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Family Medicine


At A Glance

Program Type: Combined Military/Civilian Partnership Program

Location: Bellevue, Nebraska

Accredited: Yes, Accreditation Council for Graduate Medical Education (ACGME)

Program Length: 3 years

Required Pre-Requisite Training: Medical School Graduation, if prior completion of non-family medicine internship, must start again as PGY-1

Categorical Year in Specialty Required: No

Total Approved Complement: 24

Approved per Year (if applicable): 8

Dedicated Research Year Offered: No

Medical Student Rotation Availability: 3rd Year - Uniformed Services University (USU) only for clerkship rotations; 4th Year - USU and Health Professions Scholarship Program (HPSP) for sub-internship/audition rotations

Additional Degree Concurrent with Training (e.g. MPH): No

Program Description

The Family Medicine Residency at Offutt Air Force Base is one of six Air Force family medicine training programs in the nation. The Offutt AFB Family Medicine Residency is approved by the Accreditation Council for Graduate Medical Education to train eight active duty residents per class. Offutt FMR is one of two family medicine residencies that are integrated with a civilian institution. The combined residency is the second largest Family Medicine residency in the nation.

Historically, the program boasts a first-time board pass rate of 100%. In addition to time training locally at Ehrling-Bergquist Clinic (EBC), residents also spend time with our affiliated training programs in University of Nebraska Medical Center (UNMC), Bellevue Medical Center (BMC), Children’s Nebraska medical center, Methodist Jennie Edmundson Hospital.

The FMR at Offutt AFB is in Bellevue, Nebraska which is only 15-20 minutes away from downtown Omaha. When enjoying time spent outside of work, there are plenty of restaurants, museums, bike paths, concerts, and things to do both solo or with family.

Mission, Vision and Aims

Mission

To develop the next generation of board-certified family medicine physicians for the Air Force, ready to provide comprehensive expeditionary and in-garrison healthcare to warfighters and DOD beneficiaries.

Vision

Premier physician training and readiness platform for the Air Force and DOD.

Aims

  1. Develop faculty to be excellent practitioners of evidenced-based medicine while being professional mentors.
  2. Provide the opportunity to train in a multitude of settings—rural or urban; inpatient or outpatient; urgent/emergent care in the austere or resource rich setting; and a multitude of patient populations—pediatrics; obstetrics; geriatrics; the warfighter.
  3. Develop residents to provide comprehensive, compassionate care across a broad range of patient populations for both preventive medicine and treatment of disease.

Curriculum and Schedules

  1. Monday/Tuesday/Thursday didactics at Ehrling-Berquist Clinic
  2. Wednesday morning Teach Day at University of Nebraska Medical Center downtown
  3. Process Improvement/Quality Improvement (PI/QI)
  4. Research
  5. Supplemental certifications (see Required Courses)
 PGY1 PGY2 PGY3
  • Core Month - 4 weeks
  • Inpatient Medicine -16 weeks
  • Family Medicine Obstetrics - 8 weeks
  • Geriatrics - 4 weeks
  • Adult Emergency Medicine - 4 weeks
  • Outpatient Pediatrics - 4 weeks
  • General Surgery - 4 weeks*
  • Orthopaedics - 4 weeks*
  • Inpatient Medicine - 8 weeks
  • Obstetrics & Gynecology - 4 weeks
  • Pediatric Emergency Medicine - 4 weeks
  • Advanced Geriatrics - 4 weeks 
  • Adult Emergency Medicine - 4 weeks* 
  • Gynecology - 4 weeks
  • Dermatology - 2 weeks*
  • Behavioral Health - 2 weeks*
  • Endocrinology - 2 weeks*
  • Family Medicine Clinic - 4 weeks
  • Elective - 4 weeks
  • Inpatient Medicine -12 weeks
  • Geriatrics - 4 weeks
  • Rural Clinic - 8 weeks
  • Procedures - 4 weeks*
  • Practice Management - 4 weeks
  • Urology/Nephrology - 4 weeks*
  • Family Medicine Clinic - 4 weeks
  • Neurology - 4 weeks
  • Elective - 4 weeks
  • Endocrinology - 2 weeks
  • Cardiology -2 weeks*

*Some rotations may vary depending on scheduling, and may be completed in alternate years.

This is a list of some potential elective rotation options. We are flexible and can accommodate almost any elective rotation if given enough notice for planning.

  • Acupuncture
  • Active-Duty Medicine
  • Allergy & Immunology
  • Anesthesiology
  • Cardiology
  • Dermatology
  • Diabetes Management
  • Endocrinology
  • Family Medicine Clinic
  • Flight Medicine
  • Gastroenterology
  • Geriatrics
  • Gynecology
  • Hematology/Oncology
  • HIV Primary Care
  • Human Nutrition
  • Infectious Diseases
  • Inpatient Medicine
  • Intensive Care Unit
  • Nephrology
  • Obstetrics
  • Ophthalmology
  • Otolaryngology
  • Pediatrics
  • Plastic Surgery
  • Podiatry
  • Procedures 
  • Physical Medicine and Rehabilitation
  • Psychiatry
  • Public Health
  • Pulmonary Medicine
  • Radiology
  • Research
  • Rheumatology
  • Rural Primary Care
  • Sleep Medicine
  • Surgery
  • Urology
  • Wound Care

Inpatient Call

  • PGY1: Each month of inpatient, you will work one week of overnight call.
  • PGY2: One week of overnight call during Bellevue Medical Center (BMC) rotation, and two 24-hour call shifts during two weekend days during rotation. At University of Nebraska Medical Center (UNMC) rotation, you will spend one month overnight call “night mole”, covering both the inpatient and Family Medicine Obstetrics (FMOB) service as the senior resident.
  • PGY3: One week of overnight call during Bellevue Medical Center (BMC) rotation, and two 24-hour call shifts during two weekend days during rotation. You will serve as the inpatient supervisor at UNMC, which includes four 24-hour shifts (one each weekend on rotation).

Family Medicine Obstetrics (FMOB) Call

  • PGY1: Each FMOB rotation you will work 7 a.m. - 5 p.m., and every other day 24-hour call for active laboring patients.
  • PGY2: At UNMC rotation, you will spend one month overnight call “night mole”, covering both the inpatient and FMOB service as the senior resident (see above).
  • PGY3: None

There is no home call. There is no cross coverage, which means if you are on an outpatient rotation, your weekends are free and you do not cover inpatient or OB call.
Other specialty rotations have changing requirements and may require call shifts. You are required to be on call for assigned continuity OB patients and nursing home patients.

Military unique curriculum for the Family Medicine resident centers around readiness to practice innovative, evidence-based medicine in isolated medical centers both stateside and overseas.

Formal military curriculum is integrated into department didactics throughout the year with multiple lectures covering general medical deployment activities and active-duty clinic considerations. Additionally, during PGY-2 and PGY-3 years, residents will experience longitudinal training with the Medical Director of WOMC (Warrior Operational Medical Clinic).

Informal “chalk talks,” formal didactics, and teaching rounds place emphasis on how to approach a clinical scenario in a remote duty station without immediate access to the resources and in-house subspecialty support readily available in typical academic hospital settings.

  • Basic Life Support
  • Advanced Life Support
  • Advanced Cardiac Life Support
  • Neonatal Resuscitative Program
  • Pediatric Advanced Life Support
  • Advanced Life Support in Obstetrics Program
  • Combat Casualty Care Course (C4)
  • Neonatal Resuscitative Program (NRP), Advanced Life Support in Obstetrics (ALSO), Advanced Cardiac Life Support (ACLS), and Basic Life Support (BLS) are performed with simulations during the Core Month of PGY1, and additional procedures include suturing, pap smears, and ultrasound training
  • Military mass casualty training during a Resident/Staff Day
  • Obstetrics rotations features a large simulation at the end of the month to assess inpatient obstetrical emergency simulations
  • Didactic workshops intermittently include simulations at the state-of-the-art Davis Global Center at University of Nebraska Medical Center (UNMC)
  • Chief Residents: there are two overall combined program chief residents, and one military specific chief resident
  • Wilderness Medicine Liaison: a resident interested in helping coordinate and teach Wild Weekends in the program
  • Student-Resident Liaison: resident elected to aid in medical student recruitment and wellbeing

Scholarly and Professional Development Opportunities

All residents are required to complete a scholarly activity to fulfill graduation requirements. This requirement may involve primary research, Institutional Review Board (IRB) submission, or quality improvement projects. They meet with their academic advisor twice per year to discuss progress and request support or additional resources. Research projects can be supported by UNMC or the USUHS. Residents frequently give oral or poster presentations of their work at UNMC’s academic research competition, the Uniformed Service Academy of Family Physicians (USAFP) Annual Meeting and Exhibition, American Medical Society for Sports Medicine (AMSSM), or other relevant conferences.

We do a residency wide quality improvement project that everyone participates in. This will meet your American Board of Family Medicine (ABFM) quality improvement project requirement.

U.S. Air Force Medical Corps career progression is formally integrated into the academic curriculum. Topics include training report writing, familiarization with online officer promotion board reports, promotion board expectations, and military career advancement educational courses.

Additionally, UNMC offers the Health Educators & Academic Leaders (HEAL) curriculum to provide a foundation in best teaching practices, educational scholarship, and academic leadership to our residents. It is a competency-based interprofessional health educator track in the nation. HEAL is designed to allow health professional trainees the opportunity to develop essential skills as educations before transitioning into their careers.

Participating Sites

  • University of Nebraska Medical Center 
  • Bellevue Medical Center 
  • Children's Nebraska Medical Center
  • Methodist Jennie Edmundson Hospital

Applicant Information, Rotation and Interview Opportunities

  • 3rd Year Medical Student Clerkship Rotations: Only available for USUHS students
  • 4th Year Medical Student Clerkship/Audition/Sub-Internship Rotations: Available for USUHS and HPSP students

Contact Medical Student Clerkship Administrator to schedule rotations.

During an audition/sub-internship/clerkship rotation from June-October, students will be assigned an interview date during that 4-week period. Each applicant will have one 45-minute interview with faculty; interviewers will include Program Director, Associate Program Director, and other faculty as available. Medical students are invited to come for an in-person one-day interview, if not rotating. Virtual interviews are offered if students are unable to come in person. To schedule an interview for those not scheduled for an audition/sub-internship/clerkship rotation, e-mail the program medical student coordinator.

Interview documentation requested at least 10 days prior to interview:

  • Curriculum Vitae
  • Personal Statement

Program graduates take the American Board of Family Medicine  one-day exam. This exam is offered bi-annually. To become fully board certified, applicants are eligible to take board certification exam three months prior to graduation. To be eligible to take specialty board exams, graduates must complete all pre-requisites required by American Board of Family Medicine by the end of February.

Teaching Opportunities

  • Weight Loss Warrior Clinic
  • Wilderness Medicine Weekends
  • Didactics / Journal Club
  • Medical Students

Throughout training, all residents are encouraged to teach more junior trainees during hospital rounds, with informal “chalk talks”, and during case presentations or assigned lectures during morning didactics. PGY-2 and PGY-3 residents are assessed on how well they teach more junior trainees in their rotation evaluations. All residents participate in journal club, Morbidity & Mortality (M&M), and formal resident lectures during Gynecology and Pediatrics.

Residents interested in becoming Family Medicine Residency faculty are encouraged to apply and attend a Faculty Development elective.

Faculty and Mentorship

  • Sports Medicine
  • Family Medicine Obstetrics (FMOB)
  • Fellow of the Academy of Wilderness Medicine (FAWM)
  • Physician Acupuncturists

All residents are assigned an academic advisor. All residents have the opportunity to establish self-directed mentorship relationships with faculty in their field of interest.

Well-Being

There are two residency retreats a fall retreat and spring retreat for program evaluation and morale building.

Contact Us

Offutt Family Medicine Residency

Location: Family Medicine Residency Department

Hours of Operation:

Monday–Friday
7:15 a.m. to 5 p.m.

Phone: 402-294-2056

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