Structure and Program Elements

We’re training the residents to CHC’s model of high-performance health care: advanced access scheduling, planned care, the chronic care model, integrated behavioral health/primary care, team-based, with expert use of health information technology and the electronic health record.

Four residency slots are available annually, and are based on full-time employment by CHC, Inc. from September through August.

The residency year begins with a four-week intensive orientation to CHC, Inc., the neighborhoods in which the training sites are located, and the health problems of the target population, and includes walking tours of neighborhoods, tours of CHC sites statewide, meetings with community leaders, one week of technical training on electronic health record, and orientation by our chief medical officer to the responsibilities and privileges of medical staff participation at CHC, Inc.

The residency has four key components:

Precepted “Continuity Clinics”
(4 sessions/week) These are the cornerstone of the residency. In precepted clinics, the NP residents develop their own patient panel while having a CHC provider (MD or APRN) exclusively assigned to them.

Specialty Rotations:
(3 sessions/week x 1/month) Eleven rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Rotations include: Orthopedics, Dermatology, Women’s Health, Pediatrics, Geriatrics, Newborn/nursery, HIV care, Adult Behavioral Health, Child and Adolescent Behavioral Health and Healthcare for the Homeless.

Independent Clinics:
(2 sessions/week) During independent clinics, the NP residents work as a member of a team, which CHC calls a “pod,” and see patients at the delegation of the primary care providers, who remain available for consultations.

Didactic Education Sessions:
(1 session/week) Formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.

Click here to view the list of 2010-2011 didactics schedule.
Click here for a detailed overview of a resident schedule.

• Weekly residency meetings
• Community events, like health fairs and free clinics
• Membership on CHC clinical committees and task forces
• Continuous training on CHC model of high-performance health system: access, continuity, planned care, team-based, prevention focused, use of electronic technology