Clarkson Family Medicine - (402)552-3222

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Clarkson Family Medicine Residency has a long-standing tradition of excellence in medical education. Medical students and resident have come to The Nebraska Medical Center for years to complete specialty and subspecialty rotations. The development of the Family Medicine Residency Program allows students to learn by working closely with family medicine residents. The Nebraska Medical Center attending physicians have a long track record of one-on-one ward teaching as well as extensive experience in didactics.

Clarkson Family Medicine

The Nebraska Medical Center medical staff believes that this extensive experience in medical education is a major factor in the success of the Family Medicine Residency Program.

The mission of Clarkson Family Medicine Residency Program is to train highly skilled, enthusiastic family physicians for practice in a wide range of community settings.

Residents work one-on-one with attending physicians on clinical rotations and are delegated increasing responsibility as the attending physician observes the resident’s progress. This way, residents are not thrown in to crisis situations without adequate supervision, nor are they simply casual observers while actual patient care is given by the staff physician. As several of our faculty are former rural practicing physicians, we realize the importance of procedural skills in the specialty of family medicine – particularly for those physicians who will be practicing in remote arenas.

At the end of the third year of training, residents will be performing colposcopy, LEEP, chest tube placement, thoracentesis, emergency management and stabilization of major trauma, as well as the management of complex cases in the ICU and CCU. It is expected that residents who choose to perform obstetrics as part of their eventual practice will have participated in a minimum of 40 or more vaginal deliveries and gained cesarean section experience.

The Clarkson Family Medicine Residency Program is grounded in the concept that residents manage their own patients within the Family Medicine Center and that each resident is viewed as the patient’s physician. Continuity of care is strongly stressed within the residency program, with cross coverage by other residents to continue care while the resident is off duty. The Nebraska Medical Center believes in the existence of life after medicine. We provide adequate free time for residents to pursue individual interests and believe the time is necessary for the maintenance of the residents’ well being.

Through formal sessions as well as informal dialogue, the faculty and director help residents deal with any difficult times that may arise.

Evaluation

Clarkson Family Medicine

Evaluation and feedback from all individuals participating in residency training – faculty members, attending physicians, residents, residency graduates and patients – is essential for the continued success of the program.

At Clarkson Family Medicine Residency Program, residents are evaluated monthly by the attending physician supervising the rotation. Physician preceptors at the Family Medicine Center are specifically assigned to provide evaluation and feedback to residents, as needed, regarding each patient visit. The director and other full-time faculty also provide the resident with ongoing feedback and informal semi-annual evaluations.

Equally important, residents evaluate all aspects of the residency program. Residents submit formal evaluations of each attending physician with whom they rotate and include recommendations for how the rotation could be improved. Residents give evaluations on Family Medicine Center preceptors, full-time faculty members, part-time faculty members and the program director. The teaching skills and quality of each faculty physician is evaluated by the residents themselves, so we take resident recommendations seriously.

Finally, all graduates of the program will be surveyed on an annual basis. Input from these practicing physicians allows us to make changes that are occurring in the private practice of family medicine. In addition to the Family Medicine Center, residents participate in a variety of clinical rotations.

Rural Rotation

Each resident spends a minimum of one month on a rural practice rotation. During this month residents become a “junior partner” of a rural family practice.

This experience allows the resident a first-hand view of rural medicine and is designed to develop the resident’s skill and confidence as a family physician.

The required rural rotation is located in West Point, Nebraska, which was carefully selected for the broad range of clinical and surgical experiences, the quality of the practicing physician and the quality of life in the community. Spouses are encouraged, whenever possible, to be a part of this rotation.

Residents often look at this rotation as not only one of their most practical and educational opportunities during their residency, but also as an opportunity to begin exploring potential practice locations.

Obstetrics-Gynecology

Three rotational months are performed in obstetrics and one additional month is devoted to gynecology. The third month on obstetrics is usually performed during the second year, and in addition to adding to skills in operative obstetrics, including Cesarean sections, vacuum and forceps deliveries, a second-year resident is also serving in a supervisory capacity of the first obstetrical rotation by a first-year resident. The goal of the obstetrical rotation is to provide residents with skills to perform excellent prenatal and postpartum care, labor and delivery management, recognizing and treating pregnancy complications and developing the operative skills necessary to perform obstetrics in practice.

Residents receive additional experience in obstetrics while functioning as an upper-level house officer during their second and third years when they moonlight at The Nebraska Medical Center.

Clarkson Family Medicine

Clarkson Family Medicine residents also manage their own obstetrical patients in the Family Medicine Center. Residents receive three years experience performing deliveries at The Birth Place, The Nebraska Medical Center’s Labor & Delivery, Recovery and Postpartum suites. Residents average two to three deliveries per month from their Clarkson Family Medicine training, in additions to the delivery experience they receive during their longitudinal rotations. Residents perform Cesarean sections, with assistance from either family medicine faculty with section privileges, or with The Nebraska Medical Center obstetricians, all of whom are actively involved in the training of our family medicine residents.

Internal Medicine

Residents perform a total of nine months of required rotations in internal medicine and related subspecialties. The rotations occur at The Nebraska Medical Center, in the offices of subspecialty physicians and at rural satellite clinics. The goals of the internal medicine rotation include the acquisition of problem-solving skills, procedural skills and insight into the physician-patient relationship. For those residents who plan to practice in areas without immediate subspecialty backup, critical care will be particularly emphasized.

Surgery

Six months of rotational time is required in general surgery and related subspecialties. During the first year of the general surgery rotation, the resident is responsible for preoperative and postoperative management and for participating in the patient’s surgery. One of the goals of the surgery rotation is to develop strong surgical assistant skills.

Clarkson Family Medicine

Subspecialty rotations in orthopedics, ENT, ophthalmology and urology are performed in the physician’s office with particular emphasis on primary care, emergency management, sports medicine and procedural skills important to family practice.

Pediatrics

Four months are committed to pediatric training. A Neonatal Intensive Care Unit rotation to better prepare residents for responsibilities on the subsequent obstetrical rotations. In addition, one month each is spent on inpatient pediatrics, pediatric emergency medicine and a pediatric elective rotation. Some pediatric rotations are based at Children’s Hospital, a 100-bed facility located 40 blocks west of Clarkson Family Medicine that provides pediatric services to the Midwest region.

The goals of these rotations are to develop skills to enable our graduates to provide care for hospitalized pediatric patients, outpatient pediatrics with emergent conditions, recognizing illnesses that require specialty care and developing skills that are necessary to stabilize and transport critically ill neonates and pediatric cases, including umbilical catheterization, intubation and lumbar punctures.

Residents also manage their pediatric patients and infants in the nursery and in the Family Medicine Center and during any subsequent hospitalizations. The resident on the obstetrical service is also responsible for all infants delivered by obstetricians, who do not have a pediatrician or family physician on The Nebraska Medical Center staff. Many of these young families follow up at Clarkson Family Medicine for their pediatric care.

Behavioral Science

The major thrust of behavioral science teaching is done on a longitudinal basis in the Family Medicine Center. A psychology Ph.D. is on faculty to provide psycho-social guidance in the Family Medicine Center.

Special areas of behavioral science emphasis are individual and family counseling, geriatrics, crisis intervention and drug and alcohol treatment. Residents are videotaped during some patient encounters to further improve interviewing techniques and skills.

Additional Rotations and Electives

Other rotations that are part of Clarkson Family Medicine requirements include radiology, sports medicine, emergency medicine, family medicine and geriatrics. Each of these areas underscores a unique character of family medicine and the unique skills required of family physicians.

In addition, there are four months of electives that are available to the resident. Additional medical subspecialties such as endocrinology, burn, plastics, allergy and immunology, infectious disease and rheumatology are available. Other elective possibilities include further training in pediatrics, obstetrics, advance surgical cases, a designed procedural month, additional rotations in rural practice and an independent study and/or research month.

Faculty

Clarkson Family Medicine

The full-time family medicine faculty consists of board-certified family physicians, most of whom have extensive experience in rural private practice and in medical education prior to joining our faculty.

Over 200 attending physicians at The Nebraska Medical Center and other area hospitals serve as clinical faculty members and teach primarily on clinical rotations within the hospital. Their specialties cover a broad spectrum of medical skills and all of them have a strong commitment to graduate medical education.