Fully Integrated Readiness for Service Training (FIRST) · FIRST Objectives • Recruit the right...

Aug Sept Oct Nov Dec Jan Feb March April May June JulyUNCTEC1 FoundationPhase OFF

FIRSTFS1 FoundationPhase CBLCPartI- AM

ContinuityClinic,PEDsatPHS,SDL,Didactic

SessionsAdvertisementandRecruitment Interviews&Selection

Orientation,FMME801- Coreclinicalskillstoworkeffectivelyinapractice,Introductiontopatientpanel,½day

aweekAug Sept Oct Nov Dec Jan Feb March April May June July

TEC2 FoundationPhase USMLEStep1 CareofSpecificPopulations(CSP) HISC

FS2FoundationPhase

USMLEStep1CSP HISC

FMME802- DidacticseminarsandWeeklyContinuityCarewithFMpanel FMME803- WeeklyContinuityClinicwithFMpanel

Aug Sept Oct Nov Dec Jan Feb March April May June July

TEC3 Hospital,Interventional,andSurgicalCare(HISC) CommunityBasedLongitudinalCare(CBLC) IndividualizationPhase

FS3

HISC CBLCPartIIActing

InternshipAHEC

CriticalCareSelective(EMorMICU)

Capstone ActingInternship GraduationFMME803- WeeklyContinuityClinic

withFMPanel

AdvancedPracticeSelective801-01

FullyIntegratedReadinessforServiceTraining(FIRST)UniversityofNorthCarolinaCatherineCoe,MD,KellyBossenbroek-Fedoriw,MD,Cristy Page,MD,MPH ProjectTeam

ProgramOverviewTheUniversityofNorthCarolinaatChapelHillwelcomeditsinauguralclass intotheFullyIntegratedforServiceTraining(FIRST)Programin 2016.FIRSTisauniqueprogramcombiningthreeyearsofanenhanced,expeditedmedicalschoolcurriculum,followedbythreeyearsoffamilymedicineresidency,leadingtothreeyearsofserviceinarural/underservedareaofthestate.

ThemissionoftheFIRSTProgramistoensureasubsetofstudents,passionateaboutunderservedcareinfamilymedicinehaveaccesstoexpeditedtraining, fullyequipping themwithskillsneededtomeetthestate'sgrowingprimarycareneeds.

FinancialSupportStudentshaveonlythreeyearsofmedicalschooltuition.

• PartnershipwiththeNorthCarolinaOfficeofRuralHealthandNorthCarolinaAHECtoprovideopportunitiesforloanrepayment

• Supportavailabletoattendconferences(AAFP,NCAFP,AHEC)

StudentSupport• Smallgroupofcorefamilymedicine

residencyfacultyprovidingcontinuityandsupportthroughoutallyearsofmedicalschoolandintoresidency

• StudentsintegratedintoUNCFamilyMedicineDepartment

• Designatedprogramcoordinator

AdviceforOtherInstitutions• Supportfromtheentireinstitutioniscritical– buy-infromDean’sOffice,Admissions,

Residency• Commitmenttothestateisimportantforrecruitment• Recruittherightcandidates,surroundthemwiththerightculture• Involvetheresidencyfacultyandresidentsearlyintheprocess• Startwithasmallcohortwhichhelpsbuildtheculture

FuturePlans• GoalsteadystateforUNCFIRST– 6studentsperyear

• Expansiontoadditionalpracticeandresidencylocationsforlongitudinalclinicalexperience

• ExpansiontoEastCarolinaUniversity• Evaluatingpossibleexpansiontoadditionalspecialtiesi.e.Psychiatry,Surgery• EvaluatingexpansiontoadditionalNCandSCmedicalschools• Developmentofthestructureofthe3yearspost-residency

• CME,ConferenceSupport,LocumsSupport

ProgramCurriculum

ProgramContact:http://first.unc.eduReidJohnson– FIRSTProgramCoordinatorFIRST@unc.edu

ProgramStatus&Accomplishments• Classof2018– 3studentswilljoinUNCFamilyMedicineResidencyProgram• Classof2019– 2studentswiththeoptiontoselectanyNCStateResidencyProgram

• InterestfromWilmington(SEAHEC)andAshevillePrograms(MAHEC)• Recruiting4-6studentsforclassof2020• ExpansionoftheFIRSTprogramtoEastCarolinaUniversityBrodySchoolofMedicine• GrantsupportfromtheDukeEndowmentandFullertonFoundation

CurriculumHighlights• MeetsLCMErequirementsforafullMDdegree

with130weeksofcurriculum• WeeklycontinuityclinicatUNCFamilyMedicine

Centerthroughoutall3years• Trimnon-curriculartime• IntensiveSummerCurriculum• MustpassStep1,Step2CK/CS

StudentSelection• Experiencepriortomedicalschool

demonstratescommitmenttounderservedpeople/primarycare

• TiestoNorthCarolina• Provenabilitytohandlefirstsemesterof

medicalschool• Self-identifyandapplytoprogram• Moststudentsshadowinclinicpriortoapplying• In-depthinterviewswithFIRSTFaculty

FIRSTObjectives• Recruittherightcandidates• Provideenhancedtrainingintheright

locations• Reducedebt• PlaceinrightNCresidencyprograms• Placeinrightjobspostresidency• Connectwithloanrepayment• Provideearlycareersupport

Academic ProgramTeaching Practice

FIRSTStudents(L-R)KyleMelvin,ThaneCampbell,BeccaEvans,

ThomasD’Angelo,AriannaNasser

ProgramCurriculumAug Sept Oct Nov Dec Jan Feb March April May June July

UNCTEC1 FoundationPhase OFF

FIRSTFS1

FoundationPhase

CBLCPartI- AMContinuityClinic,PEDsatPHS,SDL,Didactic

SessionsAdvertisementandRecruitment Interviews&SelectionOrientation,FMME801- Coreclinicalskillstoworkeffectivelyinapractice,Introductionto

patientpanel,½dayaweek

Aug Sept Oct Nov Dec Jan Feb March April May June JulyTEC2 FoundationPhase USMLEStep1 CareofSpecificPopulations(CSP) HISC

FS2FoundationPhase

USMLEStep1

CSP HISC

FMME802- DidacticseminarsandWeeklyContinuityCarewithFMpanel FMME803- WeeklyContinuityClinicwithFMpanel

Aug Sept Oct Nov Dec Jan Feb March April May June July

TEC3 Hospital,Interventional,andSurgicalCare(HISC) CommunityBasedLongitudinalCare(CBLC) IndividualizationPhase

FS3

HISC CBLCPartIIActing

InternshipAHEC

CriticalCareSelective

(EMorMICU)Capstone Acting

Internship Graduation

FMME803- WeeklyContinuityClinicwithFMPanel

AdvancedPracticeSelective801-01

SummerCurriculumExample

2017 JuneSUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY28 29 30 31 01 02 03

VacationWeek

04 05 06 07 08 09 10Summer

Orientation8-10am,284 Wakebrook

w/SandyClark

(9:30am)Team2w/

BarnhousePEDsat

ProspectHillAM:RobertsPM:Roberts

Team1w/Halpert

Team1w/Martini

Team3w/Donahue

Team2w/Barnhouse (1-

4pm)11 12 13 14 15 16 17

MCH MCH MCH MCH MCH

ChathamEDMCH

LearningSession12:30-2:30pm284

MCH MCHCentricityTrainingat

CarrboroPHS18 19 20 21 22 23 24

Wakebrookw/Beat

PEDsatProspectHillAM:AycockPM:Rupcich

(9:30am)Team2w/

Barnhouse

Team1w/Hines

PEDsatProspectHillAM:RobertsPM:RobertsTeam1w/

Higgins25 26 27 28 29 30 01

ChathamED

Team1w/Bossenbroek

Team1w/Halpert

(9:30am)Team1w/Halpert

PEDsatProspectHillAM:RobertsPM:Zhou-Talbert

Team4w/Mounsey

LearningSession

1-3pm,284

Team3w/Donahue

2017 JulySUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY25 26 27 28 29 30 01

ChathamED

Team1w/Bossenbroek

Team1w/Halpert

(9:30am)Team1w/Halpert

PEDsatProspectHillAM:RobertsPM:Zhou-Talbert

Team4w/Mounsey

LearningSession

1-3pm,284

Team3w/Donahue

02 03 04 05 06 07 08

Team4w/Mounsey

Holiday

LearningSession10am-12pm,244

Team4w/Koonce

PEDsatProspectHillAM:BeckerPM:Zhou-Talbert

LearningSession12-2,

284

Team3w/Donahue

09 10 11 12 13 14 15PEDsat

ProspectHillAM:RupcichPM:Zhou-Talbert

Team4w/Mounsey

LearningSession10am-12pm,284

PEDsatProspectHillAM:RobertsPM:Zhao-Talbert

Team1w/Martini ChathamED

Team4w/Mounsey

CBLCSessionABerryhill305

16 17 18 19 20 21 22

PEDsatProspectHillAM:RupcichPM:Zhao-Talbert

HospiceTransitionsLifeCare

HospiceTransitionsLifeCare

LearningSession10am-12pm,284

Team1w/Martini

OfficeofRuralHealth

Meeting,12-1pm,284

23 24 25 26 27 28 29

OUT OUT OUT OUT OUT

UNCFMClinic LearningSession12-2 MCH Hospice PEDsat

ProspectHill Holiday/OUT ChathamED

EnhancingthePipeline

Colleges & Universities

Medical School

Residency Training

Initial Practice Location

Ongoing Practice

Recruit students from rural and underserved

communities

Create NC tracks from medical school

to residency

Support recruitment and loan repayment

programs

FIRST

FIRSTStudentsClassof2018

ThomasD’Angelo,RN,MFAHasexperiencewithpatientcareinunderservedcommunitiesfromhisyearsasahospicenurse.HehasalsoearnedaMasterofFineArtsinwritingfromtheArtInstituteofChicagoandhaswrittentwonovels.ThaneCampbellVolunteeredatahealthclinicinNicaragua.Aftergraduation,hespenttwoyearsworkingwithfamiliesataLatinocommunitycenterinWinston-SalemKyleMelvinAgraduateofUNC-ChapelHill,wherehereceivedabachelor’sdegreeinbiologyandanotherinreligiousstudieswithaminorinSpanishforHealthProfessions.HegrewupinBeaverDam,NC,asmallcommunitynearFayetteville.

Classof2019AriannaNasserAgraduateofNorthCarolinaStateUniversitywhereshereceivedaBachelorofScienceinBiomedicalEngineeringandaBachelorofScienceinPhilosophy.ShehasworkedwithNChighschoolstoencouragegirlsandminoritiestopursuecareersinSTEMfields.AriannaispassionateaboutreducingbarrierstohealthcareaccessinNCandhopestoanddesignandimplementnewtoolstoaccomplishthis.BeccaEvansAgraduateofDavidsonCollegewhereshereceivedaBachelorofScienceinBiology.Sheworkedforseveralyearsdoingbio-medicalresearchinDurham,NC. SheisfromDueWest,asmallruraltownintheupstateofSouthCarolinaandsheisexcitedaboutworkinginsmallcommunitiesandprovidinglongitudinalcareinunderservedareasofNorthCarolina.

(L-R)Thomas,Thane,Kyle (L-R)Arianna,Becca

Cristy Page,MD,MPH- cristy_page@med.unc.eduWilliamB.Aycock DistinguishedProfessorandChairoftheDepartmentofFamilyMedicineFIRSTCo-DirectorUNCFamilyMedicineResidencyProgramDirector

KellyBossenbroek-Fedoriw - kelly_fedoriw@med.unc.eduFIRSTCo-DirectorDirectorofFamilyMedicalStudentProgramsCommunityBasedLongitudinalCare(CBLC)Co-Director

BeatSteiner,MD,MPH- beat_steiner@med.unc.eduAssistantDeanforClinicalEducationFIRSTAssistantDirector

TommyKoonce,MD,MPH- thomas_koonce@med.unc.eduFIRSTCoreFacultyDirectorofFacultyDevelopmentFellowshipFamilyMedicineCenterMedicalDirector

YeeLam,MD,PhD,MS- yee_lam@med.unc.eduFIRSTCoreFacultyCBLCCoreFaculty

CatherineCoe,MD - catherine_coe@med.unc.eduUNCFamilyMedicineChiefResidentFIRSTResidentLiaison

ReidJohnson- reid_johnson@med.unc.eduFIRSTProgramCoordinatorMedicalStudentCoordinatorforFamilyMedicine

FIRSTFacultyandTeam