We believe that leadership, innovation and the skills of quality improvement will be critical to the practice of family medicine in the coming decades. For this reason, we have instituted an advanced training option that emphasizes community and practice leadership focused on improving care to underserved and vulnerable populations. This program is a combined family medicine/leadership preventive medicine residency that creatively integrates our community assets with academic resources available through The Dartmouth Institute (TDI) at Dartmouth Medical School.

Upon entering the combined program, residents will join the NH Dartmouth Family Medicine Residency and Dartmouth-Hitchcock Leadership Preventive Medicine Residency for a five-year integrated curriculum that includes the components necessary for board certification in family medicine and preventive medicine. Class work for a Master of Public Health (MPH) will be completed. Additionally, ongoing participation in training seminars designed to develop expertise in systems change and leadership will occur.

Family medicine training and the preventive medicine practicum experience take place at our unopposed 8-8-8 residency located in Concord. The residency’s community health center focuses on care of underserved and vulnerable populations through innovative delivery models and serves as the learning laboratory for quality improvement work. Seminars and course work for the MPH take place at TDI.

An additional training pathway, called the Paul Ambrose Fellowship, is also available for highly committed individuals. In this pathway, students apply and interview in their third year of medical school and begin the MPH coursework in their fourth year. They complete the integrated program in 4.5 years of residency training time.

Application Process

Interested candidates will be evaluated using the following criteria:

• Demonstrated commitment/experience in community health, preventive medicine and population-based healthcare activities;
• Demonstrated commitment/experience to family medicine;
• Strength of abilities in communication and personal reflection;
• Strength of academic performance.

The application process includes:

• Submission of the application form, personal statement and three letters of support for candidacy;
• Interviews with the NH Dartmouth Family Medicine Residency;
• Interviews with the Dartmouth-Hitchcock Leadership Preventive Medicine Residency;
• TDI application.

Application materials can be obtained via e-mail or by writing to:

Dominic Geffken, MD, MPH
Combined FM/PM Residency
NH Dartmouth Family Medicine Residency
250 Pleasant Street
Concord, NH 03301

Applicants interview over two days. The first day is in Concord with family medicine faculty and residents. The second day is spent with with the Leadership Preventive Medicine Faculty at Dartmouth. Third-year students interested in the Paul Ambrose Fellowship must complete their application package and interviews by May 30, 2010. Fourth year students should apply to the combined program once they become established residents in the NH Dartmouth Family Medicine Residency as they are able to begin course work in the second year of training.