PMR Handbook 12
NEW YORK STATE
PREVENTIVE MEDICINE RESIDENCY
HANDBOOK
Welcome to the NYS Preventive Medicine Residency Program!
We hope the coming months will provide you with many exciting, informative, thought-provoking, challenging, and perhaps even life-changing experiences.
This handbook is designed to help you maximize your learning
and minimize the headaches along the way.
Please let us know if there are any gaps in the handbook,
and we’ll add another section.
TABLE OF CONTENTS
FACTS AT A GLANCE 4
KEY CONTACTS 5
BRIEF PROGRAM DESCRIPTION 6
PROGRAM DETAILS 8
Goals & Objectives 8
PGY-2 (year 1) 9 Summer Curriculum
Academic Program
Transfer of Credits
PGY-3 (year 2) 10 Summer Curriculum
Practicum Rotations
Planning Practicum Rotations
Resident Progress Record
MPH Internships
Waiver of MPH Internship Credits
Both Years 13 Topics in Public Health Practice Seminar
Practicum/Internship Presentation Seminar
Preventive Medicine In-Service Exam
Advocacy Letters
Integrative Experiences
Documentation
Graduating Residents 16
LOGISTICS 17
Getting Started 17 Employment Paperwork
SUNY Graduate Admissions
Tuition
ID Cards
Business Cards
Professional Memberships
Salary & Benefits 19 Salaries
Time & Attendance, Vacation and Sick Leave
Health Insurance
Malpractice Insurance
Outside Employment 20
Workspace 20
Lounge, Lockers, and Cafeteria 21
Computing and Communication 21 Computers
Internet Access
Health Information Network (HIN) access
Printing and Photocopying
Getting around 22 Transportation and Parking in the Capital District
Non-local Travel
POLICIES and PROCEDURES 24
APPENDIXES (1-16) 25
FACTS AT A GLANCE
New York State Department of Health and SUNY Albany School of Public Health Preventive Medicine Residency Program
Sponsors (see organizational charts in Attachments 1, 1a, 1b, 1c):
University at Albany (SUNY) School of Public Health
New York State Department of Health (NYS DOH)
Program Director: Mary Applegate, MD, MPH
Associate Program Director: Debra Blog, MD, MPH
Assistant Director for Clinical PM: Carolyn Grosvenor, MD MPH
Assistant Director for Cancer Track: Heather Dacus, MD MPH
Program Coordinator: Irina Khmelnitsky, MS
Program Address: University at Albany School of Public Health
One University Place, GEC Room 113
Rensselaer, NY 12144-3445
Phone: (518) 402-0283 (Mary)
(518) 402-4751 (Irina)
Fax: (518) 402-0329
School of Public Health
Dean: Philip Nasca, PhD (402-0281)
Associate Dean for Research Edward Fitzgerald, PhD (402-0283)
Associate Dean for Academic Affairs: Diane Dewar, PhD (402-0283)
Associate Dean for Public Health Practice: Mary Applegate, MD MPH (402-0283)
Assistant Dean for Student Affairs: Caitlin Reid (402-0727)
Director Internships and Career Services Ctr: Katrina Chamberlain (402-0404)
Chair, Dept. Health Policy, Mant & Behav Benjamin Shaw, PhD
Assistant to Chair: Linda Gauvain-McNulty (402-0333)
Chair, Dept. Epidemiology & Biostatistics: Gregory DiRienzo, PhD
Assistant to Chair: Nicole Malachowski (402-0372)
Chair, Dept. Environm. Health Sciences Patrick Parsons, PhD
Assistant to Chair: Judith Duckor (473-7553)
Chair, Dept. Biomedical Sciences Joan Curcio, PhD
Assistant to Chair: Anthony Torres (402-2510)
Address: One University Place, GEC 100
Rensselaer, NY 12144-3445
Phone: (518) 402-0283
Fax: (518) 402-0329
SUNY Administration
Personnel (518) 437-4729 or 437-4700
Travel (518) 442-3197 (Accounting office)
Registrar’s Office (518) 442-5540
SUNY Research Foundation
Personnel (518) 437-4500
Travel (518) 437-3870
Key Contacts
PMR Program Administration / Phone NumbersMary Applegate, MD, MPH
Director
/ 402-0283
402-0329 Fax
Debra Blog, MD, MPH
Associate Director
/ 474-4394 (secretary – Susan Guilder, )
Carolyn Grosvenor, MD, MPH
Assistant Director for Clinical PM
Heather Dacus, DO, MPH
Assistant Director for Cancer Track
Co-Chair, Residency Advisory Committee
Irina Khmelnitsky, MS
Program Coordinator
/ 626-6560
474-1222
473-0642 Fax
402-4751
402-0329 Fax
Matthew Mauer, DO, MPH
Co-Chair, Residency Advisory Committee
/ 402-7950
402-7959 Fax
BRIEF PROGRAM DESCRIPTION
The New York State Preventive Medicine Residency Program is a two-year General Preventive Medicine/Public Health residency training program. Founded and first accredited in 1991, it is jointly sponsored by the University at Albany (SUNY) School of Public Health and the New York State Department of Health (NYS DOH), with affiliated practicum sites at the Albany and Schenectady County Health Departments and the Eastern Division of the American Cancer Society. The overall goal of the program is to prepare physicians for leadership roles in public health and preventive medicine in state and local health departments or in academic and community settings.
Program structure: The program director, associate director, assistant directors, and core faculty are full-time public health professionals at the NYS DOH and/or the School of Public Health (SPH). Many have joint DOH/SPH appointments, and most of the physician faculty members are board certified in General Preventive Medicine/Public Health.
Residents accepted into the preventive medicine residency program must have completed at least one year of accredited clinical residency training, although many are board-certified specialists or sub-specialists entering the program mid-career.
Residents spend their first year taking coursework toward the Master of Public Health (MPH) degree with a concentration in Preventive Medicine or Epidemiology, Health Policy and Management, or Social Behavior and Community Health.
During their second year, residents complete three or four practicum rotations at NYS DOH and affiliated sites, each rotation lasting three to four months. All residents are required to do a rotation at a local county health department, but other rotations (and the specific content of the county rotation) are selected based on the residents’ interests and career goals.
Residents work closely with an advisor, chosen from among the program’s core faculty, to choose courses and practicum rotations. Their choices are guided by the American College of Preventive Medicine’s Competencies for Preventive Medicine Residents, ensuring that every resident acquires knowledge and skills in a broad range of public health activities. Within those constraints, individual residents are able to tailor their programs to their own interests and goals, for instance, maintaining a focus on maternal and child health throughout a program that includes coursework and practicum projects in epidemiology, administration, and behavioral sciences.
During both years of the program residents will engage in direct patient care, one day a week, at a local Community Health Center. The residents will provide evidence-based health promotion and cancer prevention interventions targeting several of the Health People 2020 objectives.
Residency Advisory Committee: A residency advisory committee serves to advise the Program Director on issues related to program development, policies and procedures, ACGME compliance, recruitment and funding.
· A second year resident serves on the committee to represent the concerns of the program’s residents.
The residency program’s key educational objectives are:
· To enable residents to achieve all of the American College of Preventive Medicine (ACPM) Competencies for Preventive Medicine Residents, preparing them to serve as leaders in public health (Both years).
· To enable residents to achieve all of the Accreditation Council for Graduate Medical Education (ACGME) Competencies for physicians in training (Both years).
· To increase residents’ knowledge and understanding of the core disciplines of preventive medicine and public health (Yr 1).
· To enhance residents’ ability to apply academic skills in the development, implementation and evaluation of public health/preventive medicine programs
(Yr 2).
· To increase residents’ understanding of the role and function of state and local public health agencies and of other partners in promoting the public’s health (Yr 2).
· To familiarize residents with methods and findings of preventive medicine research, and enable them to apply that knowledge to specific health issues (Both years).
PROGRAM DETAILS
Goals & Objectives
Overall Program Goal:
Develop exceptional leaders in public health and preventive medicine, who are prepared to assess critical health problems and to develop, implement, and evaluate policies and programs that address the need for health promotion, disease prevention, and access to quality health care.
Program objectives:
1. Provide an educational experience for physicians in preventive medicine and public health that explicitly links didactic teaching with practical training in state and local health departments and other community-based public health agencies.
2. Increase the number of competent physicians assuming leadership roles in the fields of public health and preventive medicine, both within New York State and nationwide.
3. Conduct a residency program in public health/preventive medicine which can serve as a model for other schools of public health and health agencies nationwide.
4. Increase awareness of public health and preventive medicine issues and careers among medical students and residents in other fields.
5. Increase the number of physicians from minority and disadvantaged backgrounds pursuing preventive medicine residency training and careers in public health.
Educational objectives:
1. Enable each preventive medicine resident to achieve all of the American College of Preventive Medicine (ACPM) and the Accreditation Council for Graduate Medical Education (ACGME) competencies for preventive medicine residents
2. Enable residents to gain special competence in a substantive area of public health (such as maternal and child health or communicable disease control).
3. Increase residents’ knowledge and understanding of the core disciplines of preventive medicine and public health.
4. Enhance residents’ ability to apply academic skills in development, implementation, and evaluation of preventive medicine/public health programs and activities.
5. Increase residents’ knowledge and understanding of the functioning of state and local public health agencies, and their understanding of the roles of other partners in promoting the public’s health.
6. Familiarize residents with methods and findings of public health and preventive medicine research conducted at the community level by public health agencies and others, and to enable them to apply that knowledge to specific health issues.
Training Overview
The training begins with a two-month orientation to public health and preventive
medicine.
A key component of the orientation is a weekly seminar featuring a series of population medicine teaching cases, developed by Dr. Lloyd Novick and colleagues at the SUNY Upstate Health Sciences Center in Syracuse, NY.
Residents also participate in a seminar series titled: Introduction to Public Health and Preventive Medicine. This 6-module Core Curriculum was developed by Dr. Joseph Nicholas during his practicum year as a NYS preventive medicine resident in 2005. In 2007 the 7th module was developed by a group of PM residents and in 2009 has been revised by Dr. John Silvernail, our graduate of 2010.
In addition to the teaching cases and seminars, residents spend a week at each of the major departments of NYS DOH and at selected affiliate agencies. The purpose is to meet with key staff to learn about the organizations’ functions and opportunities for future practicum rotations.
Field trips are often taken during the summer. Previous trips have included The State USAR Team, a county fair and the Regional Food Bank of Northwestern New York.
Residents are also encouraged to undertake a mini-practicum project under the supervision of program faculty.
Clinical Component (for both years): (a work in progress)
Effective July 1, 2011, new ACGME requirements for preventive medicine specialty include:
- Residents must have experiences in a patient care environment that addresses direct clinical issues.
- Residents must have responsibility for direct patient care.
- Residents must have a minimum of two months of direct patient care experiences during each year in the program.
We are currently working on collaboration with one of the local health centers – the Whitney Young Jr Health Services – on allowing our residents to fulfill their clinical obligations under their roof.
Specific areas of focus will include efforts to increase the rate of colorectal and breast cancer screening, reduce the prevalence of tobacco use, increase the acceptance rate of vaccinations (including cancer related HPV and Hepatitis B vaccines), and reduce the prevalence of obesity.
Specific interventions will include individual patient visits, group visits, telephone consults, behavioral counseling, community outreach and educational events. Lifestyle modification is an important component of cancer prevention so residents will be trained in evidence-based behavioral counseling techniques in order to provide smoking cessation and nutritional counseling/treatment in the clinic setting.
Academic Component
After the completion of the summer orientation, residents begin coursework toward a Master of Public Health (MPH) degree. Preventive medicine residents may choose a MPH concentration in PMR, Epidemiology, Health Administration, or Social Behavior and Community Health. The course requirements for each concentration are available at the departmental web pages. The PMR concentration course requirements are available from the Program Coordinator.
Residents generally complete all of their courses during the first year, but they may defer one or two courses to the second year in order to take electives that are not offered every year.
All courses require prior approval by a resident’s faculty advisor with documentation on the Plan of Study. Some elective courses also require approval by the department with a Section Key Number (SKN) issued by the assistant to the chair of the department. Once these approvals are obtained, an Advisement Verification Number (AVN) is issued by the PMR Program Coordinator and the resident can register for classes. All registrations are conducted electronically. Questions concerning course registration should be directed to the Program Coordinator.
Transfer of Credits
In order to complete all of the credits required for the MPH degree in only two semesters, residents may transfer up to 9 credits (three courses) based on courses taken in medical school (e.g., physiology, neuroscience, and microbiology). The Request for Transfer of Credits Form should be completed and returned to the Office of the Dean for Student Affairs as early in the academic year as possible. If the courses were completed more than six years prior to admission, a Request for Waiver of Statute of Limitations Form will also have to be completed. Core MPH courses that are substituted with other elective courses (e.g. Family & Community Health instead of Social and Behavioral Aspects of Public Health) require a Request for Course Waiver.
Practicum Component
Summer Curriculum
The practicum year begins with a two-month review of public health topics. Second year residents are expected to attend, along with the first year residents:
· Weekly population teaching cases
· Core Curriculum seminars (and may be asked to moderate a session)
· Field trips
· Overview sessions of the various departments within NYS DOH and the local health departments.