Primary Care Track
As our healthcare system redefines itself with the goal of accomplishing the Triple Aim (improving the quality and patient experience of care, improving the health of populations, reducing the per capita cost of health care), the sense of opportunity, excitement, and innovation within primary care medicine has never been greater. Just as primary care is the foundation upon which our healthcare system is built, the experiences gained in our Primary Care Track serve as the foundation for MMC Internal Medicine residents aspiring to careers in primary care medicine.
We are excited to offer a unique primary care track for residents with a passion for primary care. With its focused clinical and didactic programs, flexibility, and mentorship, the primary care track serves as the intellectual home base for residents on their journey to careers in general internal medicine and primary care.
Residents may declare their interest in joining the primary care track during the PGY-1 year, with a competitive application and selection process occurring toward the end of the PGY-1 year. Upon selection into the track, the primary care track content (outlined below) is then incorporated into the residents’ PGY-2 and PGY-3 schedules.
The track allows flexibility such that each resident can design their training to best suit their individual career goals. Primary care residents may choose concentrated experiences with underserved urban populations, rural primary care, private practice, medical education, population health, or research.
Specific elements of the Primary Care Track include:
Residents in the Primary Care Track are paired with a mentor from the Portland general internal medicine community. These mentors are practicing general internists who are committed to fostering the professional and personal growth of residents. Primary care track residents meet with their mentors four times a year. Mentors also serve as core faculty members for the primary care track conferences and clinical experiences.
Ambulatory Morning Report:
Once a month our morning report conference is dedicated to case-based discussions of the evaluation and management of common ambulatory internal medicine topics. The conference is supported by members of the Primary Care Track core faculty.
Primary Care Journal Club:
Primary care track residents and core faculty meet once a month for a one hour conference dedicated to a review of the current literature for general internal medicine.
Primary Care Core Curriculum:
As part of the Primary Care Seminar blocks, primary care track residents participate in a core curriculum unique to the primary care track. This curriculum complements the existing “pre-clinic conference” curriculum currently offered as part of our ambulatory “+2 blocks”.
Rotations and Clinical Experiences
Primary Care Seminar Blocks:
Twice yearly, a two week Seminar Block unites the primary care residents for a set of clinical and didactic experiences unique to the primary care track. Each Seminar Block is themed to include a core curriculum of topics and experiences pertinent to primary care medicine.
Ambulatory Long Blocks:
Highlighting the flexibility of the track content, residents have the opportunity to design eight week blocks each year dedicated to ambulatory medicine. During these blocks, in addition to immersion into their own continuity clinic practices, residents may choose additional experiences that suit their specific learning needs or career goals.
As part of their ambulatory “+2 blocks” in our 4+2 scheduling system, residents in the Primary Care Track have the option to add ½ day sessions within their own continuity clinic site, or add a “second clinic” at InterMed, a large general internal medicine and multi-specialty group practice located in close proximity to Maine Medical Center.
Primary care residents perform home visits on patients chosen from their continuity clinic panel, with the goal of learning how to effectively incorporate home visits into their future primary care practices. These visits are mentored by dedicated teaching faculty who regularly conduct home visits.
Primary care track residents have the flexibility to choose from a large menu of outpatient elective opportunities. Electives are available in addiction medicine, dermatology, geriatrics, osteopathic manipulation, palliative care, podiatry, psychiatry, rural medicine, sports medicine, urgent care, urology, women’s health, and wound care.
Primary care track residents can participate in local primary care outreach efforts at the Portland Community Free Clinic and the Preble Street Resource Center.
Primary Care Advocacy:
Through the Maine Chapter of the American College of Physicians (ACP), primary care track residents can participate in advocacy efforts at the state and federal levels.
Twice yearly the residents and core faculty of the Primary Care Track gather to share a meal, network, and enjoy a discussion with an invited speaker.
Local and Regional General Internal Medicine Meetings:
Primary care residents attend the annual educational meetings of the Maine Chapter of the American College of Physicians (ACP) and New England Region of the Society of General Internal Medicine (SGIM).
Internal Medicine Interest Groups:
Primary care residents serve as representatives for the MMC Internal Medicine Residency-Primary Care Track to the Internal Medicine Interest Groups of the Tufts University School of Medicine-MMC Maine Track and the University of New England College of Osteopathic Medicine.