Our primary care urban health curriculum features essential and novel experiences that help the trainees address health disparities. Throughout the program, there is a focus on the issues that disproportionately afflict an urban environment. These issues are addressed and tackled on a regular basis as the residents care for their patients. Moreover, the residents will 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.
- Incarceration & Re-Entry Medicine/Urban Violence Curriculum: Many of our patients (juveniles and adult) 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.
- Outpatient HIV Care: In an outpatient setting, residents care for adult patients infected with HIV. The adult HIV population in Baltimore includes patients with high-risk behaviors like substance use disorders allowing the residents to practice SUD treatment skills.
- Urban Community Medicine: 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 Baltimore County Health Department provides both clinical, policy, and program development experiences. Residents spend one month at the HD learning about the scope of clinical services, observing and participating in clinical programs, and contributing to policy and program development.
- 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: The purpose of the Women's Health rotation is to provide residents with the knowledge and skills to identify and treat the gynecologic issues of females of all ages, as well as identifying and referring those patients with complex gynecologic issues.
- Community-Based FQHC Primary Care Rotations at Health Care for the Homeless