What are the strengths of the program?
Everything! In all seriousness, we are proud of all aspects of our training, but the development of autonomy that residents can earn, the strong inpatient and OB experiences, our outpatient offices that are PCMH certified and constantly innovating/adapting to a changing medicine landscape, and our caring and committed faculty are just a few of our favorite responses to this question. We truly want our residents to be exposed to full-spectrum Family Medicine. Our core faculty (SEVEN of whom practice obstetrics- more than any other program in Ohio) also would emphasize the variety of patients and conditions the residents see, the broad scope of procedural training (both inpatient and outpatient), and the fact that Grant Family Medicine is the oldest and largest program in the state!
What are some areas for improvement in the residency?
We are currently going through a major innovation and consolidation of our residency offices. Prior to this year (2019), our residents were placed at one of two outpatient sites away from the hospital for their continuity practices. We have had the opportunity to build a brand new outpatient center directly across from the hospital, and our residents have begun the transition to seeing patients downtown. We continue to maintain our current 3rd year residents in the two outpatient satellite offices until they graduate in June 2019. This has been a much needed area for improvement in resident work/life balance, continuity of care, and more integrated approach to medical education, but it has not come without challenges! Our residents remain critical to this improvement process, and they are involved on all of our major process improvement committees to be a voice for continued change.
The residency also recognized the need to adapt our curriculum to emphasize resident wellness, while still keeping the rigorous learning environment that we know to be important. Our more demanding rotations are now paired with less time-intensive rotations, and we've shifted some of the outpatient responsibilities away while a resident is doing hospital medicine to allow for more protected time.
We've also adjusted our noon conferences and lectures based on feedback from residents. We have our dedicated core faculty giving more lectures, while still asking our specialty colleagues to come in and give guest lectures occasionally. We've made some dramatic changes to our Wednesday afternoon didactics, making sure it is protected time for our residents. We're proud to see recent attendance amongst residents and faculty at almost 100%!
At Grant Family Medicine Residency, you'll find that our core values and ideals always remain the same when it comes to educating future Family Physicians, but we are willing to evolve based on input from residents.
What support systems are in place for residents?
All residents are paired with one of our core faculty as a formal Advisor. That advisor meets with the resident periodically to review goals and educational objectives and provide support. Residents are also encouraged to find other physician mentors, including other faculty, community preceptors, or specialists in the hospital who share common interests/backgrounds. Additionally, there are monthly support groups facilitated by Wellness champions (but led by residents!). We also have medical education committees that can work with individual learning plans for residents who have more specific needs. Interns have supervision from upper levels and faculty in the inpatient and outpatient arenas. We truly want our residents to be challenged, to grow and to be pushed, but we recognize that in order to fly, one must be given all the right tools. So rest assured that you will have support on this journey to greatness!
What's your patient population like?
We are proud to work here in Central Ohio with a diverse patient panel, including race, gender, age, socioeconomic background, religion, and sexual orientation. We believe that serving our community means we have to be willing to serve ALL, but especially those most vulnerable populations: the working poor, the under/uninsured, and the marginalized. We are TRULY a residency with an emphasis on working with the underserved.
Sounds kinda intense? What if I don't think I want to do OB or Hospital medicine after residency?
We ARE intense, but we like to think that's a very good thing! You have three years to get as much out of residency as you can! As a family physician and COMPREHENSIVIST, you had better know your stuff! But we don't expect every graduate to go out and practice "full-spectrum" Family Medicine. We're proud of all of our graduates, no matter what type of practice style suits them. We think residency is a great time to explore options, fall in love with things you never dreamed you would enjoy, and to deprive a resident of the opportunity to learn valuable skills (like OB or Hospital medicine or pain management or colposcopy or anticoagulation monitoring etc etc) just doesn't sit well with us! We think it's our duty as educators to train residents broadly, allowing them to see all and do all while tailoring their experiences to highlight areas they want to concentrate on.
What about my interest in X? Or Y? Or Z?
One of the beautiful things about Family Medicine is the endless opportunity to find meaning in other aspects of healthcare. We recognize that many students match into Family Medicine with unique interests in things like Women's Health, Advocacy, Geriatrics, or Global Health, to name just a few. Our residents have long tailored their elective time to get extra exposure and training in aspects of FM that they want to pursue more. Recently, we've created six Areas of Concentration, allowing residents to have a more structured experience and guidance in exploring a focus that can carry through beyond just the elective time, but be a true longitudinal curriculum that provides growth during the entire three years.
But you’re only taking 10 residents instead of 13? How can 10 residents do the work of 13?!
Matching our first class of 10 residents rather than 13 has been a new challenge for us! As we designed our new office space downtown, we have had to be creative in using the space the right way. One big change that goes along with that has been choosing to train a few less residents per year. As we move forward with another class of 10, we have to be thoughtful about curricular changes that still meet the needs of our patients, the hospital, and especially our residents. We are adjusting the curriculum for 2019-2020 such that our residents do not do the same work with less people, but rather, different work that still maintains the core service values and mission that our residents want: high autonomy with support readily available, full-spectrum care, and significant care of the underserved. It is a challenge we feel up to tackling together- we have invited residents to be a critical part of this change as part of our “Scheduling Taskforce.” We change our curriculum and rotations every single year in some way, and while this can always feel uncomfortable for many, being innovative requires us all to step out of our comfort zones and be willing to embrace new challenges!