Our Educational Philosophy and Curriculum
As adult learners in the 21st century, our residents have a myriad of educational opportunities through which they are able to grasp the full scope of family medicine and be prepared for any type of clinical practice. Along with our strong academic partnership with New York Medical College, we have the best combination of a diverse patient population along with an unopposed program here at Hoboken University Medical Center. This allows for a complete educational experience for our doctors in training.
Our curriculum meets all residency review requirements for Family Medicine. It is designed to provide residents with a comprehensive background in the broad aspects of this specialty. This includes a strong ambulatory care experience focusing on a team-based approach and the patient centered medical home (PCMH) philosophy, along with exposure to inpatient, pediatric and geriatric care. We believe in the family physician’s role to care for patients throughout their life cycle and in various environments.
In addition to block rotations, residents receive an in-depth longitudinal experience in areas including but not limited to practice management, ambulatory care, behavioral health, radiology and orthopedics/sports medicine.
Fostering strong doctor-patient relationships is a core skill stressed in our Family Medicine Residency Program. Along with following their continuity patients throughout their ambulatory rotations, our residents also make home visits to care for home-bound patients and those discharged from the hospital as needed. They also see patients in the nursing home setting.
There are many modalities by which learning is fostered. Evidence-based medicine is at the core and residents have a variety of resources available for patient care and learning.
Morning and After12:00 p.m. Conferences are designed to offer an array of topics presented in the form of case-based conferences, interactive discussions, and board review.
During case studies, family medicine residents develop presentation skills, which illustrate the diagnosis and management of common and unusual disease processes. Discussions of differential diagnoses, appropriate testing, and referral management provide an integrated approach to patient care.
Grand Rounds are held weekly and include prominent guest speakers discussing a broad spectrum of topics.
Workshops are presented on specific skills vital to the practice of family medicine. Topics include motivational interviewing, suturing techniques, casting and splinting, joint injections, ACLS review, and the musculoskeletal exam. We do learning OSCEs and role playing to teach and evaluate clinical and supervisory skills.
Residents have a lot of fun with these hands-on sessions. The sessions provide the opportunity to practice techniques in a safe, supportive environment while fostering cooperation and teamwork.
We have two types of journal article reviews. Twice a month, residents actively participate in our American Family Physician reading and discussion supervised by a faculty member and a designated resident. We also review articles focusing on research methodology and evidence-based medicine to improve our clinical practice.
Monthly didactic after12:00 p.m. sessions
Twice a month all residents attend a learning session where we include special monthly topics which may include a review of the American Board of Family Medicine Self-Assessment Modules. We utilize interactive learning strategies.
Research and Scholarly Activities
Residents are expected to pursue scholarly activities. Many residents choose to do a quality improvement project as the focus of their work as this is directly applicable to clinical practice. Our faculty provides strong support in these endeavors, and also works closely with the residents throughout the process of hypothesis formulation to presentation. Residents present their work at our hospital Grand Rounds, and various other venues such as New York Medical College (NYMC) Research Day, and the New Jersey Academy of Family Physician (NJAFP) Scientific Assembly.
Here are examples of some of the residents’ projects:
- Can Educating Patients and Staff Regarding the Flu Vaccine Improve Vaccination Rate at the Neighborhood Health Center (NHC)? NJAFP Poster Award Winner 2017
- Efficacy of group physical therapy for the treatment of knee osteoarthritis
- Are we appropriately utilizing metformin for patients with prediabetes at the Neighborhood Health Center (NHC)? NJAFP Poster Award Winner 2018
- Improving optometry referral system for diabetic patients at the Neighborhood Health Center
- Gestational Diabetes: Rates of Postpartum Testing at the Neighborhood Health Center
- Determining a correlation between the create your plate nutritional guide and weight loss in pre-diabetic and diabetic patients at the Neighborhood Health Center
- Do daycare facilities adhere to exercise recommendations for infants/toddlers
- Chlamydia screening in sexually active women at the Neighborhood Health Center
Our resident ambulatory care experience is based on the philosophy and principles of the patient centered medical home/family medicine practice (FMP). It focuses on a team-based approach and promotes clinical excellence, while maintaining strong partnerships with our patients. This year we were one of a few programs selected to participate in the national Clinic First Collaborative through the Association of Family Medicine Residency Directors.
All residents have designated continuity care days per week, with the number of days varying depending on the rotation and year of residency. In addition, all residents have blocks of time focused solely on outpatient care at the Neighborhood Health Center. Along with seeing their continuity patients, the residents also have same day slots for walk-in patients or urgent issues for their patients. Residents also participate in practice improvement projects and act as resident preceptors to Ross University and NYMC medical students.
Our residents have an excellent team of outpatient role models. Along with our well-rounded Family Medicine preceptors, throughout the course of 3 years, our clinical psychologist offers behavioral health guidance and feedback on resident-patient encounters. We also have a psychiatric nurse practitioner on staff to assist with outpatient management of psychiatric illness and psychotropic medication management. Our faculty pediatrician offers assistance to our residents through discussion of pediatric cases. We have a dedicated behavioral health therapist who assists with short term counseling and care coordination.
The Residency program follows an integrated model of healthcare where residents not only provide medical care to their patients but also tend to their psychological needs. All residents obtain training on the diagnosis and management of psychiatric illnesses. Our residency program requires all first year residents to partake in a two week educational experience. On this rotation the resident gains exposure to our inpatient child, adult, and geropsychiatry units as well as our outpatient psychiatry departments. Our outpatient programs include substance abuse, partial care, and outpatient therapy programs. Furthermore all residents rotate with our faculty psychiatric nurse practitioner in our Neighborhood Health Center.
Our faculty psychologist supervises this training experience which includes real time observations of the patient interview with immediate constructive feedback, didactics, workshops, and presentations on behavioral health topics. The resident is taught how to identify psychological and emotional difficulties as well as instructed on how to implement short-term therapeutic techniques to help their patients.
Maternal Child Health
Family medicine residents are in a unique position to offer family centered maternity and newborn care. It is what sets us apart from other specialties, the ability to care for whole families before, during and after the birth of a child. Our goal is to assure each resident develops the skills, knowledge and attitudes required to deliver high quality and comprehensive preconception, prenatal, intrapartum, postpartum, ongoing gynecologic, medical, and well-child care for a family upon completion of training. Our first year residents learn maternity care in an unopposed program from family medicine faculty, obstetric and pediatric hospitalists. Residents follow a panel of continuity prenatal patients, deliver their babies and provide immediate and longitudinal care for the family. Residents assist in delivering patients via cesarean section and assist in operative gynecology procedures. Furthermore, we provide a maternal child health track for residents who want to graduate with advanced skills in maternity care.
The goal of our Practice Management curriculum is to prepare our residents for the realities of medical practice so they can enter the work force with the confidence and expertise needed to run efficient quality driven medical homes. We have a formal didactic and longitudinal curriculum. The didactic portion includes lectures on topics including but not limited to billing and coding, risk management, quality, safety, and EHR.
Our longitudinal curriculum lends itself to “learning by discussion” over the course of 3 years via daily experiences along with one-on-one coaching by faculty on practice management issues, i.e., preceptor guidance in proper coding as residents see patients; an advisor’s advice regarding office conflict resolution; and daily monitoring of scheduling factors such as no show rates, late arrivals, and length of visit. We conduct health center operations meetings which allow residents to be well informed about the practice. Residents are encouraged to be active participants in clinical operations.
Residents also have blocks of time during each year where they are “outpatient charge” and focused solely on their ambulatory care experience. During this time, they are encouraged to work on practice and quality improvement projects.
COMMUNITY OUTREACH ACTIVITIES
CarePointhealth does a large number of community activities in which the residents and faculty participate. These include hospital and community sponsored health fairs providing education and services to our community. Residents have also participated in community runs and the NYC marathon as part of the medical team.
Community Oriented Primary Care (COPC) Program
Every year we focus on a community-based project. Past projects have included working with the HOPES Headstart Pre-school Program focusing on childhood obesity and mentoring Hoboken high school students’ projects. We have also focused on needs for our patient population including education regarding sexually transmitted infections.
We are the school physicians for the Hoboken school system. Our residents perform pre-participation sports physicals, and during football season residents go to high school football games and work alongside the team physician and trainer.
Click Here to view our three-year curriculum requirements.