Maine Medical Center’s Family Medicine Residency is committed to providing exceptional training in outpatient care. In addition to caring for patients with a wide variety of acute and chronic problems, residents hone their skills in wellness promotion, patient education, and family-centered care. They are trained to perform numerous office-based procedures and learn valuable practice management strategies.
An important part of the ambulatory experience is the case-based afternoon teaching session in which all residents participate along with community and faculty preceptors.
Either the Falmouth or the Portland Family Medicine Center serves as the home-base for each resident. Residents provide continuity of care to patients of all ages and to prenatal patients. As time in the office increases (two half days per week for first years to 3 to 4 half days for third years), patient panels expand from 100 families initially to 300 by third year.
Residents spend a month each year in the Family Medicine Center, providing full-time Family Medicine Outpatient care. Monthly procedure, colposcopy, dermatology and vasectomy clinics allow residents on outpatient rotations ample procedure experience. Our team-based centers are a good model for future practice, and create good continuity of care for our patients.
FAMILY MEDICINE INPATIENT SERVICE
The cornerstone of inpatient education is our busy, varied, Family Medicine Inpatient Service. The service covers adult medicine, including pediatrics and newborn care. The inpatient team admits patients from the Family Medicine Center, local private physicians’ patients, and unassigned patients who present to the Emergency Department. Supervision of residents is provided by family medicine attending physicians from the community and our Inpatient Service Director. A unique aspect of our family medicine service is our morning report, attended by a multidisciplinary team of a cardiologist, pharmacist, psychiatrist, and ethicist. Daily teaching rounds are presented by residents, the service attending and/or specialists in cardiology, pulmonary, neurology, psychiatry, and radiology.
Tuesday mornings are dedicated to teaching conferences for residents, faculty and our community preceptors. Topics cover the full breadth of family medicine; lectures are provided by family physicians, residents and sub-specialists.
The topics take you through the care of the adult, the care of the child and women’s health. You will explore topics in orthopedics and sports medicine, practice management, dermatology, behavioral medicine and integrative medicine. Our monthly Journal Club and Scholarly Forum brings the residents and faculty together to critically appraise the literature and to discuss research being contemplated or implemented within the department.
Also, one Tuesday session each month is spent at MMC’s state of the art simulation center participating in a variety of high-fidelity simulation activities.
All residents design and conduct a scholarly project during their second and third years of residency. Residents choose between a community oriented primary care project, research project, or a quality improvement project. Project topics are chosen by individual residents based on their interests and are presented at Scholarly Forum.
The COPC projects have had as their goal to help residents learn about population-based care. They define a community, identify a health need, develop a program to address the need, and monitor the impact of the program.
Residents who choose to design and carry out a research project work with the research director and research coordinator to develop a research question, design methods and an analysis plan, develop a funding mechanism if necessary, and take care of any needed approvals from Institutional Review Board or other appropriate bodies. They would then carry out the project, analyze their results and develop a presentation for Scholarly Forum as well as any other presentations or publications that seem appropriate.
Finally, a resident could choose to do a quality improvement project related either to their work in the hospital or the outpatient setting. A faculty advisor would help them design an intervention, a methodology to implement that intervention, and a measurement system to assess the success of the project.
Our curriculum in Complementary and Integrative Medicine describes the principles, safe use and appropriate referral for selected CAM therapies as well as effective communication with patients about their personal choices in complementary and alternative health care. It is designed to weave these ideas and experiences throughout residents' three-year program. Our goal is to develop physicians who will model a healthy lifestyle and be more collaborative and relationship-centered in their approach to medical care. Having evaluated the evidence, experienced the therapies, and built collaborative relationships with community practitioners of CAM, residents will understand and be in a better position to evaluate and incorporate approaches to healing that are often considered to be outside the conventional medical paradigm.
We are excited about our latest project to further enhance integrative medicine education. Along with our colleagues at the University of Arizona, MMC is one of a small group of family medicine residencies participating in the Integrative Medicine in Residency (IMR) program. IMR is an optional in-depth competency-based curriculum in integrative medicine, designed to be incorporated into the typical three-year residency program. Central to IMR is a common web-based curriculum, program-specific experiential exercises and group process-oriented activities.
In addition, our program is one of a select grouip of family medicine residencies that offer a fellowship program in Integrative Medicine. For more information, please follow this link to our IFM Fellowhip, or contact Craig Schneider, M.D. IFM Program Director, or Veronica Labbe IFM Program Coordinator
Portland, Maine is home to immigrants, refugees, and migrants from all over the globe. As a Catholic Charities Refugee Resettlement site, over the past three decades Portland has seen extensive immigration from Eastern Africa ,Southeast Asia, Eastern Europe, and Latin America. In the city of Portland alone there are people from more than 80 different countries. Maine Medical Center provides care to many of these patients and in the past year, the interpreter services department has had more than 60 different languages requested. As physicians practicing in and around the Portland community, residents will have ample exposure to international medicine.
Residents receive a wonderful introduction to the Portland and Falmouth communities through the 2nd year Community Medicine and Integrative Medicine month. After completing the internship year, the resident class is reunited during this much anticipated month. Time during this month is divided between community medicine and integrative medicine with the goal of helping residents learn more about the community in which they live and work. The residents will learn more about and directly from local refugees, immigrants, and migrant workers.
Residents are able to utilize their resident salary, health insurance, and CME funds to participate in international electives. There are numerous contacts and connections for international experiences within the department. Previous residents have gone to the Guatemala, Malawi, Haiti and Vietnam to name a few.
There is a very robust interest in international health among residents and faculty at MMC Family Practice. A group meets monthly to discuss international health topics, readings, and documentaries over dinner. We also work on various projects and collaborations both abroad and within the local community.
Adolescent patients may be the most challenging, yet rewarding patient populations that family physicians have the privilege of treating. We provide a variety of residency experiences to ensure that our graduates understand the issues that are unique to this patient population and that they feel proficient and comfortable.
Opportunities for exposure to adolescent health include treating continuity patients in the Family Medicine outpatient arena, exposure during the outpatient pediatric portion of the curriculum, and time spent in our Family Medicine Teen Clinic. The Family Medicine Teen Clinic was founded in 2004 by a group of Family Medicine Residents and is resident-driven. The goal of Teen Clinic is to provide young people with health care that focuses on wellness in a safe, confidential, caring environment. Teen Clinic is supervised by Vicki Hayes, MD, a clinical faculty member subspecialty board certification in adolescent medicine and extensive experience in college health.
Opportunities also exist for a more in-depth experience in adolescent medicine through selection of a focused, longitudinal pathway or a one-month elective experience. Residents are invited to choose from a menu of opportunities that includes experience in college health, development and chronic disease exposure, health care delivery to incarcerated youth, time with homeless teens, participation in an eating disorders clinic and more.
Experience adolescent medicine and have the chance to make a difference in a young person's life!