Geisinger Health System (Lewistown) Program

The Lewistown Family Medicine Residency program, a part of the Geisinger Health System, is located in Lewistown, Pennsylvania. It focuses on training residents to provide comprehensive healthcare to families in rural and underserved communities. The residency is unopposed and is characterized by a supportive and collaborative educational environment that emphasizes the principles of family medicine. Residents benefit from a curriculum that integrates modern medical practices with traditional family care, fostering an approach that is compassionate and community-oriented.

Residents engage in a three-year family medicine training that includes a variety of clinical rotations based within Geisinger Lewistown Hospital and selected Geisinger facilities. The program adheres to the American Board of Family Medicine requirements and is fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) 1.

Curriculum Overview

The residency curriculum is thoughtfully designed to cover the breadth of family medicine, spanning the physical, mental, and social aspects of health care. Each year of the residency, or PGY (Post-Graduate Year), includes specific rotations and experiences tailored to enhance practical skills in various medical fields while promoting resident well-being:

• PGY1: The first year focuses on acute inpatient and outpatient care, incorporating a variety of rotations such as emergency medicine, general surgery, outpatient pediatrics, and obstetrics. Residents spend a half-day per week in continuity clinics to foster the development of long-term patient relationships.
• PGY2: This year expands the skills from the first year with increased outpatient involvement, nursing home experiences, and electives tailored to personal career goals. Residents engage more deeply with outpatient clinics and specialty rotations.
• PGY3: The final year allows residents to hone their skills and explore areas of family medicine that are of specific interest as they prepare for independent practice. Residents have the opportunity to choose their electives and spend more time in outpatient settings.

Research Opportunities

The program encourages scholarly activity and research, providing mentorship to guide residents through the process of conducting and presenting research projects. Faculty support residents in achieving publishable work, contributing to advancing knowledge in family medicine. The program holds an annual Scholarship Day for residents to showcase their research efforts 1.

Unique Aspects of the Program

Geisinger Lewistown's Family Medicine Residency is distinguished by its commitment to training physicians equipped to serve in rural areas. The program places emphasis on:

• Community Engagement: Encouraging residents to connect with the local population, understanding the community's unique healthcare needs.
• Diversity and Inclusion: The program incorporates training on recognizing and addressing health disparities, fostering a culturally competent healthcare environment.
• Well-being Support: The residency values wellness and offers initiatives to promote a healthy work-life balance, including social activities and well-being resources 1.

Visa Support

The residency program is open to international medical graduates and offers visa sponsorship on a case-by-case basis. The types of visas typically supported include J-1 and H-1B visas, accommodating international applicants who wish to contribute to patient care within the program.

Competitiveness and Application Requirements

The Lewistown Family Medicine Residency is competitive, welcoming applications from both MD and DO graduates, as well as international medical graduates. The program does not impose strict limits on the number of failed USMLE exams but applicants should demonstrate their readiness through strong performance in assessments.

Program prerequisites include a commitment to primary care in underserved areas, and a passion for community health. Additionally, the program has no explicit year of graduation restrictions, which makes it particularly friendly for applicants who may have had non-linear paths in their medical careers.

Training Sites and Rotations

The resident training takes place at multiple Geisinger Health facilities, providing a wide range of clinical experiences:

• Geisinger Lewistown Hospital: The main training hub.
• Geisinger Healthplex State College: Offers community-based training opportunities.
• Geisinger Scenery Park: Involves specialty rotations.
• Geisinger Medical Center: Enhances exposure to advanced medical care and specialists.

Continuity clinics occur in a supportive environment at Family Practice Center and Geisinger Juniata, fostering long-term patient relationships and continuity of care.