Family Medicine Outpatient Elective

NH Dartmouth Family Medicine Residency offers a family medicine 4th-year elective rotation with an outpatient emphasis. Students are assigned primarily to either our Concord or Hillsboro sites 30 — minutes from Concord Hospital.

In our outpatient clinic experience, you provide direct patient care for patients’ biopsychosocial needs throughout the life cycle. You will have an assigned preceptor, either a resident or faculty attending to discuss patient care planning and to provide feedback. As part of the rotation, you are scheduled to join our elder care team for home and nursing home visits, attend our refugee care clinic, and musculoskeletal clinic and participate in our complex care planning sessions with residents and faculty. You also attend Morning Report, a resident-led case and topic review session three days per week, and the Wednesday afternoon teaching sessions. When assigned to our Concord site, you will spend a half day in our Hillsboro site seeing patients with a resident or faculty. Accordingly, when assigned to our Hillsboro site, you will have experiences at our Concord site.

You provide clinical care in collaboration with our interdisciplinary team, including integrated behavioral health clinicians assigned to each clinical team, medical assistants, nursing staff, our dental care team, nurse navigators and patient care coordinators.

You collaborate with your preceptors, including second and third-year residents and family medicine attendings, to care for patients four to five days per week. A typical day starts at 7:30 am when you attend Morning Report, then huddle with the assigned resident or faculty and clinical team at 7:50 am. Patient visits are from 8-5, breaking for lunch from noon to 1 pm.

• You take a complete history, perform physical examinations and generate management plans related to the patient's condition.
• You have access to consult literature resources as appropriate to incorporate evidence into patient care.
• You write a note in the patient’s medical record to be reviewed and co-signed by your preceptor for the patients you see.

During the final week of the rotation, you present a Morning Report case based on a patient experience you had during the rotation.

You will spend one day during the rotation with the inpatient medicine team to gain an understanding of the resident experience caring for patients admitted to Concord Hospital.

You will receive formative feedback from faculty at the mid-point of the rotation, and summative feedback at the end. This is based on aggregated input from the resident and faculty teachers with whom you worked. We also invite you to share your feedback about your experiences with us.

If you are interested in an experience with us, please complete our application and provide related documentation. We strongly suggest advance planning, as our available slots fill quickly every year.