Does your program work with underserved populations?
The population of Milton has many socioeconomically underserved residents. We also work closely with the Community Health Centers of Burlington which serve a large refugee population. As part of the Milton Family Practice / Community Medicine rotation, our residents work at the Community Health Centers, farm worker clinics, the Safe Harbor Clinic (which is a medical and dental clinic offering no-cost appointments and walk-ins for adults and families experiencing homelessness), the Pearl Street Youth Center, which provides counseling services for youth and young adults through age 25 and special services for at-risk youth, homeless teens and young adults as well as the crisis center. Residents also rotate at the transgender clinic and practice at rural Vermont family medicine offices.
Does the residency clinic use an electronic medical record?
The Family Medicine offices in Milton and UVM Medical Center have an integrated EHR based on the EPIC system. All of the clinical documentation, labs, imaging, messaging, and prescribing is done through the EHR. Advanced family medicine practice in a patient-centered medical home is enhanced by the EHR. We have recently implemented Care-Everywhere, offered by EPIC. With patient consent, we are able to directly obtain records from other institutions who use EPIC.
Upon graduation, where do your residents go?
Approximately half of the residency graduates remain in Vermont. About 44% have chosen academic careers and about 20% practice obstetrics. Another 20% have gone on to fellowships in Addiction Medicine, Clinical Informatics, Emergency Medicine, Geriatrics, Global Health, Obstetrics/ Maternal-Child Health, Palliative Care and Sports Medicine. See a comprehensive list of where our previous residents have gone.
When was the program established?
The University of Vermont College of Medicine (UVM) and UVM Medical Center (Medical Center Hospital Campus) established the residency program in Family Practice in 1972. The Program fulfills all requirements of the American Board of Family Medicine and has had continued accreditation by the Accreditation Council for Graduate Medical Education since 1975. This is a strong outside objective endorsement of the quality of our residency program.
What makes this program unique from other Family Medicine residency programs?
We combine an academic medical center with a rural family medicine practice 14 miles away. Our real strength is in our diverse faculty, strong and committed residents, and amazing staff. Family Medicine is highly regarded within the hospital and represented outside the hospital with numerous referring physicians around the area and state. Our team works extremely well with other services in the hospital.
How well do residents do on board certification exams?
Over the past 5 years, our residency graduates have a 100% pass rate on the American Board of Family Medicine certification examinations. The average score over five years was 547, above the national average of 539.
What sorts of perks are offered?
Membership in the AAFP is paid for all residents. Residents receive a meal card allowance, free parking, continuing medical education funds, three weeks of vacation, one week of personal / sick time, plus four days off over at least one of the major holidays each year.
Is the University of Vermont a good institution for residency training?
It is the best academic tertiary care Level I Trauma center with a community hospital feel – a collegial atmosphere amongst all specialties with patient-centeredness at the heart of care. Faculty are dedicated to teaching and to scholarly activity.
Does your program have a Family Medicine Inpatient Service?
The University of Vermont Family Medicine Residency has its own inpatient hospital service, which services any patients from our community who might require admission to the hospital. Our team is made up of one G1, one G2, and one G3 resident supervised by an on-site faculty member. Family medicine faculty lead daily morning rounds, teaching and radiology rounds, and supervise inpatient procedures. We work closely with hospital staff including nurses, physical therapists, consultants, pharmacists, and our dedicated Family Medicine case manager. One of the primary missions for our Family Medicine inpatient service is to provide quality, patient-centered care.
Will I have the opportunity to do scholarly activity like research or writing journal articles?
Our program is a member of the Family Physicians Inquiry Network (FPIN) and requires residents to participate in scholarly activities such as presenting grand rounds, publishing in the Evidence-Based Practice Journal and presenting posters and publications at national conferences.
The department has a research division led by one of our faculty that helps faculty and residents develop, coordinate, implement, analyze, and disseminate projects and project data, and assists with grant writing and project evaluation. Residents work closely with faculty in Milton to provide quality improvement at the Milton Family Practice. The emphasis is on evidence-based practice, personal development and leadership of health systems.
How much OB do residents do?
Our average resident does about 75 deliveries. Those who choose to include OB in their practice can do electives and do quite a bit more. All residents are required to have three continuity deliveries. Those wanting to practice OB in the future are encouraged to follow at least 10 continuity patients.
How often will I be on call?
In your first year, there will be four months with no call. Our services have a night float system in place, so there is no overnight call on FMS and OB rotations. Night rotations occur in your second half of your second month of OB in your first year, your second year OB rotation, and one second and third Family Medicine service month.
When rotating on inpatient medicine services, they also employ a night float system. They have daytime long calls, which go until 7PM, but no overnight calls.