Saint Louis University's family medicine residency program has been serving the community of southern Illinois since 1997.
The Saint Louis University Family Medicine Residency Program is the only fully-integrated civilian/military residency that is military and community-based. This is an opportunity to work with an expert team of faculty and residents focused on quality resident education, full spectrum medical care, and innovative approaches to maximize learning opportunities.
In partnership with St. Elizabeth’s Hospital and SIHF Healthcare, faculty and residents experience diverse outpatient clinical care of underserved, uninsured, and military communities, comprehensive obstetrical care, inpatient medicine with ICU privileges, and a wide variety of in-house specialties available for consultation.
- 14 residents per class in a community-oriented primary care with the resources of a major academic medical school.
- Unopposed residency at HSHS St. Elizabeth's Hospital.
- Integrated resident/faculty group practice at the Southern Illinois Health Foundation (SIHF) clinic.
- Diverse patient population.
- Rich academic resources of SLU School of Medicine and the U.S. Air Force.
- Focus on resident wellness with integrated wellness curriculum.
- Close working relationships with academic and socially-committed faculty.
- Procedure workshops held throughout the year: Nexplanon, Botox (for migraine prophylaxis), etc.
- Half-day weekly for conferences, inpatient didactics daily.
- Educational allowance for books and conferences.
- Affordable city or rural living with proximity to vibrant entertainment and recreational activities of St. Louis.
- Trevor Brue, D.O., Lake Erie College of Osteopathic Medicine - Bradenton
- Ashley Connors, M.D., Uniformed Services University of the Health Sciences
- Mina Cunningham, M.D., St. George’s University School of Medicine
- Andrew Gaillardetz, M.D., Tufts School of Medicine
- Nicholas Martin, D.O., Oklahoma State University College of Osteopathic Medicine
- Bentley Michael, M.D., University of Texas Health Science Center at San Antonio
- Benjamin Nicotera, M.D., University of Kentucky College of Medicine
- Chienyem Nweke, M.D., University of Illinois College of Medicine
- Karan Rai, M.D., St. George’s University School of Medicine
- Ian Roslawski, D.O., A.T. Still University - Kirksville College of Osteopathic Medicine
- Stephanie Simpson, D.O., Edward Via College of Osteopathic Medicine
- Chandler Sparks, D.O., Texas College of Osteopathic Medicine
- Jonathan Thoma, M.D., University of New Mexico School of Medicine
- Hina Usman, M.D., Windsor University School of Medicine
- Brent Anstead, M.D., Wright State School of Medicine
- Benjamin Beggs, M.D., Southern Illinois School of Medicine
- Whay Cheng, D.O., Western University College of Osteopathic Medicine of the Pacific
- Jarrett Dawson, M.D., St. Louis University School of Medicine
- Vincent Duenas, M.D., St. Louis University School of Medicine
- Chad Law, D.O., Kansas City College of Osteopathic Medicine
- Christina Loyke, D.O., Heritage College of Osteopathic Medicine - Ohio University
- Andrew Lyell, M.D., Virginia Commonwealth University School of Medicine
- Jay Noll, M.D., University of Illinois College of Medicine
- Lauren Redlinger, M.D., St. Louis University School of Medicine
- Tom Schelby, M.D., University of New Mexico School of Medicine
- Meredith Starr, D.O., Philadelphia College of Osteopathic Medicine
- Anna Wiley, M.D., University of Cincinnati College of Medicine
- Bunmi Adeyinka, M.D., Medical University of the Americas
- Kyle Ashland, M.D., St George’s, University of London
- Michelle Baker, M.D., University of Illinois College of Medicine
- Dane Bay, M.D., American University of the Caribbean
- Lindsay Brewster, D.O., Des Moines University College of Medicine
- Noah Cooperstein, M.D., University of New Mexico School of Medicine
- Patrick Farrell, D.O., Philadelphia College of Osteopathic Medicine
- Marcus Hennon, D.O., Kansas City College of Osteopathic Medicine
- Jennifer Loomis, D.O., Philadelphia College of Osteopathic Medicine
- Lindsay Snow, M.D., University of Louisville School of Medicine
- Marcus Thompson, M.D., University of Kentucky College of Medicine
- Sana Usman, M.D., Windsor University School of Medicine
- Daniela Vincent, D.O., Touro University Nevada College of Osteopathic Medicine
- Joseph Yoha, D.O., Philadelphia College of Osteopathic Medicine
The sequence of rotations varies depending on each resident's individual call schedule.
Residents attend clinic one to two half days per week at the O’Fallon Family Health Center regardless of their current rotation. As a first-year resident, you will start with four patients per half day of clinic for the first half of the year and have six patients per half day for the second half of the year.
New interns are given a one-month orientation period at the beginning of the year. During this month, new residents spend time bonding and building core skills that ease the transition from student to doctor. Orientation to the inpatient and obstetrical services will occur during short shifts alongside current second and third-year residents. Interns will complete training in ACLS, ALSO, and NRP.
Family Medicine Inpatient Service
Four months are spent on the Family Medicine Inpatient Service at St. Elizabeth's Hospital. The residents work as a team of four, with two interns and two seniors (one PGY2 and one PGY3) caring for patients admitted to the Family Medicine Inpatient Service.
There are two teams on service at all times; with teams alternating taking call every other day. These months provide experience with a wide range of medical patients from the surrounding community, interaction with a variety of specialists and inpatient management of medical and social concerns. It is also an excellent opportunity for each civilian resident to begin building a panel of patients to follow for the full three years of residency.
An intern's call is broken up between one week of night float and three weeks of day shifts during which the intern takes approximately seven “short call” shifts which are from 7 a.m. to 8:30 p.m. Night shifts start at 6 p.m. and end at 7 a.m. Interns care for patients admitted to the rehabilitation, general medicine, and telemetry medicine floors. Interns typically carry an average of five to seven patients. Interns are assigned four articles to read per inpatient block, and required to complete an end of rotation quiz covering the articles.
Two months are spent working in Labor and Delivery at St. Elizabeth's Hospital. This is an unopposed setting where residents can participate in the triage, labor management, delivery and postpartum care of obstetrical patients (and their infants!).
Residents assume increasing responsibility for the care of OB patients in all aspects of peripartum care as well as the care of the newborn from bedside to the nursery. Residents average 10 to 20 vaginal deliveries in a month’s time as well as five to 10 C-sections. Two weeks are spent on night float, shifts lasting from 8 p.m. to 7 a.m., and two weeks of day shifts with hours from 7 a.m. to 8 p.m. A senior is also on OB-dedicated in-house call from 5 p.m. to 7 a.m. every weeknight, and around the clock on weekends.
One month is spent focusing on prenatal care. Residents rotate in a number of prenatal clinics both at the Family Medicine Clinic and at the OB/Gyn department at Scott Air Force Base. The outpatient OB resident covers the labor deck every Friday during the day to allow the inpatient OB resident to attend clinic. The interns also prepare a 15-minute lecture on an inpatient or outpatient obstetrical topic to be presented during residents' weekly didactics.
One month is spent working with a community surgery group working out of St. Elizabeth’s hospital and their outpatient clinics. Residents will have the opportunity to first assist on procedures in the hospital as well as office procedures if applicable, depending on the specific surgeon with whom they are rotating. One element frequently highlighted by our residents is working with a breast surgeon to learn the management of our breast cancer patient from the initial mammogram to completion of therapy.
One month of pediatrics experience is conducted at SSM Health Cardinal Glennon Children's Hospital. Family medicine residents are assigned to a team consisting of a pediatric intern and senior pediatric resident, supervised by a faculty member from SLU's Department of Pediatrics. Residents are responsible for the admission, inpatient care, follow-up planning and discharge of assigned patients. Call varies depending on the team to which the intern is assigned.
One month is spent in the general pediatric clinic at Scott Air Force Base including well child visits, acute illnesses, hospital follow-up or long-term treatment. Residents work one-on-one with pediatric attending physicians, learning about the clinic management of a variety of pediatric issues and routine health maintenance concerns.
Residents spend one month learning physical diagnosis and injection techniques as well as splinting procedures. Residents work with current sports medicine faculty (currently Dr. McLeod, soon to be joined by Dr. Sylvester), community sports medicine physicians, and orthopedic physicians. Residents have the option to work with local high school and college teams during sporting events as well as at events like local marathons.
Recently overhauled, we aim to provide a holistic view of caring for geriatric patients. One month is spent working with HSHS Home Hospice and SLU Geriatrics department. Residents are responsible for performing initial assessments and managing complex chronic diseases in inpatient, outpatient, and home environments. Additional attention is given to managing polypharmacy and working with interdisciplinary teams with weekly time reserved for each.
Residents spend one month in the emergency departments at St. Elizabeth's Hospital and Touchette Regional Hospital under direct supervision of the emergency medicine staff. This month provides exposure to emergency medicine and enhances the residents' skills dealing with trauma, life support, procedures and general medicine.
The sequence of rotations will vary with each resident.
PGY-2 residents attend clinic two to three half days per week at the O’Fallon Family Health Center. Starting in the second year, residents take care of nursing home residents at a local nursing home alongside SLU Geriatricians. PGY-2 residents also take an average of one weekend in-house obstetrics call per month during outpatient rotations
Residents spend two months on the Family Medicine Inpatient Service at St. Elizabeth's Hospital. The residents work as a team of fours, with two interns and two seniors (one PGY-2 and one PGY-3). As part of a team, PGY-2 residents alternate between two weeks of acting as the senior resident on night float and two weeks managing general medicine and telemetry medicine patients. While on days, PGY-2 residents will take short call every 4 days.
Intensive Care Unit (ICU)
Recently overhauled to provide our PGY-2’s with a hands-on learning experience. On this rotation residents spend one month caring for severely ill patients at St. Elizabeth's Hospital. Residents work with with St. Elizabeth intensivists learning the basics of ventilator management and other critical care issues. Continuity clinic will be held once or twice weekly. No call is taken.
Residents serve as the OB night float senior 5 p.m. to 7 a.m. Monday through Friday night for four weeks split between two blocks. The float resident is responsible for the care of laboring and postpartum mothers and newborns at St. Elizabeth’s Hospital overnight as well as taking the after-hours exchange call for the residency.
Four weeks split between two blocks are spent on scholarly work as determined by the resident and his or her advisor. During these two separate two-week blocks, the PGY-2 resident also serves as the backup senior for the Family Medicine Inpatient Service should they exceed their admission cap. The backup senior assumes a hospitalist type role for care of the patients they admit (progress notes the following day and discharge if needed) unless the inpatient team determines they can carry the patient.
Residents spend one month in the outpatient gynecology clinics at Scott Air Force Base. They learn a variety of diagnostic and therapeutic skills related to gynecology and long acting reversible contraception management: colposcopy, endometrial biopsy, IUD placement, and subcutaneous implantable progesterone rods placement. A portion of this experience includes participation in gynecologic surgery if the resident desires.
Pediatrics Emergency Medicine
One month is spent in the Emergency Department at SSM Health Cardinal Glennon Children's Hospital in St. Louis under direct supervision of the pediatric emergency medicine staff. This month provides exceptional exposure to pediatrics and emergency medicine and enhances the residents' skills in dealing with trauma and minor procedures.
One month is spent working with dermatologists at Scott AFB, SLU Dermatology, or a community group in a clinic setting and becoming familiar with diagnosis and treatment of common dermatologic conditions. You will also get the opportunity to participate in minor dermatologic surgical procedures.
One month is spent with the Prairie Cardiovascular group at their ambulatory care clinic (now just downstairs from us). This month provides an outstanding opportunity for residents to learn the acute and chronic care of the cardiac patient as well as observe cardiac procedures such as catheterization and pacemaker/ICD placement and management.
Outpatient Procedure Skills
One month is dedicated to outpatient procedures. The "procedure resident" is in clinic five days a week performing various procedures including colonoscopy, toenail removal, shave, punch, and excisional biopsies, colposcopy, vasectomy, IUD, and subcutaneous implantable progesterone rods.
Residents spend one month rotating to various outpatient mental health facilities at the O’Fallon residency clinic, Scott Air Force Base, and Touchette Regional Hospital. This is an excellent opportunity to learn about mental health, including pain management, and the numerous resources available in the community. As part of this four-week rotation, each resident designs a 15-minute presentation on a behavioral health topic of interest to them.
Residents spend time working with Scott Air Force Base and St. Elizabeth Hospital radiologists reviewing a variety of radiologic studies in both the inpatient and outpatient setting, as well as participating in interventional radiology procedures when able.
Four weeks are set aside for residents to complete an elective or research project of their choice. During this elective month, residents continue to see clinics two to three half days per week in the Family Medicine Clinic.
In order to prepare our second years for the rush of outpatient clinics they will be holding as a third year, we have assigned a clinic month with an emphasis on seeing a higher volume of patients and becoming more efficient with time management during a clinic day.
The sequence of rotations will vary with each resident.
PGY-3 residents have clinic three to four half days per week at the O’Fallon Family Health Center. Continuing into the third year, residents continue to manage nursing home patients. Call is only on the two family medicine inpatient service rotations; there will also be approximately three night shifts they will cover for the inpatient team over the course of the year.
In addition, third-year residents are expected to be available to attend the delivery of their OB continuity patients and follow mother and newborn for their hospital stay. Residents will present a 15-minute lecture discussing a current clinical guideline and a brief chart review of some of their patients.
Family Medicine Inpatient Service (FMIS) Senior
Residents spend two four-week blocks as the senior resident supervising the actions of the second-year resident overseeing the service's ICU patients and the two interns seeing the team's general medical patients. There is increased emphasis on providing education to more junior residents. In addition, seniors will give one or two 10 to 15 minute morning report lectures covering common inpatient topics to the teams before rounds. Short call (7am – 9pm) is taken every 2nd to 4th day.
One month is spent in a general pediatric clinic including well child visits, acute illnesses, hospital follow-up, and long-term treatment. Residents will work one-on-one with pediatric attending physicians.
Residents spend one month working in various sports-related areas. Three times a week is spent in our sports medicine clinic and one to two times a week in OMT (osteopathic manipulative treatment). During the rotation, residents may elect to spend time in a physical therapy office learning the rehab skills necessary after sports injuries. Residents have the option to work with local high school and college teams during sporting events as well as at events like local marathons. Residents will have an end-rotation quiz as well.
Community and Industrial Medicine
One month is spent working with community agencies learning about the types of social services that are available to patients and their families. Residents will focus on their preventive medicine skills. They will also design and implement a community needs assessment that plans a simple intervention to be made to improve the health of their community of choice.
Residents have one block of medical "selective"- subspecialty rotations including, but not limited to, pulmonology, nephrology, gastroenterology, or cardiology- and two blocks of free electives to be used as the resident desires. Some residents have used the time for additional clinics, others to gain more procedures, still others to do more specialized rotations like wound care, sleep medicine or allergy/immunology.
Residents spend a block learning the components of private practice including billing and coding, quality-improvement projects and contract negotiations. Residents maintain their continuity clinic during this block.
Given that the vast majority of family medicine residency graduates go into primarily outpatient-based practice, third-year residents have a block of primarily outpatient clinics, including their continuity panel, acute appointments and procedures. Emphasis is on seeing a higher volume of patients and becoming more efficient with time management during a clinic day.
Applicant interviews are an important part of the match process and are by invitation only. Applicants who will be considered for interviews must:
- Have passed Steps I and II of the USMLE (United States Medical Licensing Examination); or the COMLEX (The Comprehensive Osteopathic Medical Licensing Examination). Limit two attempts for each step.
- Have had at least six months contact with U.S. medicine. (Observerships do not meet the requirement.)
- Be within two years of graduation from medical school.
- Have submitted a completed application consisting of three letters of recommendation (one from a primary care physician), board scores, personal statement, transcripts and dean's letter.
- We cannot sponsor H1 or H4 visas.
Interviews are held from October through January. We only accept ERAS (Electronic Residency Application Service) applications. The deadline for submission is December 15.
To ensure a fair process for all civilian applicants, rotations will not be scheduled for students outside of our institution until an invitation to interview has been made.
Applications for military applicants are processed through the Joint Service Graduate Medical Education Selection Board (JSGMESB). Final residency training site rankings are due to the JSGMEB by the middle of October, with the board meeting during the last few weeks of November and match results released around the middle of December.
To arrange an active duty tour, site visit or interview, please complete the rotation request form.
Frequently Asked Questions
Civilian and military residents take all the same rotations, call schedule, and didactics. Our faculty is also comprised of both military and civilian faculty, allowing us to draw from an even greater pool of talented teachers.
Other than the uniforms and an occasional military-specific lecture or activity, our lives as residents are not marked by our military status. There are truly no divisions among the residents or the faculty and we consider ourselves one residency. The civilians are not expected to participate in military activities/requirements (although if a civilian would like to take a fitness test, you too can earn a half day off!)
“It's weird for the first two hours of orientation at SLU’s campus - military residents have begun duties already so they will be hanging out, laughing, and wearing uniforms. By the first afternoon, the civilians are in on the fun. After that, I can’t say I notice a difference other than I get to pick what I wear to work every day.”
As interns, each of your four inpatient blocks will encompass one week of night float and q4 “short call” with sign out at 7pm (completion of clinical duties may occasionally extend until 9pm).
Interns will also have two blocks of OB on which they will spend half the rotation on night float and the other half on days. On outpatient rotations, you will cover an average of two random shifts per month on the OB deck or FMIS teams.
Second years will have 2 weeks of night float and two weeks of q4 short call on each of their two inpatient rotations. They will also have two blocks on which they spend two weeks of OB senior night float and home call as back up for the inpatient teams for each block. Average of about one weekend 24-hour OB senior shift per month.
Third years will take q2-4 short call on their two inpatient months.
“This year we made a much-anticipated adjustment. We sat down with the faculty and created a night float system, eliminating the 28-hour shift from our inpatient service.”
Our Family Medicine Center patients represent all sectors of urban and rural areas, allowing a wide variety of experiences for our residents.
Our preference for treating the whole family enables our residents to see prenatal and pediatric patients and families in various stages of development, as well as geriatric patients. This demographic distribution of patients allows our residents to gain valuable experience and give continuous and comprehensive medical care.
“One of the big draws for me was that I would get to serve two very different populations in residency. In the civilian clinic and hospital, we are exposed to nearly everything from both pathological and preventative medicine standpoints. Then we tack on a group (the military) with many of the same attributes plus a younger, athletic population that really enhances your preventative, gynecologic, and musculoskeletal learning experiences.”
First-year residents are assigned a small panel of patients and spend one to two half days in clinic per week. Second year residents, spend two to three half days in clinic per week and third-year residents have a panel of patients nearing 500 and are in clinic three to four half days per week.
Incoming residents have patients spaced for longer intervals to allow adequate time to handle their visits. This interval shortens slightly about every 6 months as their clinical skills advance.
Our residents are trained by family medicine faculty in a variety of procedures including colposcopy, joint injections, dermatological biopsies, cryosurgery, colonoscopy, suturing, and other minor surgery. In addition, many of the preceptors are willing to teach procedures specific to their practice.
“Another strong point in my education has been my exposure to procedures. Between sports medicine, Gynecology, and a dedicated procedures month I was exposed to a ton of different procedures and got signed off to perform several independently. Our occasional afternoon workshops offer other great opportunities such as using Botox for migraine prophylaxis. Personally, I’ve benefited hugely from time spent on musculoskeletal ultrasound. If you want to learn something here, the faculty are here to help.”
There are three four-week blocks, two inpatient and one outpatient, during the first year. Residents also take OB call during their outpatient rotations (usually one to three shifts per month to give our inpatient coverage a break). During the second year, there are four weeks of OB night float. Management of prenatal patients occurs in all three years in both an inpatient and outpatient setting. Each resident is expected to graduate having cared for 15 continuity OB patients providing prenatal care and performing the delivery. There is ample opportunity for additional continuity patients if desired. Residents may make the OB experience as demanding as they wish and have the opportunity to learn advanced obstetrical care, including C-sections.
We also have fellowship-trained FM-OB faculty that are experienced in providing care to high-risk patients, allowing a richer learning experience and the opportunity to develop greater skill in a demanding field.
“If OB is your thing, you’ll find yourself pleased once you get here. Even if it’s not, you’ll learn a lot. Catching babies is great, but the continuity experience of picking up an expectant mother early on in her pregnancy and walking with her up to delivery and into motherhood is an experience that has tremendously grown on me. Additionally, having the support of our FM-OB fellowship trained faculty (we currently have 3) allows us to safely care for our higher-risk mothers.”
Formal lectures are held once a week. Residents are excused from their rotations and required to spend five hours in these didactic sessions. The topics range from case presentations and formal lectures to procedural workshops. We are currently focusing on ensuring a greater proportion of this material is interactive to encourage participation and drive resident investment in their learning.
Apart from these formal didactics, at the beginning of inpatient rounds there is a short morning report where senior residents and faculty discuss with junior residents differential diagnosis and treatment plans for common inpatient complaints. Pharmacy Friday’s are always a highlight with our St. Elizabeth’s clinical pharmacists.
All residents take the family practice in-service exam each fall and results are given with the answer book at the completion of the exam for further learning opportunities. During all rotations, there is time for formal and informal one-on-one learning and teaching points with your preceptor.
“Since I arrived here two years ago, our Wednesday afternoon didactics have really grown. Chief residents are largely responsible for organizing these, and we have been lucky to have chiefs that have turned a necessary evil into an interactive learning environment. The faculty, workshops, guest speakers, and resident-driven content is an area in which we are making consistent growth.”
Arrangements for outside rotations can be made through the program director when additional educational experiences are desired. The outside rotation must meet the requirements of the Residency Review Committee and the program.
The residency is sponsored by the Saint Louis University School of Medicine. The outpatient clinic operations are managed through Southern Illinois Healthcare Foundation. We are the only medical residency program in the O’Fallon, Illinois, community.
Nontraditional sites are utilized as environments for residents to gain experience. These community agencies deliver assorted and comprehensive services to various populations with health care needs.
These populations include the underprivileged/underserved, geriatrics, childbearing, HIV/AIDS patients and the terminally ill. Recent resident projects have included breastfeeding for new mothers, as well as a new dad’s class.
We consider outside rotator requests on a case-by-case basis. To request a rotation, send your medical school transcripts (unofficial is fine), requested rotation dates, and why you want to rotate with us to email@example.com.
To ensure a fair process for all civilian applicants, rotations will not be scheduled for students outside of our institution until an invitation to interview has been made during interview season (October through January).