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Our urban health internal medicine primary care curriculum features essential and novel experiences. Throughout the program, there is a focus on the issues that disproportionately afflict the inhabitants of an urban environment. These issues are addressed and tackled on a regular basis as the residents care for their patients in both the outpatient and inpatient settings. In addition, the residents have specific rotations dedicated to these topics.
- Substance Use Disorders (SUD): Residents participate in a 4-week rotation. Residents perform universal screening, incorporate evidence-based practices for early intervention, make appropriate patient referrals to specialized treatment programs, and practice treating opioid addiction with sublingual buprenorphine in the primary care setting.
- Psychiatry: Residents participate in a 4-week rotation. They receive enhanced psychiatry education emphasizing diagnosis of major adult psychiatric illnesses, outpatient treatment of major depression, identification of patients with dual diagnoses, and assessment of patients at risk for violent or suicidal behavior.
- Outpatient HIV/Hep C Care: Residents care for adult patients infected with HIV in the Moore Clinic and Chase Brexton, a federally qualified health center. Residents learn about the inter-professional teamwork that is required to provide comprehensive HIV and Hepatitis C care.
- Urban Health Institute Partnership: Understanding barriers and finding alternative and unique methods to deliver care is a core objective of the residency. Through this rotation, residents learn methods to both minimize barriers to care and maximize care opportunities, partner with community health workers to provide in-home interventions, and forge bonds with the community by meeting leaders and participating in outreach. Interventions to decrease disparities are explored.
- Health Department (HD): The HD provides both clinical, policy, and program development experiences. Residents spend one month at the Baltimore County HD learning about the scope of clinical services, observing clinical programs, and contributing to policy and program development. Residents will also participate in the Baltimore City HD sponsored sexually transmitted disease clinics and tuberculosis program.
- Cross Cultural Care and Health Disparities/Communication Curriculum: The curriculum spans the entire residency and focuses on motivational interviewing and effective cross-cultural communication, fostering cultural competence. The pediatric adolescent rotation focuses on communicating about risk-taking behaviors.
- Women’s Health/Pediatric/Adolescent Gynecology: Residents identify and treat the gynecologic issues of females of all ages. Residents rotate through an outpatient gynecology office at EBMC for two weeks. The residents will provide age appropriate health maintenance exams, screening tests, and immunizations. During this rotation, residents gain experience in pap smears, breast and pelvic exams, family planning, preconception counseling, and management of dysfunction uterine bleeding, pelvic pain, menopause, and domestic violence.
- Community-based FQHC Primary Care Rotations: Each year, the residents will rotate at Baltimore Medical System and Health Care for the Homeless, two of our federally qualified health center partners.
- Community-Based Participatory Research Requirement: Team-based project that helps the residents affect change in the community.
- Incarceration & Re-entry Medicine/Urban Violence: Many of our patients (juveniles and adults) have personally been incarcerated or know someone who has. To appreciate how this affects the health of our patients, the residents provide care in different correctional institution settings. Residents perform domestic violence/sexual assault evaluations for adults, analyze the impact of domestic violence while providing collaborative medical care at the House of Ruth School of Nursing clinic, and learn to recognize and evaluate elder abuse. The learners attend the monthly police department domestic violence autopsy conference which is devoted to systems and process improvement.
- Adolescent Medicine: In conjunction with pediatrics, residents engage in a 4-week rotation that focuses on communicating with adolescents about risk-taking behaviors.