Family Medicine Residency Program

MHP Family Practice Residency

Program Director: Dr. David L. Dora, D.O.

Mission Statement: "Our Mercy Health Partners Family Practice Residency will embrace a value-based medicine philosophy and will graduate residents with the skills, compassion, empathy and professional approach necessary to positively impact the health of the patient's entrusted to our care."

The values we embrace are cost-effective, appropriate and timely care delivered in a professional, empathetic and compassionate fashion that will be of value to our patients, providers and to our payers. We also value meeting the educational needs of our residents. We will structure a program based on the Family Practice Resident's interests and needs.

Family Medicine

• The focus of the Family Practice Residency Program at MHP is ambulatory care. Through the 11,000 square foot residency clinic, the family practice resident works with supervising faculty to provide healthcare in an outpatient setting.
• The resident develops a private practice of their own patients by spending assigned days in clinical appointments. The resident’s practice consists of adult medical/surgical, obstetrical, pediatric and geriatric patients.
• The resident is offered the independence of managing and caring for patients in an ambulatory setting with a structured teaching program. Specialty rotations are scheduled to strengthen the resident’s learning in the major sub-specialties. Instruction and training in medicine, psychosocial development and practice management are integrated into the curriculum. The Residency Clinic also offers a variety of procedures that the resident uses to enhance their medical knowledge and skills.
• The 12 resident Family Practice Program started in 1989. This program meets the training requirements of the American Osteopathic Association for Residency Training in Family Medicine. A full time director coordinates the program and along with full and part time physician faculty provides the residents with educational leadership. The residency program is a founding member of the Statewide Campus System, in affiliation with Michigan State University.

Curriculum and Rotations

Required Rotations                                   Rotation Description

Continuity of Care Clinic:                        OGME 1 half day per week
                                                                      OGME 2,3 Average of 3 half days per week
With minimum 312 half days during the final 24 months of Residency. Clinic is a 20-room facility with two procedure rooms in a Federally Qualified Health Center. Residents work with one of four preceptors and interact with Attending Physicians, PAs, Nurse Practitioners and Nurse Midwives in the Clinic. We have on site Behavioral Science and Nutritional Consultants.In addition, the residents work with clinical and clerical support staff. The residents will each spend two of the half days per month on Friday mornings, from 9:30 a.m. until noon, at the Neuromuscular Medicine Clinic as part of their Continuity Care requirement. This is in addition to a two-week OMM Selective.

Pediatrics and Adolescent Medicine: Minimum16 weeks with four weeks during OGME 1. Training includes nursery, well-child medicine, and care of ambulatory and hospitalized patients ages 2-16 yrs. old. Ongoing Nursery care is part of curriculum.

OB/Gyn: Minimum 12 total weeks in addition to routine care of patients in the continuity of care training site with four weeks during OGME 1. Residents desiring to do FP Obstetrics may participate in the prenatal care, labor, delivery and post partum care of their own patients.

Internal Medicine: Minimum of 24 total weeks with mixed hospital based and ambulatory experience. Residents participate in a teaching service with dedicated internists who provide oversight and training. Residents will care for patients from our clinic during their medicine months. We offer a track to prepare residents more extensively for the care of hospitalized medical practice.

Emergency Medicine: Minimum two months with at least one month during OGME 1. There is additional training available to prepare for Ambulatory Walk In Clinic Training, if desired.

Surgery: Minimum 20 weeks with four weeks general surgery training during OGME 1. Other surgical rotations include Orthopedics, ENT, Urology, Gynecology, Vascular Surgery, Plastic Surgery and Podiatry.

Community Medicine: Training provided through Continuity Clinic with Hospice teaching service available. Residents participate in local preventative health teaching through local schools and through participating in local wellness events. There is also a two-week Infectious Disease selective which includes work in an HIV clinic.

Geriatrics: Four-week selective rotation with excellent Geriatrics training. Additional training available and encouraged through ambulatory and inpatient internal medicine and geriatrics psychiatry rotation.

Sports Medicine: Experience obtained through Orthopedics rotation and residents encouraged to participate with local physicians who provide care for local school athletics.

Diagnostic Imaging: Provided through Radiology teaching service and Emergency Medicine, Orthopedics, ENT and other out rotations.

Behavioral Science: Rotating three-year monthly curriculum covering the required topics including substance abuse, interviewing skills and ethics. This is in addition to a four-week selective with a Psychiatrist to provide additional training.

Electives: Podiatry, Dermatology, Rheumatology, Nephrology, Adolescent and Developmental Pediatrics, NICU, Urology, ENT, Allergy, Pain Medicine, Palliative Care, Gastroenterology, Cardiology, Neurology, Gynecology, Heme/Onc, Occupational Medicine, Ophthalmology, Orthopedics, Pathology, Physical Medicine, Plastic Surgery, Pulmonary, Radiology, Sports Medicine, Vascular Surgery and Hospice.

Procedures: Residents provided with list of required procedures that they will learn during the course of their training. Procedures performed during Continuity Clinic experience include Colposcopy, Lesion Removal, Toenail Resection, Endometrial Biopsy, Splinting, Joint Injections and Casting.

Research and Scholarly Activity: Residents have opportunities to participate and be instructed in critical evaluation of the medical literature. Resident must complete a major academic medicine project during their residency.

Conference and Didactic Schedule

Journal Club: Weekly critical literature review focusing on current issues relative to family practice. Each resident participates in bimonthly Prescriber's Letter journal club articles and for the other weeks, chooses topics of personal interest to present. These presentations are done in conjunction with Community Family Physicians who participate in the discussion.

Reading Curriculum: Weekly reading assignments and discussion on Wednesday 7-9 a.m. from Family Practice Text with supporting references from Up To Date and OMM applications to various topics. Friday from 7-9 a.m. are the journal club and weekly board review to prepare for Family Practice Board Exam.

Monthly Conferences: Behavioral Science, Primary Care Network, Biweekly FP/OB/NMM presentation, Primary Care Network with community physicians, OMM lecture/workshop, and Primary Care Update Conference q4-6 months.

For detailed information on the Family Medicine Residency program, contact:

Heidi Greene
Medical Education Coordinator
greeneh@trinity-health.org
231.672.6451

Or

Dr. David L. Dora, D.O.
Director, Family Medicine Residency Program
231.672.6363

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