Family Medicine/Adult Medicine
The Department of Family Medicine conducts the inpatient teaching service. Family Medicine attending staff and residents admit to the service (includes adults, children, and antenatal patients). Family Medicine residents have full responsibility for patient management under the supervision of the program director, the faculty and the attending staff. Each third-year resident serves as the chief resident on the floor. In addition, each senior resident spends one month at Providence Park Hospital in Novi acting as the junior attending. Each second-year resident serves as associate chief resident on the inpatient service and as the night block resident. Each first-year resident spends four months on the service. Teaching rounds are conducted by the faculty daily. Case presentations and daily noon didactic sessions add to the learning experience. First year residents rotate short call for evening hours and weekend calls with onsite supervision by a senior
Obstetrics and Gynecology
Obstetricians and family physicians from Providence Hospital deliver more than 4,000 babies each year. The New Life Center at Providence Hospital is a premier labor and delivery, high-risk obstetrics, and neonatal intensive care facility. Family Medicine residents spend two months on the obstetrics service during the first year and two months Obstetrics/Gynecology during the second year (one month for DO residents). If residents have met their delivery goals, they have the option of changing an OB month to a Women’s Health Rotation. An additional two months of training are recommended for residents planning to continue birthing after graduation. The Alternative Birthing Center is available for low risk deliveries. Residents also provide continuing prenatal care and delivery through their office practice. A Maternity Care Track is available for residents who wish to incorporate maternity care into their future practice.
The Inpatient Osteopathic Manipulation Medicine rotation is completed at St. John Providence Hospital-Macomb Oakland with the Department of Family Medicine. It is a one-month rotation with primarily an inpatient experience but complemented by outpatient OMT in the family medicine clinic. This rotation is typically done in the first year, or early second year. It can also be taken as an elective if more exposure to OMT is desired. The resident in this rotation will work simultaneously with the Inpatient Family Medicine residents at SJP-Macomb Oakland and function as a part of the Inpatient OMT service. The training in this rotation will focus on cultivating the skill of the Osteopathic resident. The resident will learn to identify dysfunctions common in the hospital setting. The resident will learn how to do a structural exam in the hospital setting, along with how to treat the inpatient patient.
The residency provides months of pediatric experience. The first year includes inpatient pediatrics and neonatology. The inpatient pediatrics experience includes time in the ER seeing pediatric patients at Providence Park. Second-year residents rotate in inpatient and outpatient pediatrics. Third year residents do a pediatric subspeciality month and one month of pediatric emergency medicine. Children requiring hospital care are admitted to the Family Medicine Inpatient Service at Providence Park Service.
Residents have a one month rotation of inpatient/outpatient surgery and a one month rotation of outpatient surgery, each spent with a surgeon at Providence Hospital focused upon the basic surgical skills needed by a family physician.
Two weeks are spent in outpatient cardiology at Providence Hospital. Providence Hospital has been recognized as a Center of Excellence for Cardiology.
The intensive care unit at Providence Hospital is a 12-bed unit staffed by three full-time intensivists and two critical care fellows. Family Medicine residents spend one month on the unit in Year 2 to gain experience and insight into procedures and the type of care provided in life-threatening situations.
Residents have two months of experience in the Emergency Medicine Department at Providence Hospital. This is an active service with an annual volume of approximately 50,000 patients. Providence Hospital is a designated trauma center for southern Oakland County, the second largest county in Michigan. Shifts are assigned in the afternoon and evening when the ER is most active. Residents may rotate to the suburban emergency department at Providence Park, which sees 40,000 visits annually.
This is a two-month longitudinal training experience in ophthalmology, otolaryngology, and urology taken during the third year of the residency program. The training is primarily in outpatient surgery and office-based practice.
The orthopedic rotation is a one-month experience with orthopedic surgeons. The Sports Medicine rotation is a 2 week rotation with the faculty of our Sports Medicine Program. Providence has family physicians that specialize in Sports Medicine and offers a Sports Medicine Fellowship. Residents participate in a longitudinal Sports Medicine Curriculum and may schedule an elective in Sports Medicine. A Sports Medicine Track is available, preparing residents for sports medicine fellowships.
The behavioral medicine curriculum is largely longitudinal with weekly conference for first year residents, biweekly conferences for second year residents, learning alongside of the our Behavioral Scientist as he sees patients in the clinic in an integrated behavioral medicine model, as well as didactics and workshops throughout the year. There are two 2-week behavioral medicine rotations that emphasize communications skills and include workshops on motivation interviewing and advanced communication skills, exposure to addiction medicine at Brighton Hospital, work with psychiatry doing patient assessments in an outpatient setting, and clinic time alongside our Behavioral Scientist practicing the skills taught in workshop settings.
A two week rotation offers a variety of activities that expose residents to various aspects of community care. They will work at a free community clinic, at an FQHC alongside one of our former residents, volunteer at a soup kitchen and work at a school based health clinic with an adolescent population. In addition they are given several open half days within which they will have the freedom to explore various community agencies that might be beneficial to their patient population. The residency is involved in a number of community and international activities in which residents are also invited to participate.
Residents participate in a one month rotation that includes exposure to hospice, palliative care, nursing home care and work with a geriatrician doing patient assessments. There is a longitudinal nursing home component where second and third year residents are assigned and follow their own nursing home patients and this experience includes didactics on geriatric topics as well. A Geriatrics Track is available for residents who wish to pursue additional skill in geriatrics, preparing them for a geriatric fellowship.
Health Systems Management
Residents learn practice management through the longitudinal Health Systems Management curriculum. Activities include understanding office roles during the Orientation Month, monthly physician office staff meetings, quarterly team meetings for quality improvement projects, monthly health systems didactic sessions for all residents, and a series for second and third year residents focusing upon future job applications, practice tips, and financial planning.
Family Medicine Centers
Providence Hospital operates two Family Medicine Centers to provide residents with the opportunity to train in either an urban/suburban or rural/small town practice. The two settings also provide access to different patient populations and to a wide range of clinical problems.
Murray N. Deighton, MD, Family Practice Center, Southfield
Eighteen residents and nine faculty conduct a model urban-suburban practice in an attractive, 11,000 sq. ft. office on the fifth floor of the Providence Medical Building. Residents work with the faculty and nurse clinicians to see over 23,000 patients per year. The Center is located on the main campus of the hospital with direct access to inpatient floors, the immediate availability of consultants in every specialty and the convenience of the full diagnostic and therapeutic resources of the main hospital. The Center is named for the late Dr. Murray Deighton who served as chairman and program director in Family Medicine from 1975 through 1986, and who was largely responsible for the establishment of the Family Medicine Residency Program at Providence Hospital.
The patient population seen at the Deighton Center is diverse in terms of race, culture and economic characteristics. Patients are seen from the affluent northern and western suburbs as well as patients from the City of Detroit. Southfield itself is an upper middle-class, racially integrated community. Families present with a full range of physical and psychological problems.
Providence Medical Center – South Lyon
Nine residents and seven faculty conduct a model rural and small town practice in a well-equipped 5,000 sq. ft. office. South Lyon is located 26 miles west of Providence Hospital. Residents, faculty, and a physician assistant see over 20,000 patients per year. The patient population includes all age ranges from middle and lower income families. Many of our patients/families are young and have a singe head of household. Our office is the only practice in the area to accept Medicaid. The area has a growing population of Spanish speaking patients.
Residents are provided five one-month electives. Electives are intended to allow residents to pursue their individual areas of interest. Examples of electives include: Advanced Maternity Care, Allergy, Anesthesia, Community Medicine, Cardiology, Diabetes Education, Endocrinology, Gastroenterology, Geriatrics, Hospice and Palliative Care, Infectious Disease, Integrative Medicine, International Medicine, Maternal-fetal Medicine, Medical Specialties, Neurology, Infectious Disease, Nutrition, Office Preceptorship, Oncology/Hematology, Physical Medicine and Rehabilitation, Podiatry, Practice Management, Proctology, Pulmonology, Research, Rheumatology, Rural Medicine on Mackinac Island, Sports Medicine, and Complementary and Alternative Medicine. Other electives may be arranged on an individual basis.