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.
- Addiction Medicine: 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 Community Medicine: Through this 2-week rotation, residents learn methods to both minimize barriers to care and maximize care opportunities. Residents work with non-profits and advocacy organizations who are trying to decrease health disparities. Residents finish the rotation with a much better understanding of the community resources available to our patients.
- 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 can 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.
- Community-based FQHC Primary Care Rotations: Each year, the residents can rotate at Baltimore Medical System and Health Care for the Homeless, two of our federally qualified health center partners.
- Correctional Medicine: Many of our patients have personally been incarcerated or know someone who has. To appreciate how this affects the health of our patients, the residents provide care in a detention center.
- Adolescent Medicine: In conjunction with pediatrics, residents engage in a 4-week rotation that focuses on communicating with adolescents about risk-taking behaviors.