Family Medicine Residency - Medical Home Port

Naval Hospital Pensacola is a 67-bed capacity medical and surgical facility averaging about 3,300 admissions and 230,000 outpatient visits annually. The Family Medicine Residency program offers a full Military Health System curriculum that utilizes lectures/didactics, self-reflective activities, and experiential training in order to produce residents who are competent in all fields of health care. The program also features a medical home elective (Medical Home Port) wherein residents learn how the medical home works, as well as how the Military Health System functions.

During Post Graduate Year 1 (PGY1), students have a panel of 75 patients and are in the clinic for 1 half-day per week. Residents participate in four to eight-week rotations that include the fields of gynecology, dermatology, emergency medicine, adult medicine inpatient service, general surgery, intensive care unit (ICU), military medicine, night float, obstetrics, orthopedics, and pediatrics.

During PGY2, the residents’ panel size increases to 200 patients with 2 to 3 half-days per week spent in the clinic. Residents participate in two to eight-week rotations in the fields of ear, nose and throat (ENT), ICU, adult medicine inpatient service, neurology, neonatal intensive care unit (NICU), night float, obstetrics, ophthalmology, primary care sports medicine, pediatrics, research, and other electives.

During PGY3, the students will see 350 patients with clinics 3 to 4 half-days per week.  Rotations are two to eight-weeks in the fields of cardiology, community medicine, dermatology, electives, family medicine clinic, adult medicine inpatient service, night float, pediatrics, psychiatry/pediatrics psychology, radiology, research, sports medicine/physical therapy, surgery-outpatient, trauma surgery, and urology.

During clinic rotations, residents are expected to meet the following competencies: 1) PGY 1/2/3 - Exhibit outstanding professionalism, patient care, and interpersonal skills in the care of outpatients; 2) PGY3 - Understand the basic principles of clinic management and implementation of the medical home; and 3) PGY3 - Understand methods for evaluation of personal practice patterns.

In the Medical Home Elective Rotation, residents develop knowledge concerning the Navy Medical Home Port model.  Specifically, residents learn to: 1) Verbalize the Navy goals for primary care manager continuity, access to care, and emergency room utilization; 2) Understand the importance of clinic templates, appointment types and booking rules; 3) Implement asynchronous messaging into clinical practice; 4) Explain the benefits of embedded clinical support providers and list examples of such found in the family medicine clinic; and 5) Articulate full-time equivalent (FTE) reductions and how they relate to panel size.