Intern year schedule
First year residents spend much of their time working in the major specialty areas of internal medicine, emergency medicine, family medicine, pediatrics, and obstetrics. First year residents also spend two half-day sessions per week seeing their own patients in the Family Medicine Center. The residency utilizes a “night float” system for evening coverage of inpatient family medicine and pediatric services, the team of which includes the intern and upper-level resident.
Required PGY-1 rotations include:
Family Medicine Service (adult inpatient) - 8 weeks
Pediatric Service (pediatric inpatient) - 8 weeks
Obstetrics - 8 weeks
Night Float (2 weeks at a time) - 6 weeks
Emergency Medicine (Indianapolis campus) - 4 weeks
Critical Care - 4 weeks
Cardiology - 4 weeks (2 week blocks)
Gynecology (outpatient) - 4 weeks
Surgery (outpatient) - 4 weeks
POCUS - 2 weeks
Here is an example of a typical intern schedule. Each block is 4 weeks long
2nd and 3rd year schedules
Second year residents focus their education on training in various specialties via both core and elective experiences. Responsibilities increase for the care of obstetric patients, and residents cover in-house obstetric night and weekend call. Second year residents also cover in-house back-up call, where they supervise first year residents on their night float rotation. Second year residents also spend four half-day sessions per week in continuity clinic in the Family Medicine Center.
Third year residents have an increased number of electives, encouraging them to focus on personal interests and passions within family medicine. Responsibilities continue to increase as third year residents typically serve as chief resident during two months of Family Medicine Service. Third year residents also continue to spend four half-day sessions per week in their continuity clinic in the Family Medicine Center.
Required PGY-2 rotations include:
Family Medicine Service (Junior Chief) - 4 weeks
Pediatric Service (Chief) - 4 weeks
Outpatient Pediatrics - 4 weeks
Emergency Medicine (Mooresville campus) - 4 weeks
Practice Management - 4 weeks
Sports Medicine - 4 weeks
Required PGY-3 rotations include:
Family Medicine Service (Chief) - 8 weeks
Pediatric Service (Chief) - 4 weeks
Ambulatory Family Medicine (with urgent care) - 4 weeks
Core PGY-2 or PGY-3 Rotations:
Community Medicine - 2 weeks
Dermatology - 4 weeks
Endocrinology - 4 weeks
Gastroenterology - 4 weeks
Neurology - 2 weeks
Palliative Care - 2 weeks
Psychiatry/Human Behavior - 4 weeks
Urology - 2 weeks
Selective 1 - 2 weeks
Selective 2 - 2 weeks
Electives (directed by high track requirements)
Selective (Must Pick 2 to Meet Requirements):
Allergy
Colorectal
Infectious Disease
Nephrology
Plastic Surgery
Podiatry
Pulmonology
Rheumatology
Ophthalmology
Otolaryngology
Additional Electives:
Any Listed Selective
Bariatrics
Geriatric Wards
Global Health
Hematology/Oncology
Internal Medicine Wards
Inpatient with Community FM Group (with approval)
ICU
Lactation
Lifestyle Medicine
NICU
Nursing Home Administration
Natural Family Planning/Fertility Awareness Based Methods
OB High Track at Lafayette
Orthopedics
Pain Management
PM&R
POCUS
Preventative Care
Sleep Medicine
Teaching (with director approval)
Urgent Care
Wound Care
Home Study with director approval
Other electives with director approval
High Tracks
What is a High Track?
A High Track is a specialty area within family medicine that residents can further pursue clinical training in. This means that you will engage in more rotations and longitudinal experiences in this area of interest. In addition, you are encouraged to complete additional CME conferences and are provided supplemental funds to help cover these educational experiences. You also have the opportunity to present a noon conference to help facilitate peer-to-peer learning amongst your colleagues.
High Track Options
Academic Medicine/Teaching
Addiction Medicine (MAT Longitudinal Curriculum)
Geriatrics
Hospital Medicine
Lifestyle Medicine
Obstetrics
Sports Medicine
Underserved Medicine (Rural/Urban/Global Focused)
Women’s Health
Make Your Own - with director approval
Osteopathic Recognition
At Franciscan, we are proud to be an Osteopathically Recognized Program! This recognition from the ACGME shows that we are committed to continued learning, teaching, and application of osteopathy.
What do we offer?
Residents can elect to be Designated Osteopathic Residents and opt into more OMT clinics as well as receive a certificate of Osteopathic Distinction if they demonstrate knowledge, skills, and behaviors necessary to enter autonomous practice and to apply OPP to patient care .
We have a half day of OMT clinic every Wednesday morning where we see and treat patients with a variety of complaints.
Dedicated staff to help teach osteopathic manipulative medicine and promote osteopathic principles and practices.
Extended noon conferences (2-hour long conferences) where we present different techniques and provide further information and practice on each other (pictured).
We are happy to teach our MD colleagues as well and they are able to participate in OMT clinic with approval from the staff. We also maintain a strong relationship with Marian University Wood College of Osteopathic Medicine and often volunteer to help with labs and other events.
Noon Conference
We host a daily noon conference Monday through Friday, comprising a variety of lectures and workshops. Didactics range from bread-and-butter family medicine topics, presentations from our collaborating specialists (e.g, cardiology, obstetrics/gynecology, sports medicine, etc.), outreach from local social services, and many other topics. We have reoccurring lecture series for Medical Ethics, Osteopathic Manipulative Medicine, Lifestyle Medicine, Quality Improvement, IDEA, etc.
All first year residents will present 1 M&M (Morbidity and Mortality) conference regarding lessons learned from interesting clinical presentation.
All second year residents will present at least one journal club lecture on an academic area of interest in lieu of scholarly activity.
All thirds years present at least 1 topic of their choice a year (interesting topic, topic review, etc.)
We also encourage peer and collaboration learning: residents will present on topics pertaining to their individual high tracks or other areas of interest within family medicine.
Sample Noon Conference Schedule
Additional Benefits
Our clinic has an in-person clinical pharmacist, who can help co-manage patients with diabetes, hypertension, and tobacco use disorder. Our pharmacist is also a wonderful resource to discuss pharmacological questions and scenarios.
Our clinic has three in-person social workers! Our social workers are a wonderful resource to our patients, and assist with many barriers informed by the social determinates of health. They also help to operate our in-house food pantry, which provides frozen/refrigerated food, non-perishable food, and toiletries to patients.
Our clinic also has an in-house psychologists, Dr. Rainey and Dr Walters. Both teach psychology practicum students each year, which is a great benefit to our clinic as this helps provide behavioral therapy and psychological testing to our patients. They also lead the residency behavioral health and wellness curricula, and conducts regular wellness activities and resident check-ins.
Our clinic has two procedure rooms, in which we learn gynecological procedures (e.g., IUD placement, colposcopy, endometrial biopsy), sports medicine procedures (e.g., injections), dermatologic procedures (e.g., punch biopsies, shave biopsies, lesion excision), and many others. We have several ultrasound devices, which are utilized to perform obstetric ultrasounds, ultrasound-guided injections, and other specific diagnostics as part of our POCUS curriculum.
We offer a variety of specialty half-day clinics within our clinic, which are staffed by our own faculty and collaborating specialists. These includes sports medicine clinic (Franciscan Sports Medicine staff), MAT clinic (addiction medicine staff), OMT clinic, and dermatology clinic (dermatology staff). We also offer the opportunity to teach OMT to medical students in collaboration with local medical schools.