Green Bay Residency Curriculum

The MCW-Prevea Family Medicine residency has an innovative and evolving curriculum to ensure our residents receive the most up-to-date and informed medical knowledge. Residents are a valuable part of the maintenance and development of the curriculum. The curriculum exceeds ACGME requirements and provides residents with learning opportunities with both community physicians and academic faculty from our partner institution, Medical College of Wisconsin.

MCW-Prevea’s program year is divided up into 13 four-week blocks. Highlights include:

  • Addiction Medicine

  • Dedicated Family Medicine Clinic Rotation Blocks

  • Emergency Medicine

  • Flexible Electives

  • Human Behavior & Mental Health

  • Inpatient Family Medicine Teaching Service

  • Lifestyle Medicine Residency Curriculum (LMRC)

  • Management of Health Systems

  • Maternity Care & Women’s Health

  • Medical Student Education Curriculum

  • Multidisciplinary Didactic Conferences

  • Orthopedics/Sports Medicine

  • Pediatrics

  • Procedure Curriculum

  • Scholarly Activity

Addiction Medicine

One of the program’s key strengths is its strong focus on Addiction Medicine. Led by our program director, Dr. John Hayes, DO, who is board certified in Addiction Medicine, and supported by two other faculty members with extensive experience in this field, our residents receive specialized training to develop clinical competency and confidence in treating patients with addictions within a primary care setting. This allows residents to extend addiction treatment to patients who may not be interested, able, or ready for comprehensive treatment, thus broadening access to care. Additionally, we are actively expanding into inpatient treatment for individuals with addictions.

Our residency program also benefits from a partnership with Libertas, an outpatient addiction treatment clinic. Libertas offers a multidisciplinary team of licensed substance abuse counselors, case workers, nurses, and an intensive outpatient treatment program. This partnership provides residents with unique rotation opportunities and comprehensive outpatient addiction treatment training in both Green Bay and Marinette, WI. Dr. Lara Powers, a core faculty member and the medical director of these facilities, oversees this valuable collaboration.

Emergency Medicine

Residents gain experience at HSHS St. Vincent Hospital’s Level II Trauma Center, as well as the HSHS St. Vincent Children’s Hospital emergency department. Residents learn and apply the critical skills of prompt assessment, intervention and disposition. Each resident manages patients as a member of a health care team dealing with multiple simultaneous patient encounters and learns the appropriate use of consultants in this area of acute patient management.

Family Medicine Clinic (FMC)

Residents are assigned a patient panel in PGY1, which they build upon during their 3 years of residency training. There are dedicated blocks of FMC, as well as several 1/2 day sessions during all specialty rotations. Emphasis is placed on full-spectrum family medicine practice, including pregnancy care, integrated addiction care, pediatrics, women's health, gender-affirming care, refugee/immigrant medicine, geriatric care, and chronic disease management. Core faculty have a broad range of interests and share their expertise with the residents. The clinic boasts 2 ultrasound units, fetal monitoring equipment, and on-site lab services.

Human Behavior & Mental Health

Residents learn how to care for patients’ physical and psychosocial needs. This is accomplished through comprehensive psychiatry didactics and a dynamic psychiatry experience. Residents will also benefit from shared experiences with the Green Bay Family Medicine residency program.

Our behavioral health team teaches major aspects of mental illness, interviewing and assessment skills, family counseling, community agency referrals, and relaxation techniques. Using a solution-focused approach, residents will learn to help patients change the lifestyle facts that impact their health.

Inpatient Family Medicine Service

While on rotation with the Inpatient Family Medicine Service, PGY1 residents learn to practice inpatient family medicine and use appropriate community resources and hospital interdisciplinary teams (social workers, dieticians, case managers). PGY1 resident s also participate in hospital rounding with faculty and senior residents.

As a PGY2 or PGY3, the resident is responsible for direct inpatient care with progressive levels of responsibility. Residents diagnose, provide proper therapeutic management and consult specialists for the common major diseases seen in this inpatient setti ng. Senior residents also supervise and teach PGY1 residents.

Family physicians, internists, and other subspecialty physicians provide teaching and consultation support.

Lifestyle Medicine Residency Curriculum (LRMC)

The 6 pillars of Lifestyle Medicine have been proven effective in both treating and preventing lifestyle-related chronic diseases such as obesity, diabetes, coronary artery disease and hypertension. The Lifestyle Medicine Residency Curriculum (LMRC) is incorporated into the residency didactic program to provide interested resident physicians the opportunity to take the Lifestyle Medicine boards upon the completion of their curriculum and the Family Medicine boards.

The LMRC consists of both educational and practicum components. Its educational component includes 40 hours of interactive virtual didactic material along with 60 hours of application activities designed to be completed over a two-year time period. The practicum component includes 400 lifestyle medicine-related patient encounters, 10 hours of (Intensive) therapeutic lifestyle change (ITLC or TLC) program experience and 10 hours of group facilitation experience. Click here to learn more about this program.

Management of Health Systems

The Management of Health Systems curriculum comprises the two crucial topic areas of Practice Management and Community Medicine. Through a partnership with the Oneida Community Health Center, a Federally Qualified Health Center (FQHC), residents become integrated into the rich culture of the Oneida nation through participation in home health visits, participation in community health events (immunization clinics, educational talks at the local school, etc.). Residents are also encouraged to explore the many community agencies in the Fox Valley and to familiarize themselves with the services offered to better serve their patient population. The longitudinal component of this experience sees the residents participating in the MCW Practice Management sessions in their PGY2 year, which delves into contract negotiation, employer relations, coding and billing, and other important aspects of professional practice.

Maternity Care & Women’s Health

Residents will experience low-risk, high-risk and operative obstetrics at HSHS St. Vincent Women and Infants. This is a full-service labor and delivery wing with 2 operating rooms, 8 delivery rooms, 2 triage rooms, 15+ postpartum rooms, and access to the only level III NICU in the Fox Valley. Residents may opt to learn obstetrical ultrasound skills for continuity patients in our clinic. Residents will diagnose and treat gynecologic problems, perform gynecologic procedures appropriate to Family Medicine and know when to appropriately obtain gynecologic consultation. First year residents attend Advanced Life Support in Obstetrics training/certification in the fall.

Medical Student Education Curriculum

The MCW-Prevea Green Bay Family Medicine Residency has a strong academic partnership with the Medical College of Wisconsin Green Bay regional campus, fostering a collaborative learning environment. Residents are actively involved in teaching both in the classroom and clinical settings, enriching their educational experience. They also receive formal training in medical education techniques, equipping them with the skills to mentor and guide future medical professionals. This close affiliation enhances the residency program’s academic rigor and prepares residents for leadership in teaching and practice.

Multidisciplinary Didactic Conferences

Each Wednesday afternoon is dedicated to protected conference time for residents. This includes local subspecialty speakers, case presentations, skills workshops, and board exam preparation.

Orthopedics/Sports Medicine

Residents will receive focused training in sports medicine taught under the supervision of a dually certified Family Medicine and Sports Medicine physician. Residents will become competent in the areas of pre-participation assessment, injury prevention, evaluation, management, and rehabilitation.

Residents will spend time with orthopedic surgeons seeing and diagnosing common musculoskeletal problems. Under their guidance you will perfect your musculoskeletal physical exam. You will also be given the opportunity to further practice your casting/splinting and learn to do joint injections when indicated. Residents have the opportunity to perform office-based orthopedic procedures, such as arthrocentesis and joint injections.

Pediatrics

Residents will gain a broad range of pediatric experience in both the inpatient and the outpatient settings. Residents will spend time at HSHS St. Vincent Children’s Hospital to treat children with acute and chronic illnesses. Under the guidance and supervision of Pediatric ICU physicians, residents will learn to take care of the critically ill pediatric population and to navigate the dynamics between physicians, families, and children. Residents will gain pediatric patient exposure through time spent with local pediatricians in their busy outpatient practices. Residents will also see pediatric patients in their continuity clinic. We are proud to be the only Family Medicine clinic in the Prevea system participating in the Reach Out and Read early literacy program.

Procedure Curriculum

Outpatient procedures are integrated into our continuity FMC experience. We have several faculty members involved in oversight of procedural care provided by our resident physicians. We offer long-acting reversible contraception (Nexplanon and Mirena/Kyleena IUD) placement and removal, nail removals, skin procedures, endometrial biopsy, minor surgical procedures like incision and drainage, joint injections and aspirations, lesion removal with liquid nitrogen. We are proud to offer osteopathic manipulation, headed up by our program director Dr. John Hayes. We have 2 ultrasound units in our clinic and are in the midst of developing our POCUS curriculum. We have a Dermlite and will provide training in identifying dermatologic conditions with the device.

Colposcopy training is being developed and will be available for those interested in pursuing Colposcopy training.

Scholarly Activity

Faculty and residents participate in Scholarly Activity projects at the FMC, including research and quality improvement.

Residents have the opportunity to participate in a Family Physician Inquiry Network (FPIN) Workshop during their residency.  They co-author a GEM on a Family Medicine related topic.  For more about FPIN, click here.