Skip to Content

Additional Content In This Section

Altru Family Medicine Residency

The Family Medicine program offers outstanding inpatient and outpatient experiences.  Residents are supported by Altru’s comprehensive team of skilled providers while their personal patient practices meet or exceed accreditation requirements in all areas providing superior learning opportunities.  The support staff is dedicated solely to the Program and computerized records and on-line dictation complete an outstanding educational environment.

For prospective resident information, call (701) 780-6810.  For patient care services call (701) 780-6800.

Goals & Objectives

Goal:

To produce family physicians capable of, and dedicated to, meeting the needs of patients in challenging circumstances, with self sufficiency and reliance and commitment to professional growth.

Objectives:

  • An optimal learning environment based on strong ambulatory and inpatient experiences.
  • Clinical curiosity and self-evaluation skills.
  • Attainment of competence in medical knowledge, patient care, practice-based learning and improvement, interpersonal and communication skills, professionalism and systems-based practice.
  • Appropriate self confidence by encouraging autonomy commensurate with development.
  • Strong role modeling from experienced clinicians combining scholarship and substantial practice.

Rationale:

Family physicians enjoy a relationship with patient and family that includes trust and obligation. The most effective possess strong interpersonal and communication skills and their care shows responsibility and professionalism.  Effective care requires sound medical knowledge and rigorous clinical logic.  Further, since contemporary practice involves complex, systems of health care delivery, experience of systems and resource utilization is fundamental.  Finally, since knowledge changes constantly, physicians must be adept at reading scientific literature, be able to separate the good from the bad, and be able to integrate those advances that are genuinely beneficial into daily practice.

Facilities

The Residency Program, part of Altru Health System, is located 1.2 miles north of Altru's main campus between the university campus and a residential area.  It is equipped with 27 exam rooms, conference rooms with multimedia capability, a medical library, lab and x-ray facilities, obstetrical ultrasound, colposcopy, EKG, stress testing and multiple other facilities appropriate to the care of ambulatory patients.  Readily available Internet access allows residents to quickly locate relevant information and supports the program's commitment to evidence-based medicine (see Scholarly Activity).  Each resident has his/her own workspace and is provided with a laptop. There is also direct access to the health system’s computerized medical record for easy access to laboratory results and other data.

Benefits

  • FIRST YEAR
    • Stipend - $52,407 per year (fiscal year 2013-2014)
    • Uniforms and laundry are provided
    • On call meals
    • Health insurance coverage for the residents and their families will be provided
    • Malpractice, liability, and disability insurance will be provided
    • Vacation consisting of fifteen working days
    • Medical education leave consisting of five working days
  • SECOND YEAR
    • Stipend - $55,361 per year (fiscal year 2013-2014)
    • Uniforms and laundry are provided
    • On call meals
    • Health insurance coverage for the residents and their families will be provided
    • Malpractice, liability, and disability insurance will be provided
    • Vacation consisting of fifteen working days
    • Medical education leave consisting of five working days
  • THIRD YEAR
    • Stipend - $56,253 per year (fiscal year 2013-2014)
    • Uniforms and laundry are provided
    • On call meals
    • Health insurance coverage for the residents and their families will be provided
    • Malpractice, liability, and disability insurance will be provided
    • Vacation consisting of fifteen working days
    • Medical education leave consisting of five working days

Admission

Please see "Application" at gfresidency.com.

Electives

Interested medical students are encouraged to consider an elective in family practice in the program.  Students serve at an intern level and assume patient care responsibilities with the Family Practice Teaching Services as well as participate in office visits at the Center.  Electives are also available in Obstetrics and Sports Medicine.

Questions

If you have questions about admission requirements or other items about the program, please contact Dr. Greg Greek, Program Director, or Pam Carlson, Residency Coordinator at:

Mailing Address:

Altru Family Medicine Residency
725 Hamline Street Grand Forks , ND 58203
Telephone: 701-780-6810
Fax: 701-780-6817

Greg Greek, MD
Program Director

Pam Carlson
Residency Coordinator
pcarlson@altru.org

Resident Databases

The residency program maintains two important databases, the resident-experience database and the hours-worked database, and a custom-designed database reader. A common entry screen in the database reader gives access to both, and the reader permits significant customization of views, including graphic presentation.

The first - the resident experience database - allows residents and faculty to monitor individual experience opportunity, discuss modifications if necessary, and to act as supporting evidence for residents application for procedural privileges after graduation. Data can be viewed by individual resident and procedure, by comparison with other residents, by level of responsibility granted to the resident, by degree of educational satisfaction gained by the resident, whether or not feedback was given etc.

The database reader will also construct graphic views 'on the fly' based on any logged procedures. This permits graphic comparison with other residents and allows residents to draw their own appropriate conclusions about their training and progress.

The second - the hours worked database - keeps track of  residents' duty hours, including lecture attendance and preparation for presentations, together with hospital teaching service attendance etc. This database safeguards resident well being, allows faculty to monitor program progress. 

Sports Medicine

The sports medicine program was developed in the early '80's to improve residents’ joint and extremity assessment skills.

The University already had a strong collegiate athletic presence with NCAA I and II national titles. This made it possible to develop a relationship with the athletic department as a result of which the residency program supplied team service to the major sports while the University athletes provided a learning laboratory for the residents.

Based on the success of this collaboration, an approved curriculum in athletic training was developed into a  Bachelor of Science in Athletic Training housed in the School of Medicine. This unique program has been described frequently as a model for athletic training, and the family medicine residents are afforded a unique learning opportunity if they so wish. The faculty now includes MD faculty from the residency program, athletic trainers and physical therapists from the division of sports medicine's 'Center for Sports Medicine'.

Residents fulfill all requirements of the Residency Review Committee in sports medicine education including didactic content and the performance of pre-participation examinations. Each year, the program performs 500 collegiate athletic and 300 high school athletic pre-participation exams. Residents perform the majority of these evaluations under the supervision of MD, Athletic Training, and Physical Therapy faculty, either in the FPC that has video monitoring in every examination room or in the Medical School's Center for Clinical Education, equally well configured for clinical teaching. The didactic component is provided by the delivery of core content jointly to the athletic training students and residents.

A small number of residents are given the opportunity to acquire additional training by team service. Such service is always provided for football, men and women's hockey and men and women's basketball. With specific resident interest, it may also be provided for women's soccer, swimming, and volleyball. The residents attend all home games, and provide immediate sports medicine services for the teams and athletes. On-site faculty backup is present.  Where possible, athletes in these teams will be directed to those residents, for their routine primary care at the Grand Forks Family Medicine Residency.

The facilities are exemplary. The Ralph Engelstad Arena is probably the finest example of its type in the country, and the medical facilities include a microwave C-arm on site, a sealed underwater treadmill with infrared camera monitoring, and training and rehab facilities that have been visited by several professional sports organizations. The Grand Forks Family Medicine Residency itself has state-of-the-art digital radiography. As always, the acquisition of advanced skills by a particular resident requires additional rather than alternative work, but the opportunity provided is unique.

Although several graduates have entered fellowships in sports medicine, it is not our goal to develop ‘musculo-skeletal specialists’. On the contrary, sports medicine at the residency program is regarded as the primary care of the athlete, including the care of exercise-induced asthma, evaluation of murmurs, treatment of common infectious disease, and recognition and support of mood disorders. In short, comprehensive family medicine within a specially defined population is emphasized. As such, the sports medicine component is concordant with the goals of the residency program and the skills gained as applicable to practice in a small community as to a specialized setting in a large community.

OB Fellowship

Since the beginning of the residency in 1977, the residents have regarded obstetrics as a particularly strong experience.  Initially as a 4-4-4 program, the responsibilities of 24- hour coverage were shared with the medical school's obstetric residency program.  Eventually though, that program closed, the Mayo Clinic continued to send residents from their Family Medicine Residency Program to augment their obstetrical training.  In time, Mayo's residents were replaced with residents from the Fargo Family Medicine Program.  Grand Forks will still accept outside residents but as we now have a 6-6-6 program, call coverage is sufficient without external residents.

Always, the driving force has been the community's obstetricians' and family physicians' enthusiasm for teaching coupled with a strong patient base.  Outstanding obstetric skills continue to be provided to our own residents as well as to residents from other programs who wish to pursue an elective OB rotation in Grand Forks.

An enthusiastic and outstanding teaching environment, coupled with the unique needs of a rural population, seemed a natural fit and a year long fellowship in Obstetrics evolved.

Basic Goals:

  • Management of general labor and delivery patients
  • Triage of  obstetric patients
  • Management of High Risk OB patients
  • Competence in the surgical management of obstetric patients, including caesarean sections and tubal ligations

Goals within the anesthesia component include:

  • Preoperative assessment of the labor patient and fetus
  • Appropriate resuscitative equipment and drugs
  • Pain management options for the laboring patient, risks and benefits of individual anesthesia choices
  • Complications and management of anesthesia procedures
  • Emphasis of current anesthesia guidelines and recommendations
  • Post anesthesia care
  • Resuscitation of the labor patient and infant

Additional Goals:

  • Recognition of special needs infants, appropriate genetic testing and follow up
  • Diagnosis and step management of infertility
  • Competence in office Ultrasound for obstetric patients
  • General understanding of liability issues in providing obstetric care

The first two fellows were accepted for a July 1, 2007 start and the program appears to be poised to fulfill its goals.  An on-line application form can be found under "OB Fellowship" at gfresidency.com.

Services