The NH Dartmouth Family Medicine Residency offers several elective experiences designed to enhance primary care experiences for students at various levels of training. In all years, students are afforded active participation in multiple aspects of patient care in a busy faculty and resident practice. Space and housing is limited, so students are encouraged to apply at least six months in advance.

Primary Care Clerkship

The primary care clerkship lasts four to eight weeks or a calendar month; our program coordinator will work with students’ schedules. Participation involves prenatal, pediatric, adult care, and procedural skills. There is also the opportunity for community care and elder home visits. Call is not required but encouraged. Supervision is through the family practice faculty at the NHDFMR program. The primary care clerkship provides third-and-fourth-year students:

• The opportunity to immerse him/herself in an outpatient primary care practice while working alongside Family Practice residents.
• The experience of performing independent evaluations of patients, as well as observing physicians in their care.

NHDFMR is offering an exciting opportunity to rotate at our more rural site, Hillsboro-Deering Family Health (HDFH). HDFH and its providers play a key role in the community, as it is the only primary care office in the area. The structure of the clerkship at HDFH is the same as the clerkship based in Concord. Hillsboro is located approximately twenty-five miles west of Concord and has a population of 5,400 residents. Medical students seeking a rural experience should consider this opportunity.

Sub-internship

NHDFMR offers two sub-internship opportunities: medicine and maternal-child health. The sub-internship lasts four weeks and is designed for the student completing his or her pre-doctoral education. The rotation is an excellent way to round off a year. The student works directly on the in-patient service with family practice first-year and senior residents and is closely supervised by faculty. Patients are cared for from the Capital Region Family Health Center's panel of patients or from hospital service admissions. The student is assigned his or her own panel of patients and is expected to take call every fourth night.

Students who are interested in obstetrics and women’s health issues may find the maternal-child health sub-internship to be a good fit with their career interests. Participation in this sub-internship requires that students speak directly to or e-mail the medical student director. While students will be assigned their own patients, students need to be aware that priority is given for the interns to attend births and perform deliveries. Students are encouraged to follow laboring patients through the course of labor, learn labor management, attend the birth and follow the patient through her hospital course.

Family practice faculty and senior residents perform supervision and evaluation. All fourth-year students are encouraged to apply for this rotation. Because these are family medicine based services, the sub-internship best serves students choosing family practice as a specialty.

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