Family Medicine Residency

Organization Type: 
Not For Profit
Program Type: 
Standing Program
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Lecture/Didactic
Independent Study
Experiential including clinical contact with patients
Program Description: 

The Lancaster General Health Family Practice Residency Program is a dynamic training opportunity in comprehensive health education and care delivery, provided to a diverse population in terms of age, gender, ethnicity, religion and socio-economic status.

The first-year curriculum provides in-hospital training combined with an introduction to ambulatory care and one half-day per week continuity experience in the family practice center.  Rotations include two months each in: family practice inpatient service, obstetrics, inpatient pediatrics, emergency medicine; and one month each in: internal medicine, cardiology, general surgery, behavioral medicine, and community medicine. 

The second and third years provide a continuum designed to sharpen and expand inpatient and outpatient skills, focusing on the healthcare team. Continuity experiences are maintained and enhanced in both the downtown family practice center and at the Walter Aument center in Quarryville. More emphasis is placed on the personal responsibility of the resident in the care of his or her own patients, including diagnostic procedures (colposcopy, sigmoidoscopy, treadmill stress testing). Second and third-year residents are assigned to a community agency to gain experience in attending board meetings and providing professional advice to service agencies, which complements longitudinal community medicine experiences.

This program offers residents opportunities to participate in required and elective rotations, areas of concentration to explore specific interests and career preparation, weekly didactic conferences, and bloc curriculum emphasizing individual knowledge sets for each residency class (first year – address knowledge and skill sets deemed essential for a successful transition to residency; second year –procedural training and associated practice management; third year -  practice management, career planning and development, and a forum for contemporary clinical topics and controversies).

Lancaster General Health utilizes EPIC medical records, offers two clinical sites for residents (one rural and one urban), participates in the Pennsylvania Academy of Family Physicians – Residency Program and Community Health Centers Collaborative, and has achieved National Committee of Quality Assurance (NCQA) level 3 patient-centered medical home (PCMH) recognition.

Evaluated: 
Yes
Targeted Professions
Physicians: 
Family Medicine
Nursing: 
Nurse Practitioners
Registered Nurses
Licensed Practical Nurses
Social Work: 
Medical social work
Other: 
Our office has 2 behavioralists a clinical social worker and a clinical pharmacist
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Assessment of biopsychosocial needs across the lifespan
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Health information technology, including e-communications with patients & other providers
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Assessment of patient outcomes
Evidence-based practice
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
Accessible Care Competencies: 
Promotion of appropriate access to care (e.g., group appointments, open scheduling)
Last updated November 15, 2013

* Please note: Information contained in this database is self-reported by representatives from each program. It does not represent an exhaustive list of education and training programs and inclusion does not constitute an endorsement from the PCPCC.

 

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