Combined Family Medicine/Leadership Preventive Medicine Residency

“We are guests in our patients' lives; and we are their hosts when they come to us. Why should they, or we, expect anything less than the graciousness expected by guests and from hosts at their very best. Service is quality."
- Donald M. Berwick, MD, MPP

Have you observed a procedure or a patient care encounter that you know could have gone better? All patients deserve excellent care. In the combined Family Medicine/ Leadership Preventive Medicine Residency both disciplines inform each other to cultivate skills that lead to improved patient care. It is our joy and love of the doctor-patient interaction, the therapeutic relationship, that drives our quest for improved care.

Our Preventive Medicine residency emphasizes the individual development of quality improvement and leadership skills that are used in the clinical microsystem. The goal of our combined program is to produce Family Medicine physicians who are passionate about becoming change agents to redesign healthcare delivery in their practice and community.

Over the years our graduates have found diverse positions in health care. They are recognized as change agents within their organizations. What our graduates all have in common are these core characteristics:

  • Family physicians who are actively involved in patient care;
  • Recognized leaders in their own health systems;
  • Integration of organizational development concepts and systems thinking in day-to-day work;
  • Skills to implement quality improvement projects and use data to analyze success.

This combined residency creatively integrates our community assets with academic resources available through The Dartmouth Institute for Health Policy and Clinical Practice (TDI). Upon entering the combined residency, residents will join the NH Dartmouth Family Medicine Residency and Dartmouth-Hitchcock Leadership Preventive Medicine Residency for a five-year stacked 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 at TDI and paid for by NHDFMR. 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's focus on care of underserved and vulnerable populations through innovative delivery models and serves as the learning laboratory for quality improvement work.