The Family Medicine Residency at Cheshire Medical Center is designed to train the next generation of family physicians, focusing on the unique health needs of rural communities. This ACGME-accredited program is situated within a modernized clinic and educational facility, offering a comprehensive training experience supported by the Dartmouth Health academic medical system. The program emphasizes values of diversity, equity, and inclusion within a culture that fosters belonging.1

Curriculum Overview

The curriculum is structured to cultivate future physicians capable of delivering comprehensive care in rural settings. It integrates strong components of clinical practice such as procedural skills, reproductive health, and behavioral health. A notable aspect of the curriculum is its longitudinal design that better simulates real clinical practice, allowing for a seamless integration of knowledge as residents progress through their training. Each resident participates in 24 weeks of elective time over three years to tailor their education to their career aspirations.2

The first year (PGY-1) includes foundational two-week rotations, while the second and third years (PGY-2 and PGY-3) focus on longitudinal clinical experiences emphasizing continuity of care. Major clinical rotations occur primarily at Cheshire Medical Center, with additional opportunities at Dartmouth Health Children's and Dartmouth Hitchcock Medical Center for pediatrics and specialty training.2

Diversity and Inclusion

The program is actively committed to fostering diversity and inclusion, ensuring that the residency is representative and supportive of all backgrounds. Recruitment efforts focus on underrepresented minorities and individuals with diverse experiences, understanding that a rich diversity of ideas enhances both educational and clinical outcomes. The program strives to create a warm, respectful environment encouraging contributions from all members of the healthcare team.3

Application Process

The Family Medicine Residency at Cheshire Medical Center offers six categorical positions annually. Applicants must apply through the Electronic Residency Application Service (ERAS) and provide several key components, including a personal statement, CV, USMLE or COMLEX scores, and letters of recommendation. The program has specific eligibility criteria, including graduation from an LCME-accredited or AOA-accredited medical school, or an equivalent international medical credential.4

Also noteworthy is the visa support provided by the program, which includes J-1 visa sponsorship for international medical graduates in need of residency training in the United States.4

Resident Compensation and Benefits

Residents in the Family Medicine Residency receive competitive stipends and benefits, with PGY-1 residents earning approximately $70,387, PGY-2 residents earning about $73,607, and PGY-3 residents receiving $77,775. The compensation package includes comprehensive health insurance with no deductible, paid time off, and additional benefits such as an education fund to support residents' professional development and well-being.5

Training Sites

The primary training site for the residency is the Cheshire Medical Center, a nonprofit community medical center that features a wide array of services typically found in larger urban health systems, making it an excellent environment for training family medicine residents. The program also includes rotations at Dartmouth Health Children's Hospital and Dartmouth Hitchcock Medical Center, which provides access to specialized care and comprehensive health services.6

Unique Aspects of the Program

Located in the Monadnock Region, the residency allows residents to engage in a community characterized by its scenic beauty and numerous recreational opportunities. The new Family & Community Care facility, opened in 2023, fosters a collaborative learning environment equipped with modern amenities, including simulation spaces and integrated behavioral health services. The program emphasizes population health and has resources committed to addressing health disparities.17