What is an area of concentration (AOC)?
According to the Association of Family Medicine Residency Directors, an AOC is "a framework to allow residents to pursue some differentiation in their training beyond the core, yet not to the level of a yearlong fellowship. One might consider these similar to a "minor" in college. The AOC's are individualized to the needs of the resident and his/her future community and practice."
The Global Health AOC was established to provide an opportunity for residents who have special interest in caring for underserved populations, both here in the US and internationally. It is a multi-faceted approach to prepare residents for their careers in which they might incorporate international medicine trips or care for vulnerable populations in the US. Residents are encouraged to sign up for the AOC starting in the last 3 months of their first year of residency and no later than 6 months into their second year.
- Global Health Two-Hour Dinner - a once a month meeting of interested faculty and residents where an article/global health topic is discussed.
- Global Health Lecture Series- Global health topics are included in the yearlong noontime lecture series for all residents.
- Pre-Travel Global Health Course- A yearly concentrated 10 day pre-travel course will prepare residents embarking on a global health elective and will include topics in tropical medicine, public health and travel medicine.
- Global Health Electives- Residents will travel with St Vincent faculty on an annual 2 week medical trip. Our first group elective was to work with Haitian Christian Mission in Fond Parisien, Haiti March 10-25, 2012. Our next trip to Haiti is scheduled for March 2013. Any resident, whether in the global health AOC or not, is able to apply to be part of the group global health elective. The opportunity for residents to create their own global health elective is available.
- Underserved Patients in the US- Our residency office serves a large number of uninsured/underinsured patients. There are opportunities for the Spanish language to be used. We have also partnered with Exodus Refugee to be a medical home for many incoming refugees to the Indianapolis area.
- Travel Medicine- Residents in the AOC will be encouraged to see travel medicine patients alongside faculty members.
- Quality Improvement/Research Projects- Residents in the AOC are encouraged to complete their QI project on global health or underserved care topics under the guidance of a faculty preceptor.
- To see more about St Vincent's dedication to Global Health initiatives, please visit the Physician Outreach Network website.
- To read more about St Vincent's contributions to Global Health initiatives, please visit the Spirit of Caring website.
For any questions about the Global Health AOC, please contact Dr. Curt Ward. CRWard1@stvincent.org
The hospitalist AOC was developed to give residents opportunities for more experience with inpatient medicine, allowing them to care for hospitalized patients confidently. They will be prepared to practice as hospitalists or to practice traditional family medicine. Residents are encouraged to sign up for the AOC starting in the last 3 months of their first year of residency and no later than 6 months into their second year.
Residents will do extra inpatient rotations to gain more experience. Several will be required, and many more are available for residents to tailor their experience.
- Adult Hospitalist
- Infectious Disease (2 wks of each adult & peds)
- Pediatric Hospitalist
- Adult ICU supervising resident
- Pulmonary Medicine (2 wk min)
- Membership in the Society of Hospital Medicine (SHM) and attend a SHM annual meeting for CME
- Grand Rounds for pediatrics and adults
- Hospital Committee Membership
- Quality Improvement Project with hospital focus
- Noon conference presentation with inpatient topic
Residents gain experience in common inpatient procedures through their rotations.
- Emergency procedures (CPR, intubation and ventilation)
- Vascular Access
- Lumbar Puncture
- Chest radiograph interpretation
- Electrocardiogram interpretation
For any questions about the Hospitalist AOC, please contact Dr. Elizabeth Roth. firstname.lastname@example.org.
The Maternal Child Health AOC was established to provide an opportunity for residents to develop additional expertise in the care of women and children. Our focus is to provide optimal and individualized care for mothers and their babies throughout pregnancy and around the time of birth. The MCH AOC was established in 2008 and four residents have matriculated with this AOC. The additional experience can be chosen for residents who have an interest in OB or residents who have a passion for women's health. Residents are encouraged to sign up during second year.
- Maternal Child Health Lecture Series - a once a month meeting of all FM faculty who participate in OB care (currently 6) and residents where a Maternal Child health topic and evidence is reviewed and discussed.
- Opportunity to lead a Centering Pregnancy Group - St.Vincent Family Medicine has been offering group prenatal care in English and Spanish since 2008. This innovative model of care has been well received among both patients and physicians. All MCH residents have the opportunity to work alongside a FM faculty in leading a group (10 sessions over 5 months).
- MCH CME- residents are encouraged to attend quarterly Indiana ACOG meetings and the AAFP Maternal Child Health conference held every other year.
- Additional prenatal experience- OB patients are assigned to MCH residents throughout their residency. Our goal is for each AOC resident to graduate with 100 deliveries.
- Procedural experience-residents are encouraged to learn OB ultrasound, to do endometrial biopsies and to do additional colposcopies. There is also an opportunity to learn IUD placement if interested.
- High Risk OB Elective- Residents will work with the OB residents and OB staff to gain additional experience in the care of all high risk pregnancies, including preeclampsia, preterm labor, and pregnancy loss.
- Quality Improvement/Research Projects- Residents in the AOC are encouraged to complete their QI project on a maternal child health topic under the guidance of a faculty preceptor.
For any questions about the Maternal and Child Health AOC, please contact either Dr. Julie Holt, Julie.Holt@stvincent.org or Dr. Puja Samudra, Puja.Samudra@stvincent.org
The Sports Medicine AOC was created to provide a more in-depth experience for residents interested in primary care sports medicine. Family Medicine residents will be trained in the evaluation and management of common musculoskeletal problems and medical conditions that occur in active individuals in a wide variety of settings.
- Sports Medicine Journal Club- quarterly meeting of interested faculty and residents who discuss a pertinent sports medicine article.
- Team Physician- Residents will function as team physician for a local school for at least 1 season of football (High-Risk), provide medical coverage for at least 1 other sport (Low-Risk)
- Training Room clinic- Residents will attend training room clinic at their assigned school a minimum of once per month in order to provide health services aimed at preventing injury, evaluating injuries, and maintaining health of student athletes.
- Sports Physicals- Residents will perform Preparticipation Physical Evaluations sponsored by St. Vincent Sports Performance
- Additional Sporting Events- there may be additional opportunities for physician coverage with Butler University, Marian College, Indiana Ice Hockey, Indianapolis Indians, Big Ten Basketball Tournament, USA diving, track & field, gymnastics, and more! For more information please visit the St. Vincent Sports Performance program website.
- Scholarly Project-Complete a scholarly project related to Sports Medicine which they will present at St. Vincent Research Day or IAFP Resident Research Day. Residents are encouraged to submit their scholarly project or research for presentation at AMSSM or ACSM annual meeting.
- National Meeting-Attend AMSSM Annual Meeting at least once during residency
- Sports Medicine Electives- Residents will complete an elective in addition to the required Sports Medicine and Orthopedic months.
For any questions about the Sports Medicine AOC, please contact Dr. Tim Von Fange, Timothy.VonFange@ascension.org
Goal: To enhance geriatric education with advanced experience in multiple aspects of care of the aging patient.
- Improve skills and knowledge needed to care for geriatric patients in all levels of extended care facilities as well as community dwelling elderly.
- Feel comfortable doing a geriatric assessment focusing on more complex issues that affect the elderly patient.
- Be able to accurately identify, discuss, diagnose and treat the common geriatric syndromes.
- Increase knowledge concerning the psycho-social issues that are specific to the geriatric population.
- Care longitudinally for an additional 1-3 assisted or independent living patients to be followed in their homes or facilities
- Additional 6 week rotation focusing on geriatric specific topics:
- Geriatric Psychiatry
- Hospice/ Palliative care
- Long term facility care including billing, coding, state regulations, insurance issues etc.
- Geriatric ENT including: auditory and balance/ dizziness assessments and treatment
- Others, depending on resident preference
- Additional time spent in the >60 FM clinic
- Attend at least 1 quality assurance meeting at the long term care facility
- Attend at least 1 case conference for your patient at the long term care facility
- Properly conducting and analyze some form of a cognitive assessment (MMSE, mini cog, clock draw, timed naming etc.) and a Geriatric Depression Scale (GDS)
- Attend the annual Center for Healthy Aging Conference or another appropriate geriatric CME
- AMDA course - if interested
- Obtain membership in the American Geriatric Society
- At least one Ambulatory report to be on a Geriatric Topic
- Quality Improvement Project to be focused on Geriatric topic
Please visit the St Vincent Geriatrics Fellowship for more information about that opportunity.
For any questions about the Geriatric AOC, please contact Dr. Anne Knox. AKNOX@stvincent.org