Kingsport Family Medicine Residency Program

Overview

Thank you for your interest in our residency! We are excited to tell you more about our program and the role that it plays in the community. Not only do we strive for academic excellence, we also strive to provide multidisciplinary care to the people we serve here in the Appalachian Highlands. We are dedicated to providing an educational experience tailored to your educational needs, including being the only program in the region with osteopathically recognized training. Our faculty will help facilitate your transition from a brand new intern to an independent family physician.

We believe that to provide you with the best in educational and professional opportunities, we must continually reevaluate and adapt our curriculum to meet the educational needs of our residents and the community. We also believe it is important to balance education and hard work with wellness and fun. To achieve this we have peer groups so that every month where you will have dedicated time to spend doing educational activities with your resident peers, our monthly potluck lunches for the whole office, and our 4 weeks of orientation during your first year. Our faculty have received multiple local and national nominations and awards recognizing their outstanding accomplishments, and our small faculty-to-resident ratio of 1:3 provides a tight knit atmosphere for learning, professional development and a collegial working environment.

During residency, you will experience many the joys and challenges that family medicine training provides. Each resident will be assigned an advisor who will walk alongside you during this time and help you grow and succeed along the way.

The Kingsport Family Medicine Residency is a community-based residency nestled in the mountains of East Tennessee providing care to the people of Appalachia. Established in 1975, we have trained over 200 residents that have gone on to practice everything from full spectrum family medicine, to sports medicine, hospital medicine and everything in between. We will help prepare you for any practice setting you desire.

Goals & Objectives

Curriculum

• Overview

  On our hospital service, you will be working with a supervising family physician at all times. The resident team will be comprised of three daytime and two night float residents, with at least 1 upper year resident on the service at all time to provide guidance, education, and support.

  The patients on our hospital service range from needing overnight observation to closely monitoring them in the ICU alongside our specialty colleagues. The pathology on our hospital service is excellent and daunting. The social determinates of health can be explored even further with the help of our behavioral health team, and medication management can be assisted by our full time inpatient pharmacy team dedicated to working with our family medicine service.

  For your inpatient pediatric training, you will be working with the pediatric hospitalist service and specialists at our Niswonger children’s hospital in order to get a high volume and high acuity inpatient pediatric experience.

  We also work in a second smaller hospital in Kingsport for your obstetrics, nursery, and pediatric ED rotations. The pediatric ED is new as of 2022, and the pediatric volume continues to grow.

  In addition to your hospital training, you will have opportunities for rotations with outpatient medical specialty offices, free clinics, rural practices, high schools for longitudinal care in sports medicine, and even opportunities to teach groups of elderly people in the community.

  During your residency, you will progressively move toward independent practice, integrating evidence-based medicine and information mastery to develop the skills necessary to enhance your lifelong learning as a practicing physician. Below is an example of what your schedule will look like during each year of the program.

• PGY-1

  Vacation: 15 days, Education leave: 5 days

  Orientation	4 weeks
  Orthopedics	4 weeks
  Ambulatory Clinic*	8 weeks
  Night Float	8 weeks
  OB	4 weeks
  GYN	4 weeks split
  Family Medicine Inpatient Service	12 weeks
  Elective	4 weeks
  Monthly Educational Peer Group Session
  *You will also have variable amounts of ambulatory clinic time during all of your rotations, except for night float

• PGY-2

  Vacation: 15 days, Education leave: 5 days

  Ambulatory Clinic*	4 weeks
  Night Float	6 weeks
  Elective	6 weeks
  Family Medicine Inpatient Service	8 weeks
  Emergency Medicine	4 weeks
  Surgery/Podiatry	4 weeks
  Newborn Nursery	4 weeks
  Inpatient Pediatrics	4 weeks
  Outpatient Pediatrics	4 weeks
  Ortho/Pediatric Ortho	4 weeks split
  Continuity Nursing Home	1 session every 2-3 months
  Continuity Home Visit	1 session every 2-3 months
  Monthly Educational Peer Group Session
  *You will also have variable amounts of ambulatory clinic time during all of your rotations, except for night float

   

• PGY-3

  Vacation: 15 days, Education leave: 5 days

  Electives	10 weeks
  Geriatrics	4 weeks
  Outpatient Pediatrics	4 weeks
  Newborn Nursery	4 weeks split
  Night Float	4 weeks
  Ambulatory Clinic	8 weeks
  Family Medicine Inpatient Service	6 weeks
  Emergency Medicine	4 weeks
  Pediatric Emergency Medicine	4 weeks
  Continuity Nursing Home	1 session every 2-3 months
  Continuity Home Visit	1 session every 2-3 months
  Monthly Educational Peer Group Session
  *You will also have variable amounts of ambulatory clinic time during all of your rotations, except for night float

Clinic

ETSU Health Family Medicine Kingsport is located adjacent to Holston Valley Medical Center. The newly renovated facility opened in 2016 and includes 20 examination and 2 minor surgery rooms, fully staffed lab, central precepting area, and a large upstairs conference room, as well as offices, administration, and lounge space.

The center contains procedural equipment used commonly in family medicine offices (e.g. 4 US machines, colposcope, nasolaryngoscope, EKG, spirometer, and tympanometer).

Some of the other procedures we do in the office:

• Osteopathic manipulative medicine/therapy (OMM/OMT): we treat many different conditions suing these manual therapies
• Women’s health procedures: nexplanon and IUD insertion and removal, endometrial biopsies
• Joint and trigger point injections
• Skin procedures: shave biopsies, excisional biopsies, lesion removal
• Toenail removal and trimming
• Circumcisions
• Wet prep and skin scraping identification with microscopy

The staff includes 9 full time and 2 part time board-certified family physicians, a clinical psychologist, a pharmacist, a social worker, and a physical therapist. In addition, we have a wonderful group of nurses, front office personnel and a laboratory technician. Our office accepts reimbursement through private insurance, self-pay, as well as Medicare, Medicaid, and other insurance programs.

ETSU Health Family Medicine Kingsport

Hospitals

Holston Valley Medical Center is part of Ballad Health - an integrated healthcare system serving 29 counties of Northeast Tennessee, Southwest Virginia, Northwest North Carolina and Southeast Kentucky. It is fully accredited by the Joint Commission on Health Care Organizations. With 321 beds available, Holston Valley Medical Center offers full acute care facilities, including:

• Recently renovated ED, intensive care unit and operating suites
• Top 50 cardiovascular hospital (IBM Watson)
• Top 50 best hospital for vascular surgery award (2021, 2022, 2023)
• Top 100 in nation for neurological care
• Orthopedics
• Cancer center
• Comprehensive surgical center
• Holston Valley Medical Center's services are complemented by a wide range of community resources. Our residency program enjoys excellent relationships with the hospital administration, as well as medical and nursing staff.

Indian Path Community Hospital is a 239 bed hospital in Kingsport, TN. It has a dedication pediatric emergency department as well as the obstetrical services for the city of Kingsport.

Niswonger Children's Hospital is a 69-bed facility and St. Jude Affiliate Clinic located within the Johnson City Medical Center campus. It is the only children's hospital in the region.