NH Dartmouth Family Medicine Residency

This database is no longer actively maintained and is here for archival purposes only

Organization Type: 
Educational Institution
Program Type: 
Education Level: 
Postgraduate (e.g., residency, fellowship)
Educational Elements: 
Self Reflection Activities
Experiential not including services to patients
Program Description: 

As the leading division of the Concord Hospital Medical Group (CHMG), a group of nearly 200 primary and specialty care physicians, the NH Dartmouth Family Residency program has led CHMG in the patient centered medical home (PCMH) evolution and, more recently, into becoming an Accountable Care Organization. The use of multidisciplinary teams, medical informatics, group visits, and care plans for both urgent care and for complex patients are all examples of innovation currently in use in the clinics. The residency program is an 8-8-8 program with a multidisciplinary faculty that includes family physicians, obstetricians/gynecologists, pediatricians, behavioral health specialists, geriatrics, nursing leaders, and social workers.  A rural continuity clinic experience for two residents from each class is offered by the program as well as a combined family medicine/preventive medicine residency that focuses on quality improvement within the clinical microsystem.

Based on a “systems” module, concepts are introduced on systems thinking, teamwork, and collaboration to family medicine residents.  This module encompasses two weeks during the post graduate year 1 (PGY1) and one week during the PGY2 and PGY3 years. Throughout the program, reflective exercises, didactics and shadowing are all utilized in combination with organizational development curricula such as “Positive Power and Influence”, “Situational Leadership”, and “Crucial Conversations.”  Each day of the program features a different topic. Examples from the PGY1 curriculum include: 1) Approaching Complexity in Health Care; 2) Healers Art and Hero Myth; 3) Motivational Interviewing; 4) Healers Art and Motivational Interviewing; 5) Simulation Lab and Learning; 6) Retreat, 7-8) Situational Leadership; 9) Learning Conversations and Relationship Based Care; and 10) Relationship Based Care and Wrap Up.

The program has achieved Level 3 PCMH recognition from the National Committee of Quality Assurance. 

Program Results: 

Participants have shown an increase in awareness and utilization of learning organization skills such as inquiry, advocacy, reflection, and feedback, as a result of this training program. 

Targeted Professions
Family Medicine
Registered Nurses
Social Work: 
Medical social work
Medical Assistants
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
Coordinated Care Competencies: 
Interprofessionalism & interdisciplinary team collaboration
Team leadership
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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