How does the Primary Care Track differ from the categorical training program?
Primary Care Track residents participate in a six-month ambulatory long block, which includes additional clinic sessions and dedicated curriculum and electives. During PGY2 and PGY3 years, a second continuity clinic is added at a site based on the individual resident's interests. Primary Care Track residents also participate in the bimonthly Primary Care Seminar and are invited to quarterly Primary Care Interest Groups and Social Events. In addition, they receive regular mentorship and career counseling. Primary Care Track residents have approximately the same number of general medicine inpatient rotations as their categorical program colleagues.
How does the HIV Primary Care Track differ from the categorical training program?
HIV Primary Care Track residents have their main continuity clinic during all three years of training at Fenway Health, which provides care for a large number of HIV-infected and LGBT patients. They receive a specially designed curriculum that covers the primary care of these populations. During PGY2 and PGY3 years, a second continuity clinic is added at a site based on the individual resident’s interests. HIV Primary Care Track residents also participate in the bimonthly Primary Care Seminar and are invited to quarterly Primary Care Interest Groups and Social Events. In addition, they receive regular mentorship and career counseling. HIV Primary Care Track residents do not participate in the ambulatory long block.
How do I apply for a position in the Primary Care Track or HIV Primary Care Track?
There is a separate match for both of these tracks, but we encourage all applicants who are interested in BIDMC to apply to the categorical program as well. We plan to match four Primary Care Track and four HIV Primary Care Track residents annually. Up to two additional Primary Care Track slots are generally made available for interns who are in the categorical program, but there is no guarantee of placement.
How many residents in the Primary Care Track enter careers in primary care medicine?
Historically, approximately seventy percent of the Primary Care Track's graduates have entered primary care careers. We anticipate that this percentage will increase with the adoption of a separate match. Of those who choose to pursue subspecialty fellowships, many practice a mixture of general and subspecialty ambulatory medicine.
What types of jobs do people have after training?
Primary Care Track residents pursue positions that include clinical, educational, administrative, and research roles. Many, but not all, choose to join academic practices. Our graduates are currently on the faculty at Beth Israel Deaconess Medical Center, Massachusetts General Hospital, Tufts Medical Center, Yale University, Mt. Sinai School of Medicine, New York University, University of Chicago, Northwestern University, Stanford University, University of Alabama, UCSF, and UCLA. Other graduates work in community health centers or private practice settings.
What if I choose to do a fellowship?
While the Primary Care Track is designed to prepare residents for careers in primary care, some graduates have decided to pursue subspecialty training in allergy, cardiology, endocrinology, gastroenterology, infectious diseases, oncology, and pulmonary medicine. Primary Care Track residents are equally competitive as categorical program residents in fellowship matches.
I am interested in underserved populations. What opportunities exist?
Historically, Beth Israel Hospital was founded in order to provide care to underserved populations in Boston. Healthcare Associates (HCA), our hospital-based practice, cares for a wide variety of patients. Several of our faculty are interested in health disparities and cross-cultural medicine. Residents may also work in continuity clinics or ambulatory block rotations in community health centers. In addition, an elective in the Indian Health Service is available.
I am interested in women's health. What opportunities exist?
The women's health practice within HCA opened in 2004 and is a model teaching practice. As an added service, consultations focused on female sexual dysfunction, obesity, and disabled women are available within the practice. We have affiliations with student health centers in Boston. We also offer elective experiences in gynecology, bone and mineral metabolism, breast diseases, gynecology, and urology. In addition, we have an affiliation with Planned Parenthood.
I am interested in Latino health. What opportunities exist?
We have several Latino faculty who receive referrals and can direct patients into the practices of interested residents. Residents may work with these preceptors during their outpatient training. Many faculty are interested more generally in cross-cultural medicine. Two affiliated continuity practice sites (Dimock Community Health Center and Medical Care Center North in Chelsea) have substantial Latino populations.
I am interested in international health. What opportunities exist?
Many of our residents work in international settings, and BIDMC has established an affiliation with a teaching hospital in Botswana. (Global Health Program) Other residents have worked in India, Nepal, Taiwan, and Vietnam in recent years. Several faculty have major commitments to international health.
I am interested in HIV medicine. What opportunities exist?
Applicants who are interested in the care of HIV-infected patients in the primary care setting are strongly encouraged to apply to our HIV Primary Care Track. (HIV Primary Care Track)
Is it possible to learn how to teach as a Primary Care Track resident?
Yes. Primary Care Track residents have lectures on teaching adults learners as part of their ambulatory long block rotation and participate in teaching other primary care residents and medical students. All housestaff are given the opportunity to serve as a teaching resident during PGY3 elective time. In this role, residents lead case-based discussions and didactic sessions for other residents and students, work as apprentice preceptors alongside our faculty in practice, and observe interns in practice.
Is it possible to do research as a Primary Care Track resident?
Yes. Many residents participate in research projects during their area of concentration time. Content areas have included health services research, clinical epidemiology, medical education, and clinical research. Areas of research interest within the Division of General Medicine and Primary Care include chronic disease management, delirium, geriatrics, health policy, HIV, and obesity.