Curriculum & Programs

Curricular Tracks

 

Maternity Care Track

The inherent flexibility in this track allows you to advance your maternity care training to match the depth of desired learning. Our model has inspired many other programs to follow suit. Whether you choose our Standard Maternity Track or pursue the advanced option, you will experience:

  • Role Modeling - Eight faculty FPs actively practice obstetrics and will supervise prenatal care and deliveries
  • Numbers - Expect at least 100 to 150 deliveries over three years, with experience in vaginal repairs

About the Track Directors

Paul Koch, MD, MS brings over a decade of expertise and passion to maternity care. His enthusiasm for family-centered maternity care is an excellent example for all resident learners to role model. He also possesses cesarean privileges at Ascension Columbia St. Mary's.

Camille Garrison, MD, a graduate of Ascension Columbia St. Mary's Family Residency, joined our faculty in October, 2010. She is a Milwaukee native.   She possesses C-section privileges at Ascension Columbia St. Mary’s.   

  • Ultrasounds - Perform OB ultrasounds in the office and the L&D unit with the expectation to get credentialed upon graduation for limited OB ultrasounds: i.e. fetal presentation confirmation, fetal viability, amniotic fluid index, biophysical profile.
  • Collegial Approach - Well-established relationship between OB and FM residents at Ascension Columbia St. Mary's result in consistent, quality resident-to-resident teaching
  • Augmenting Experiences - Opportunity to work with maternal/fetal specialists and other OB specialists to further enhance your skills
  • Special Procedures - Opportunity to master specific OB-GYN procedures such as IUD insertion, endometrial biopsy and colposcopy; as well as exposure to the medical and surgical management of spontaneous miscarriages.
  • High-Risk Patients - Be the first to evaluate high-risk OB patients and actively co-manage them with your OB Perinatologist colleagues.  Participate in case review rounds with a Perinatologist as well as obstetrician colleagues
  • Cultural Competency - Comprehensive, culturally competent prenatal care is emphasized
Standard Option:

Participating in our Standard Maternity Track, you will be able to:

  • Develop in-depth skills and expertise in family- centered maternity care
  • Perform non-operative spontaneous vaginal deliveries
  • Apply internal-fetal monitor leads and interpret fetal monitor tracings
  • Repair of simple episiotomies and lacerations
  • Appreciate the psychosocial aspects of maternity care
  • Collaborate successfully with OB-GYN's and Nurse Midwives for the delivery of high-quality obstetrical care

 

Standard maternity requirements:

  • Two track months of OB at Ascension Columbia St. Mary's required, one in PGY-2 year and one in PGY-3 year.
  • Manage 15 total continuity OB patient during residency training
  • Perform a minimum of 100 OB deliveries
  • Advanced Life Support Obstetrics Course
  • Attend a maternity care CME meeting in either PGY-2 or PGY-3 year
Advanced Option:

Residents who choose this option will be able to acquire all of the skills in the standard option plus some of the following, as desired:

  • Perform an operative outlet delivery using vacuum
  • Perform basic L&D and office ultrasounds, as well as basic fetal assessments
  • Repair more complex episiotomies and lacerations
  • Develop advanced skills in management and co- management of complicated and High-risk maternity patients
  • Perform D&Cs
  • Assist at C-sections

 

Advanced option requirements:

  • Four track months at Ascension        Columbia St. Mary's. Two in your PGY-2 and two in your PGY-3 year
  • Manage 20 total continuity patients during residency training
  • Perform a minimum of 150 OB deliveries
  • Advanced Life Support Obstetrics Course
  • Attend a maternity care CME meeting in either PGY-2 or PGY-3 year
  • Be fellowship ready
For more information contact:

Paul Koch, MD
Ascension Columbia St. Mary's Family Medicine Residency
1121 E. North Ave.
Milwaukee, WI 53212
lkennedy@mcw.edu

(414) 267-6502 (office)
(866) 540-4760 (toll free)

Global Health Track

The Global Health track offers powerful, intensive opportunities to develop competencies in cultural diversity and community medicine.  It is one of the only international health curricular tracks in the country that focuses on non – clinical experiences and is for the resident who wants to enrich their education by helping change the health of populations in developing countries.
Your experience will be supported by a full two year long curriculum that will augment the immersion field experience within an international setting.  You will learn, first-hand, how health can be affected by the lack of vital public health services and infrastructure in impoverished communities. Serving at the grassroots level, you will work to be a part of a community’s solutions.
The Global Health Track provides opportunities to touch the lives of people who are in great need. They’ll touch your life, too. You’ll have the unique experience only an international track can provide for a greater appreciation of the individual patient within the larger picture.

About the Track Director

Dr. James Sanders is a recognized international authority on forensic examination for survivors of torture and has served as an expert witness in multiple asylum hearings. He is regularly referred clients from across the Midwest for purposes of helping secure their freedom and safety. He has been honored with numerous awards for his service to the poor, including receiving the President's Award for his work in the Republic of Georgia.

Dr. Sanders received a Fulbright Scholarship to travel and work in Zambia from August, 2013 to June, 2014. The Fulbright Scholarship program is a competitive award for academic researchers and teachers that is administered through the US State Department.  Dr. Sanders assisted the University of Zambia’s School of Medicine with their efforts to initiate the country’s first Family Medicine training program.

 

Where? How?

The track takes advantage of each learner's particular skill sets and interests.  Combined with Dr. Sander's vast network of worldwide contacts there are ample global experiences from which the residents learn.  In the past Global Health track participants have traveled to countries all over the world including Malawi, Uganda, Kenya, Guatemala, Belize, Philippines, Russia, and India. As a testimony to the seriousness by which we approach this educational effort, up through 2016 all residents enrolled in the Global Health Track have received their full salary and ALL expenses paid (including r/t airfare) during their immersion field experience.

Objectives

Residents participating in this track will be able to:

  • Care for patients in a developing country and learn about the interplay of health, disease, and poverty
  • Understand community-oriented primary care
  • Use epidemiologic skills to assess and track the health indices of a community including research design, implementation and evaluation
  • Develop data analysis and presentation skills
  • Gain grant writing skills
  • Advocate for marginalized and vulnerable populations
Curricular Components 

The Global Health Track has three parts to its  curriculum. The first is an academically oriented series  encompassing 16 different aspects of Global Health.  We use a Global Health textbook and meet  every month to discuss on of the chapters’ topics.  The reading is augmented by videos, ancillary  readings, and, of course, your personal experiences.

Secondly, the residents on the Global Health Track will participate in a Milwaukee’s only teaching-clinic for refugee care.  This clinic is organized and supervised by Dr. Sanders and allows the resident to learn the practical skills necessary to interact with patients from all over the world about health issues often quite different from their continuity clinic’s population.

Lastly, the overseas’ electives allow for an immersive experience that is singularly unique. It is during the field experience where many of the classroom and clinical experiences learned in Milwaukee can be put into proper context.  There is opportunity for two overseas electives during the last two years of training.

For more information, contact:

Jim Sanders, MD, MPH
Ascension Columbia St. Mary’s Family Medicine Residency 

1121 E. North Ave.
Milwaukee, WI 53212
lkennedy@mcw.edu
(414) 267-6502 Office
Toll free: (866) 540-4760
(414) 267-3892 Fax

Community Medicine Track

A Track that Impacts the Community

The Community Medicine Track curriculum aims to help residents develop the skills to become a community-responsive physician. Experiences include opportunities for community health assessment, engagement and development of new and existing community partnerships, health improvement program planning and evaluation, and clinical skill development in areas of need for underserved populations. The track includes a community-based project, intended to meet residents’ scholarly project requirements, based on a topic of interest and done in collaboration with a community partner the resident has developed a relationship with. The track is designed to be flexible enough to meet residents’ individual learning goals. It allows for selection between relevant electives, resident identification and development of a project focus area, and supports opportunities for further enrichment such as additional training.

About the Track Director

Dr. Bernstein entered family medicine as a career to pursue improving the health of our community. Her prior experiences include founding a student-run free clinic for homeless families, providing street medicine outreach, treating patients in a community-based free clinic within a housing program, and providing primary care at Milwaukee’s Bread of Healing Clinic for the uninsured. She completed a research fellowship focused on community-engaged research and currently holds a joint appointment in MCW Department of Family and Community Medicine’s Division of Healthy Communities and Research, with a research focus on chronic disease in vulnerable populations. Dr. Bernstein enjoys teaching about Community Medicine not only to residents, but to medical students in the family medicine clerkship and in the Urban and Community Health Pathway at MCW.


The track has 4 primary components:
1. A one-month Community Medicine Exploration Elective
2. A longitudinal community-based project
3. Additional 1-3 electives in community medicine chosen to meet residents’ individual learning goals.
4. Participation in the FHC Community Engagement Committee
Additional experiences related to community medicine are available to augment these components. Examples include enrolling in or auditing public health courses, particularly Public Health Administration in the MCW master’s program in public health, identifying and meeting with a community advisor, participating in ongoing, existing community health-related projects through faculty and staff in our department, and to attend relevant conferences, meetings, or trainings.
Upon entering the track, residents will meet with the track advisor to discuss their interests and learning goals, including their possible post-residency practice plans. Residents have expressed interests including a topic area they wish to further explore (e.g. nutrition), a skill-set they wish to develop (e.g. non-profit management), and an interest in exploring post-residency career interests (e.g. health center practice). A written statement of interests and learning goals is expected, to allow development of a track experience to meet these goals.
Below are descriptions of the four primary components:
1. One month Community Medicine Exploration elective

  • This elective is typically done in the PGY2 year. Exceptions may be possible in individual cases.
  • Purpose:  The purpose of this rotation is to become exposed to a variety of settings in which programs, services, and care are delivered.  This will also afford an opportunity to meet potential community partners for the longitudinal project.  Residents are expected to seek the perspective of those they meet in community settings and work through observation and inquiry on identifying community needs and possible areas for collaboration.
  • Learning Objectives:

1) Gain awareness and understanding of multiple community-based organizations, settings, and approaches to delivering health and health-related programming.
2) Enhance clinical skills to address the needs of vulnerable populations
3) Become exposed to the legislative advocacy process for health professionals and organizations.
4) Use principles of community-academic partnership to begin considering and planning for PGY3 Community Medicine Project

  • Activities:  In addition to continuity clinic and call responsibilities, residents will attend a variety of community sites.
  • Selected readings on community oriented primary care to be completed before or during your elective.

2.  Longitudinal Community-based Project

  • This project is conducted primarily in the PGY3 year, though residents are encouraged to begin developing partnerships and ideas in the PGY2 year or earlier.
  • Rationale: The skills involved in forming or joining a community partnership, identifying areas of community need, establishing mutual goals, collaborative planning, and executing a program for the purpose of community health improvement can only be gained through experience. Because of the relational nature of community engagement, this project must be undertaken over time; a four-week elective is not conducive to developing a true partnership. This experience is designed to afford residents the opportunity to become a partner to the community and to work through a focused health improvement project together.
  • It is recommended but not required that this project be utilized to meet residents’ scholarly project requirements.
  • Learning Objectives: By the end of this longitudinal experience, residents will be able to

1) Use a community strengths and needs assessment to identify a focused topic area that is timely, relevant, and likely to benefit a target population within our community (SBP-3).
2) Successfully partner and collaborate with other public health and community-based organizations (SBP-3).
3) Utilize sound research or program design to develop and implement a study or health improvement program
4) Use appropriate techniques to assess or analyze the results of their study or program

  • Strategies: Residents will be expected to submit a longitudinal project proposal by July of their PGY3 year. Based on the nature of the project, their proposal will include recommendations for the time needed (e.g. frequency, timing) for completion of the project and recommendations for how this time could be best “paid back” or “paid forward” during a scheduled one-month elective.

3. Community-Medicine Related Electives

  • These electives may be completed in the PGY2 or PGY3 year.
  • Purpose: To allow residents to individualize the track experience by identifying (or creating) electives to meet their learning objectives.
  • Current electives: Behavioral health elective or community health center electives would be suitable as relevant track electives.
  • Residents are strongly encouraged to consider taking at least one elective intended to strengthen clinical skills caring for underserved populations. Examples include the behavioral health or community health center electives, an oral health elective, HIV-focused infectious disease elective, etc.

4. Participation on the Community-Engagement Committee

  • Community Medicine Track residents are considered members of the Community-Engagement Committee
  • Participation will allow residents an opportunity to collaborate with an inter-disciplinary clinic team conducting community engagement. They will help in identifying annual areas of focus. Residents on the committee are resident-leaders for community engagement and will communicate information and opportunities based on the committee’s work to the other residents. 

Requirements for successful completion of the Community Medicine Track:
1. Completion of the Community Medicine Exploration Elective.
2.  Successful completion of a community-related project, including development or engagement in a partnership with a community (outside of the clinic or hospital) organization or group.
3. Completion of at least 1 additional elective related to community medicine, as determined by the resident and track advisor to meet individual learning goals.
4. Active participation in the FHC Community Engagement Committee, defined as attendance of at least 50% of committee meetings and substantial participation in the committee’s annual project during the PGY2 and PGY3 years.

For more information contact:

Rebecca Bernstein, M.D.
Ascension Columbia St. Mary’s Family Medicine
1121 E. North Ave.
Milwaukee, WI 53212
lkennedy@mcw.edu
(414) 267-6502 Office
Toll free: (866) 540-4760
(414) 267-3892 Fax

Urgent Care Tracks

  • Prepare you for future career in an urgent care setting.
  • Increase your knowledge and skills in treating specific conditions frequently seen in urgent care settings.
  • Increase your knowledge and skills doing procedures frequently required in urgent care.
  • Give you a “toolbox” of resources for treating patients now and throughout your career.
For more information contact:

Larry Duenk, MD
Ascension Columbia St. Mary's Family Medicine Residency
1121 E. North Ave.
Milwaukee, WI 53212
lkennedy@mcw.edu

(414) 267-6502 (office)
(866) 540-4760 (toll free)

Sports Medicine Track

  • Pilot in 2018
  • The Sports Medicine Track is designed to provide experiences in a variety of settings that will give residents expertise in the diagnosis, prevention, treatment, and rehabilitation of musculoskeletal diseases. Upon completion, residents should feel prepared for applying to Sports Medicine Fellowship if desired.
For more information contact:

Jeremy Waldhart, DO
Ascension Columbia St. Mary's Family Medicine Residency
1121 E. North Ave.
Milwaukee, WI 53212
lkennedy@mcw.edu

(414) 267-6502
(office) (866) 540-4760 (toll free)

Osteopathic Training and Recognition

The Medical College of Wisconsin's Department of Family and Community Medicine is accredited through the ACGME and has obtained Osteopathic Recognition for our program. Our osteopathic partner is the Kirksville College of Osteopathic Medicine. This links two institutions with strong medical histories, creating an efficient path for postgraduate training of osteopathic students.

Kirksville College of Osteopathic Medicine is the founding college of Osteopathic Medicine, with more than 120 years of leading comprehensive healthcare, medical education, research and global service. Ascension Columbia St. Mary's was the first hospital in Wisconsin, with more than 165 years of making a difference in the health and lives of individuals, families and our community. We've always had special concern for those who are most vulnerable.

OPTIK & the Ascension Columbia St. Mary's Family Medicine Residency:

  • Capitalizes on long-standing traditions of service
  • Allows for continuous OMT training in one Residency
  • Provides flexibility for the osteopathic student to learn how to integrate OMT into practice
  • Provides ample opportunities to serve a diverse patient population and work with a variety of specialists within a large healthcare system

Your Clinical Setting, the Ascension       Columbia St. Mary's Family Health Center:

  • Precepting by the Medical Director of Osteopathic Residency
  • OM tables in exam rooms plus a portable table available anytime
  • Opportunity to extend your ambulatory experience by working with a DO in their private practice

Your Education:

  • One-day workshops conducted three times a year (twice by Kirksville College of Osteopathic Medicine OMM Faculty and once by program faculty members, Sabrina Hofmeister and Michael Plotkin).
  • Annual lectures facilitated by the Medical Director of Osteopathic Residency
  • DO textbooks and subscriptions to DO and JAOA included in the Residency's library

Procedural Training

A Foundation in the Basics and Opportunity for More

All residents in our program become proficient in a number of basic procedures. Residents are taught by faculty who aracticed in these procedures and experienced in communicating the required skills and knowledge. The procedures we consider "basic" include:

  •  Neonatal circumcision
  •  Skin punch biopsy
  •  Skin cryosurgery
  •  Lesion excision
  •  Abscess incision & drainage
  •  Suturing
  •  Cerumen removal
  •  Anoscopy
  •  Endometrial biopsy
  •  Toenail Removal
  • Joint aspiration and injection 

State-of-the-art
Equipment and Space

The Family Health Center has 3 large procedure rooms equipped with the latest technology. You will learn procedures using state-of-the-art equipment such as colposcope, handheld and tank type cryo units, external fetal heart tracing unit, ultrasound, and dermatologic electrosurgical unit.

 

Residents who want to gain broader experience with office procedures will find ample opportunity to do so. Among the procedures that residents may choose to learn at their discretion are: Colposcopy, IUD insertion/removal, Nexplanon, Obstetrical Ultrasound*, Pediatric lumbar puncture, Vasectomy.

CSM residents learn from some of the best in the fields of colposcopy, vasectomy and other office-based procedures. One nurse schedules every procedure to include a resident to maximize resident procedure involvement.  

 

 

* Obstetrical Ultrasounds plus many additional obstetrical procedures are experienced through the Maternity Care Track specifically.

 

 

 

 

 

 

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