Wesley has the largest emergency department in Kansas and serves as a regional referral center with Level 1 trauma certification. It is also home to Kansas’ only Pediatric Emergency Department. Residents work alongside emergency medicine attendings and spend time as upper-levels, helping to perform procedures and stabilize and manage critical patients.

To make sure residents have time to orient to their new duties, their first rotation is dedicated to learning the ropes. Residents are introduced to the hospital system, community resources, and the ins and outs of the Family Medicine Center, where they begin caring for their own patients. The new residents attend didactic and clinical education sessions and receive training and certification in ALSO and NRP. During this July rotation, all call shifts are double-covered (with two senior residents) to assist the new PGY1s with their transition.

Though all residents spend several half days each week caring for their continuity patients, the Family Medicine Center rotations are dedicated solely to caring for patients in the ambulatory environment and enhancing the resident’s understanding of practice management concepts. Residents are scheduled to spend each half day in the Wesley Family Medicine Center where they care for patients from their own continuity panel, in one of the specialty clinics, or treating those with acute concerns.

First-year residents spend, on average, two half days per week seeing their own patients at the Wesley Family Medicine Center.

Residents evaluate and do work-ups on acute surgical emergencies and participate in surgeries and consultations. Operative experience is tailored to each resident’s interests. Residents gain experience in colonoscopy and EGD and in procedures like casting, suturing, splinting, and lumbar punctures. Residents also run codes, including intubation, when necessary.

Working with Wesley Medical Center’s intensivist physicians, residents care for critically ill patients, including medication and ventilator management, indications for and performance of procedures at bedside (including line placement, intubations, etc), and participation in multidisciplinary rounds. While on their 12-hour shifts, residents are responsible for presenting new ICU patients to the critical care attending, writing the H&Ps, keeping family members and nursing staff apprised of changes in the plan of care, and then checking out (both verbally and in writing) to the ICU night team. The rotation primarily occurs in the MICU and specialty ICUs.

Residents spend two blocks as a member of the Wesley Family Medicine inpatient service. Residents run codes, perform inpatient procedures and attend regular didactic attending rounds. They round on their patients, including those on the pediatric, adult and intensive-care units. Residents provide primary patient management, and attending physicians are present to support and teach. This rotation allows residents to monitor the progress of ICU patients and provide continuity of care when patients are transferred from ICU to floor status.

Working under the supervision of experienced OB and family medicine attendings allows residents to improve their skills and gain autonomy. WFM residents take care of the majority of patients delivering at Wesley’s Birth Care Center, and residents are expected to perform as primary surgeon on C-sections and to manage high-risk labors. Wesley Family Medicine also partners with Wichita’s HealthCore Clinic to provide OB care to the unemployed, underinsured and underserved persons in central Kansas and to give residents the opportunity to manage more OB cases.

While on the Newborn rotation, the family medicine resident admits and receives all newborns. Residents care for these newborns and special care nursery babies, with an emphasis on gaining experience in the rapid treatment of infants needing further support or intervention. Teaching rounds and didactics are provided regularly by the pediatric faculty, and residents receive training in circumcision techniques.

During each two-week PGY1 night-shift experience, residents will work up to five consecutive in-house call shifts, from 5:30 p.m. to 7 a.m. PGY1 residents work under the direct or indirect-but-directly-available supervision of a PGY2 or PGY3 resident, as well as the indirect (but immediately available for direct) supervision of a faculty member. During each shift, the residents admit, evaluate, manage and care for ill adults, ill children and maternity care patients.

In addition to the children they’ll care for during their longitudinal experience in the Family Medicine Center, residents are required to complete two block rotations dedicated to the ambulatory care of children. The first rotation, taken during the PG1 year, focuses on general, ambulatory concerns.

PGY1 residents complete one block and one half-block rotations on Wesley Medical Center’s very busy and diverse pediatric inpatient service where they are supervised by pediatric faculty. Family medicine residents respond to all pediatric code blues and work in Wesley’s state-of-the-art PICU. This rotation also allows residents to care for great numbers of pediatric oncology patients, as Wichita serves as a rural referral center for adult and pediatric oncology patients.

The Care of the Older Adult rotation offers family medicine residents a guided experience under the instruction of a Certified Medical Director and Board-Certified Hospice and Palliative care physician. Residents engage in diverse clinical settings, including nursing homes, skilled nursing units, and inpatient hospice. They participate in interdisciplinary team meetings, such as QAPI and hospice discussions, fostering collaborative care skills. The rotation includes a focused reading curriculum on post-acute and long-term care, complemented by an ABFM knowledge self-assessment to deepen expertise in geriatric medicine.

Though all residents spend several half days each week caring for their continuity patients, the Family Medicine Center rotations are dedicated solely to caring for patients in the ambulatory environment and enhancing the resident’s understanding of practice management concepts. Residents are scheduled to spend each half day in the Wesley Family Medicine Center where they care for patients from their own continuity panel, in one of the specialty clinics, or treating those with acute concerns.

Second-year residents spend, on average, three half days each week seeing their own patients at the Wesley Family Medicine Center.

Wesley Family Medicine is proud to be one of the few residencies in the nation that sets aside an entire block rotation dedicated to preparing soon-to-be graduates for their future positions. Guest lecturers include practicing physicians, medical attorneys, CPAs, financial advisors, and practice management consultants. Residents learn principles related to accounting, financial planning, licensing/credentialing, office insurance, marketing a practice, and more. Residents develop a blueprint for reaching their post-graduate goals.

During their PG2 year, each resident spends one rotation block as the acting chief on the Wesley Family Medicine inpatient service, a great responsibility; chiefs oversee the WFM intern and monitor all patients. Residents run codes, perform inpatient procedures, attend regular didactic attending rounds and learn hospital billing. They round on their patients, including pediatric, adult and intensive-care-unit patients. Residents provide primary patient management, and attending physicians are present to support and teach.

Residents are required to complete at least one Inpatient Medicine block rotation during their PG2 year. Residents are given the option of completing an additional Inpatient Medicine rotation or an ICU rotation.

Those who select the Inpatient Medicine rotation serve as the acting chief on the Wesley Family Medicine inpatient service, a great responsibility; chiefs oversee the WFM intern and monitor all patients. Residents run codes, perform inpatient procedures, attend regular didactic attending rounds and learn hospital billing. They round on their patients, including pediatric, adult and intensive-care-unit patients. Residents provide primary patient management, and attending physicians are present to support and teach.

Those who select the ICU rotation work with Wesley Medical Center’s intensivist physicians, caring for critically ill patients, including medication and ventilator management, indications for and performance of procedures at bedside (including line placement, intubations, etc), and participation in multidisciplinary rounds. While on their 12-hour shifts, residents are responsible for presenting new ICU patients to the critical care attending, writing the H&Ps, keeping family members and nursing staff apprised of changes in the plan of care, and then checking out (both verbally and in writing) to the ICU night team. The rotation primarily occurs in the MICU and specialty ICUs.

During their PG2 year, WFM residents expand their skills and experience as the senior resident on the maternity care service. Working under the supervision of experienced OB and family medicine attendings, and providing supervision for and instruction to the intern on maternity care, the PGY2 residents improve their skills and gain autonomy. WFM residents take care of the majority of patients delivering at Wesley’s Birth Care Center, and residents are expected to perform as primary surgeon on C-sections and to manage high-risk labors. Wesley Family Medicine also partners with Wichita’s HealthCore Clinic to provide OB care to unemployed, underinsured and underserved persons in central Kansas and to give residents the opportunity to manage more OB cases.

During each two-week PGY2 night-shift experience, residents work up to five consecutive in-house call shifts, from 5:30 p.m. to 7 a.m. PGY2 residents work under the direct or indirect-but-directly-available supervision of a faculty member as well as provide direct and/or indirect-but-directly-available supervision to a PGY1 resident. During each shift, the residents admit, evaluate, manage and care for ill adults, ill children and maternity care patients.

Wesley Medical Center is home to Kansas’ only Pediatric Emergency Department. While on their Pediatric Emergency Department block rotation, residents augment their knowledge, procedural skills and mastery of prompt assessment, intervention and disposition in caring for children presenting with acute concerns to the emergency department. They also manage uncommon and complex presentations of disease in children who require urgent or emergent medical care, while working alongside emergency department physicians.

Though all residents spend several half days each week caring for their continuity patients, the Family Medicine Center rotations are dedicated solely to caring for patients in the ambulatory environment and enhancing the resident’s understanding of practice management concepts. Residents are scheduled to spend each half day in the Wesley Family Medicine Center where they care for patients from their own continuity panel, in one of the specialty clinics, or treating those with acute concerns.

Third-year residents spend, on average, three to five half days each week seeing their own patients at the Wesley Family Medicine Center.

During their PG3 year, each resident spends two rotation blocks as the acting chief on the Wesley Family Medicine inpatient service, a great responsibility; chiefs oversee the WFM intern and monitor all patients. Residents run codes, perform inpatient procedures, attend regular didactic attending rounds and learn hospital billing. They round on their patients, including pediatric, adult and intensive-care-unit patients. Residents provide primary patient management, and attending physicians are present to support and teach.

During their PG3 year, WFM residents expand their skills and experience as the senior resident on the maternity care service. Working under the supervision of experienced OB and family medicine attendings, and providing supervision for and instruction to the intern on maternity care, the PGY3 residents improve their skills and gain autonomy. WFM residents take care of the majority of patients delivering at Wesley’s Birth Care Center, and residents are expected to perform as primary surgeon on C-sections and to manage high-risk labors. Wesley Family Medicine also partners with Wichita’s HealthCore Clinic to provide OB care to unemployed, underinsured and underserved persons in central Kansas and to give residents the opportunity to manage more OB cases.

During the PGY3 night-shift experience, residents work up to five consecutive in-house call shifts, from 5:30 p.m. to 7 a.m. PGY3 residents work under the direct or indirect-but-directly-available supervision of a faculty member as well as provide direct and/or indirect-but-directly-available supervision to a PGY1 resident. During each shift, the residents admit, evaluate, manage and care for ill adults, ill children and maternity care patients.

Residents are allowed to request a community cardiologist with whom to complete the rotation. In helping to care for that cardiologist’s patients, in both the outpatient and inpatient settings, residents develop skills in evaluating and managing chest pain, learn about common presentations of arrhythmia and ischemia and determine appropriate indications for referral to a cardiologist. Residents also learn how to perform and interpret procedures such as stress tests, echocardiograms, cardiac catheterization, and tilt table tests.

Wesley has the largest emergency department in Kansas and serves as a regional referral center with Level 1 trauma certification. It is also home to Kansas’ only Pediatric Emergency Department. Residents work alongside emergency medicine attendings and spend time as upper levels, helping to perform procedures and stabilize and manage critical patients.

While spending time with family physicians and gynecologists, residents develop skills in evaluating and managing gynecologic symptoms, diseases and disorders as well as acquire knowledge regarding the indications for appropriate referral to a gynecologist.

Depending on their interests and career goals, residents can choose to complete a rural or international medicine rotation.

Residents who choose to do a rural rotation go to locations like Dodge City, Lyons, or Plainville, Kansas, where they are teamed with a family physician. Here, residents experience life as a “small-town family doctor.” The busy experience includes practicing full-scope family medicine; time is spent in an outpatient clinic and at the medical center, where residents gain skills in emergency medicine, trauma, operative obstetrics, surgery, and more. Residents are provided with housing (which can accommodate spouse and children, if needed) and on-call meals.

Residents who wish to do an international rotation spend time abroad in the setting of their choice. Upon their return, residents are encouraged to present a conference for their peers and faculty so as to share what they experienced and learned.

During the orthopedic rotation, residents acquire and augment skills in caring for patients with diverse acute and chronic musculoskeletal concerns. In addition, residents receive education in orthopedics on a longitudinal basis while serving their continuity clinic patients and through the residency’s didactic curriculum.

In addition to the children they’ll care for during their longitudinal experience in the Family Medicine Center, residents are required to complete two block rotations dedicated to the ambulatory care of children. The second rotation, taken during the PG2 or PG3 year, allows residents concentrated exposure to adolescent patients and patients with neurological concerns.

Under the direct supervision of an attending orthopedist, residents complete this rotation by seeing patients in the orthopedist's clinic and associated settings (e.g. in the training room and operating room). Residents also participate in the Wesley Family Medicine Center’s Sports Medicine Clinic. Here, residents are paired with board-certified sports medicine family physicians to provide non-orthopedic management of muscular and skeletal concerns to the clinic’s patients.