Primary Care Training Program
Welcome to the Primary Care Training Program at BUMC!
Our program is driven by compassionate and motivated trainees and faculty who are committed to providing exceptional care for all patients in our community. From practicing primary care in a variety of Boston’s neighborhood health centers to advocating for the rights of immigrants and refugees, our residents receive a collaborative and rewarding training experience unlike many others. Together with our faculty, trainees and community members, the PCTP is a family within the larger residency program and we are proud to welcome you to explore our program.
Catherine Rich, MD
Director, Primary Care Training Program
How We are Different:
Our program has a mission to train future physician leaders in Primary Care who are deeply committed to the care of the urban underserved. We accomplish this in a collaborative, collegial learning environment with an emphasis on clinical excellence, evidence-based practice and a heightened understanding of the psychosocial factors that affect the health of our patients. We seek to inspire our individual trainees to meet their greatest potential and to nurture them forward in their own unique career paths.
At the heart of our program is our wonderful patient population. Our residents take pride in being the primary provider for their patients, who hail from all around the world and from Boston’s neighborhoods. Our patients represent a diversity of socioeconomic backgrounds, cultures, and languages. The global nature of our patient population enables our residents to gain a particularly wide array of clinical experiences that prepare them for independent practice anywhere. In addition, our faculty provide strong mentorship and share a wealth of expertise in areas pertinent to our patients including refugee health, addiction medicine, geriatrics and healthcare for the homeless.
Outpatient Clinical Setting:
Our residents practice primary care in a variety of clinical settings throughout Boston:
Shapiro Primary Care Center
The Shapiro Primary Care Center, a recognized Patient Centered Medical Home, is our largest primary care practice setting. Residents practice alongside faculty in interdisciplinary teams and are an integral part of our ongoing practice transformation. Embedded in our clinic are many resources for patients including integrated behavioral health, clinical pharmacists, social workers, nutrition, diabetic group visits, office-based opioid treatment, clinical nursing support and complex care coordination, population health specialist, point-of-care HIV testing, and access to our world class interpreter services department.
Community Health Centers
Many residents choose to practice primary care in one of 4 affiliated, federally qualified Community Health Centers (CHC’s), all of which are Patient Centered Medical Homes.
Each health center serves a group of patients often with a common linguistic and/or cultural identity. Experienced primary care preceptors oversee residents’ practice throughout their 3 years of residency, allowing for longitudinal mentorship. Residents who work in CHC’s often become involved in the particular outreach efforts of their health center.
Second Continuity Clinic
Our primary care residents also elect a second continuity clinic in the second and third years. Recent choices include:
- Refugee Health
- Women’s Health
- Prison Health
- Addiction Medicine
- Weight Loss Clinic
- Community Health
- Student Health
- Private Practice
Residents in Action
In addition to their clinical practice, our Primary Care Residents are extremely active in advocacy and scholarship. Once a year, the primary care program hosts a week long Advocacy Project, during which the residents work with professionals to develop a variety of skills to advocate their opinion on topics such as the Opioid Epidemic and the proposed change to the Public Charge.
Our residents are also active in regional and national medical associations. Over 40 residents represented BUMC with oral presentations and research and clinical vignette posters at the 2018 regional Society of General Internal Medicine (SGIM) meeting.
How We Spend Our Time: Primary Care Seminar Blocks
The backbone of our program are the month-long Primary Care Seminar Blocks which provide an integrated clinical and didactic primary care experience three times a year (twice for interns). Including the primary care blocks, primary care residents will spend 40% of their residency time in ambulatory training.
Sample PC Block Schedule
|THEMES||INTERN TOOLKIT||IMPORTANT EVENTS|
|ELECTIVE WEEK||Healthcare for the Homeless Intern Immersion||Primary Care BBQ|
|DIDACTIC WEEK||Prev Medicine||Balint Group|
|DIDACTIC WEEK||Joint Injections & Resiliency||Addiction 101||Mentoring Potluck|
|Advocacy 101||Career Development Day|
|ELECTIVE WEEK||Sports Medicine|
|DIDACTIC WEEK||IUD/Nexplanon & Scholarship 201|
|DIDACTIC WEEK||Behavioral Med & Women’s Health||Skills Night Potluck|
|CLINIC WEEK||Second Continuity Clinic|
|ELECTIVE WEEK||Addiction Medicine Intern Immersion|
|DIDACTIC WEEK||Derm: Rashes & ENT for the Internist||Health Literacy||SGIM National Meeting|
|DIDACTIC WEEK||Advocacy Week||Scholarship 101||Primary Care Retreat|
|Balint Group||Primary Care Graduation|
|*Interns on the wards during Winter Block, but may join for evening social events|
We pride ourselves on creating a supportive and nurturing community for our trainees. The PCTP hosts a number of social and professional development events outside the hospital which offer the opportunity for residents to engage together and with our wonderful faculty. In addition to events in the homes of our primary care faculty, the PCTP attends an annual retreat on Thompson Island for hosting guest speakers, workshops and networking.
After Graduation Plans
The vast majority of our graduates go on to practice primary care in a variety of settings: academic, community health, private practice. Examples of recent post-graduate plans: Chief Residency, Clinician Educator, Geriatrics fellow, Addiction Medicine fellow, Women’s Health fellow, GIM fellow, private practice, Indian Health Service.