Pre-requisite: Open to any level of training and specialty

Duration for Elective: Flexible 2-4 weeks

Rotation Director: Vitor Martins da Silva, MD

Educational Objective

To provide the GME learner with a modern rural general family medicine outpatient practice experience with an interprofessional team of Physicians, Nurse Practitioners, Physician Assistants, Nurses, Licensed Clinical Social Workers, and Diabetes Educators affiliated with a Critical Access Hospital in Central/Western Maine. 

Experiences and Procedures

  • Work with Primary Care clinicians on the prevention and management of common, and uncommon, acute and chronic medical conditions in an area with limited local access to resources. 
  • Opportunity to adapt resident’s schedule to particular interests as able. 
  • Extensive opportunities for geriatric care, including up to 1 hour-long comprehensive geriatric assessment visits. 
  • Opportunities for integrating medication assisted treatment for various substance use disorders in a rural Primary Care practice. 
  • Opportunities for primary care nonsurgical gender affirming treatment in an area with limited number of gender affirming care providers. 
  • Opportunities for minor outpatient Dermatological procedures including cryotherapy of warts, skin tags, and actinic keratoses; excisional, punch, and shave biopsies of skin lesions and rashes; and minor laceration repairs. 
  • Opportunities for minor outpatient Orthopedic procedures including intra-articular, bursal, trigger finger and trigger point injections. 

Housing

Mayo Hospital has a hospital-owned house on site.  There is laundry, common space in the living room and kitchen, and 2 shared bathrooms. Others staying there intermittently include locums, traveling nurses, full-time employees on call, and occasional students.