Elective Information – Farmworker Health with Maine Mobile Health Program

Pre-requisite: PGY-2 or above

Duration for Elective: 2 or 4 weeks

Rotation Director: Cheryl Seymour, MD

Contact MERGE to sign up for this elective rotation

Educational Objective

To provide the GME learner with clinical experience in a rural Migrant Agricultural Worker Primary Care 

 

By the end of this elective with MMHP, learners will…

  • Be exposed to the unique challenges and rewards of providing medical care for migrant and seasonal farmworkers
  • Gain an in-depth understanding of the social, political, occupational, cultural and community factors that influence the health of migrant and seasonal farmworkers.
  • Reflect on their role as physician and advocate as it relates to this marginalized community or others with whom they may work in the future

Experiences and Procedures

Provide acute and primary care for migrant and seasonal farmworkers as part of an interdisciplinary team in a mobile medical unit setting

  • Participate in post-clinic interdisciplinary team debriefs to prioritize and plan the logistics of clinical care plans
  • Engage in discussion and reflection with other learners and experienced MMHP providers around the clinical, ethical and structural challenges inherent in providing health care to marginalized communities
 
Seasons and Locations:
  • Broccoli: July – October – Aroostook County
  • Blueberries: July – August – Washington County / Downeast
  • Apples: September – October – Androscoggin & Oxford counties
  • Wreathing: November – December – Washington County / Downeast

Housing

The Maine Mobile Health Program coordinates housing for the entire field team. The specific site will depend on the time of year and where the farmworker communities are located.

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Jackman Community Health Center

  • Elective Educational Objective: To provide the GME learner with clinical experience in an isolated rural primary care medical practice with unique additional exposure to acute emergent care, as the nearest emergency departments are 60-90 minutes away, and tertiary care is 2.5 hours away.
  • Rotation Director: Patricia Doyle, MD
  • Rotation Requirements: PGY2 and above
Click here to contact us and apply

Franklin Memorial Hospital - Hospitalist IM

  • Elective Educational Objective: To provide the opportunity for rural inpatient care in a 65-bed hospital. Residents will work closely with a hospitalist providing evidence-based quality care in an acute care in a rural hospital setting including managing patients both on the ward as well as in our 4-bed intensive care unit.
  • Rotation Director: Nick Perros, MD
  • Rotation Requirements: Mid-PGY2 or above, Internal Medicine or Family Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Blue Hill Primary Care

  • Elective 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 on the Coast of Maine.
  • Rotation Director: Mike Murnick, MD
  • Rotation Requirements: PGY2 and above
  • Open Job Opportunities: Family Medicine Physician (2)
Click here to contact us and apply

Megunticook Family Medicine – Direct Primary Care

  • Elective Educational Objective: To provide the GME learner with experience in solo or small, rural, general family medicine, Direct Primary Care (DPC) practice. Megunticook Family Medicine has been an independent DPC practice since 2015.
  • Rotation Director: Brian Pierce, MD
  • Rotation Requirements: PGY2 and above
Click here to contact us and apply

HealthReach Community Health Centers – Geriatrics

  • Elective Educational Objective: To provide the GME learner with clinical experience in care of older adults in a primary care setting, with a particular focus on the diagnosis and management of cognitive impairment. Rotation will include Clinical experience working with patients and families affected by common geriatric syndromes (polypharmacy, advanced comorbid illness, falls/frailty, cognitive impairment, etc), as well as experience in promoting wellness in older adults. Residents will perform focused consultation for cognitive impairment/evaluation of dementia.
  • Rotation Director: Amy Madden, MD
  • Rotation Requirements: PGY2 and above
  • Job Openings: Family Medicine Physician (7)
Click here to contact us and apply

HealthReach Community Health Centers – SUD

  • Elective Educational Objective: To provide the GME learner with clinical experience in management of substance use disorders in rural settings using a team-based approach. This rotation will include Clinical experience working with patients receiving SUD treatment at multiple rural health center sites, 1:1 education with addiction medicine specialists embedded in rural health centers, and exposure to team-based model of care working with other professionals at the sites, including Behavioral Health Consultants and Connectors.
  • Rotation Director: Amy Madden, MD
  • Rotation Requirements: PGY2 and above
  • Job Openings: Family Medicine Physician (7)
Click here to contact us and apply

Western Maine Health – OB/GYN

  • Elective Educational Objective: To provide the GME learner with clinical experience in a rural, full scope, OBGYN practice. This rotation will provide multiple surgical opportunities each week in addition to a resident-based outpatient schedule which would include: contraception management, gynecological consultation and obstetrical care.
  • Rotation Director: Jeannette Andrews, DO
  • Rotation Requirements: PGY 3 or 4 OBGYN residents or Family Medicine residents with a passion for women’s health and who have performed >30 obstetrical deliveries
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Franklin Health Internal Medicine

  • Elective Educational Objective: Franklin Health Internal Medicine is a multidisciplinary outpatient clinic providing comprehensive primary care to a large rural catchment of patients. During this unique rotation, trainees will be exposed to a wide breadth of outpatient internal medicine in the rural western mountains of Maine.
  • Rotation Director: Stephen Goss, DO
  • Rotation Requirements: PGY2 or above, Internal Medicine or Family Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Franklin Health Behavioral Services - Psychiatry

  • Elective Educational Objective: To provide the trainee with a full spectrum outpatient rural psychiatry experience. 
  • Rotation Director: Kristen Mazoki, DO
  • Rotation Requirements: PGY2 or above in Psychiatry, Family Medicine, or Internal Medicine
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Franklin Memorial Hospital – Emergency Department

  • Elective Educational Objective: To gain knowledge in diagnosis and management of a broad variety of pathology in a rural emergency department setting, become comfortable with diagnosing and managing medical and traumatic emergencies in a setting where all needed resources may not be readily available, and learn how to get the patient to the appropriate resources while still providing equitable care for others awaiting treatment and or disposition.
  • Rotation Director: Jodi Conrad, MD
  • Rotation Requirements: PGY2 or Above in Emergency Medicine, Family Medicine, Pediatric, Internal Medicine, and Surgery
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Western Maine Health – Addiction

  • Elective Educational Objective: To Provide the GME learner with a general rural family medicine outpatient practice experience in a multi-physician and nurse practitioner primary care practice with a focus on rural addiction medicine outpatient experience.
  • Rotation Director: Lisa Miller, MD
  • Rotation Requirements: PGY2 or Above
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply

Western Maine Health – Primary Care

  • Elective Educational Objective: To Provide the GME learner with a general rural family medicine outpatient practice experience in a multi-physician and nurse practitioner primary care practice. Western Maine Primary Care is a level three patient centered medical home (PCMH) and a designated Rural Health Center.
  • Rotation Director: Laura LaRosa, MD
  • Rotation Requirements: PGY2 or Above
  • Job Openings: MaineHealth has many rural physician opportunities. For more information on openings, please contact physician recruiter Donna Lafean at donna.lafean@mainehealth.org.
Click here to contact us and apply