. You will also have time to follow an attending in
the office setting. 24-hour call is required on some of the Surgery rotations.
Ob/Gyn- Days usually start at 6 a.m. Your duties may include writing notes, attend morning report and noon lectures, scrub in
on all surgeries, observe labor & delivery, or go to the clinic.
Anesthesiology- Days usually start around 6:45 a.m. You will assist in pre-oping the patient. The amount of involvement in each
case will vary.
Every Friday the students have didactics from noon to 5 p.m. along with the residents and interns. These didactics will include
oral case conferences, lectures from interns, residents and attending, hospital staff lectures on ethics and medical law, as well as
various other topics designed for students both professionally and personally.
Bi-Annual meetings with Dr. Gerome (Director of Medical Education & CORE Assistant Dean) are scheduled to discuss overall
performance, concerns, questions and general well-being.
Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) will meet with students on a Friday prior to didactics–
typically around 10 am. All KCOM students based at the Southeast CORE site will meet in the Library area for group discussion
of rotations, KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time
to talk to about planning for Year 3 electives, Year 4, challenges with rotations, and ideas for other opportunities, etc.
Notes
123
Ohio Region
St. Joseph Warren Hospital
667 Eastland Avenue  Warren, Ohio 44484  330.841.4784  330.841.4207 (fax)  www.mercy.com/Youngstown
Philip A. Starr III, DO
OU-HCOM CORE Office
330.841.4784
330.841.4207 (fax)
Juliann Riley
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
The Site
St. Joseph Warren Hospital (SJWH) is a major osteopathic teaching facility within the Ohio University CORE. The hospital is
located about an hour drive from Cleveland, Akron, and Pittsburgh. The mission of Mercy Health (formerly Humility of Mary
Health Partners) has remained steadfast since the Sisters of the Humility of Mary began providing health care services more than
100 years ago. Mercy Health’s core values of compassion, excellence, human dignity, justice, sacredness of life and service are
promoted within each entity, blending pioneering technology and innovative equipment to provide the best care possible to the
residents of Mahoning, Trumbull and Columbiana counties. Mercy Health strives to deliver clinical excellence, combined with
unsurpassed service in an atmosphere of comfort, individualized attention and spirituality. Mercy Health is the largest health
system in Ohio and one of the largest Catholic health systems in the United States.
Osteopathic third and fourth year students from Ohio University, Des Moines, Kirksville, and Kansas City are based at SJWH. A
teaching relationship with our affiliate sister hospital, St. Elizabeth Youngstown Hospital, allows our students to complete many
of their medical subspecialty rotations through St. Elizabeth’s. The two hospital’s joint staff of MD’s and DO’s exposes students
to both allopathic and osteopathic medicine.
Site Statistics
City Population
Medical Staff
DO’s
MD’s
Size of Hospital
Admits
40,723
323
83
238
141 active beds
7,849
Deliveries
ER Visits
Outpatient Visits
1,549
802
733
32,121
N/A
Student Rotations
General Internal Medicine, Surgery, Orthopedics, Emergency Medicine; some
Family Medicine, Obstetrics/Gynecology, and Anesthesiology is completed at St.
Joseph. Other Core rotations (i.e. Pediatrics, Psychiatry, Internal Medicine
subspecialties, Obstetrics/Gynecology, Radiology, and Anesthesiology) are
completed through local affiliate institutions or ambulatory physician offices.
Internships
Under new AOA guidelines, St. Joseph Warren Hospital will offer internship
slots as needed, at department discretion. Most slots will be residency program.
Residency Programs
Emergency Medicine, Family Medicine, Internal Medicine, and Orthopedics.
St. Elizabeth Youngstown Hospital offers residencies in Family Medicine,
General Surgery, and Internal Medicine. All are AOA accredited programs.
Possible Facilities
Third Year
Most clinical rotations are conducted in the Mercy
Health network in the Warren and Youngstown areas.
Additional preceptor based rotations will be assigned
with the area within the ValleyCare Health System, The
124
Surgical Hospital at Southwoods, as well as those
hospitals listed below.
Most of the rotation sites are located approximately 1545 minutes from the base hospital; rural medicine
rotations are located within 50 minutes of the hospital.
Driving time may vary.
St. Elizabeth Youngstown Hospital
Fourth Year
1044 Belmont Avenue
Youngstown, OH 44501
www.hmpartners.org
330.746.7211
Rotations: Internal Medicine subspecialties and some
surgical training.
Rotations depend on your personal preferences, with
many local options and opportunities in the Akron and
Cleveland areas, such as the Cleveland Clinic, University
Hospital Systems, MetroHealth, Rainbow Babies and
Children’s, Summa Health System, Akron General
Medical Center, and Akron Children’s Hospital in Akron,
as well as Boardman, OH
Belmont Pines Hospital
615 Churchill-Hubbard Road
Youngstown, OH 44505
www.psysolutions.com/facilities/belmontpines/
330.759.2700
Rotations: Psychiatry
Didactics are held Tuesday mornings and attendance is
mandatory for students, interns, Family Medicine and
Internal Medicine residents. CORE-sponsored didactics
include blood borne pathogens update, HIPAA overview,
introduction to evidence-based medicine, medical
jurisprudence,
medical
ethics,
monthly
OMM
review/practice sessions, clinical case conferences, various
skills labs, and hospital sponsored student didactics which
cover a variety of clinical topics.
KCOM required presentations of Oral Cases and Journal
Club articles are scheduled in conjunction with didactics.
Students are assigned to present two oral cases during
Tuesday didactics. Journal Club article presentation is
assigned during the Family Medicine rotation with the
Regional Assistant Dean (Dr. Starr).
rotation?
Varies by service; multiple students are often assigned to
Internal Medicine, Orthopedics and Emergency Medicine
will sometimes take two students per service, along with an
intern or resident.
Students are usually assigned one-on-one with attending
physicians for General Surgery, Obstetrics/Gynecology,
Pediatrics, Psychiatry, Anesthesiology, Radiology, most
Internal Medicine subspecialties (including Critical Care).
Yes, in most instances.
have?
St. Joseph Warren Hospital is affiliated with St. Elizabeth
Youngstown Hospital, Mercy Health partner’s site. SEYH is
also an associate member of the CORE. Psychiatry
rotations are conducted at Belmont Pines Hospital. Other
medical school affiliations include Des Moines and Kansas
City. Further, students from a variety of other non-CORE
osteopathic schools rotate through the hospital on an
elective basis.
opportunity to rotation at a Level I trauma center?
St. Joseph is a Level III trauma center; St. Elizabeth’s is a
Level I. Students can petition to do Emergency Medicine
rotations through SEYH, although most Emergency
Medicine rotations are completed at SJWH.
There is no general on-call schedule for medical students,
though
students
are
often
on-call
during
Obstetrics/Gynecology and General Surgery services.
General hours of service vary by rotation. Emergency
Medicine assigns students to various work-shifts during the
duration of the service.
resources?
Yes
Yes
Yes, not to exceed $200 per month.
Yes
Yes
We host an onsite clinical skills lab for students, interns,
and residents. St. Joseph Warren Hospital offers many
opportunities for quality one-on-one clinical training for
125
osteopathic medical students. Located on site is a new
employee fitness center. Great additions for staff/students
complete with lockers and shower facilities. The
atmosphere is warm and relaxed. Both the medical
education office and CORE site staff are readily available to
assist students as needed.
Site Visits
Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall
break). Specific dates, times and locations will be sent to your class in February 2015.
KCOM Ohio Rotation Site Coordinator – Juliann Riley at jriley@atsu.edu or 330.608.1296. Please do not contact the
requests:
orientation week.
Area Information
Located in northeastern Ohio’s Trumbull County, Warren offers many of the advantages of a larger city while still keeping a
small-town environment and affordable cost of living. The city and its surrounding communities offer comfortable residential
areas with diverse opportunities for work, education, worship, and recreation.
The cities of Cleveland and Akron are both just a short drive from Warren, with quick access to both the Ohio and Pennsylvania
turnpikes and several interstate highways. Warren is conveniently located between the Pittsburgh, Cleveland, and Akron-Canton
airports.
Approximately $500 for apartments to $800 for houses. The Warren area has
one of the most affordable housing markets in the state. Several students opt to
purchase homes because mortgage rates are so favorable.
Cleveland-Hopkins International Airport (CLE), Akron-Canton Regional
Airport (CAK), and Pittsburgh International Airport (PIT) are all conveniently
located within an hour drive.
Nearest expressway
The hospital is located near the Ohio Turnpike (I-80).
http://www.mercy.com/Youngstown/sjhc_residency.aspx
www.warren.org
www.tribtoday.com (Local Paper)
www.ohio.gov
126
Student Typical Day
Most days will start between 6-8 a.m. Each rotation will vary slightly, but more often than not you will begin by meeting your
attending or resident. When you’re in the hospital, you’ll start the morning rounding on patients with your attending (often in the
ICU). She/he will then direct you to a particular floor and you will see several patients by yourself, being sure to look at pertinent
lab results and perform a complete exam. After seeing each patient you will write a note in the chart including your findings and
assessment as well as a plan for treatment. Often times, you will keep these notes with you and use them to present the patient to
the attending later in the day. Typically you will have a resident or two working with you and they will often review patients with
you, as well as your written note, and provide lots of helpful feedback. They also help you keep up with your reading by assigning
certain topics and reviewing them with you the next day – it’s usually pertinent to a patient you see during the day. You usually
eat midday then spend the rest of the afternoon rounding on patients. Throughout the day, there are often opportunities to
perform H&Ps on patients that are admitted. Anytime there are procedures performed, you will be encouraged to
observe/participate in them.
When you are in clinic, you will start by seeing any patients you have in the hospital. You’ll spend the rest of the day seeing
patients in clinic, presenting them to the attending/resident and writing or dictating your notes.
Your days will usually end around 5:30-6 p.m., but this will vary depending on the rotation and the patient load. You’re only on
call for certain rotations (like OB), but when you are, you may end up having to go in at any hour of the day.
For the most part, your rotations are here in Warren at St. Joseph’s. There are certain rotations that are based in Youngstown or
the surrounding communities. You should never have to travel for more than 30-45 minutes for a rotation (unless you choose to
for an elective).
Didactics are held every Tuesday morning at the hospital, starting at 7:30 a.m. They usually consist of 4-5 lectures: three from
attending, second semester, one or two student case conference. The emergency medicine residents also present EKG reading
quizzes and common radiologic images at every didactic day. KCOM students are required to present at least two oral cases
during your third year. Didactics usually end between 10:30-11:30 a.m. About once a month, didactics is devoted to OMT. On
these days, you’ll have a mix of lectures and technique practice time with the physician. Depending on what rotation you’re on,
you may have an extra morning of didactics specific to that rotation. You’re expected to attend and participate in these sessions
as well.
Other learning opportunities include tumor board and journal clubs. Internal Medicine, Family Medicine and Orthopedics often
have one journal club each month and you are encouraged to attend these, even if you’re aren’t on that service at that time (you’ll
usually get a free dinner too).
Beyond didactic events, St. Joseph Warren Hospital CORE and Medical Education offices host family events such as baseball
games, picnics, holiday parties, and such.
Once a month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Tuesday after didactics typically around
10-10:30 a.m. All KCOM students based at St. Joe’s meet in the Medical Education area for group discussion of rotations,
KCOM activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to
about planning for Year 4, challenges with rotations, ideas for other opportunities, etc.
Overall, you’re rotations provide you with plenty of one-on-one and small group learning as well as hands on experience, and
you receive great support from the Ohio University CORE staff, Regional Assistant Dean, as well as the KCOM Regional staff.
Notes
127
Ohio Region
Western Reserve Hospital
1900 23rd Street  Cuyahoga Falls, OH 44223  330.971.7439  330.971.7457 (fax)  www.westernreservehospital.org
Ronald Russ, DO
OU-HCOM CORE Office
330.971.7439
330.971.7457 (fax)
Juliann Riley
330.608.1296
330.244.0939 (fax)
jriley@atsu.edu
The Site
Western Reserve Hospital (WRH) is a physician owned suburban community hospital located in northeastern Ohio featuring a
strong osteopathic Graduate Medical Education program. Our program is all-inclusive, enabling physicians to grown in their
chosen area of medicine. We are affiliated with The Centers for Osteopathic Research and Education (CORE), which interlinks
over 20 teaching hospitals/sites and the Ohio University Heritage College of Osteopathic Medicine. In Keeping with our vision
to provide quality patient care in a patient centered environment, we look forward to expanding our hospital in the near future.
Construction plans of a new hospital located in the Seasons Road interchange on Route 8, just north of the current location are
presently underway.
Western Reserve Hospital offers the following programs accredited by the American Osteopathic Association – an internship
program and residency programs which include Emergency Medicine, Family Medicine, General Surgery, Internal Medicine,
Orthopaedic Surgery, Dermatology (LECOM program) and Otolaryngology/Facial Plastic Surgery (ENT). Additionally, Western
Reserve Hospital offers a three year residency program in Podiatric Medicine and Surgery as outlined by the Council on Podiatric
Medical Education.
Our students rotate among several area teaching institutions, including Summa Health System, the Cleveland Clinic outreach
centers, Akron General Hospital and Metro Health Medical Center.
Site Statistics
City Population
Medical Staff
DOs
MDs
Size of Hospital
Student Rotations
Internships
Residency Programs
50,398
358
93
265
252 licensed beds
Admits
ER Visits
Outpatient Visits/Testing
3,241
882
3,241
22,579
540,101
Most are available at this hospital; the Rural Family Medicine may be 20 to 30
minutes away. Pediatrics may be a 50 minute drive.
Emergency Medicine, Family Medicine, General Surgery, Internal Medicine,
Orthopedic Surgery, Dermatology and Podiatric Medicine
Possible Facilities
Third Year
Akron City Hospital
Western Reserve/Unity Health Network and Summa
Health Systems facilities and physicians. Some preceptor
based rotations will also be assigned in the Akron and
Hartville. Pediatrics may be in the Cleveland, Wooster,
Aurora or Stow areas.
525 East Market Street
Akron, OH 44304-1619
www.summahealth.org
330.375.3000
Rotations: Radiology, Family Medicine, Internal
Medicine subspecialties.
128
St. Thomas Hospital
Robinson Memorial Hospital
444 North Main Street
Akron, OH 44310-3110
www.summahealth.org
330.375.3000
Rotations: Psychiatry
6847 Chestnut Street
Ravenna, OH 44266
www.robinsonmemorial.org
330.297.0811
Rotations: recently added to Summa Health System
affiliations – Rural Family Medicine.
Summa Barberton Hospital
155 Fifth Street, NE
Barberton, OH 44203
www.barbhosp.com
330.615.3000
Rotations: recently added to Summa Health System
affiliations – TBA
Fourth Year
with many local options in the Akron and Cleveland
areas, such as the Cleveland Clinic, University Hospital
Systems, MetroHealth, Rainbow Babies and Children’s,
Akron General Medical Center and Akron Children’s
Hospital.
The medical education staff, in collaboration with the
VPME, put together a strong didactic program on Tuesday
and Thursday with house staff lectures that include
Morning Report, Noon Lecture, and Grand Rounds
Lectures spotlight local clinicians, house staff and various
professionals in medicine, law, ethics, etc.
The CORE office also provides medical student didactics
on Wednesday mornings which incorporate medical topics,
medical law; professional and personal financial planning
and simulation medicine; a DEA agent, pharmacists, and
other professionals may speak. OMM lecture/practice is
presented twice a month. This is a diverse didactic program
specializing in students’ needs.
students are assigned as SWRH CORE base site students.
A variety of other CORE and non-CORE osteopathic
schools rotate through the hospital on an elective basis.
Level III trauma center; Akron City Hospital a Level I, is 15
minutes away.
Two weekends a month when on Surgery and Internal
Medicine. Emergency Medicine has scheduled shifts.
resources?
KCOM required presentations of Oral Case and Journal
Club articles are scheduled in conjunction with Wednesday
didactics. Students are assigned dates to present two oral
cases during didactics. Journal Club article presentation is
assigned during the Family Medicine rotation with the
Regional Assistant Dean (Dr. Russ).
Yes
rotation?
Depending on the rotation, there is usually one resident and
one student per attending.
Yes, most of the time.
Yes, most experiences are hands-on.
have?
Summa Health System-Akron City Hospital, St. Thomas
Hospital, Barberton Hospital, Summa Rehab Hospital and
Robinson Memorial Hospital. OU-HCOM and KCOM
Yes
Students are given a $50/week food allowance.
Yes
Yes
The award winning WRH is one of the only physicianowned, full service osteopathic teaching hospitals in the
country. Our doctors are dedicated to teaching students
and realize their role in the practice of medical education.
Medical students are first assist on most rotations, with
exposure to some of the area’s leading experts on disease
management.
WRH was recognized by ERC’s NorthCoast 99 award as
one of the best places to work in NE Ohio.
129
Lastly, unique to our Internal Medicine curriculum, students
participate in the DURSE program which is designed to
develop a positive working relationship between doctors
and nurses.
brannang@ohio.edu or 740-593-2325.
Site Visits
Tours will be conducted during the following months: March (spring break), June (summer vacation), and September (fall
break). Specific dates, times and locations will be sent to your class in February 2015.
KCOM Ohio Rotation Site Coordinator – Juliann Riley at jriley@atsu.edu or 330.608.1296. Please do not contact the
requests:
orientation week.
Area Information
Cuyahoga Falls is a charming community that derives its name from the Cuyahoga River, which winds its way through the
downtown area. Located adjacent to Akron and only a short drive from Cleveland, Cuyahoga Falls offers cultural, recreational,
and residential diversity. Cuyahoga Falls has all the benefits of big city living while retaining its small town feeling of community.
Cuyahoga Falls is a very family oriented city. Rent is reasonable and you can find reasonably priced “starter” homes to purchase.
Living in the Falls puts you minutes from everything-Cleveland: 40 min., Canton: 30 min., Akron: 10 min. You are the center of
Ohio’s northeast area.
The Falls has numerous parks which have free wading pools, sports fields, and play grounds. There are a plethora of Metro parks
in the surrounding area with hiking and biking trails, including winter sports such as skiing and tubing. The Zoos are associated
with the Metro parks too.
Weekends throughout the year have something going on at the Cuyahoga Falls River Front, from Santa Claus and ice skating in
the winter, to festivals, concerts, and car shows during the summer and fall.
Hungry? There are a lot of places to eat. All of your favorite chains (Applebee’s, TGI Friday’s, Outback, Olive Garden, etc.) are
available, not to mention numerous local favorites! There is enough shopping variety for all nearby with a number of grocery
stores, malls, discount stores, and specialty stores. There are mixed opinions about the schools, mostly positive, but you can
make the call. You can reach the Chamber of Commerce at 330.929.6756.
$550/month for 1-bedroom; $625/month for 2-bedroom; $800-900 for 3-4
bedroom house
Cleveland Hopkins International Airport (CLE) is about 30 minutes away to the
northwest. Akron-Canton Regional Airport (CAK) is also about 30 minutes away
to the south.
Nearest expressway
Route 8 is about five minutes away from the hospital
www.westernreservehospital.org
www.cityofcf.com
www.ci.akron.oh.us
www.ohio.com (Local Paper)
www.cfchamber.com
www.ohio.gov
130
Student Typical Day
Most days will start between 6-8 a.m. unless you’re rotating through an Emergency Room, where you receive an individualized
schedule.
At the hospital you start the day by rounding on patients, writing a progress note after each encounter. The interns and residents
follow behind you reading and sometimes adding to your notes. When the attending arrives you present your pertinent findings
and plan to them and they visit the patient with you. They will either agree with or amend your plan and use this time to discuss
their reasoning and teach. Be prepared to defend your ideas and answer questions regarding the patient and their condition, if
you have suggested OMT be prepared to perform it.
After rounds, you start procedures when you are on General Surgery or Orthopedic Surgery. Internal Medicine rounds continue
until the late morning or early afternoon when the attending has to return to clinic, and the rest of the day is spent following up
on tests from rounds, preparing patients for discharge, and doing new admissions. It’s always good to have some reading material
with you for those moments when you have a little down time. There’s a good library in the hospital with lots of texts, journals
and computer access. Time and schedule permitting, you usually break for lunch in the middle of the day. As of 2015, we receive
$50 per week as a food stipend. Your day will end when the chief resident or attending dismisses you. The time varies by the
rotation you are on. A safe bet is to plan on being at the hospital until 5-6 p.m.
Office rotations usually start between 8-9 a.m. In most cases you will see the patient on your own first, and then present the case
to the attending. You will be expected to take a thorough history, perform a focused physical exam, and then come up with a
differential diagnosis and plan. After reviewing this with the attending you will then see the patient together. Down time is less at
the clinic and most attendings take such opportunities to teach if you show interest. Time and schedule permitting, you usually
break for lunch in the middle of the day and the time you are dismissed at the end of the day varies between attendings
Every Wednesday morning we have student didactics which usually begin at 8 a.m. The topics are interesting in that they vary
depending on who will be presenting that day. Different presenters from the different residency programs such as General
Surgery, Internal Medicine, Dermatology, Orthopedic Surgery, or emergency medicine will present for students. Many times
these presentations include hands-on skills labs, such as casting, suturing, intubation, or catheterization. Attending physicians
and other ancillary staff will also present different topics, such as pharmacology, neurology, medical law, and financial planning
to give us a different view of medicine and our future. Medical students also present case studies during Wednesday didactics.
Our Regional Assistant Dean (Dr. Ron Russ) is one of the best assets to the program- in that he is very dedicated to students
making sure we get the most out of our time. He arranges games for us such as "medical jeopardy," gives lectures on current
medical topics, and is always available to answer questions or give advice. From 12-12:15 p.m., there is a break to grab lunch
and bring it into the classroom. We eat while listening to the OTM lecture which is followed by practical skills from roughly
12:45-1:15 p.m. OTM lectures are twice a month. Depending on what rotation we are on, after Wednesday didactics we study in
the library, go home for the day or finish upon service after a full morning of learning. We also have “Quarterly Pit Stop”
didactics. Pit Stops occur every three months and include students and residents. Pit Stops are specially designed didactics that
aim to teach more effective and efficient ways to be a physician.
Monthly, we are given the opportunity to provide feedback and areas of concern to various administrative personnel at the
Medical Student Round Table luncheons. Students are encouraged to participate in a variety of community/civic volunteer
activities such as hosts for the Polar Express train ride, medical stations at local running/biking events, etc.
Each month, the KCOM Rotation Site Coordinator (Juliann Riley) meets with us on a Tuesday’s after rotations typically around
p.m. All KCOM students based at Western Reserve Hospital meet in the Library area for group discussion of rotations, KCOM
activities, clinical curriculum, general Q & A, and any other special concerns or needs. This is a great time to talk to about
planning for Year 4, challenges with rotations, ideas for other opportunities, etc. With all of the additional work KCOM requires
of students during third year – outside of rotations, Juliann helps to ensure the students’ work gets done in a timely manner.
Juliann is also a great resource for information regarding out rotations, KCOM requirements, and information regarding
hospitals and residencies in the area.
Notes
131
Notes
132
Pennsylvania Region
Pennsylvania
Heart of Lancaster Regional Medical Center
Lancaster/Lititz
Regional Map
About Pennsylvania
Capital
Harrisburg
Est. population
Land area
44,820 mi2
Largest cities
Philadelphia, Pittsburgh, Allentown, and Erie
Surrounding states
Delaware, Maryland, Ohio, New Jersey, New York, and West Virginia
133
Pennsylvania Region
Heart of Lancaster Regional Medical Center
1500 Highlands Drive  Lititz, PA 17543  717.625.5646  www.heartoflancaster.com
Lisa Fritz, DO
1500 Highlands Drive
Lititz, PA 17543
717.625.5646
lfritz915@gmail.com
Anne Rickert
6300 High Street
East Petersburg, PA
717.531.1443
arickert@atsu.edu
The Site
Heart of Lancaster is a small community based hospital. Located in the town of Lititz, in Lancaster County, Pennsylvania, this
state-of-the-art facility stands as a leader of healthcare services in the community. The hospital has been an osteopathic teaching
site for 75 years. We accept osteopathic students from schools throughout the country.
One of the assets of the hospital is its sustained DO training at the site and within in the community. At Heart, old school meets
new school when it comes to training. OMM is practiced by many of the Family Medicine physicians and is incorporated into
the curriculum at the hospital. Rotations include opportunities to round with many of the medical specialists in the area.
Most rotations are conducted in the community. The student will be expected to travel to various physician sites.
Site Statistics
City Population
Lancaster Population
Medical Staff
Size of Hospital
Admits
10,000
507,000
370
148 beds
3,600
Surgeries
Deliveries
ER Visits
DME
6,000
840
13,200
Lisa Fritz, DO
Internships
None
Residency Programs
Anesthesiology, Family Medicine and Internal Medicine, (AOA accredited)
Morning report is conducted each weekday from 7-8 a.m.
Other lectures include hands on OMM session; Board
Review; Harrisons Club; Journal Club. Students will be
expected to present one lecture at morning report during
the course of their rotation.
Yes, we are a teaching hospital. As long as the student is
directly supervised by an attending the student may
participate in procedures.
rotation?
have?
This varies month to month for Internal Medicine and
Family Medicine. Generally there are no more than three
trainees on an Internal Medicine or Family Medicine. For
other Core rotations there will be one student and possibly
one resident. For electives, students will be one-on-one
with the attending.
We utilize two additional hospitals in our area (within a 10
mile radius), Ephrata Community Hospital and our sister
hospital Lancaster Regional Medical Center. We also have
an affiliation with Penn State Hershey Medical Center.
PCOM is our primary affiliate, however we accept students
from many Osteopathic schools.
This does vary for each rotation and each month, but
overall students are frequently one-on-one with an
attending. As a small site, residents are not always on a
service with a student.
134
We are not a trauma site. There is not an opportunity for
students to rotate at a Level I trauma center.
Students will be on call for General Surgery and Obstetric
services. The call schedule will be dictated by the primary
preceptor. Buddy call with a resident while on Internal
Medicine service is encouraged but not required. Call for
other services will most likely not be necessary.
No
resources?
Yes
The hospital is moving towards electronic medical records.
Currently, there is a $300 food allowance per one month
rotation. Two week rotations will receive a pro-rated
allowance.
Our most unique attraction is the one-on-one, hands on
training. Students are immediately immersed in the care of
patients. The direct access to attendings makes it easy to
ask questions and have impromptu discussions on patient
care. The other asset at this site and in the community is
the technology – DaVinci Robotic Surgery; Digital
Mammography; Would Care Center with hyperbaric
chamber to name a few. All physicians in the area are
anxious to teach. The smaller census allows ample time to
read research and hone your skills.
Research opportunities are limited, but available.
No
Site Visits
Visits can occur at any time throughout the year, just call ahead to schedule a date.
Students should contact Anne Rickert, Rotation Site Coordinator at arickert@atsu.edu or Dr. Lisa Fritz at lfritz915@gmail.com
Area Information
Lititz/Lancaster is close to major cities on the east coast. Baltimore, Philadelphia, Atlantic City, New York and more are
accessible by car or train.
Rental apartments are plentiful. There is a preferred complex approximately
6 miles from the hospital. Rates range from $800-$1200 based on size and
amenities you choose.
Harrisburg/Middletown International Airport is 40 minutes from our site. It’s a
small very convenient airport with easy access in and out. Philadelphia Airport is
around 90 minutes away, based on traffic. It is a much larger airport with more
flight options, but not as convenient.
Nearest expressway
There are several major expressways surround us. In Lancaster County the
primary expressway is Route 30. This leads to adjoining major expressways
Route 283, Route 222 and the Pennsylvania Turnpike. The primary road in
Lititz is Route 501.
www.lititzpa.com
www.cityoflancasterpa.com
www.padutchcountry.com
Student Typical Day
A typical day would start with morning lecture at 7 a.m. Following morning didactics you will begin your rotation. Each
rotation is designed to provide you with an in depth experience to the practice of clinical medicine. You will be directly
involved with the evaluation and management of patients. Since you will be working side-by-side with the attending, you will
also learn the business aspects of medicine; coding; resource management; core measures. As your day draws to a close, you
will have ample time to read and prepare for the next day.
135
Notes
136
Utah Region
Utah Sites
Provo
Salt Lake City
Logan
Regional Map
About Utah
Capital
Salt Lake City
Est. population
2,900,872 – ranked the 33rd largest state in the country in 2013
Land area
82,168 mi2
Largest cities
Salt Lake City, West Valley City, Provo, and West Jordan
Surrounding states
Arizona, Colorado, Idaho, Nevada, New Mexico, and Wyoming
137
Utah Region
Utah is a preceptor-based region with about 200 preceptors and 30 hospitals and clinics with which we have agreements.
We continually add preceptors to our list and have a very fluid preceptor base to choose from. Most of our preceptors are
in private practices and clinics. Depending on the specialty, these physicians have privileges at one or more of the hospitals
in the area in which they practice. Therefore, the students will have a well-rounded experience in the office or clinic as well
as the hospitals.
The Utah Region consists of three separate areas: Provo (including all of Utah County-aka Utah Valley), Salt Lake City
(including the Salt Lake/Davis/Weber Counties), and Logan (including all of Cache County-aka Cache Valley). Each area
is overseen by its own Regional Assistant Dean or Director of Student Medical Education (DSME). Didactics/Education
Days are held separately under the direction of the respective Regional Assistant Dean/DSME for each area.
Travel distance to rotation sites depends upon where the student chooses to live. Logan, travel will be minimal with one or
two exceptions. Salt Lake City and Provo will have up to a 40 mile travel distance depending on where the student lives.
But, most of the rotations will be within a reasonable distance.
The Regional Assistant Dean for the Utah Region is Stuart B. Porter, DO, a KCOM graduate (Class of 1988); he is Board
Certified by the American Board of Family Practice. The DSME for the Salt Lake area is John M. Nichols, DO; he is
Board Certified in Obstetrics/Gynecology. The DSME for the Logan area is Barrett Labrum, DO; a KCOM graduate
(Class of 2008); he is Board Certified in Pediatrics. They are always ready to help our students succeed.
Education Days are held separately twice a month for each of the three sites:
 Generally on the first and third Fridays of the month for the Provo and Logan students.
 Generally on the first and third Wednesdays of the month for the Salt Lake City students.
Other days may be designated for special didactics or conferences available to the KCOM Utah Region students.
Post-Clerkship exams are proctored on the last Friday of each rotation. All Provo and Salt Lake area third year students
take exams together at Jordan Valley Medical Center at 9 a.m. The Logan area students take their exams later that day in
Logan at the Cache Valley Specialty Hospital.
Provo
Utah Area Office: 1145 South 800 East, STE 123  Orem, UT 84097  801.932.0139  801.447.2428(fax)
Stuart B. Porter, DO
Mona Porter
stuartkristinporter@gmail.com
801.932.0139
801.447.2428 (fax)
mtporter@atsu.edu
Salt Lake City
3570 W. 9000 S. Ste. 210  West Jordan, UT 84088  801.569.2626
Mona Porter
801.932.0139
801.447.2428 (fax)
mtporter@atsu.edu
John M. Nichols, DO
jnicholsdo@gmail.com
138
Logan
550 East 1400 North, Suite D  Logan, UT 84321  435.752.7122, ext. 3  435.755.9579 (fax)
Barrett Labrum, DO
Mona Porter
801.932.0139
801.447.2428 (fax)
mtporter@atsu.edu
bcmlabrum@gmail.com
Site Statistics
Approximate number of preceptors
Over 200 throughout the Utah Region
Approximate number of hospitals
Over 30 throughout the Utah Region (13 are more frequently used than others)
Average distances for rotations
Travel distance to rotation sites depends upon where the student chooses to live.
Logan, travel will be minimal. Salt Lake City and Provo will have up to a 40 mile
travel distance depending on where the student lives. But, most of the rotations
will be within a reasonable distance.
Internships
Transitional Year, you may contact the Residency Coordinator at the
Intermountain HealthCare System at 801.357.7926, or check the website for
information: www.ihc.com
Residency Programs
The University of Utah offers many allopathic residencies. There are Family
Medicine residencies also at McKay-Dee Hospital, Utah Valley Regional Medical
Center, St. Mark’s Hospital, and Ogden Regional Medical Center - all are
allopathic. We have had students accepted into each of those residencies in the
past.
Fellowship Programs
There are many fellowship programs available in Utah. Here are a few specialties
to check: Anesthesiology, Cardiology, Sports Medicine, Gastroenterology,
Hematology/Oncology, Infectious Disease, Neonatal/Perinatal, Nephrology,
Neurosurgery, Nuclear Medicine, Orthopaedics, Pathology, Pediatric Critical
Care, Pharmaceutics, Utah Moran Eye Center, and Vascular Interventional
Radiology.
Possible Facilities
Our preceptors may have privileges at multiple hospital sites
(listed below) with which we currently have agreements (see
ATSU portal: Clinical Educational Affairs;
Hospital/Preceptor Agreements).
Bear River Valley Hospital (IHCHS)
Alta View Hospital (IHCHS)
Behavioral Health Institute (IHCHS)
9660 South 1300 East
Sandy, UT 84094
www.intermountainhealthcare.org/hospitals/altaview
American Fork Hospital (IHCHS)
170 North 1100 East
American Fork, UT 84003-2096
www.intermountainhealthcare.org/hospitals/americanfork
440 West 600 North
Tremonton, UT 84337-1129
http://intermountainhealthcare.org/hospitals/bearriver
4401 Harrison Blvd
Ogden, UT 84403
http://intermountainhealthcare.org/services/behavioral
Brigham City Community Hospital (MountainStar
Healthcare)
950 South Medical Drive
Brigham City, UT 84302
www.brighamcityhospital.com
139
Cache Valley Specialty Hospital
McKay-Dee Stewart Rehabilitation Center (IHCHS)
2380 North 400 East
North Logan, UT 84341
www.cvsh.com
3903 Harrison Blvd, STE 400
Ogden, UT 84403
http://intermountainhealthcare.org/hospitals/valleyview
Central Utah Surgical Center
Mountain View Hospital (MountainStar Healthcare)
1067 N. 500 West
Provo, UT 84604
www.ucsurgical.com
1000 East 100 North
Payson, UT 84651
www.mvhpayson.com
Davis Hospital and Medical Center
Ogden Regional Hospital (MountainStar Healthcare)
1600 West Antelope Drive
Layton, UT 84041
www.davishospital.com
5475 South 500 East
Ogden, UT 84405
www.ogdenregional.com
Davis Surgical Center LLC
Orem Community Hospital (IHCHS)
1544 W. Antelope Drive
Layton, UT 84041
www.healthcare.com
Dixie Regional Medical Center (IHCHS)
1380 E. Medical Center Drive
St. George, UT 84790
http://intermountainhealthcare.org/hospitals/dixie
Heber Valley Medical Center (IHCHS)
1480 South Highway 40
Heber City, UT 84032
http://intermountainhealthcare.org/hospitals/heber
Jordan Valley Medical Center
3580 West 9000 South
West Jordan, UT 84088
www.jordanvalleyhospital.com
Lakeview Hospital (MountainStar Healthcare)
331 North 400 West
Orem, UT 84057
www.intermountainhealthcare.org/hospitals/orem
Park City Medical Center (IHCHS)
900 Round Valley Drive
Park City, UT 84060
http://intermountainhealthcare.org/hospitals/parkcitymedical
Riverton Hospital (IHCHS)
3741 West 12600 South
Riverton, UT 84065
http://intermountainhealthcare.org/hospitals/rivertonhospital
Riverwood Surgical Center
320 River Park Drive
Provo, UT 84604
www.rwsurgery.com
Timpanogos Regional Hospital (MountainStar
630 East Medical Drive
Bountiful, UT 84010
www.lakeviewhospital.com
Healthcare)
750 West 800 North
Orem, UT 84057
www.timpanogosregional.com
LDS Hospital (IHCHS)
TOSH-The Orthopedic Specialty Hospital
8th Avenue & C Street
Salt Lake City, UT 84143
http://intermountainhealthcare.org/hospitals/lds
Logan Regional Hospital (IHCHS)
1400 North 500 East
Logan, UT 84321
www.intermountainhealthcare.org/hospitals/logan
McKay-Dee Medical Center (IHCHS)
4401 Harrison Boulevard
Ogden, UT 84409
www.intermountainhealthcare.org/hospitals/mckaydee
140
(IHCHS)
5848 South 300 East
Murray, UT 94107
http://intermountainhealthcare.org/hospitals/tosh
Utah Valley Regional Medical Center (IHCHS)
1034 North 500 West
Provo, UT 84604
www.intermountainhealthcare.org/hospitals/uvrmc
Valley View Medical Center (IHCHS)
1303 N. Main Street
Cedar City, UT 84720
http://intermountainhealthcare.org/hospitals/valleyview
We hold Education Days twice a month (the first and third
Fridays of the month in the Provo and Logan, and the first
and third Wednesdays of the month in the Salt Lake City.
Charting is done electronically in some hospitals, and
becoming more prevalent with physicians in our region.
Guest lecturers are physicians in the area who are especially
passionate about teaching and sharing their knowledge and
experiences with our students.
They are asked to
participate in Education Days. Our Regional Assistant
Dean/DSME’s will also lecture during Education Days. We
also use this time for students’ Oral Case Presentations,
Journal Club presentations, fourth year lectures, as well as
Small Group Societies Modules.
Post-Clerkship Exams are scheduled on the last Friday of
each rotation.
Many of our preceptors have also set up didactic programs
for our students at their facility on an ongoing basis.
Annually, we attend the IHC Update in Medicine
Conference and a Suture Course. These are mandatory for
our third year students, and suggested for fourth year
students. These have been received very well by the
students in the past.
rotation?
Since we are preceptor-based, nearly all rotations are oneon-one with the preceptor.
Since we are preceptor-based, nearly all rotations are oneon-one with the preceptor.
No food allowance provided.
No
No
The Utah Region is a preceptor-based region with three
separate areas: Provo, Salt Lake City, and Logan. Our
region office is located within the Provo area, in the city of
Orem. The student will be first in line to have hands-on
experiences because he will be the only student with the
preceptor.
The student will also have the unique
opportunity of observing the daily life of private practices,
group clinics, and hospitals alike.
The Utah Region has preceptors who enjoy teaching our
students and are dedicated to our medical education
program.
Research Elective opportunities are available; please talk
with the Rotation Site Coordinator.
Current and past students report that in most cases, they are
encouraged to actively participate. Student initiative
however, is also an important factor in having opportunities
for participation. Preceptors often suggest in clinical
evaluations that the students should be more aggressive in
volunteering and taking advantage of hands-on
opportunities during rotations.
Will students have an opportunity to rotate at a
Level I trauma center?
We do have Level I trauma centers in Utah. We also have
excellent Emergency Room rotation opportunities at many
of our bigger hospitals.
Each preceptor has his own on-call policy, and most of
them expect the student to be on-call as well.
resources?
Yes, in some of the hospitals and clinics.
141
Site Visits
Because Utah is a preceptor based region, we are not able to give regular site tours. The best way to get to see our region and get
a feel for how it is here would be to attend one of our Education Days. You’ll get to meet everyone including the Regional
Assistant Dean/Director of Student Medical Education and students of the particular area you are interested in. If our
scheduled Education Day dates do not work with your schedule, we can work something else out for you.
Please contact the Utah Rotation Site Coordinator for specific Education Day dates and times for the area you are interested in.
Mona Porter at 801.932.0139 or mtporter@atsu.edu
Please contact the Utah Rotation Site Coordinator – Mona Porter at 801.932.0139 or mtporter@atsu.edu
Area Information
Provo includes all of Utah County (also known as Utah Valley). Utah County has a population of 531,442. This area is
surrounded by the Wasatch Range of the Rockies, Mount Timpanogos, and Utah Lake, with easy access to Deer Creek-a popular
water sport playground, and Sundance Ski Resort through the Provo Canyon. Utah Valley offers an abundance of scenic and
recreational opportunities. It is also the home to Brigham Young University and Utah Valley University.
Salt Lake City includes all of Salt Lake County, Davis County, and Weber County with a cumulative population of 1,577,040. It
is the home to University of Utah, and Weber State University. This area is surrounded by the beautiful Uinta Mountains with
easy access to some of the best ski resorts in the world, including the Park City resorts. Opportunities for outdoor activities are
plentiful no matter what the season.
Logan includes all of Cache County (also referred to as Cache Valley). It has a population of 114,276. It is surrounded on all
sides with beautiful mountains and pastoral landscapes. Bear Lake - a popular water sport playground and Beaver Mountain Ski
Resort are close-by. It is also the home to Utah State University.
The “college town” atmosphere is evident in all three areas, which presents great opportunities for social, cultural, and sporting
experiences. Utah, in general, is considered very family oriented.
Salt Lake County
 Salt Lake City – population: 183,171, average rent: $707
 West Valley City – population: 125,093, average rent: $815
 Sandy – population: 97,177, average rent: $951
 West Jordan – population: 76,024, average rent: $924
 Taylorsville – population: 59,102, average rent: $840
 South Jordan – population: 54,631, average rent: $1,451
 Draper – population: 43,217, average rent: $1,001
 Riverton – population: 40,420, average rent: $1,142
Utah County
 Provo – population: 119,775, average rent: $691
 Orem – population: 95,248, average rent: $765
 Lehi – population: 48,993, average rent: $1,051
Davis County
 Layton – population: 66,746, average rent: $812
 Bountiful – population: 44,477, average rent: $703
Weber and Cache Counties
 Ogden – population: 83,296, average rent: $653
 Logan – population: 49,534, average rent: $640
Regardless of where you rent in Utah, the State is a good place to live. The climate here
is very predictable with the fiercest winters being in the north and the warmest summers
142
being far to the south. Rent in the State ranges from $640 per month in Logan all the
way to $1,451 in South Jordan, a wealthy suburb of Salt Lake City.
Salt Lake International Airport (SLC) is about a 60 mile drive from Utah County
and 100 miles from Logan.
Nearest expressway
Utah has an excellent UTA bus service and the TRAX (Utah’s Light Rail Service)
is ever increasing its services. Go to www.rideuta.com
www.harktheherald.com – Utah county
www.utah.gov
www.deseretnews.com/cn - Salt Lake county
www.sltrib.com
www.byu.edu/offca.m.pushousing - Utah County
http://www.uvu.edu/campusconnection/services/housing.html - Utah County
uuhsc.utah.edu/som/studentaffairs/housing.htm -Salt Lake County
www.co.slc.ut.us - Salt Lake County
www.daviscountyutah.gov -Davis County Information
Student Typical Day
The typical day in the Utah Region varies greatly from one rotation to another. A student’s daily schedule is determined by the
preceptor. Except for Education Days and a couple of annual classes, the student should be with the preceptor during his
normal work hours which are determined by each rotation site.
With rotations which require mornings in the hospital, physicians typically want the students to round on patients by or before 7
a.m. Clinic will generally begin by 8-9 a.m., so you will need pre-rounds and notes finished no later than 7:30 so that you can then
round with the physician and be back to the clinic on time. Other rotations have no early morning rounds and you are generally
to clinic by 8 a.m.
In the clinic, the preceptor generally sees 25-35 patients per day. Initially, most preceptors will have the student doctor see all
patients of the day with them. You will then transition to taking on more responsibilities for approximately 10-15 of those
patients per day. The student doctor will be required to take a thorough history, and perform a physical exam based upon the
rotation specialty, report back to the doctor with an initial assessment and differential, and then accompany the physician during
his visit with the patient. Often physicians will also require that you complete a handwritten note for your patients, some will
have you do dictations, and others will give you access to the Electronic Medical Record and have you complete your
documentation there.
Lunch is generally scheduled for an hour, beginning anywhere from noon to 1 p.m. However, if the preceptor is running behind,
you may or may not get that time. Lunch is frequently provided by drug reps or the hospitals. However, it is always wise to have
a few extra dollars on hand or a granola bar. After lunch, you generally resume seeing patients, and clinic will usually end between
5-5:30 p.m. Generally, your day is done, unless there is a new admission at the hospital, at which time you would return to the
hospital with your preceptor.
Most preceptors give student doctors specific reading assignments. If there is any down time, or the preceptor is unavailable, you
are expected to study on your own.
For the most part Utah preceptors are very reasonable to work with. Communication is the key. Notify your preceptor of your
upcoming Education Day, Personal Day, etc. Notify him/her immediately if you are sick and unable to show up. Your
preceptor and coordinator should know where you are at any given time.
You are responsible and accountable for the use of your time. Your experience as a student doctor in the Utah region will be
exactly what YOU make of it.
Notes
143
Notes
144

Site Selection Guide 2015

Transcription

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