Structure and Program Elements

We’re training the residents to CHC’s model of high-performance health care: advanced access scheduling, planned care, the chronic care model, integrated behavioral health/primary care, team-based, with expert use of health information technology and the electronic health record.

Ten residency slots are available annually, and are based on full-time employment by CHC, Inc. from September through August.

The residency year begins with a four-week intensive orientation to CHC, Inc., the neighborhoods in which the training sites are located, and the health problems of the target population, and includes walking tours of neighborhoods, tours of CHC sites statewide, meetings with community leaders, one week of technical training on electronic health record, and orientation by our chief medical officer to the responsibilities and privileges of medical staff participation at CHC, Inc.

The nurse practitioner residents receive the same clinical and administrative support as other primary care providers including IT, billing and others.

The residency has four key components:

Precepted Continuity Clinics
(40%) These are the cornerstone of the residency. In precepted clinics, the NP residents develop their own patient panel while having a CHC provider (MD or APRN) exclusively assigned to them.

Specialty Rotations:
(20%) Ten rotations in areas of high-volume/high-burden/high-risk situations most commonly encountered in the setting of the FQHC. Rotations include: Orthopedics, Dermatology, Women’s Health, Pediatrics, Geriatrics, Newborn/nursery, HIV care, Adult Behavioral Health, Child and Adolescent Behavioral Health and Healthcare for the Homeless.

Mentored Clinics:
(20%) During mentored clinic, the NP Resident works as part of an integrated care team (pod) and sees patients at the delegation of a primary care provider mentor, who are available for consultation.

Didactic Education Sessions:
(10%) Formal learning sessions on a variety of complex clinical challenges most commonly encountered in FQHCs. The content of the presentations is planned to correspond to the residents’ current clinical experiences.

Quality Improvement Seminar:
(10%) participation in a bi-monthly Quality Improvement Seminar focuses on providing NP Residents the opportunity to develop knowledge and skills to improve care by using quality improvement and systems-based learning.

Click here to view a list of sample didactic schedule.

OTHER ACTIVITIES:
  • Weekly residency meetings
  • Community events, like health fairs and free clinics
  • Membership on CHC clinical committees and task forces
  • Continuous training on CHC model of high-performance health system: access, continuity, planned care, team-based, prevention focused, use of electronic technology
CHC's Family Nurse Practitioner Residency Training Program in Community Health and Primary Care is one of
CHC's national initiatives. For more information about CHC, Inc. please visit www.chc1.com