Pre-requisite: Open to Family Medicine residents at the PGY2 level or above
Duration for Elective: 4 weeks split as 2 weeks in Jackman and 2 weeks in Bangor
Rotation Directors: Patricia Doyle, MD in Jackman and Ina Hunt, MD in Bangor.
Educational Objective
To provide the GME learner with clinical experience on the delivery of unscheduled urgent and emergency care in the rural non-emergency department setting including as both the originating site and remote site physician for telemedicine services.
For the first 2 weeks, the rotation schedule will be primary care / urgent care clinic at the Jackman Community Health Center Monday, Tuesday, Wednesday and Thursday 0730-1730 and on call with the Critical Access Integrated Paramedic (CAIP) Tuesday Night 1730–0730 and Thursday night 1730 through Monday 0730 with 10-15 hours of clinical service delivery during that period.
For the second 2 weeks, the rotation schedule will be emergency department shifts 0700-1900 Friday – Sunday with primary responsibility as the remote site physician for Jackman CAIP calls. The participant will also select one 8-hour shift per week in the St. Joseph Internal Medicine Unscheduled Services clinic.
Experiences and Procedures
- Provide routine, urgent, and emergency medical care in the rural primary care clinic setting.
- Participate in scheduled community paramedicine visits in a rural setting without home health resources.
- Participate in emergency medical services 911 responses.
- Participate in facilitated tele-urgent care visits with the Critical Access Integrated Paramedic at the originating site.
- Provide emergency department care in a community hospital emergency department.
- Provide facilitated tele-urgent care visits with the Critical Access Integrated Paramedic as the remote site physician.
- Provide unscheduled urgent care services in the community primary care setting.
- Receive orientation to and training in the use of telehealth platforms and peripherals as an originating site and remote site user.
Housing
Jackman Community Health Center offers on-site housing as part of its EMS services. Learners have a private bedroom with a TV and a private bathroom. The kitchen and living area is a shared space with the paramedics. The housing and EMS integration is critical to this health center’s unique operation.
St. Joseph Hospital does not offer learner housing in Bangor. If a resident needs housing reimbursement, they may seek funds from the MERGE Collaborative under the parameters of the MERGE Collaborative Housing Reimbursement Policy.
