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The Johns Hopkins Urban Health Internal Medicine Primary Care Leadership Track (UHT), the primary care track of the Osler Medical Residency, trains residents to be primary care leaders who improve the health of vulnerable, urban populations. Caring for vulnerable patients who live in urban settings requires a willingness to pioneer alternative care delivery models and a desire to master additional patient care, medical knowledge ( including a nuanced understanding of the social determinants of health), communication, practice-based learning, professionalism, and inter-professional teamwork skills--including collaboration with community health workers, co-training with nurse practitioner students, and community outreach and advocacy.
Overall, the UHT curriculum is tailored to equip residents with the skills to tackle the variety of ambulatory problems that are encountered in the inner-city on a patient and systems level. The UHT produces graduates who are experts in enhancing patients' self-management and care-seeking behaviors. Johns Hopkins offers residents training programs in internal medicine, public health, adolescent medicine, and psychiatry that are unmatched. In addition, Hopkins affords rich resources for training resident physicians to care for patients with substance use disorders, homelessness, sexually transmitted diseases, domestic violence, HIV, Hepatitis C, behavioral and mental health issues. These resources, coupled with its outstanding research opportunities in health disparities, public health, and general internal medicine, makes Johns Hopkins uniquely positioned to train future primary care leaders in urban health. Combining the core internal medicine curriculum with specialized training in urban health produces exceptionally well-trained urban primary care practitioners.
To accomplish these goals, we utilize all of the resources of Johns Hopkins, including the Bloomberg School of Public Health, the School of Nursing, and theUrban Health Institute, as well as the resources of Baltimore City, including the Baltimore City Health Department, and federally qualified health centers, including Health Care for the Homeless, to create a training track that prepares our residents for the medical and social problems encountered by patients in an urban setting.
The goal of the residency is to create leaders in urban health primary care. We imagine our graduates following many different leadership paths. Among these are, in random order:
1. Office medical director of a primary care clinic
2. Chief medical office of a federally qualified health center (FQHC)
3. Clinician-Educator for future primary care providers
4. Primary care researcher (research in health disparities, health services, education, etc.)
5. Policy maker on local, state, or national levels
6. Director of non-governmental advocacy organization
7. Community-based participatory researcher
8. Other primary care careers and leadership aspirations.
Finding a career mentor for you is one of our top priorities. The world-class mentorship found at Johns Hopkins and Baltimore City is ready to serve you. Mentors include our GIM clinician-investigators, GIM clinician-educators, School of Public Health professors, Johns Hopkins Community Physicians leaders, and members of the Urban Health Institute. The city and state boast top-notch policy makers, and the program has many friends and alumni in Washington, DC. The CEOs and CMOs at our FQHC collaborators are eager and willing to take you under their wing. We work with you to understand your career goals and to match you with like-minded mentors.
As residents near completion of the three-year residency, we are delighted to help them enter the next phase of their careers. Finding a career mentor is the first step. The next step can include, for example, helping you to find a primary care job at a FQHC or an academic center like Hopkins, obtain a position in a health department, or provide care at Health Care for the Homeless. We will help our research-oriented residents match to GIM and RWJ fellowship positions. Our goal is to support your primary care mission, whatever form that may take.