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, the ins and outs of the Family Medicine Center, and get to start 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.

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.

Residents spend two rotations as a member of the Wesley Family Medicine Inpatient Service. Residents run codes, perform inpatient procedures and attend regular didactic attending rounds. They also 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. This rotation allows residents to greatly enhance their ICU medicine knowledge.

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 portion of the 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 the Neonatal Intensive Care Unit (NICU) portion of the rotation, residents spend time attending consults and becoming knowledgeable in the assessment of maternal and infant risk factors and the appropriateness of transfer to a facility with a greater level of care. Working with the neonatology team, residents learn how to evaluate a complicated or premature delivery; to rapidly assess, stabilize and manage preterm, term or complicated infants; and participate in resuscitations upon delivery.

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 resident will admit, evaluate, manage and care for ill adults, ill children and maternity care patients.

Residents will undertake a self-study course in preparation for the successful completion of the USMLE or COMLEX series, including meeting with a testing coach on examination strategies and completing a study/prep plan, CME, and practice tests. Residents will continue to participate in their own continuity clinic and family medicine call schedule during this rotation as well.

In addition to the longitudinal experience in the Family Medicine Center, residents are required to complete two block rotations dedicated to the ambulatory care of children. One block, Outpatient Pediatrics-1, is a required rotation in the PGY1 year and focuses on general, ambulatory concerns.

PGY1 residents complete two 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 reference source for adult and pediatric oncology patients.

Residents will care for patients in various venues such as the clinic, inpatient acute care unit, nursing home and skilled nursing unit (SNU). They participate in interdisciplinary team meetings, hospice care and home visits. Residents also complete a reading list and an ABFM Knowledge Self-Assessment (KSA) related to care of the elderly.

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 will see patients each half day in the Wesley Family Medicine Center, which may include caring for patients from their own continuity panel, in one of the specialty clinics, in the nursing home or caring for patients being seen for acute visits.

Second-year residents spend, on average, three half days 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, Meaningful Use, and the PCMH. Residents develop a blueprint for reaching their post-graduate goals.

During their PGY2 year, each resident will spend two blocks serving as the acting chief on the Wesley Family Medicine Inpatient Service (which is a great responsibility; chiefs oversee the WFM intern and monitor all patients, including pediatric, adult, and intensive-care-unit patients). Residents run codes, perform inpatient procedures, and attend regular didactic attending rounds.

During their PGY2 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 the 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 will 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 of a PGY1 resident. During each shift, the residents will 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 will 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 will also manage complex and uncommon 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 will see patients each half day in the Wesley Family Medicine Center, which may include caring for patients from their own continuity panel, in one of the specialty clinics, in the nursing home or caring for patients being seen for acute visits.

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

During their PGY3 year, each resident will spend two rotation blocks as the acting chief on the Wesley Family Medicine Inpatient Service (which is a great responsibility; chiefs will oversee the WFM intern and monitor all patients). Residents run codes, perform inpatient procedures, attend regular didactic attending rounds, and learn hospital billing. They also 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 PGY3 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 the 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 will 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 of a PGY1 resident. During each shift, the residents will 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 will develop skills in evaluating and managing gynecological symptoms, diseases and disorders as well as acquire knowledge regarding the appropriate indications for referral to a gynecologist for further management.

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 this rotation, residents will acquire and augment skills in caring for patients with diverse acute and chronic musculoskeletal concerns. In addition, residents will receive education in orthopedics on a longitudinal basis during their continuity clinic practice and through the didactic curriculum.

In addition to a longitudinal experience in the Family Medicine Center, residents are required to complete two block rotations dedicated to the ambulatory care of children. Outpatient Pediatrics-2 is a required rotation in the PGY2 year and is designed to allow the resident to have 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, as appropriate (training room, operating room).