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Emergency Medicine

The Emergency Medicine for Rural Providers Fellowship is a 12 month/13 “block” post-residency program that provides specialty training in emergency and acute care topics such as trauma, ortho trauma, critical care, stabilization, transition of care including EMS and life flight experience, and related procedures.   The goal is to train broad-spectrum family physicians to provide high quality pediatric and adult emergency medicine services in a rural, under-served, or isolated community.   Training takes place between both major hospital systems in beautiful Boise as well as in our surrounding communities.  Specific training includes procedures such as central lines, airway management and intubation, chest tubes, thoracentesis/paracentesis, laceration repair, conscious sedation, fracture/dislocation management, and bedside ultrasound.

The fellow will have clinic responsibilities two half days per week, unless away at a rural site, providing largely ER follow up and acute care.

Application

One fellow will be selected each year.  Applicants must have completed a 3-year ACGME accredited Family Medicine Residency and be board certified in Family Medicine.  At this time, we are not able to sponsor visas for the fellowship.  The fellowship starts approximately the last week of July, which varies by academic year.  Please submit the following to apply:

  • A copy of your CV
  • Concise personal statement detailing the following:
    • Reasons for pursuing additional training in Emergency Medicine
    • Future career goals
    • Specific interest in this program
  • Letter of support from your Program Director
  • Two additional letters of reference, preferably from Family Medicine faculty
  • Current list of procedure and bedside ultrasound numbers (OK if approximate)
  • Picture

Application deadline is September 1st.  Interviews will be offered at the end of September through the first half of October.  The fellow will be selected by the end of October.

Please send applications to: 

Family Medicine Residency of Idaho

Attention: Emergency Medicine Fellowship Director

777 N. Raymond St

Boise, ID 83704

 

Please email any inquiries regarding the fellowship to Dr. Liz Atnip at Elizabeth.Atnip@fmridaho.org.

Curriculum

General Overview:

Fellowship is divided into 13 four week blocks starting approximately the last week of July.

The breakdown of blocks is as follows, with some flexibility:

  • 12 weeks elective (encourage neuro/neuro emergency call, additional rural time)
  • 4 weeks peds ER
  • 4 weeks ortho trauma/DOC
  • 2 weeks ICU nights
  • 2 weeks EMS/life flight
  • 12 weeks Als EM: approx 14 10 hour shifts monthly
  • 12 weeks Lukes EM: same as above (options at both for 24 hour shifts depending on site)
  • 4 weeks rural EM
  • Longitudinal POCUS curriculum (includes didactics, simulation)
  • Weekly clinic (2 half days) with focus on acute care/ER follow up

 

Goals and Objectives:

  • Train a broad-spectrum, board-certified family physician with skills necessary to provide high quality pediatric and adult emergency medicine services in a rural, under-served, or isolated community
  • Train for advanced bedside ultrasound skills in order to better identify acute, life-threatening conditions from illness or trauma
  • Gain advanced emergency procedural skills such as placement of central lines, airway management, complex laceration repair, chest tubes, etc.
  • Gain comfort in management of orthopedic and non-orthopedic traumas
  • Participate in and promote the education of family medicine residents through ultrasound training, didactics, and procedural supervision
  • Note: This fellowship does not lead to additional board certification

Training Facility

Saint Alphonsus Regional Medical Center (SARMC)

St. Alphonsus in Boise is the region’s only Level II Trauma Center as well as a Level I STEMI and Stroke Center.  The St. Alphonsus medical centers in Ontario and Baker City are also level IV trauma centers.  “St. Als” will be the site of the majority of rotations including 3 months of community ER, 2 weeks of ICU nights, and additional opportunities such as trauma/neuro emergency call, anesthesia/airway management, and teaching opportunities on the resident FM inpatient service.

While the hub of community EM rotations will be in Boise, additional experiences in our surrounding communities will include:

  • Eagle (30 minutes from Boise)
  • Garrity (25 minutes from Boise)
  • Nampa 12th Ave (40 minutes from Boise)
  • Ontario, OR (level IV trauma center, 1 hour from Boise)
  • Baker City, Oregon (2 hours from Boise)

Saint Alphonsus Regional Medical Center in Boise, Idaho, is part of Saint Alphonsus Health System. With four hospitals and a variety of medical clinics, we serve the full range of the healthcare and wellness needs of the people in southwestern Idaho, eastern Oregon and northern Nevada.

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St. Luke’s Children’s Hospital

St. Luke’s Children’s Hospital in Boise is also certified as a level II pediatric trauma center.  In addition to 3 months community EM at St. Luke’s, this will also be the site of pediatric specific EM training.

At St. Luke’s Children’s Hospital, the only children’s hospital in Idaho, more than 150 skilled pediatricians and pediatric specialists work with referring physicians from around the region to provide high quality care. They have a staff of over 400 nurses, therapists, and other dedicated pediatric caregivers.

All children should have access to the highest quality health care services available, regardless of their condition or their family’s ability to pay. Like all children’s hospitals, St. Luke’s is committed to high quality, cost-effective clinical care, advocacy for children and families, education, and research.

Location & Contact Info

190 E. Bannock St.
Boise, ID 83712
208-706-KIDS (5437)
Directions/Map
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St. Luke’s Medical Center (SLMC)

St. Luke’s in Boise and Meridian are STEMI Level I centers, and Meridian has recently been designated a level IV trauma center. 

For more than 100 years, St. Luke’s Medical Center Boise Campus has been committed to serving the needs of a growing region. Founded in 1902 as a six-bed frontier hospital, St. Luke’s Boise is now Idaho’s largest health care provider, and the flagship hospital of St. Luke’s Health System.

St. Luke’s Boise is known for its centers of excellence in cancer, heart, and women’s and children’s care. Among our many services, we are home to St. Luke’s Heart, St. Luke’s Mountain States Tumor Institute’s largest clinic, St. Luke’s Center for Minimally Invasive Surgery, and St. Luke’s Children’s Hospital, the only children’s hospital in Idaho.

Known for its clinical excellence, St. Luke’s Boise has been nationally recognized for quality and patient safety, and is proud to be designated a Magnet hospital, the gold standard for nursing care.

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Family Medicine Residency of Idaho/Family Medicine Health Center

The clinic experience throughout training will be at one of the 5 clinics of the Family Medicine Residency of Idaho.  Final clinic location will be determined by December 2021 as we are expanding both our Raymond and Emerald St locations.

Family Medicine Health Center Sites

Family Medicine Health Center – Raymond Clinic

The Raymond clinic has been the home location of our residency since 1983. All interns spend their first year as Raymond providers, and 6 upper level residents in each class also stay there for their full 3 years of residency.  Raymond is divided into three clinical teams by hallway as part of our PCMH initiative and is our largest clinic.   Patient mix is broad and exciting.   Procedural support is strong at this clinic and it houses many specialty clinics including sports medicine, rheumatology, and dermatology.  All our colonoscopies and EGDs are done here. Although it is an older clinic, it underwent significant remodeling in the last few years. Attending support is a mix of core residency faculty and part-time community preceptors.  This clinic offers a vibrant mix of patients and learning options.

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Family Medicine Health Center – Emerald Clinic

Our Emerald clinic is located across the street from our Raymond clinic. It offers a mix of broad primary care and multiple specialty clinics. In addition to faculty and resident Family Medicine clinics, Emerald houses our Wellness Center (a Ryan White funded HIV clinic), TB clinic, viral hepatitis clinic, PrEP clinic, transgender clinic, and refugee services including both refugee screening and primary care. Emerald Clinic additionally houses our 340b pharmacy which opened summer 2013. Two R2s and two R3s are empaneled at Emerald each year. Attending support is mainly by the family medicine faculty who see their own patients at Emerald. This clinic offers broad training in family medicine with a specialty/infectious disease bent.

Family Medicine Health Center – Idaho Street

The Idaho Street location is our newest clinical space, having recently relocated to a new spot in downtown Boise. The patient mix has historically had emphasis on pediatrics, obstetrics and women’s health, but now has broad patient panel reflective of FMRI patients, including rapidly increasing geriatrics and multiple languages.  In addition to the continuity clinics, there are dedicated OB clinics on Monday and Wednesdays, gynecology clinics on Mondays and a pediatrics clinic each day.  There is a musculoskeletal focus with OMT, FDM and Integrative medicine/acupuncture specialty clinics housed here.  All FMRI residents are able to experience these clinics.  Two R2s and two R3s are empaneled at Idaho Street each year. Attending support is mainly by the family medicine faculty who see their own patients at Idaho St, but many other faculty members often rotate through.

Family Medicine Health Center – Meridian Clinic

Our Meridian clinic is located approximately 8 miles west of Boise, near the St. Luke’s Meridian hospital. The patient population is varied and comes from both suburban (Meridian / Nampa area) and outlying rural towns.  Our Spanish speaking population is growing thanks to the work of our Promotora (community health worker) staff. We have a core Meridian OB patient panel that desires delivery at St. Luke’s Meridian giving residents an additional source of OB volume.  Our pediatric volume is high due to the demographics of the location in addition to the presence of a pediatrician on our staff.  Procedures are abundant and the clinic faculty embraces teaching. Two R2s and two R3s are empaneled at Meridian each year. The Meridian clinic offers residents the opportunity to practice on a single multidisciplinary team. We anticipate significant future growth in Meridian and Nampa and see this clinic as the center of our westward expansion efforts. In summer 2020, a second pharmacy location also opened in the Meridian clinic.

Family Medicine Health Center – Meridian Schools Clinic (MSC)

The Meridian Schools clinic is a collaboration between the FMHC and the West Ada school district. We are able to provide primary and acute care for children on site at school, thereby decreasing the time missed from school for medical appointments. No residents are empaneled at this site, but spend time there during some outpatient pediatrics rotations.

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Family Medicine Health Center – Kuna Clinic

The Kuna clinic offers a broad spectrum primary care in the rural town of Kuna, Idaho. No residents are empaneled at this site, but several of our faculty see their own patients there. The Kuna clinic provides care for diverse patients in a supportive, patient-centered, clinically-excellent environment and strive to make healthcare accessible and equitable to the underserved and vulnerable populations in our community

Family Medicine Health Center – Nampa South

Our Family Medicine Residency training program is dedicated to becoming your patient centered medical home.  We provide excellent patient care along with offering superb clinical training for medical residents who are becoming Family Medicine Physicians.  At FMHC you will be cared for by a medical team consisting of a physician and a resident physician who will be your primary care providers in conjunction with a mid-level provider (PA, NP, and CNM), psychologist, dietician, clinical pharmacist, community health workers, and care managers.  We are a tight-knit team that enjoys teaching and caring for those that need us.

Location & Contact Info:

Family Medicine Health Center – Nampa South
215 East Hawaii Avenue, Floor 1
Nampa, ID 83686
208-514-2529
Directions/Map

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Family Medicine Health Center – Nampa North

Located in the campus of the St. Luke’s Nampa Medical Center, this clinic which opened in July 2020 will be where half of each residency class will experience their continuity panel. We will have access to the same inter-profession team as Nampa South.

St. Luke’s Nampa Medical Center demonstrates their commitment to the city of Nampa and the growing population of Canyon County. The new 87-bed hospital offers a fully equipped emergency department, family suites for new mothers and their babies, a newborn intensive care unit (NICU), children’s services with outpatient sub-specialists, additional heart and orthopedics services, and an intensive care unit.

Location & Contact Info:

Family Medicine Health Center – Nampa North
9850 W St Lukes Dr, #329
Nampa, ID 83687
Directions/Map

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Benefits

  • Salary estimate $70,266
  • Fifteen (15) days paid vacation per year.
  • Educational funds in the amount of $2500 for related CME with 3 additional days to be used at fellow’s discretion
  • Health, Life, and Dental Insurance options for fellow and immediate family.
  • Disability Insurance for fellow.
  • Malpractice Insurance and Workers' Compensation Insurance.
  • Time and funding included for ATLS if not already completed, however completion before start of program highly encouraged.