Concord Hospital/New Hampshire-Dartmouth Family Medicine Program

The NH Dartmouth Family Medicine Residency (NHDFMR) is a community-focused program located at Concord Hospital in Concord, New Hampshire. Its educational structure is designed to train future family physicians, emphasizing the joy of providing primary care through accessible, continuous, coordinated, and comprehensive care.

Curriculum Overview

The residency curriculum progresses from predominantly inpatient experiences in the first year (PGY1) to a mix of inpatient and ambulatory rotations in the second year (PGY2), culminating in a primarily ambulatory experience in the third year (PGY3). This structure allows residents to tailor their education through electives that align with their career interests. The curriculum not only develops clinically excellent physicians but also hones leadership skills through a longitudinal development program throughout the three years.

PGY1 Rotations

The first year consists of the following rotations:

• Inpatient Medicine: 8 weeks
• Night Float for Inpatient Medicine: 4 weeks
• Obstetrics: 4 weeks
• Obstetrics Night Float: 2 weeks
• Gynecology: 2 weeks
• Inpatient and Outpatient Pediatrics: 4 weeks total
• Emergency Medicine: 2 weeks
• Intensive Care: 4 weeks
• Population, Specialty, and Community: 6 weeks
• Musculoskeletal/Sports Medicine: 2 weeks
• Geriatrics: 2 weeks
• Home Elective: 2 weeks
• Systems: 4 weeks
• Clinical Practice Onboarding: 4 weeks

PGY2 Rotations

In the second year, residents will continue to build on their experiences with more outpatient responsibilities:

• Inpatient Medicine: 8 weeks
• Night Float for Inpatient Medicine: 4 weeks
• Obstetrics: 4 weeks
• Obstetrics Night Float: 2 weeks
• Gynecology: 2 weeks
• Inpatient and Outpatient Pediatrics: 6 weeks total
• Emergency Medicine: 4 weeks
• Musculoskeletal/Sports Medicine: 2 weeks
• Geriatrics: 2 weeks
• Cardiology: 2 weeks
• Inpatient Surgery: 2 weeks
• Primary Care Behavioral Health: 2 weeks
• Home and Away Electives: 8 weeks
• Leadership Systems: 4 weeks

PGY3 Rotations

Third-year residents focus on leadership training as well as elective opportunities:

• Inpatient Medicine: 4 weeks
• Obstetrics: 2 weeks
• Obstetrics Night Float: 2 weeks
• Inpatient and Outpatient Pediatrics: 6 weeks total
• Emergency Medicine: 2 weeks
• Sports Medicine: 4 weeks
• Dermatology: 2 weeks
• Geriatrics: 4 weeks
• Primary Care Behavioral Health: 2 weeks
• Home Elective: 8 weeks
• Away Elective: 6 weeks
• Senior Teaching: 2 weeks
• Scholarly Activities: 4 weeks
• Leadership Systems: 4 weeks

Focused Educational Experiences

Residents can participate in unique tracks during their training:

• Obstetrics (OB) Track: For residents intending to acquire hospital privileges for labor and delivery.
• Sports Medicine Area of Concentration: Allows enhanced training in musculoskeletal and sports medicine.
• Advocacy Area of Concentration: Focuses on health advocacy and community leadership.
• Osteopathic Recognition: The program offers education in Osteopathic Principles and Practices.

Research and Scholarly Activity

At NHDFMR, residents engage in scholarly activity as part of their training. This involves participation in projects that address changes within practices and teaching methodologies, focusing on improving patient care and exploring various health issues. Residents are encouraged to produce scholarly work and present their findings at conferences, thereby enhancing their learning experiences.

Application Process and Requirements

The program's application process is managed through the Electronic Residency Application Service (ERAS). Some essential requirements for applicants include:

• A completed personal statement and curriculum vitae.
• USMLE or COMLEX Step 1 and Step 2 scores; Step 2 score must be received by November 1 for interview consideration.
• A maximum of one failure on Step 1 of the USMLE or COMLEX for interview eligibility.
• A valid ECFMG certificate, if applicable, by the orientation start date.
• Graduates from medical schools outside the U.S. must meet specific certification requirements.

Competitiveness and Diversity

NHDFMR is known to be a highly competitive program. It is friendly to both DO and IMG candidates, actively advocating for diversity and inclusion within its residency cohort. The program values various backgrounds, with residents hailing from different countries and cultures, enhancing the educational and clinical experience for everyone involved.

Visa Support

The NH Dartmouth Family Medicine Residency offers visa sponsorship for international medical graduates. Typically, the program can sponsor J-1 visas, allowing foreign graduates to train in the United States.

Training Sites

Training primarily occurs in two community-based health centers: Concord, which focuses on care for underserved populations, and the rural community of Hillsboro. This provides residents with diverse experiences and opportunities to serve various patient demographics.