Preventive medicine is the medical specialty which focuses on the promotion, protection, and maintenance of health and well-being, the prevention of disease, disability, and the premature death of individuals in defined populations. Residents in this program will meet all the requirements to sit for the ACGME Board examination in Preventive Medicine, and our graduates will take and pass the General Preventive Medicine and Public Health Board examination following completion of the program.
The educational program in preventive medicine will run 24 months consecutively. This includes broad-based public health and preventive medicine education followed by focused general preventive medicine practical experiences.
Our sites include the sponsoring institution: MMC as the main home site for clinical activities; UNE School of Public Health for MPH, Portland Public Health for general preventive medicine and government public health, VAMC for general preventive medicine and clinical preventive medicine, and Maine Health organizations for clinical and general preventive medicine rotations.
Length of Training: All residents in our Preventive Medicine Program must complete 2 consecutive years of the training program, including the courses for a degree of MPH or equivalent. We will work with UNE School of Public health for this degree and that coursework and for additional guidance and supervision of the practicum project.
Prerequisites: As per all ACGME accredited Preventive Medicine Programs, the applicants must have already completed at least 11 months of an ACGME residency with documented skills in basic medical care, clinical care, assessment, integration of information and making a care plan.
Additionally, our program will recruit two residents per year, who will have completed a primary residency or fellowship (family medicine, primary care or specialty medicine, pediatrics, infectious disease, obstetrics, anesthesia, surgery and subspecialties, radiology, etc.). Applications from residents who have not yet completed their primary program will be considered on a case by case basis, depending on specialty. We will not accept residents at PGY-2 level.
Preventive Medicine Curriculum
Public Health and General Preventive Medicine
Resident education must take place in settings where decisions about the health of defined populations are routinely made and where analyses and policies affecting the health of these individuals are under active study and development.
1) Resident clinical experiences must include participation in learning activities related to the current recommendations of the US Preventive Services Task Force.
2) Residents must have a minimum of two months of direct patient care experience during each year of the program.
3) Residents should be assigned to sites appropriate for specific learning activities, including hospitals, managed care organizations, health departments, non-governmental organizations, and community-based organizations.
4) Residents must have a minimum of two months (or equivalent) experience at a governmental public health agency.
5) Residents will complete the coursework necessary to get an MPH or equivalent degree.
Competencies and Milestones
The competencies include: Patient Care and Procedural Skills, Medical Knowledge, Practice-based Learning and Improvement, Interpersonal and Communication Skills, Professionalism, Systems-based Practice.
We have a specific document which delineates these competencies and the rotations in which we expect the residents to obtain exposure and expertise in the General Preventive medicine specific competencies and milestones.
Regularly scheduled didactic sessions (including MPH courses, public health and general preventive medicine: advanced applied epidemiology (to include acute and chronic disease); advanced biostatistics; advanced health services management; clinical preventive services; and risk/hazard control and communication.
Resident evaluations will be ongoing and will be completed by staff and faculty of the individual rotation, and collated into summative and formative review every 6 months for resident tracking of progress towards milestones and practicum experience. Rotation evaluation by the resident, and evaluation of program and of faculty and of sites will occur on a yearly basis by residents, and by the Program Evaluation Committee (made of faculty, staff, one resident and community members).
Residency Advisory Committee will also guide the program and assure meeting of standards and implement innovation.
Resident duty hours, policies on moonlighting, process for grievances and dealing with transitions of care are all delineated, following MMC general policies.